- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT06881992
En fase 3-undersøgelse af ERSODETUG hos patienter med tumorassocieret hyperinsulinisme (Tumor HI)
En fase 3, randomiseret, dobbeltblind, placebokontrolleret undersøgelse for at evaluere effektiviteten og sikkerheden af ERSODETUG hos patienter med utilstrækkeligt kontrolleret hypoglykæmi på grund af tumorassocieret hyperinsulinisme (Thi)
The objectives of this study are to evaluate the glycemic efficacy, safety, and tolerability of ersodetug as add-on to standard of care (SOC) therapy for treatment of hypoglycemia in patients with Tumor Hyperinsulinism (Tumor HI).
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
This study will include participants who are suffering from low blood sugar related symptoms (hypoglycemia) due to over-production of hormones (e.g. insulin or similar substances) by certain non-removable tumors that cannot be treated satisfactorily with available treatment. Every study participant will receive ersodetug doses weekly for 8 weeks alongside their usual treatments for hypoglycemia at a dose of 9 mg/kg.
The study is divided into 3 periods: Screening (up to 4 weeks), Treatment (8 weeks) and either End of Study Follow-up (approximately up to 20 weeks after the last dose) or optional Open Label Extension (OLE) phase (up to 3 years).
This study is being conducted at approximately 10-15 study sites in approximately 5 countries. The study will enroll approximately 16 participants, all with a diagnosis of tumor HI (insulin- or IGF producing tumors).
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 3
Kontakter og lokationer
Studiekontakt
- Navn: Rezolute Clinical Trial
- Telefonnummer: 650-206-4507
- E-mail: clinicaltrials@rezolutebio.com
Studiesteder
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London
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Saint Johns Wood, London, Det Forenede Kongerige, NW3 2QG
- Rekruttering
- Investigative Site
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Manchester
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Withington, Manchester, Det Forenede Kongerige, M20 4BX
- Rekruttering
- Investigative Site
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Illinois
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Chicago, Illinois, Forenede Stater, 60637
- Rekruttering
- Investigative Site
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Maryland
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Bethesda, Maryland, Forenede Stater, 20892
- Rekruttering
- Investigative Site
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
- Rekruttering
- Investigative Site
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Minnesota
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Rochester, Minnesota, Forenede Stater, 55905
- Rekruttering
- Investigative Site
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New York
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New York, New York, Forenede Stater, 10021
- Rekruttering
- Investigative Site
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Ohio
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Canton, Ohio, Forenede Stater, 44718
- Rekruttering
- Investigative Site
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Oregon
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Portland, Oregon, Forenede Stater, 97239
- Rekruttering
- Investigative Site
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Texas
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Houston, Texas, Forenede Stater, 77030
- Rekruttering
- Investigative Site
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Île-de-France Region
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Clichy, Île-de-France Region, Frankrig, 92110
- Rekruttering
- Investigative Site
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South Holland
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Rotterdam, South Holland, Holland, 3015
- Rekruttering
- Investigative Site
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Canton Basel-Stadt
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Basel, Canton Basel-Stadt, Schweiz, CH-4001
- Rekruttering
- Investigative Site
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- The eligibility criteria of all participants must be evaluated by a multidisciplinary team led by the PI, which must include an oncologist
- Male or female participants of ≥18 years of age who provide written informed consent.
- Clinical diagnosis of neuroendocrine tumor (NET) (ICT or NICT) with biochemical evidence of tumor hyperinsulinism (hypoglycemia with inappropriately elevated insulin or insulin-like growth factor (IGF)/variant suppression) confirmed via laboratory assessment who have failed to achieve adequate control of hypoglycemia with usual SOC anti-hypoglycemic therapies, per investigator judgement.
- Currently requiring IV glucose infusion and/or parenteral nutrition for ≥7 days for the management of refractory hypoglycemia (prior to administration of the 1st dose of ersodetug).
Exclusion Criteria:
- Evidence of active infection including human immunodeficiency virus, hepatitis B, or hepatitis C (excluding immunization patterns).
