En fase 2a-studie af ALN-PNP med og uden en GLP1R-agonist hos voksne patienter med homozygot PNPLA3-relateret MASLD
Et to-delt, fase 2a, randomiseret, dobbeltblindt, placebo-kontrolleret studie af ALN-PNP med og uden en GLP1R-agonist hos voksne med homozygot PNPLA3-relateret metabolisk dysfunktions-associeret steatotisk leversygdom (MASLD)
This study will test a study drug called ALN-PNP with and without another drug that is used for controlling blood sugar, appetite, and weight (for example, tirzepatide), to see if it can help treat MASLD, also known as fatty liver disease. ALN-PNP reduces the amount of Patatin-like phospholipase domain-containing protein 3 (PNPLA3), a protein that liver cells make, which may help decrease liver fat if there is an abnormal PNPLA3 protein.
The goal of this study is to understand the effect of ALN-PNP with or without tirzepatide on reducing liver fat.
The study is looking at:
- How well ALN-PNP with and without tirzepatide works
- What side effects ALN-PNP might cause
- How much ALN-PNP is in the blood at different times
- How the body and the liver change after having ALN-PNP, which can help researchers understand why ALN-PNP works better in some people than others
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Clinical Trials Administrator
- Telefonnummer: 844-734-6643
- E-mail: clinicaltrials@regeneron.com
Studiesteder
-
-
Arizona
-
Tucson, Arizona, Forenede Stater, 85712
- Rekruttering
- Arizona Liver Health - Tucson
-
-
California
-
Coronado, California, Forenede Stater, 92118
- Rekruttering
- Southern California Research Center
-
Pasadena, California, Forenede Stater, 91105
- Rekruttering
- California Liver Research Institute
-
-
Florida
-
Jupiter, Florida, Forenede Stater, 33458
- Rekruttering
- Health Awareness, Inc
-
Miami, Florida, Forenede Stater, 33122
- Rekruttering
- Evolution Clinical Trials
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-
Louisiana
-
Metairie, Louisiana, Forenede Stater, 70006
- Rekruttering
- Tandem Clinical Research, Plaza II
-
-
Texas
-
Austin, Texas, Forenede Stater, 78757
- Rekruttering
- American Research Corporation
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Georgetown, Texas, Forenede Stater, 78628
- Rekruttering
- Advanced Medical Trials
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San Antonio, Texas, Forenede Stater, 78215
- Rekruttering
- American Research Corporation at The Texas Liver Institute
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Key Inclusion Criteria:
Part A and Part B:
- Homozygous for the PNPLA3 p.I148M genotype
- Liver fat by Magnetic Resonance Imaging-Proton Density Fat Fraction (MRI-PDFF) ≥15% at visit 3
- Has a Body Mass Index (BMI) ≥30 to <45 kg/m^2 at visit 2
Part A: To be eligible for randomization on study day 1:
- Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) ≤3 × Upper Limit of Normal (ULN) as described in the protocol
- On a stable dose of tirzepatide at randomization (≥5 mg weekly)
Key Exclusion Criteria:
- Evidence or diagnosis of portal hypertension or cirrhosis from any cause, including cirrhosis due to MASH, as determined by the investigator, based on medical history, clinical assessment, imaging, and/or liver biopsy
- Known chronic liver disease other than MASLD, as determined by the investigator, as defined in the protocol
- Contraindications to MRI examinations, including but not limited to persons with MRI-incompatible cardiac pacemaker and implants made of metal, severe claustrophobia, size restrictions
- Any contraindication listed in the Zepbound United States Prescribing Information (USPI), as defined in the protocol
NOTE: Other protocol-defined inclusion/exclusion criteria apply.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Del A: A1
|
Administered per the protocol Administered per the protocol
Andre navne:
|
|
Eksperimentel: Del A: A2
|
Administered per the protocol
Andre navne:
Administered per the protocol Placebo matching ALN-PNP |
|
Eksperimentel: Del B: B1
|
Administered per the protocol Administered per the protocol
Andre navne:
|
|
Eksperimentel: Del B: B2
|
Administered per the protocol
Andre navne:
Administered per the protocol Placebo matching ALN-PNP |
|
Eksperimentel: Del B: B3
|
Administered per the protocol |
|
Placebo komparator: Del B: B4
|
Administered per the protocol Placebo matching ALN-PNP |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Percent change in liver fat
Tidsramme: From baseline at week 24
|
Part A |
From baseline at week 24
|
|
Percent change in liver fat
Tidsramme: From baseline at week 48
|
Part B |
From baseline at week 48
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Opnåelse af leverfedt <5%
Tidsramme: I uge 24 og 48
|
I uge 24 og 48
|
|
Occurrence of Treatment-Emergent Adverse Events (TEAEs)
Tidsramme: Through week 72
|
Through week 72
|
|
Severity of TEAEs
Tidsramme: Through week 72
|
Through week 72
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Clinical Trial Management, Regeneron Pharmaceuticals
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 fordøjelsessystemet
- Leversygdomme
- Fed lever
- Ikke-alkoholisk fedtleversygdom
- Aminosyrer, peptider og proteiner
- Proteiner
- Glucagon-lignende peptid-1-receptor
- Glucagon-lignende peptidreceptorer
- Receptorer, G-protein-koblet
- Receptorer, celleoverflade
- Membranproteiner
- Receptorer, gastrointestinal hormon
- Receptorer, peptid
- Tirzepatid
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- ALN-PNP-MASLD-2543
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
IPD-delingstidsramme
When Regeneron has:
- received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development
- made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry)
- the legal authority to share the data, and
- ensured the ability to protect participant privacy
IPD-delingsadgangskriterier
Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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Studerer et amerikansk FDA-reguleret enhedsprodukt
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