Studiet har til formål at vurdere sikkerheden og tolerabiliteten af VTx-002 hos deltagere med ALS (ALS)
Fase 1/2-undersøgelse af nyt eksperimentelt behandlingsregime ved amyotrofisk lateral sklerose (Pioneer-ALS): En åben, ukontrolleret, multicentrisk undersøgelse til vurdering af sikkerhed og tolerabilitet af to doser VTx-002
PIONEER-ALS is a Phase 1/2, multicenter, open-label, ascending dose, uncontrolled, first-in-human study that will evaluate the safety, tolerability and effects on clinical and biomarker endpoints of intracisternal administration of Vtx-002 in participants with Amyotrophic Lateral Sclerosis (ALS).
Two escalating dose (low dose and high dose) cohorts are planned. The duration of the study will be a maximum of 5 years and 5 weeks (265 weeks) for each participant. The screening period may last up to 5 weeks to complete screening procedures.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
All participants will receive a single injection of the study drug. During the first year of the study there will be 12 visits to the study center, including an overnight stay after dosing of at least 1 night. There will be a further 4 remote visits (telephone or video call).
From Year 2-5 there will be 8 further visits. These will be every 6 months and will be either in-person at the study site or remote (telephone or video call) if needed or preferred.
Throughout the 5-year observation period, there will be up to 20 study visits to complete follow-up tests and assessments and monitor the ongoing effects of the study drug.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Dr Olga Uspenskaya Chief medical Officer, VectorY Therapeutics, M.D; PhD
- Telefonnummer: patients@vectorytx.com
- E-mail: patients@vectorytx.com
Studiesteder
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Leuven, Belgien
- Rekruttering
- UZ Leuven
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Kontakt:
- Evi Parente Study Coordinator
- Telefonnummer: + 32 1638668
- E-mail: evi.parente@uzleuven.be
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Kontakt:
- Ann Dhondt Study Coordinator
- Telefonnummer: + 32 16347577
- E-mail: ann.dhondt@uzleuven.be
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Ledende efterforsker:
- Dr Philip Van Damme, Doctor of Medicine
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Sheffield, Det Forenede Kongerige, S10 2JF
- Rekruttering
- Royal Hallamshire Hospital
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Kontakt:
- Dr Chris McDermott, Doctor of medicine
- Telefonnummer: +44 114 226 1049
- E-mail: c.j.mcdermott@sheffield.ac.uk
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Arizona
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Phoenix, Arizona, Forenede Stater, 85013
- Ikke rekrutterer endnu
- St Joseph's Hospital and medical Center - Barrow Neurological Institute
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Ledende efterforsker:
- Dr Shafeeq Ladha, Doctor of Medicine
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Kontakt:
- Dr S Ladha, Doctor of Medicine
- Telefonnummer: (602) 406-6262
- E-mail: fulton.research@commonspirit.org
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California
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San Diego, California, Forenede Stater, 92121
- Rekruttering
- University of California San Diego Medical Center
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Kontakt:
- Dr John Ravits, Doctor of Medicine
- Telefonnummer: (858) 246-1154
- E-mail: jravits@health.ucsd.edu
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Ledende efterforsker:
- Dr John Ravits, Doctor of Medicine
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Florida
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Jacksonville, Florida, Forenede Stater, 32224
- Rekruttering
- Mayo Clinic in Florida
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Kontakt:
- Dr Bjorn Oskarsson, Doctor of Medicine
- Telefonnummer: (904) 953-0407
- E-mail: oskarsson.bjorn@mayo.edu
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Ledende efterforsker:
- Dr Bjorn Oskarsson, Doctor of Medicine
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
- Rekruttering
- Sean M. Healey & AMG Center for ALS at Massachusetts General Hospital
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Ledende efterforsker:
- Dr Doreen Ho, Doctor of Medicine
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Kontakt:
- Winifred Asigri Study Coordinator
- Telefonnummer: (617) 724-5659
- E-mail: pioneeralshealey@mgb.org
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New York
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New York, New York, Forenede Stater, 10032
- Ikke rekrutterer endnu
- The Eleanor & Lou Gehrig ALS Center
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Ledende efterforsker:
- Dr Neil Schneider, Doctor of Medicine
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Kontakt:
- The Eleanor & Lou Gehrig ALS Center
- Telefonnummer: (212) 305-6788
- E-mail: alsresearch@cumc.columbia.edu
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19104
- Rekruttering
- University of Pennsylvania
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Ledende efterforsker:
- Dr Colin Quinn, Doctor of Medicine
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Kontakt:
- Spriha Thapa Study Coordinator
- Telefonnummer: 267-610-8822
- E-mail: Spriha.Thapa@pennmedicine.upenn.edu
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Utrecht, Holland
- Rekruttering
- UMC Utrecht
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Kontakt:
- Prof Leonard Van Den Berg, Doctor of Medicine
- Telefonnummer: +31 887555555
- E-mail: l.h.vandenberg@umcutrecht.nl
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Ledende efterforsker:
- Prof Leonard Van Den Berg, Doctor of Medicine
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Key Inclusion Criteria:
- Capable of, and willing to, provide written informed consent and comply with study procedures, including visits to the study site and visit requirements
- Male or female ≥ 18 years of age
- Has a diagnosis of ALS according to the El Escorial criteria (Brooks, et al., 2000) (probable, laboratory results supported; clinically probable, clinically definite)
- Confirmed absence of ALS caused by FUS and SOD1 gene mutations confirmed by laboratory tests.
