- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT06138743
Undersøgelse af ARO-DM1 hos forsøgspersoner med type 1 myotonisk dystrofi
En fase 1/2a dosis-eskalerende undersøgelse til evaluering af sikkerhed, tolerabilitet, farmakokinetik og farmakodynamik af ARO-DM1 hos forsøgspersoner med type 1 myotonisk dystrofi, som er ≥18 til ≤ 65 år
This is a phase 1/2a double-blinded, placebo-controlled, dose-escalating study to evaluate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics of single and multiple ascending doses of SRP-1003 compared to placebo in male and female participants with type 1 myotonic dystrophy (DM1). Participants who have provided written informed consent and met all protocol eligibility requirements will be randomized to receive single (Part 1) or multiple (Part 2) doses of SRP-1003 or placebo.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Studiesteder
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Herston, Australien
- Nucleus Network Brisbane Clinic
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South Brisbane, Australien
- Mater Hospital Brisbane
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New South Wales
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Liverpool, New South Wales, Australien, 2170
- Liverpool Hospital
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Queensland
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Birtinya, Queensland, Australien, 4575
- Sunshine Coast University Hospital
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Herston, Queensland, Australien
- Royal Brisbane And Women's Hospital
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Victoria
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Melbourne, Victoria, Australien, 3004
- Alfred Health
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Ghent, Belgien
- Universitair Ziekenhuis Gent
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Leuven, Belgien
- UZ Leuven
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Calgary, Canada
- University Of Calgary
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Edmonton, Canada
- University Of Alberta
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Montreal, Canada
- McGill University
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London, Det Forenede Kongerige
- The National Hospital for Neurology and Neurosurgery, NHS Foundation Trust
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Nottingham, Det Forenede Kongerige
- Nottingham University Hospitals NHS Trust
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Southampton, Det Forenede Kongerige
- Southampton General Hospital, NHS Foundation Trust
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Angers, Frankrig
- University Hospital of Angers
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Bordeaux, Frankrig
- Centre Hospitalier Universitaire De Bordeaux
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Lille, Frankrig
- Centre Hospitalier Universitaire De Lille
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Nice, Frankrig
- CHU de Nice - Hôpital Pasteur 2
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Paris, Frankrig
- Assistance Publique Hôpitaux De Paris
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Gussago, Italien
- Fondazione Serena Onlus - Centro Clinico Nemo Brescia
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Milan, Italien
- Centro Clinico Nemo (Milan)
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Pisa, Italien
- Azienda Ospedaliera Universitaria Pisana (AOUP)
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Roma, Italien
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS
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Christchurch, New Zealand, 8011
- New Zealand Clinical Research Christchurch
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Almería, Spanien
- Hospital Universitario Torrecárdenas
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Barcelona, Spanien
- Hospital Universitari Vall D Hebron
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Madrid, Spanien
- Hospital Universitario Infanta Sofia
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Taichung, Taiwan, 40447
- China Medical University Hospital
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Taipei, Taiwan
- National Taiwan University Hospital
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Taipei, Taiwan
- Taipei Veterans General Hospital
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Bangkok, Thailand, 10700
- Siriraj Hospital
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Lampang, Thailand, 52000
- Lampang Hospital
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Changwat Songkhla
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Hat Yai, Changwat Songkhla, Thailand, 90110
- Songklanagarind Hospital
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Munich, Tyskland
- Klinikum der Universität München AöR
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Ulm, Tyskland
- Deutsches Zentrum für Neurodegenerative Erkrankungen e.V.
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Key Inclusion Criteria:
- Genetically confirmed diagnosis of DM1
- Clinician-assessed signs of DM1 including clinically apparent myotonia
- Onset of DM1 symptoms occurred after the age of 12 years
- Walk for at least 10 meters independently at screening
- Participants of childbearing potential must agree to use highly effective contraception in addition to a condom during the study and for at least 90 days following the end of study or last dose of study drug, whichever is later. Participants must not donate sperm or eggs during the study and for at least 90 days following the end of study or last dose of study drug whichever is later.
Key Exclusion Criteria:
- Inadequately controlled diabetes
- Confirmed diagnosis of congenital DM1
- Uncontrolled hypertension
- History of tibialis anterior (TA) biopsy within 3 months of Day 1 or planning to undergo TA biopsies during the study period
- Clinically significant cardiac, liver or renal disease
- Human immunodeficiency virus infection (seropositive) at screening
- Seropositive for hepatitis B or hepatitis C at screening
- Untreated or poorly controlled epilepsy
- Treatment with anti-myotonia medication within a period of 5 half-lives of the medication prior to screening.
