- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT05819775
CSL312_3003 Studie zur Sicherheit und Pharmakokinetik bei Probanden im Alter von 2 bis 11 Jahren mit hereditärem Angioödem
Eine offene Phase-3-Studie zur Bewertung der Sicherheit, Pharmakokinetik, Pharmakodynamik und Wirksamkeit von CSL312 (Garadacimab) bei der prophylaktischen Behandlung des hereditären Angioödems bei pädiatrischen Probanden im Alter von 2 bis 11 Jahren
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Studientyp
Einschreibung (Tatsächlich)
Phase
- Phase 3
Kontakte und Standorte
Studienorte
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Campbelltown, Australien, NSW 2560
- Campbelltown Hospital, Western Sydney University
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Berlin, Deutschland, 12203
- Charité - Universitätsmedizin Berlin
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Frankfurt am Main, Deutschland, 60590
- Universitätsklinikum Frankfurt
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Hesse
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Frankfurt am Main, Hesse, Deutschland, 60596
- HZRM Hämophilie Zentrum Rhein Main GmbH
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Ashkelon, Israel, 7830604
- Barzilai University Medical Center
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Ottawa, Kanada, K1H1E4
- Ottawa Allergy Research Corp
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Arizona
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Litchfield Park, Arizona, Vereinigte Staaten, 85340
- Research Solutions of Arizona
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Scottsdale, Arizona, Vereinigte Staaten, 85251
- Medical Research of Arizona
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California
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Orange, California, Vereinigte Staaten, 92868
- Donald S. Levy M.D.
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Santa Monica, California, Vereinigte Staaten, 90404
- Raffi Tachdjian MD, Inc.
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Ohio
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Cincinnati, Ohio, Vereinigte Staaten, 45236
- Bernstein Clinical Research
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Pennsylvania
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Hershey, Pennsylvania, Vereinigte Staaten, 17033
- PennState Health Milton S. Hershey Medical Center
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Texas
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Dallas, Texas, Vereinigte Staaten, 75231
- AARA Research Center
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Kind
Akzeptiert gesunde Freiwillige
Beschreibung
Einschlusskriterien:
- Männlich oder weiblich
- Im Alter von 2 bis einschließlich 11 Jahren mit einem Körpergewicht ≥ 10. Perzentil basierend auf dem Alter
- Diagnostiziert mit klinisch bestätigtem C1-INH HAE
- ≥ 2 HAE-Attacken in den 6 Monaten vor dem Screening erlebt
Ausschlusskriterien:
- Gleichzeitige Diagnose einer anderen Form des Angioödems, wie z. B. idiopathisches oder erworbenes Angioödem, rezidivierendes Angioödem in Verbindung mit Urtikaria oder HAE Typ III
- Alle vorgeplanten größeren Operationen oder Eingriffe während der klinischen Studie
- Verwendung von C1-INH-Produkten, Androgenen, Antifibrinolytika, zugelassenen oder zukünftig zugelassenen Medikamenten oder anderen niedermolekularen Medikamenten zur routinemäßigen Prophylaxe gegen HAE-Attacken
- Teilnahme an einer anderen interventionellen klinischen Studie
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: N / A
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
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Experimental: CSL312
Für die Altersgruppen 2-5 Jahre und 6-11 Jahre gelten spezifische subkutane Dosierungspläne
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Vollständig humanes Immunglobulin G Subklasse 4/rekombinanter Lambda-Inhibitor monoklonaler Antikörper subkutan verabreicht (SC)
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Number of Participants With Treatment Emergent Adverse Events (TEAE)
Zeitfenster: Up to Month 12
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Up to Month 12
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Percentage of Participants With TEAE
Zeitfenster: Up to Month 12
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The percentage of participants was rounded to one place of decimal.
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Up to Month 12
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Number of TEAE
Zeitfenster: Up to Month 12
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Up to Month 12
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TEAE Rates Per Injection
Zeitfenster: Up to Month 12
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The TEAE rate per injection was calculated as the number of TEAE/ number of injections.
The number of injections was defined as the total injections a participant received during the Safety Evaluation Period under the dosing regimen to which the TEAE was assigned.
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Up to Month 12
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TEAE Rates Per Participant-Year
Zeitfenster: Up to Month 12
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The TEAE rate per participant year was calculated as number of TEAEs/ participant years.
Participant-years of exposure were calculated as the sum of each participant's exposure duration (in years) under the specified dosing regimen or overall.
For the time assigned to a dosing regimen, each study day was counted under the corresponding regimen.
