A Dose REgimen-Finding Study of AGA2115 in Chinese Patients With Osteogenesis ImpeRfecta (EIR) (EIR)
A Phase 2 Multi-center, Randomized, Open-Label, Dose Regimen-Finding Study of AGA2115 in Chinese Adults and Adolescents With Type I, III, or IV Osteogenesis Imperfecta
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Yolanda Liu
- Phone Number: +86 13911537795
- Email: yolanda.liu@angitiabio.com
Study Locations
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, China, 100005
- Recruiting
- Chinese Academy of Medical Sciences, Peking Union Medical College Hospital
-
Principal Investigator:
- Mei Li
-
-
Guangdong
-
Shenzhen, Guangdong, China, 518053
- Recruiting
- The University of Hong Kong-Shenzhen Hospital
-
Principal Investigator:
- Kai Tsun Michael To
-
-
Jiangsu
-
Suzhou, Jiangsu, China, 215025
- Not yet recruiting
- Children's Hospital of Soochow University
-
Principal Investigator:
- Ting Chen
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 200233
- Not yet recruiting
- Shanghai Sixth People's Hospital
-
Principal Investigator:
- Zhenlin Zhang
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adults (18-75 years) or adolescents (12-17 years) with a confirmed diagnosis of Osteogenesis Imperfecta (OI) Type I, III, or IV with genetic confirmation of pathogenic variants in COL1A1 or COL1A2 genes
- BMD T-score of ≤-1.0 at the lumbar spine, total hip, or femoral neck (adults) or BMD Z-score of ≤-1.0 at the lumbar spine, total hip, or femoral neck (adolescents)
- Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol
Exclusion Criteria:
- Vitamin D deficiency
- Concomitant uncontrolled diseases or conditions that could affect bone metabolism such as hypo-/hyperparathyroidism, hypo-/hyperthyroidism, abnormal thyroid function or thyroid disease, or other endocrine disorders.
- Current hyper- or hypocalcemia.
- History of rickets, osteomalacia, or other significant skeletal disorders (excluding OI) leading to long-bone deformities and/or increased risk of fractures.
- Use of bisphosphonates within the past 6 months.
- Use of teriparatide, abaloparatide, strontium ranelate, or hormone replacement therapy within the past 12 months.
- Use of denosumab (or denosumab biosimilars) within the past 2 years.
- Use of anti-sclerostin antibody medications (romosozumab, setrusumab, blosozumab) at any time.
- History of myocardial infarction or stroke (or other cardiovascular associated event deemed significant) within the past 12 months.
- Malignancy within the last 5 years.
- Pregnant or breastfeeding women, or women planning to become pregnant during the study or within 4 months after the last dose of IP.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Cohort 1
Adult participants will receive AGA2115 Dose Regimen 1.
|
Participants will receive AGA2115 administered by subcutaneous injection
|
|
Experimental: Cohort 2
Adult participants will receive AGA2115 Dose Regimen 2.
|
Participants will receive AGA2115 administered by subcutaneous injection
|
|
Experimental: Cohort 3
Adult participants will receive AGA2115 Dose Regimen 3.
|
Participants will receive AGA2115 administered by subcutaneous injection
|
|
No Intervention: Cohort 4
Adult participants will only receive AGA2115 Dose Regimen 2 in the second year.
|
|
|
Experimental: Cohort 5
Adolescent participants will receive AGA2115 Dose Regimen 1.
|
Participants will receive AGA2115 administered by subcutaneous injection
|
|
Experimental: Cohort 6
Adolescent participants will receive AGA2115 Dose Regimen 2.
|
Participants will receive AGA2115 administered by subcutaneous injection
|
|
Experimental: Cohort 7
Adolescent participants will receive AGA2115 Dose Regimen 3.
|
Participants will receive AGA2115 administered by subcutaneous injection
|
|
No Intervention: Cohort 8
Adolescent participants will only receive AGA2115 Dose Regimen 2 in the second year.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Occurrence of Treatment-Emergent Adverse Events (TEAEs)
Time Frame: Baseline to Month 27 (Cohorts 1 and 5); Baseline to Month 24 (Cohorts 2, 3, 4, 6, 7 and 8)
|
Baseline to Month 27 (Cohorts 1 and 5); Baseline to Month 24 (Cohorts 2, 3, 4, 6, 7 and 8)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Percent change from Baseline at Month 3, 6, 9 and 12 in Bone Mineral Density (BMD) at lumbar spine, total hip, femoral neck, one-third distal radius, and total body (minus head) for adults and adolescents.
Time Frame: Months 3, 6, 9, and 12
|
Months 3, 6, 9, and 12
|
|
Change from Baseline at Month 3, 6, 9, and 12 in BMD Z-score at lumbar spine, total hip, femoral neck, one-third distal radius, and total body (minus head) for adolescents.
Time Frame: Month 3, 6, 9, and 12
|
Month 3, 6, 9, and 12
|
|
Percent Change from Baseline at Week 1 and Month 1, 3, 6, 9, and 12 in bone turnover markers CTX-1 and P1NP
Time Frame: Week 1, Month 1, 3, 6, 9, and 12
|
Week 1, Month 1, 3, 6, 9, and 12
|
|
Percentage of participants with fractures between Baseline and Month 12
Time Frame: Baseline to Month 12
|
Baseline to Month 12
|
|
Annualized fracture rate for incident fractures occurring between Baseline and Month 12
Time Frame: Baseline to Month 12
|
Baseline to Month 12
|
|
AGA2115 observed concentration for the treatment groups
Time Frame: Day 1 to Month 27 (Cohorts 1 and 5); Day 1 to Month 24 (Cohorts 2, 3, 4, 6, 7 and 8).
|
Day 1 to Month 27 (Cohorts 1 and 5); Day 1 to Month 24 (Cohorts 2, 3, 4, 6, 7 and 8).
|
|
Serum anti-AGA2115 antibodies
Time Frame: Day 1 to Month 27 (Cohorts 1 and 5); Day 1 to Month 24 (Cohorts 2, 3, 4, 6, 7 and 8).
|
Day 1 to Month 27 (Cohorts 1 and 5); Day 1 to Month 24 (Cohorts 2, 3, 4, 6, 7 and 8).
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ACT24-003
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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