- A maximum of 18 months since first appearance of weakness (e.g., limb weakness, dysarthria, dysphagia, shortness of breath)
- Erect (seated) SVC % predicted ≥ 80% at Screening
- Treatment Research Initiative to Cure ALS (TRICALS) risk score between -2 and -6 at Screening
- Has a reliable caregiver/partner/legal representative willing and able to support the participant in participation in the study and to give informed consent on behalf of the participant in the case that disease progression prevents the participant of giving consent (local legal rules will apply).
- Treatment with riluzole and/or edaravone is allowed if treatment was started and has remained at a stable dose for at least 2 weeks (riluzole) or one treatment cycle (edaravone) before the Screening visit
- Women of childbearing potential (WOCBP) and male participants with female partners who are WOCBP must agree to use highly effective contraception during and after the study. WOCBP cannot be pregnant or breastfeeding
- Women of nonchildbearing potential must be post-menopausal or surgically sterile (e.g. hysterectomy, bilateral tubal ligation, ovaries removed)
Key Exclusion Criteria:
- Diagnosis of a significant CNS or peripheral nervous system disease other than ALS that may be a cause for the participant's ALS symptoms or may confound study objectives
- Spinal, cervical, or brain MRI/MRA indicating clinically significant abnormality
- Presence of tracheostomy and feeding tube at Screening
- Contraindications to corticosteroid use (e.g. due to osteoporosis, uncontrolled blood pressure, diabetes or cholesterol).
5. Significant concomitant disease or condition within 6 months of Screening that could pose an unacceptable safety risk to the participant or interfere with the participant's ability to comply with study procedures, e.g. heart disease, uncontrolled diabetes, liver disease, autoimmune diseases needing strong immune-suppressing drugs, cancer, etc or a current psychiatric diagnosis.
6. Clinically significant abnormalities in laboratory test results at Screening for example poor liver or kidney function, abnormal clotting or infections such as Hepatitis or HIV
7. Use of blood thinners (e.g., warfarin, heparin, and novel oral anticoagulants) and being unable to safely stop them before certain study procedures.
8. Contraindications to imaging methods MRI, MRA, CT due to claustrophobia and/or intolerance to contrast agents.
9. Contraindications to general anaesthesia (GA) or deep sedation
10 Positive test for illegal drugs (except prescribed medications or permitted medicinal/recreational marijuana if used responsibly)
11. Generally frail or if the Investigator deems participation in the study would not be in the best interest of the participant or is likely to prohibit further participation during the study
Other protocol-defined inclusion/exclusion criteria may apply
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Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: Gene Therapy Group 1: Dose 1 (Low Dose)
Gene Therapy: VTx-002 18 participants will receive dose 1 administered intra cisterna magna. Dosing of the first 3 participants will be staggered at specific timepoints apart and with a safety monitoring committee review of health-related information in between each participant being dosed. VTx-002 is a single dose therapy Drug: Preventative (Prophylactic) Medication: Methylprednisolone |
An investigational gene therapy targeting a specific protein. To reduce the risk of reactions caused by the study treatment, steroid medicines will be given in advance.
