- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02900183
Safety, Tolerability and Effect of ARC-AAT Injection on Circulating and Intrahepatic Alpha-1 Antitrypsin Levels
An Open-Label, Multi-dose, Phase 2 Study to Determine the Safety, Tolerability and Effect on Circulating and Intrahepatic Alpha-1 Antitrypsin Levels of ARC-AAT as Evidenced by Changes in Liver Biopsy in Patients With Alpha-1 Antitrypsin Deficiency (AATD)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a multi-center, multi-dose study to evaluate the safety, tolerability and effect on intrahepatic and circulating Alpha-1 Antitrypsin (AAT) levels of ARC-AAT Injection, administered intravenously. Participants who have signed an Institutional Review Board/Ethics Committee (IRB/EC) approved informed consent form and met all of the protocol eligibility criteria will receive multiple intravenous doses (7 total doses administered every 28 days) of ARC-AAT Injection. Patients previously, currently or never receiving AAT augmentation therapy are acceptable for enrollment. All subjects will require a pre-dose biopsy and a post-dose biopsy completed after the last dose or at early termination as applicable. For each participant the duration of the study clinic visits is approximately 49 weeks, from the beginning of the Screening period to the Day 287 End-of-Study (EOS) visit.
The following evaluations will be performed at regular intervals throughout the study: medical history, physical examinations, bee venom allergy blood test, vital sign measurements (blood pressure, temperature, heart rate, respiratory rate), weight, adverse events monitoring, electrocardiograms (ECGs), pregnancy tests (females), concurrent medication evaluation, pulmonary function testing, clinical laboratory tests including hematology, coagulation, chemistry, FibroTest, anti-drug antibodies, drug screens, serum AAT levels, liver biopsy, FibroScan, and urinalysis.
Study Type
Phase
- Phase 2
Contacts and Locations
Study Locations
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Ontario
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Toronto, Ontario, Canada, M5T3A9
- Inspiration Research Limited
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Dublin, Ireland
- Beaumont Hospital
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Pavia, Italy, 27100
- IRCCS Policlinico San Matteo Foundation, University of Pavia
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Malmo, Sweden, SE-205 02
- Skane University Hospital, Department of Gastroenterology
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or non-nursing female patients 18-75 years of age, inclusive, at the time of Screening
- Previous diagnosis of PiZZ genotype Alpha-1 Antitrypsin Deficiency (AATD)
- Non-smoker (not a daily cigarette smoker) for at least three years with current non-smoking status confirmed by urine cotinine at screening.
- Highly effective, double barrier contraception (both male and female partners) during the study and for 3 months following the last dose of ARC-AAT Injection
- Suitable venous access for blood sampling
Exclusion Criteria:
- Known diagnosis of hepatic fibrosis from a cause other than AATD
- History of poorly controlled autoimmune disease, or any history of autoimmune hepatitis
- Human immunodeficiency virus (HIV) infection
- Seropositive for Hepatitis B virus (HBV) or Hepatitis C virus (HCV)
- Uncontrolled hypertension
- History of cardiac rhythm disturbances
- Symptomatic heart failure, unstable angina, myocardial infarction, severe cardiovascular disease, transient ischemic attack (TIA) or cerebrovascular accident (CVA) within 6 months prior to study entry
- History of malignancy within the last 2 years except for adequately treated basal cell carcinoma, squamous cell skin cancer, superficial bladder tumors, or in situ cervical cancer
- History of major surgery within 1 month of Screening
- Regular use of alcohol within one month prior to the Screening visit
- Use of illicit drugs (such as cocaine, phencyclidine [PCP] and crack) within 1 year prior to Screening or positive urine drug screen at Screening
- Use of an investigational agent or device within 30 days prior to dosing or current participation in an investigational study involving a therapeutic intervention
- Any clinically significant history/presence of an uncontrolled systemic disease
- Blood donation (≥500 mL) within 7 days prior to study treatment administration
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: ARC-AAT Injection
Intravenous administration of ARC-AAT Injection (4 mg/kg or 6 mg/kg) every 28 days for a total of 7 doses
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RNA interference (RNAi)-based, liver-targeted therapeutic
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Incidence and frequency of adverse events as a measure of safety and tolerability of multiple doses of ARC-AAT Injection
Time Frame: Baseline through Day 287 End-of Study Visit
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Baseline through Day 287 End-of Study Visit
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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Change from baseline in circulating serum levels of alpha-1 antitrypsin
Time Frame: Baseline through Day 287 End-of Study Visit
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Baseline through Day 287 End-of Study Visit
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ARCAAT2001
- 2016-000917-59 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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Thomayer University HospitalMasaryk UniversityRecruiting
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University of FloridaAlpha-1 FoundationEnrolling by invitation
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Grifols Therapeutics LLCCompletedAlpha₁-Antitrypsin DeficiencyUnited States
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Michael Campos, MDCSL BehringCompletedAlpha 1 Antitrypsin DeficiencyUnited States
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Washington University School of MedicineNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK); N... and other collaboratorsTerminatedLiver Cirrhosis | Alpha-1-antitrypsin DeficiencyUnited States
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Alnylam PharmaceuticalsTerminatedZZ Type Alpha-1 Antitrypsin Deficiency Liver DiseaseUnited Kingdom
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University of PittsburghNational Heart, Lung, and Blood Institute (NHLBI)CompletedAlpha 1 Antitrypsin Deficiency | AATDUnited States
-
Hospices Civils de LyonCompletedChildren With a Deficiency of Alpha-1 AntitrypsinFrance
-
Heidelberg UniversityTerminatedHereditary Emphysema (Alpha 1-antitrypsin Deficiency)Germany
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Grifols Therapeutics LLCCompletedEmphysema | Alpha 1-antitrypsin Deficiency (AATD)United States
Clinical Trials on ARC-AAT Injection
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-
TakedaEnrolling by invitationAlpha1-Antitrypsin DeficiencyUnited Kingdom, Germany, United States, Austria, Portugal
-
Arrowhead PharmaceuticalsCompleted
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University of California, San DiegoBrain & Behavior Research FoundationCompletedMajor Depressive DisorderUnited States
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University of California, San DiegoNational Institute of Mental Health (NIMH)CompletedSocial Anxiety DisorderUnited States
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Arrowhead PharmaceuticalsActive, not recruitingAlpha 1-Antitrypsin DeficiencyAustria, Germany, United Kingdom
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TakedaRecruitingAlpha1-Antitrypsin DeficiencyUnited States, Poland