- Abnormal coagulation parameters at screening including platelet count, international normalized ratio, prothrombin time, and activated partial thromboplastin time
Note: Additional inclusion/exclusion criteria may apply per protocol
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: SRP-1003 IV Infusion
Single or multiple doses of SRP-1003 by intravenous (IV) infusion |
SRP-1003 by IV infusion
Andre navne:
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Placebo komparator: Placebo by IV Infusion
Single or multiple doses of placebo by IV infusion |
0.9% sodium chloride (NaCl) calculated volume to match active treatment by IV infusion |
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Eksperimentel: SRP-1003 SC Injection
Single or multiple doses of SRP-1003 by subcutaneous (SC) injection |
SRP-1003 by SC injection(s)
Andre navne:
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Placebo komparator: Placebo by SC Injection
Single or multiple doses of placebo by SC injection |
0.9% NaCl calculated volume to match active treatment by SC injection(s) |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Number of Participants with Treatment-emergent Adverse Events Over Time Through End of Study (EOS)
Tidsramme: Single-dose phase (Part 1): Up to Day 90 (EOS); multiple-dose phase (Part 2): Up to Day 180 (EOS)
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Single-dose phase (Part 1): Up to Day 90 (EOS); multiple-dose phase (Part 2): Up to Day 180 (EOS)
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Skift fra baseline over tid for den tidsbestemte og gå -test (TUG) vurdering
Tidsramme: (Del 2): Baseline gennem EOS (op til 180 dage)
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(Del 2): Baseline gennem EOS (op til 180 dage)
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Ændring fra baseline over tid til 10 meter gåtest (10MWT) vurdering
Tidsramme: (Del 2): Baseline gennem EOS (op til 180 dage)
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(Del 2): Baseline gennem EOS (op til 180 dage)
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Ændring fra baseline over tid til den håndholdte kvantitative dynamometri-vurdering
Tidsramme: (Del 2): Baseline gennem EOS (op til 180 dage)
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(Del 2): Baseline gennem EOS (op til 180 dage)
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Skift fra baseline over tid til Video Hand åbningstid (VHOT) vurdering
Tidsramme: (Del 2): Baseline gennem EOS (op til 180 dage)
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(Del 2): Baseline gennem EOS (op til 180 dage)
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Ændring fra baseline over tid til den myotoniske dystrofi Type 1 Aktivitet og deltagelsesskala (DM1-ACTIV-C) vurdering
Tidsramme: (Del 2): Baseline gennem EOS (op til 180 dage)
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(Del 2): Baseline gennem EOS (op til 180 dage)
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Ændring fra baseline over tid til Myotonic Dystrophy Health Index (MDHI) vurdering
Tidsramme: (Del 2): Baseline gennem EOS (op til 180 dage)
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(Del 2): Baseline gennem EOS (op til 180 dage)
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Ændring fra baseline ved dag 120 for video håndåbningstid (vHOT)
Tidsramme: (Del 2): Baseline, dag 120
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(Del 2): Baseline, dag 120
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PK of SRP-1003: Maximum Observed Plasma Concentration (Cmax)
Tidsramme: Single-dose phase (Part 1): Up 24 hours post-dose; multiple-dose phase (Part 2): Through 24 hours post first and second dose
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Single-dose phase (Part 1): Up 24 hours post-dose; multiple-dose phase (Part 2): Through 24 hours post first and second dose
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PK of SRP-1003: Area Under the Plasma Concentration Versus Time Curve from Zero to 24 Hours (AUC0-24)
Tidsramme: Single-dose phase (Part 1): Up 24 hours post-dose; multiple-dose phase (Part 2): Through 24 hours post first and second dose
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Single-dose phase (Part 1): Up 24 hours post-dose; multiple-dose phase (Part 2): Through 24 hours post first and second dose
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PK of SRP-1003: Area Under the Plasma Concentration Versus Time Curve from Zero to the Last Quantifiable Plasma Concentration (AUClast)
Tidsramme: Single-dose phase (Part 1): Up 24 hours post-dose; multiple-dose phase (Part 2): Through 24 hours post first and second dose
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Single-dose phase (Part 1): Up 24 hours post-dose; multiple-dose phase (Part 2): Through 24 hours post first and second dose
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PK of SRP-1003: Area Under the Plasma Concentration Versus Time Curve from Zero to Infinity (AUCinf)
Tidsramme: Single-dose phase (Part 1): Up 24 hours post-dose; multiple-dose phase (Part 2): Through 24 hours post first and second dose
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Single-dose phase (Part 1): Up 24 hours post-dose; multiple-dose phase (Part 2): Through 24 hours post first and second dose
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studieleder: Medical Director, Sarepta Therapeutics, Inc.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
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
- Myotoniske lidelser
- Medfødte, arvelige og neonatale sygdomme og abnormiteter
- Myotonisk dystrofi
Andre undersøgelses-id-numre
- SRP-1003-101
- 2024-513579-42-00 (Ctis)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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