Andre navne:
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Eksperimentel: Gene Therapy Group 2: Dose 2 (High Dose)
Gene Therapy: VTx-002 18 participants will receive dose 2 administered intra cisterna magna. The participant dosing in group 2 will be staggered as it was in group 1. VTx-002 is a single dose therapy. Drug: Preventative (Prophylactic) Medication - Methylprednisolone |
An investigational gene therapy targeting a specific protein. To reduce the risk of reactions caused by the study treatment, steroid medicines will be given in advance.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Tidsramme: Over 5 years
|
Assessed by reviewing the nature, incidence, severity, relatedness, seriousness and outcome of treatment emergent adverse events. |
Over 5 years
|
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Tidsramme: Over 5 years
|
Assessed by reviewing laboratory values |
Over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Tidsramme: Over 5 years
|
Assessed by reviewing Magnetic Resonance Imaging (MRI) findings. |
Over 5 years
|
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Tidsramme: over 5 years
|
Assessed by review of Treatment Induced Peripheral Neuropathy Assessment Scale (TNAS) *TNAS a brief participant-reported questionnaire used to measure the severity and progression of peripheral neuropathy. Each item is rated on a scale of 0 to 10, where 0 means no symptom and 10 means the symptom is as bad as it can possibly be. |
over 5 years
|
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Tidsramme: Over 5 years
|
Assessed by reviewing cellular responses by analyzing blood samples. |
Over 5 years
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Tidsramme: Over 5 years
|
Assessed by reviewing scores of the Columbia Suicide Severity Rating Scale (C-SSRS) *C-SSRS is a widely used, evidence-based suicide risk assessment tool that helps identify whether someone is at risk for suicide and gauge the level of support needed. A low score is associated with a lower risk level in this brief questionnaire. |
Over 5 years
|
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Tidsramme: At month 6 and month 12
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Assessed by performing 4 formal interim analyses
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At month 6 and month 12
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Tidsramme: At month 6 and month 12
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Changes certain blood values |
At month 6 and month 12
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To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Tidsramme: over 12 months
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Time to assisted permanent ventilation or death |
over 12 months
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To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Tidsramme: Over 5 years
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Immune responses assessed by analyzing blood samples |
Over 5 years
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To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Tidsramme: At month 6 and month 12
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Change in Slow Vital Capacity |
At month 6 and month 12
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To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Tidsramme: At month 6 and month 12
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Changes in CSF values |
At month 6 and month 12
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To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Tidsramme: At month 6 and month 12 *ALSFRS-R is a scale used to monitor disease progression. The 12 questions. Questions are scored from 0 to 4, with a maximum score of 48 indicating full function and a minimum score of 0 indicating significant impairment.
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Change in Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) |
At month 6 and month 12 *ALSFRS-R is a scale used to monitor disease progression. The 12 questions. Questions are scored from 0 to 4, with a maximum score of 48 indicating full function and a minimum score of 0 indicating significant impairment.
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Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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To assess changes in biomarkers
Tidsramme: Over 5 years
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Analysis of blood samples to assess viral shedding |
Over 5 years
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To assess changes in muscle strength assessments from baseline.
Tidsramme: Measured at month 6 and month 12
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Change in muscle strength measured by Hand-held Dynamometry |
Measured at month 6 and month 12
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To assess disease severity and improvement
Tidsramme: over 12 months
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Disease severity and improvement measured using the Clinical Global Impression (CGI) scales for Severity (CGI-S) and Improvement (CGI-I). The CGI scales each use a seven-point scale where 1 indicates less severe (CGI-S) or most improved (CGI-I) and 7 indicates more severe illness (CGI-S) or worsening of condition (CGI-I) |
over 12 months
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To assess immunogenicity of VTx002
Tidsramme: Over 5 years
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Assessed by the review of the immunogenicity to the capsid and transgene by analyzing blood samples. |
Over 5 years
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To assess changes Health Related Quality of Life
Tidsramme: Measured at month 6 and month 12
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Change in Health Related Quality of Life measured using the EQ5D-L questionnaire. *The EQ5D-L is a self-completed questionnaire assessing five core dimensions (Mobility, Self-care, Usual Activities, Pain/Discomfort, Anxiety/Depression). It is scored by combining patient responses across the five dimensions and then converting to a single utility score whereby 1.0 indicates perfect health and 0 indicates death |
Measured at month 6 and month 12
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To assess changes Health Related Quality of Life
Tidsramme: Measured at month 6 and month 12
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Change in Health Related Quality of Life measured using the ALSAQ-5 questionnaire. *The ALSAQ-5 is a brief, 5-item questionnaire used to measure the impact of Amyotrophic Lateral Sclerosis on a patient's quality of life. Five key areas are rated for difficulties and converted to a total score from 0 (worst) to 100 (best) |
Measured at month 6 and month 12
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
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
Nøgleord
Yderligere relevante MeSH-vilkår
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Neuromuskulære sygdomme
- Metaboliske sygdomme
- Neurodegenerative sygdomme
- Rygmarvssygdomme
- TDP-43 Proteinopatier
- Proteostase mangler
- Motor neuron sygdom
- Ernæringsmæssige og metaboliske sygdomme
- Amyotrofisk lateral sklerose
- Polycykliske forbindelser
- Gravidier
- Graviditet
- Steroider
- SMUSED-RING-forbindelser
- Gravideretrioler
- Gravideretioler
- Prednison
- Prednisolon
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- VTx-002-01-001
- 2025-522697-37-00 (Ctis)
- PIONEER-ALS (Anden identifikator: VectoryTherapeutics)
- 2025 (U.S. NIH-bevilling/kontrakt)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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