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Up to Month 12
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Maximum Concentration (Cmax) of CSL312 at Steady-state
Zeitfenster: Up to Month 12
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Up to Month 12
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Trough Concentration (Ctrough) of CSL312 at Steady-state
Zeitfenster: At Months 3, 4, 6, 9, 10, and 12
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At Months 3, 4, 6, 9, 10, and 12
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Time to Maximum Concentration (Tmax) of CSL312 at Steady-State
Zeitfenster: Up to Month 12
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Up to Month 12
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Time-normalized Number of HAE Attacks Per Month
Zeitfenster: Up to Month 12
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Time-normalized number of HAE attacks per month during treatment was calculated per participant as: [Number of HAE attacks / Length of participant treatment in days] * 30.4375.
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Up to Month 12
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Time-normalized Number of HAE Attacks Per Year
Zeitfenster: Up to Month 12
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Time-normalized number of HAE attacks per year during treatment was calculated per participant as: [Number of HAE attacks / Length of participant treatment in days] * 365.25.
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Up to Month 12
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Time-normalized Number of HAE Attacks Treated With On-demand Treatment Per Month
Zeitfenster: Up to Month 12
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The time-normalized number of HAE attacks per month treated with on-demand treatment were calculated as follows: [(Number of HAE attacks treated with on - demand treatment during treatment period)/ Length of participant treatment in days] ∗ 30.4375. |
Up to Month 12
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Time-normalized Number of HAE Attacks Treated With On-demand Treatment Per Year
Zeitfenster: Up to Month 12
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The time-normalized number of HAE attacks per year treated with on-demand treatment were calculated as follows: [(Number of HAE attacks treated with on - demand treatment during treatment period)/ Length of participant treatment in days] ∗ 365.25. |
Up to Month 12
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Time-normalized Number of Moderate and/or Severe HAE Attacks Per Month
Zeitfenster: Up to Month 12
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Time-normalized number of moderate or severe HAE attacks per month during treatment period was calculated per participant as: [number of moderate or severe HAE attacks / length of participant treatment in days] * 30.4375.
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Up to Month 12
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Time-normalized Number of Moderate and/or Severe HAE Attacks Per Year
Zeitfenster: Up to Month 12
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Time-normalized number of moderate or severe HAE attacks per month during treatment period was calculated per participant as: [number of moderate or severe HAE attacks / length of participant treatment in days] * 365.25.
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Up to Month 12
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Percentage Reduction in the Time-normalized Number of HAE Attacks
Zeitfenster: Up to Month 12
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The percentage reduction in the time-normalized number of HAE attacks was calculated within a participant as follows: 100*[ 1 - (Time-normalized number of HAE attacks per month during treatment period/Time-normalized number of HAE attacks per month from historical data)].
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Up to Month 12
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Number of Participants Experiencing at Least Greater Than or Equal to (>=) 50 Percent (%), >= 70%, >= 90%, or Equal to 100% (Attack-free) Reduction in the Time-normalized Number of HAE Attacks
Zeitfenster: Up to Month 12
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A participant was classified as a responder if the percentage reduction in the time-normalized number of HAE attacks under treatment compared to the time-normalized number of HAE attacks documented in the medical records was >= 50%.
Percent Reduction = 100 * [1 - (time-normalized number of HAE attacks during corresponding time window / time-normalized number of HAE attacks based on historical data)].
Here number of participants experiencing at least >= 50%, >= 70%, >= 90%, or equal to 100% (Attack-free) reduction in the time-normalized number of HAE attacks are reported.
The number of responders at each reduction category have been reported.
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Up to Month 12
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Number of Participants Experiencing Serious Adverse Events (SAE), Experiencing Death, Related TEAE, TEAE Leading to Study Discontinuation
Zeitfenster: Up to Month 12
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Up to Month 12
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Percentage of Participants Experiencing SAE, Experiencing Death, Related TEAE, TEAE Leading to Study Discontinuation
Zeitfenster: Up to Month 12
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The percentage of participants was rounded to one decimal place.
