Harmony-HHT: ATV-1601 in Participants With Hereditary Hemorrhagic Telangiectasia (HHT)
A Randomized, Placebo-Controlled, Double-Blind, Proof-of-Concept Study of ATV-1601 in Participants With Hereditary Hemorrhagic Telangiectasia (HHT)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Part 1: This is a Phase 1/2 proof-of-concept, double-blind, multicenter, placebo-controlled study to evaluate the safety, pharmacokinetics and efficacy of 3 oral dosing regimens of ATV-1601. Participants who meet eligibility requirements will be randomized in a double-blind manner to one of 3 doses of ATV-1601 or placebo. Participants will receive double-blind study treatment for a 16-week period.
Part 2: Eligible participants who complete Part 1 may enroll in an open-label extension study to receive up to 2 years of additional treatment. All participants in the open-label extension will receive ATV-1601. Once the recommended Phase 2 dose (RP2D) is determined based on Part 1, all participants in Part 2 will have the option to switch to the RP2D.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Study Director
- Telefonnummer: 857-285-5400
- E-mail: Studydirector@atavistikbio.com
Studiesteder
-
-
Arizona
-
Phoenix, Arizona, Forenede Stater, 85013
- Rekruttering
- Arizona Pulmonary Specialists
-
Kontakt:
- Study Director
-
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Massachusetts
-
Boston, Massachusetts, Forenede Stater, 02114
- Rekruttering
- Massachusetts General Hospital
-
Kontakt:
- Study Director
-
-
Minnesota
-
Rochester, Minnesota, Forenede Stater, 55905
- Rekruttering
- Mayo Clinic
-
Kontakt:
- Study Director
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Ability to provide informed consent prior to any study-specific procedures
- Confirmed diagnosis of hereditary hemorrhagic telangiectasia (HHT) based on Curaçao criteria
- Moderate to severe HHT with an ESS ≥ 4
- Anemia at Screening and/or requirement for at least 1 red-cell unit (RUE) in the previous 6 months
- Adequate hematologic, renal, and hepatic function per protocol-defined laboratory criteria
- Use highly effective contraception during the study and for a protocol-defined period after last dose
Exclusion Criteria:
- Clinically significant abnormalities of glucose metabolism including diagnosed Type 1 or uncontrolled Type 2 diabetes
- Chronic cardiac disease, or cardiac rhythm abnormalities
- History of significant cardiovascular, hepatic, renal, or hematologic disease not related to HHT that may confound study results
- Use of prohibited concomitant medications within a protocol-defined washout period prior to first dose (including strong CYP modulators and certain herbal supplements)
- Recent (within 6 weeks) major surgery or local ablative procedures, or procedures on nasal telangiectasias
- Prior AKT inhibitor
- Pregnant or breastfeeding women
Additional Criteria for Open-Label Extension:
- Participants must complete the double-blind treatment period (Part 1)
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: Part 1: 60 mg QD
Active drug, once daily
|
Administered orally, daily
Andre navne:
|
|
Eksperimentel: Part 1: 100 mg QD
Active drug, once daily
|
Administered orally, daily
Andre navne:
|
|
Eksperimentel: Part 1: 60 BID
Active drug, twice daily
|
Administered orally, daily
Andre navne:
|
|
Eksperimentel: Part 1: Placebo
Control Arm
|
Administered orally, daily
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Part 1: Safety and tolerability
Tidsramme: 16 weeks
|
Number and severity of treatment-emergent adverse events (TEAEs) and study drug-related TEAEs
|
16 weeks
|
|
Part 2: Safety and tolerability
Tidsramme: 24 months
|
Type, incidence, severity, timing, seriousness and relatedness of AEs and laboratory abnormalities
|
24 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Part 1: Change in Epistaxis duration
Tidsramme: 16 weeks
|
28-day total duration compared to baseline
|
16 weeks
|
|
Part 1: Epistaxis frequency
Tidsramme: 16 weeks
|
28-day frequency of nosebleeds compared to baseline
|
16 weeks
|
|
Part 1: Epistaxis intensity
Tidsramme: 16 weeks
|
28-day average epistaxis intensity (6-point scale) of nosebleeds compared to baseline
|
16 weeks
|
|
Part 1: Intensity-weighted epistaxis duration
Tidsramme: 16 weeks
|
28-day intensity-weighted duration of nosebleeds
|
16 weeks
|
|
Part 1: Epistaxis Severity Score (ESS)
Tidsramme: 16 weeks
|
The Epistaxis Severity Score (ESS) is a validated 6-question instrument with scores ranging from 0 to 10, where higher scores indicate more severe epistaxis symptoms.
