- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT05027269
Undersøgelse af AOC 1001 hos voksne myotonisk dystrofi type 1 (DM1) patienter (MARINA)
Et randomiseret, dobbeltblindt, placebokontrolleret, fase 1/2-studie til evaluering af sikkerhed, tolerabilitet, farmakokinetik og farmakodynamik af enkelt- og multiple doser af AOC 1001 administreret intravenøst til voksne myotonisk dystrofi type 1 (DM1) patienter
AOC 1001-CS1 is a randomized, double-blind, placebo-controlled, Phase 1/2 study to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of single and multiple-doses of AOC 1001 Administered Intravenously to Adult Myotonic Dystrophy Type 1 (DM1) patients (MARINA).
Part A is a single dose design with 1 cohort (dose level). In Part A, the patient duration is 6 months as the treatment period is 1 day followed by a 6 month follow-up period.
Part B is a multiple-ascending dose design with 2 cohorts (dose levels). In Part B, the patient duration is 6 months as the treatment period is 3 months followed by a 3 month follow-up period.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Studiesteder
-
-
California
-
Los Angeles, California, Forenede Stater, 90095
- University of California Los Angeles
-
Palo Alto, California, Forenede Stater, 94304
- Stanford University
-
-
Colorado
-
Denver, Colorado, Forenede Stater, 80045
- University of Colorado
-
-
Florida
-
Gainesville, Florida, Forenede Stater, 32608
- University of Florida
-
-
Kansas
-
Kansas City, Kansas, Forenede Stater, 66205
- Kansas University Medical Center
-
-
New York
-
Rochester, New York, Forenede Stater, 14642
- University of Rochester Medical Center
-
-
Ohio
-
Columbus, Ohio, Forenede Stater, 43221
- Ohio State University
-
-
Virginia
-
Richmond, Virginia, Forenede Stater, 23298
- Virginia Commonwealth University
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Key Inclusion Criteria:
- Genetic diagnosis of DM1 (CTG repeat length ≥ 100)
- Clinician assessed signs of DM1
- Ability to walk independently (orthoses and ankle braces allowed) for at least 10 meters at screening
Key Exclusion Criteria:
- Diabetes that is not adequately controlled
- BMI > 35 kg/m2
- Uncontrolled hypertension
- Congenital DM1
- History of tibialis anterior (TA) biopsy within 3 months of Day 1 or planning to undergo TA biopsies during study period
- Recently treated with an investigational drug
- Treatment with anti-myotonic medication within 14 days of Day 1
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Firedobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Part A Single Dose: AOC 1001 Dose Level 1
AOC 1001 will be administered once. |
AOC 1001 will be administered by intravenous (IV) infusion. |
|
Placebo komparator: Part A Single Dose: Placebo
Saline will be administered once. |
Placebo will be administered by intravenous (IV) infusion. |
|
Eksperimentel: Part B Multiple Ascending Dose: AOC 1001 Dose Levels 2 & 3
AOC 1001 will be administered three times. |
AOC 1001 will be administered by intravenous (IV) infusion. |
|
Placebo komparator: Part B Multiple Ascending Dose: Placebo
Saline will be administered three times. |
Placebo will be administered by intravenous (IV) infusion. |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Frequency of Treatment Emergent Adverse Events (TEAEs)
Tidsramme: Through study completion, up to Day 183
|
Cumulative number of participants with treatment emergent adverse events at the end of study. |
Through study completion, up to Day 183
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Plasma PK Parameters
Tidsramme: Day 1
|
Maximum concentration in Plasma (Cmax) |
Day 1
|
|
Plasma Pharmacokinetic (PK) Parameters
Tidsramme: Day 1
|
Time to maximum plasma concentration (Tmax) |
Day 1
|
|
Plasma Pharmacokinetic (PK) Parameters
Tidsramme: Day 1
|
Terminal Half-life (t1/2) |
Day 1
|
|
Plasma Pharmacokinetic (PK) Parameters
Tidsramme: Day 1
|
Area Under the Concentration-time Curve (AUC) obtained until the last observed timepoint |
Day 1
|
|
Urine Pharmacokinetic (PK) Parameters
Tidsramme: Day 1
|
fraction excreted (fe) in urine in first 24 hours |
Day 1
|
|
Change From Baseline in DMPK mRNA Knockdown
Tidsramme: Day 43 (participants treated with 1 mg/kg) and Day 92 (participants treated with 2 mg/kg and 4 mg/kg)
|
percent change from baseline in DMPK mRNA level |
Day 43 (participants treated with 1 mg/kg) and Day 92 (participants treated with 2 mg/kg and 4 mg/kg)
|
|
Absolute Change From Baseline in 4 Gene Spliceopathy
Tidsramme: Day 43 (participants treated with 1 mg/kg) and Day 92 (participants treated with 2 mg/kg and 4 mg/kg)
|
Change from baseline in 4 gene panel mean scaled percent spliced in value. The 4 gene panel includes the following genes: CLCN1, CACNA1S, ATP2A1, and BIN1 |
Day 43 (participants treated with 1 mg/kg) and Day 92 (participants treated with 2 mg/kg and 4 mg/kg)
|
|
AOC 1001 Concentration Levels in Plasma, Urine, and Muscle Tissue
Tidsramme: Up to Day 43
|
AOC 1001 concentration measures in plasma, urine, and muscle tissue. Assessments below lower limit of quantification are set to zero. |
Up to Day 43
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studieleder: Li Tai, MD, Avidity Biosciences, Inc.
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Muskuloskeletale sygdomme
- Sygdomme i nervesystemet
- Muskelsygdomme
- Neuromuskulære sygdomme
- Genetiske sygdomme, medfødte
- Neurodegenerative sygdomme
- Heredodegenerative lidelser, nervesystem
- Muskellidelser, atrofisk
- Muskeldystrofier
- Medfødte, arvelige og neonatale sygdomme og abnormiteter
- Myotonisk dystrofi
- Myotoniske lidelser
Andre undersøgelses-id-numre
- AOC 1001-CS1
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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