Undersøgelse for at evaluere sikkerheden og effektiviteten af PIPE-307 hos forsøgspersoner med recidiverende-remitterende multipel sklerose (VISTA)
Et fase 2, randomiseret, dobbeltblindt, placebokontrolleret, dosisvarierende multicenterundersøgelse til evaluering af sikkerheden og effektiviteten af oral PIPE-307 som en supplerende behandling hos forsøgspersoner med recidiverende-remitterende multipel sklerose
This is a randomized, double-blind study of PIPE-307 or placebo in subjects with relapsing-remitting multiple sclerosis. Subjects will be randomized into 1 of 3 separate cohorts (1:1:1 randomization ratio, PIPE-307 Dose A:PIPE-307 Dose B: Placebo) for a total duration of approximately 30 weeks.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
This is a randomized, double-blind study of PIPE-307 or placebo given to 168 subjects randomized into one of 3 separate cohorts. They will be randomized 1:1:1 (PIPE-307 Dose A:Pipe 307 Dose B: Placebo). There will be a 28-day screening period followed by a 26-week treatment period. Safety will be assessed by periodic measurements of vital signs (VS), physical (PE) and neurological examinations, electrocardiograms (ECG), blood laboratory analyses and occurrence of adverse events (AE).
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
-
-
Arizona
-
Phoenix, Arizona, Forenede Stater, 85032
- Arizona Neuroscience Research, LLC
-
Phoenix, Arizona, Forenede Stater, 85004
- Xenosciences
-
-
California
-
Berkeley, California, Forenede Stater, 94705
- Alta Bates Summit Medical Center
-
-
Colorado
-
Colorado Springs, Colorado, Forenede Stater, 80907
- Colorado Springs Neurological Associates
-
-
Florida
-
Clearwater, Florida, Forenede Stater, 33761
- MS and Neuromuscular Center of Excellence
-
Naples, Florida, Forenede Stater, 34105
- Aqualane Clinical Research
-
-
Georgia
-
Atlanta, Georgia, Forenede Stater, 30309
- Shepherd Center
-
-
Kansas
-
Kansas City, Kansas, Forenede Stater, 66160
- University of Kansas Medical Center
-
-
Massachusetts
-
Foxborough, Massachusetts, Forenede Stater, 02035
- Neurology Center of New England P.C.
-
-
Missouri
-
St Louis, Missouri, Forenede Stater, 63110
- Washington University School of Medicine
-
-
New Mexico
-
Albuquerque, New Mexico, Forenede Stater, 87106
- University of New Mexico/Health Science Center/MIND Imaging Center/MS Specialty Clinic
-
-
New York
-
Amherst, New York, Forenede Stater, 14226
- Dent Neurologic Institute
-
Lake Success, New York, Forenede Stater, 11042
- Neurological Associates of Long Island, P.C.
-
-
Oklahoma
-
Oklahoma City, Oklahoma, Forenede Stater, 73104
- Oklahoma Research Foundation - MS Center of Excellence
-
-
Tennessee
-
Knoxville, Tennessee, Forenede Stater, 37922
- Sibyl Wray Neurology PC
-
-
Texas
-
Houston, Texas, Forenede Stater, 77074
- Clinical Trial Network
-
Houston, Texas, Forenede Stater, 77030
- University of Texas Health Science Center at Houston
-
Lubbock, Texas, Forenede Stater, 79410
- Bhupesh Dihenia, MD, PA
-
-
Washington
-
Seattle, Washington, Forenede Stater, 98101
- Virginia Mason Medical Center
-
Seattle, Washington, Forenede Stater, 98133
- UW Medicine MS Center
-
Tacoma, Washington, Forenede Stater, 98405
- Multicare Neuroscience Center of Washington
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Subject is fluent in English.
- Male or female 18 to 50 years of age, inclusive, at the first Screening visit.
- A diagnosis of relapsing-remitting multiple sclerosis (RRMS) according to the 2017 Revised McDonald Criteria.
- Expanded Disability Status Scale (EDSS) and retinal nerve fiber layer within protocol requirements.
- Stable immunomodulatory treatment on no more than a single DMT for RRMS over the 6 months prior to Screening, as determined by the PI.
- Male or female subjects with reproductive potential agree to comply with a highly effective contraceptive method as per protocol through 1 month after last study drug administration as per protocol.
- General good medical health with no clinically significant or relevant abnormalities except those attributed to the underlying multiple sclerosis (MS), including medical history, physical exam, vital signs, ECG and laboratory evaluations, as assessed by the Investigator.