- Treatment with an investigational drug or device within 30 days or 5 half-lives of the investigational drug (whichever is longer), however, if the treating physician and Medical Monitor consider no significant risk of drug-drug interaction and potential benefit outweighs the risk then the participant may be allowed to participate. Participation in registries and purely diagnostic studies is allowed
- Any out-of-range laboratory value at screening (other than glucose) that is assessed as clinically significant by the investigator. Laboratory or radiographic abnormalities that are considered related to the underlying disease (tumor) or associated therapies and do not pose additional safety risk for study participation per investigator and Medical Monitor may be allowed.
- Known allergy or sensitivity to ersodetug or any component of the drug.
- Any organ condition, concomitant disease (e.g., psychiatric illness, severe alcoholism, or drug abuse, cardiac, hepatic, or kidney disease), or other abnormality that itself, or the treatment of which in the opinion of the investigator and/or Sponsor's Medical Monitor would pose an unacceptable risk to the participant in the study.
- Estimated life expectancy (additional lifespan) due to underlying disease (tumor) is <8 weeks.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Andet: Deltagere med diagnosen Tumor HI (insulin- eller IGF-producerende tumorer)
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Ersodetug (9 mg/kg) + SOC |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Andel af deltagere med klinisk betydningsfuld reduktion i IV glucoseinfusionshastighed fra baseline.
Tidsramme: 8 uger
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8 uger
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Ændring fra baseline i den gennemsnitlige daglige IV glucose/dextrose infusionshastighed (GIR).
Tidsramme: 8 uger
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8 uger
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Ændring fra baseline i gennemsnitlig daglig total IV glucosetilførsel (g)
Tidsramme: 8 uger
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8 uger
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Tid til fuldstændig afvænning fra IV-glukoseadministration efter påbegyndelse af ersodetug.
Tidsramme: 8 uger
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8 uger
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Samarbejdspartnere og efterforskere
Sponsor
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
- Hypoglykæmi
- HCC
- Hyperinsulinæmi
- PNET
- Liposarkom
- Insulinom
- Fibrosarkom
- Islet Cell Tumor (IKT)
- Ektopisk insulinom
- Pro-Insulinoma
- Ikke-islet celletumor hypoglykæmi (NICTH)
- IGF-2, Big IGF-2
- Neuroendokrin tumor (NET)
- Paraneoplastisk hypoglykæmi
- Paraneoplast
- Doege-Potter syndrom
- Ekstra pancreas insulinom
- Hypoglykæmi på grund af fibrosarkom
- Hypoglykæmi på grund af HCC
- Hypoglykæmi på grund af liposarkom
- Hypoglykæmi på grund af tumor/kræft
- IGF 2 insulinom
- IGF 2-medieret non-ø-celletumorhypoglykæmi
- IGF-2-medieret hypoglykæmi
- IGF-oma, IGF-2-oma, Big IGF-2-oma
- NICTH
- Ikke-øcelletumor
- Tumor/kræft associeret hypoglykæmi
- Tumor/kræft-induceret hypoglykæmi
- Tumor/kræftmedieret hypoglykæmi
- Kliniske forsøg for: -Insulinom -proinsulinom -ekstrapancreatisk insulinom -ikke-ø-celletumor -IGF-oma -HCC -Liposarkom -Fibrosarkom
Yderligere relevante MeSH-vilkår
- Sygdomme i det endokrine system
- Neoplasmer efter sted
- Metaboliske sygdomme
- Neoplasmer efter histologisk type
- Neoplasmer i fordøjelsessystemet
- Sygdomme i fordøjelsessystemet
- Glukosemetabolismeforstyrrelser
- Neoplasmer i endokrine kirtler
- Pancreassygdomme
- Neoplasmer, kirtel og epitel
- Adenom
- Neoplasmer, Neuroepithelial
- Neuroektodermale tumorer
- Neoplasmer, kimceller og embryonale
- Neoplasmer, nervevæv
- Sarkom
- Neoplasmer, bindevæv og blødt væv
- Neoplasmer, bindevæv
- Neoplasmer, fedtvæv
- Neoplasmer, fibrøst væv
- Bugspytkirtel neoplasmer
- Ernæringsmæssige og metaboliske sygdomme
- Neoplasmer
- Hypoglykæmi
- Neuroendokrine tumorer
- Liposarkom
- Neuroektodermale tumorer, primitive
- Hyperinsulinisme
- Adenom, øcelle
- Fibrosarkom
- Insulinom
Andre undersøgelses-id-numre
- RZ358-302
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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