|
16 weeks
|
|
Part 1: Change in Hemoglobin
Tidsramme: 16 weeks
|
Hemoglobin levels compared to baseline
|
16 weeks
|
|
Part 1: Change in Parenteral iron use
Tidsramme: 16 weeks
|
Amount of parenteral iron administered compared to 16-weeks prior to treatment initiation
|
16 weeks
|
|
Part 1: Change in Blood transfusion requirements
Tidsramme: 16 Weeks
|
Amount of packed red blood cell (PRBC) transfusions and rate of transfusion independence compared to 16-weeks prior to treatment initiation
|
16 Weeks
|
|
Part 1: Pharmacokinetics - Maximum observed concentration (Cmax)
Tidsramme: 16 Weeks
|
Maximum plasma concentration
|
16 Weeks
|
|
Part 1: Pharmacokinetics - Area under the concentration-time curve over the dosing interval (AUCtau)
Tidsramme: 16 Weeks
|
Systemic exposure of ATV-1601 over the dosing interval
|
16 Weeks
|
|
Part 1: Pharmacokinetics - Area under the concentration-time curve extrapolated to infinity (AUCinf)
Tidsramme: 16 Weeks
|
Total systemic exposure of ATV-1601 extrapolated to infinite time
|
16 Weeks
|
|
Part 1: Pharmacokinetics - Time to maximum concentration (Tmax)
Tidsramme: 16 Weeks
|
Time to reach maximum plasma concentration
|
16 Weeks
|
|
Part 1: Pharmacokinetics - minimum concentration (Cmin)
Tidsramme: 16 Weeks
|
Pre-dose trough plasma concentration
|
16 Weeks
|
|
Part 1: Pharmacokinetics - Half-life (t½)
Tidsramme: 16 Weeks
|
Time required for plasma concentration to decrease by half
|
16 Weeks
|
|
Part 2: Epistaxis duration
Tidsramme: Up to 2 years
|
28-day total duration every 4 weeks
|
Up to 2 years
|
|
Part 2: Epistaxis frequency
Tidsramme: Up to 2 years
|
Total number of nosebleeds every 4 weeks
|
Up to 2 years
|
|
Part 2: Epistaxis Severity Score (ESS)
Tidsramme: At 12 weeks and every 12 weeks thereafter up to study completion
|
Severity of nosebleeds using a score of 0-10 automatically calculated based on responses to 6 questions.
|
At 12 weeks and every 12 weeks thereafter up to study completion
|
|
Part 2: Change in Hemoglobin
Tidsramme: Monthly during Part 2
|
Hemoglobin levels compared to baseline
|
Monthly during Part 2
|
|
Part 2: Parenteral iron use
Tidsramme: At 12 weeks and every 12 weeks thereafter up to study completion
|
Total amount of parenteral iron infused (mg) compared to baseline (12 weeks prior to treatment initiation
|
At 12 weeks and every 12 weeks thereafter up to study completion
|
|
Part 2: Blood transfusion requirements
Tidsramme: At 12 weeks and every 12 weeks thereafter during part 2
|
Total number of packed red blood cell (PRBC) transfusions (units) compared to baseline
|
At 12 weeks and every 12 weeks thereafter during part 2
|
|
Part 2: Transfusion independence
Tidsramme: At 12 weeks and every 12 weeks thereafter during part 2
|
Proportion of participants who do not require PRBC transfusions
|
At 12 weeks and every 12 weeks thereafter during part 2
|
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
- Patologiske processer
- Medfødte abnormiteter
- Kardiovaskulære abnormiteter
- Medfødte, arvelige og neonatale sygdomme og abnormiteter
- Patologiske tilstande, tegn og symptomer
- Hemiske og lymfatiske sygdomme
- Hjerte-kar-sygdomme
- Sygdom
- Karsygdomme
- Hæmatologiske sygdomme
- Telangiektase
- Telangiectasia, arvelig hæmoragisk
- Vaskulære misdannelser
- Hæmostatiske lidelser
- Arteriovenøse misdannelser
- Hæmoragiske lidelser
- Farmaceutiske præparater
- Doseringsformer
- Kapsler
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- ATV-1601-102
- Harmony-HHT (Anden identifikator: Atavistik Bio Inc)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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