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Up to Month 12
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Number of Participants With TEAE by Severity
Zeitfenster: Up to Month 12
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Severity of AE was assessed by the investigator and categorized as mild, moderate and severe where: Mild: AE that is usually transient and may require only minimal treatment or therapeutic intervention. The event does not generally interfere with usual activities of daily living. Moderate: AE that is usually alleviated with additional specific therapeutic intervention. The event interferes with usual activities of daily living, causing discomfort but poses no significant or permanent risk of harm to the research participant. Severe: AE that interrupts usual activities of daily living, significantly affects clinical status, or may require intensive therapeutic intervention. |
Up to Month 12
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Percentage of Participants With TEAE by Severity
Zeitfenster: Up to Month 12
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Severity of AE was assessed by the investigator and categorized as mild, moderate and severe where: Mild: AE that is usually transient and may require only minimal treatment or therapeutic intervention. The event does not generally interfere with usual activities of daily living. Moderate: AE that is usually alleviated with additional specific therapeutic intervention. The event interferes with usual activities of daily living, causing discomfort but poses no significant or permanent risk of harm to the research participant. Severe: AE that interrupts usual activities of daily living, significantly affects clinical status, or may require intensive therapeutic intervention. The percentage of participants was rounded to one place of decimal. |
Up to Month 12
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Number of Participants With Anti-CSL312 Antibodies
Zeitfenster: At Day 1, Months 6 and 12
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At Day 1, Months 6 and 12
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Percentage of Participants With Anti-CSL312 Antibodies
Zeitfenster: At Day 1, Months 6 and 12
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The percentage of participants was rounded to one place of decimal.
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At Day 1, Months 6 and 12
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Number of Participants With Adverse Events of Special Interest (AESI)
Zeitfenster: Up to Month 12
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AESI included severe hypersensitivity including anaphylaxis.
The AESI reported have been identified by investigators and suggestive events were independently identified for further review with a Standardized MedDRA Query (SMQ).
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Up to Month 12
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Percentage of Participants With AESI
Zeitfenster: Up to Month 12
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AESI included severe hypersensitivity including anaphylaxis.
The AESI reported have been identified by investigators and suggestive events were independently identified for further review with an SMQ.
The percentage of participants was rounded to one place of decimal.
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Up to Month 12
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FXIIa-mediated Kallikrein Activity
Zeitfenster: At Months 3, 4, and 12 and pre-dose and post dose at Months 6, 9, and 10
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At Months 3, 4, and 12 and pre-dose and post dose at Months 6, 9, and 10
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Percent of Baseline FXIIa-mediated Kallikrein Activity
Zeitfenster: At Months 3, 4, and 12 and pre-dose and post dose at Months 6, 9, and 10
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Percent of Baseline at Visit [i] = 100 * (actual value at Visit [i] / Baseline value), where Baseline is defined as the most recent, non-missing value before the first IP administration (including unscheduled visits).
Here unit of measure is Percent (%) of FXIIa-mediated Kallikrein Activity.
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At Months 3, 4, and 12 and pre-dose and post dose at Months 6, 9, and 10
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Number of Participants With Laboratory Findings Reported as AE
Zeitfenster: Up to Month 12
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Up to Month 12
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Percentage of Participants With Laboratory Findings Reported as AE
Zeitfenster: Up to Month 12
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The participant data were rounded to one decimal place.
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Up to Month 12
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Mitarbeiter und Ermittler
Sponsor
Ermittler
- Studienleiter: Study Director, CSL Behring
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
- Erbliche Komplementmangelkrankheiten
- Primäre Immunschwächekrankheiten
- Gefäßerkrankungen
- Herz-Kreislauf-Erkrankungen
- Genetische Krankheiten, angeboren
- Erkrankungen des Immunsystems
- Überempfindlichkeit, sofort
- Überempfindlichkeit
- Immunologische Mangelsyndrome
- Hautkrankheiten
- Urtikaria
- Hautkrankheiten, Gefäß
- Angeborene, erbliche und neonatale Krankheiten und Anomalien
- Haut- und Bindegewebserkrankungen
- Angioödem
- Angioödeme, erblich
Andere Studien-ID-Nummern
- CSL312_3003
- 2022-502386-13-00 (Ctis)
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
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IPD-Sharing-Zeitrahmen
IPD-Sharing-Zugriffskriterien
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Eine IPD-Anfrage wird von CSL nicht berücksichtigt, es sei denn, die vorgeschlagene Forschungsfrage zielt darauf ab, eine bedeutende und unbekannte Frage der medizinischen Wissenschaft oder der Patientenversorgung zu beantworten, wie vom internen Überprüfungsausschuss von CSL festgelegt.
Die anfordernde Partei muss eine entsprechende Vereinbarung zur gemeinsamen Nutzung von Daten unterzeichnen, bevor IPD zur Verfügung gestellt wird.
Art der unterstützenden IPD-Freigabeinformationen
- STUDIENPROTOKOLL
- SAFT
Arzneimittel- und Geräteinformationen, Studienunterlagen
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Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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