If enrolled in the visual evoked potential (VEP) sub-study, an additional inclusion criterion includes:
- Screening VEP P100 latency greater than the upper limit of normal (as defined in the protocol) in at least one eye, OR a protocol-defined difference in VEP P100 latency between eyes.
Exclusion Criteria:
- Diagnosis or history of symptoms of optic neuritis within 9 months prior to Screening in either eye.
- Diagnosis of MS more than 10 years prior to Screening.
- History of severe myopia, ophthalmologic or retinal disorder that would interfere with measurements of low contrast letter acuity (LCLA) or exam by optical coherence tomography (OCT), as determined by Investigator.
- Concurrent use of dalfampridine or other 4-aminopyridine or diamino-4-aminopyridine drugs.
- Clinical MS relapse or MS related treatment with corticosteroids within 6 months prior to or during Screening.
- History of treatment with bone marrow transplantation, mitoxantrone, cyclophosphamide, atacicept, or irradiation.
- Use of any daily or routine anticholinergic medications within 30 days of Screening or concurrent during the study.
- The presence of gadolinium enhancing lesions by MRI.
- Use of any drugs known to strongly or moderately induce or inhibit Cytochrome P450 3A4 (CYP3A4) enzyme activity within 30 days prior to Screening or concurrent during the study.
- Use of an investigational product, vaccine or intervention other than a non-interventional registry study within the greater of 30 days or 5 half-lives (if known) prior to Screening or expected during the study.
- History of malignancy under current active treatment or considered at substantial risk for progression or recurrence during the study interval, and/or significant cardiac disorder or dysrhythmia, as determined by the Investigator.
- History of a suicide attempt or suicidal behavior or considered at risk for suicide as judged by the PI using the Columbia-Suicide Severity Rating Scale (C-SSRS) as Screening.
If enrolled in the visual evoked potential (VEP) sub-study, an additional exclusion criterion includes:
- History of an ophthalmologic or retinal disorder that would interfere with measurements of VEP, as determined by the Investigator.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Placebo komparator: Placebo
|
Subjects will receive daily oral matching dose of Placebo |
|
Eksperimentel: PIPE-307 Dosis A
|
Subjects will receive daily oral doses of PIPE-307 |
|
Eksperimentel: PIPE-307 Dosis B
|
Subjects will receive daily oral doses of PIPE-307 |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Ændring i kikkert 2,5 % lavkontrast bogstavskarphed (LCLA)
Tidsramme: Fra baseline til uge 26 (afslutning på studiet)
|
Fra baseline til uge 26 (afslutning på studiet)
|
|
|
Treatment-emergent adverse events (TEAE)
Tidsramme: From baseline to week 26 (end of treatment period)
|
Number of participants with TEAEs |
From baseline to week 26 (end of treatment period)
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Procentdel af forsøgspersoner med >/=5-bogstavs forstærkning i kikkert 2,5 % LCLA
Tidsramme: Fra baseline til uge 26
|
Fra baseline til uge 26
|
|
Ændring i monokulær 2,5 % LCLA
Tidsramme: Fra baseline til uge 26
|
Fra baseline til uge 26
|
|
Antal forsøgspersoner med mindst 15 % ændring i handicap med Timed 25-Foot Walk Test (T25WT)
Tidsramme: Fra baseline til uge 26
|
Fra baseline til uge 26
|
|
Antal forsøgspersoner med mindst 15 % ændring i handicap med Nine-Hole Peg Test (9HPT)
Tidsramme: Fra baseline til uge 26
|
Fra baseline til uge 26
|
|
Antal forsøgspersoner med mindst 15 % ændring i handicap med Symbol Digital Modality Test (SDMT)
Tidsramme: Fra baseline til uge 26
|
Fra baseline til uge 26
|
|
Ændring i magnetisk resonansbilleddannelse (MRI) målinger af myelinisering og MS-sygdomsaktivitet
Tidsramme: Fra baseline til uge 26
|
Fra baseline til uge 26
|
|
Ændring i serum neurofilament let kæde (NfL)
Tidsramme: Fra baseline til uge 26
|
Fra baseline til uge 26
|
|
Farmakokinetik: Ændring i blodkoncentrationsniveauer af PIPE-307
Tidsramme: Fra baseline til uge 30
|
Fra baseline til uge 30
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- PIPE 307-201
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .