Estudio para evaluar la seguridad y tolerabilidad de VTx-002 en participantes con ELA (ALS)
Investigación de Fase 1/2 del Régimen Experimental Novedoso en Esclerosis Lateral Amiotrófica (Pioneer-ALS): Un Estudio Multicéntrico, Abierto y No Controlado para Evaluar la Seguridad y Tolerabilidad de Dos Dosis de VTx-002
PIONEER-ALS is a Phase 1/2, multicenter, open-label, ascending dose, uncontrolled, first-in-human study that will evaluate the safety, tolerability and effects on clinical and biomarker endpoints of intracisternal administration of Vtx-002 in participants with Amyotrophic Lateral Sclerosis (ALS).
Two escalating dose (low dose and high dose) cohorts are planned. The duration of the study will be a maximum of 5 years and 5 weeks (265 weeks) for each participant. The screening period may last up to 5 weeks to complete screening procedures.
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Descripción detallada
All participants will receive a single injection of the study drug. During the first year of the study there will be 12 visits to the study center, including an overnight stay after dosing of at least 1 night. There will be a further 4 remote visits (telephone or video call).
From Year 2-5 there will be 8 further visits. These will be every 6 months and will be either in-person at the study site or remote (telephone or video call) if needed or preferred.
Throughout the 5-year observation period, there will be up to 20 study visits to complete follow-up tests and assessments and monitor the ongoing effects of the study drug.
Tipo de estudio
Tipo de estudio
Inscripción (Estimado)
Inscripción
Fase
Fase
- Fase 2
- Fase 1
Contactos y Ubicaciones
Estudio Contacto
Estudio Contacto
- Nombre: Dr Olga Uspenskaya Chief medical Officer, VectorY Therapeutics, M.D; PhD
- Número de teléfono: patients@vectorytx.com
- Correo electrónico: patients@vectorytx.com
Ubicaciones de estudio
-
-
-
Leuven, Bélgica
- Reclutamiento
- UZ Leuven
-
Contacto:
- Evi Parente Study Coordinator
- Número de teléfono: + 32 1638668
- Correo electrónico: evi.parente@uzleuven.be
-
Contacto:
- Ann Dhondt Study Coordinator
- Número de teléfono: + 32 16347577
- Correo electrónico: ann.dhondt@uzleuven.be
-
Investigador principal:
- Dr Philip Van Damme, Doctor of Medicine
-
-
-
-
Arizona
-
Phoenix, Arizona, Estados Unidos, 85013
- Aún no reclutando
- St Joseph's Hospital and medical Center - Barrow Neurological Institute
-
Investigador principal:
- Dr Shafeeq Ladha, Doctor of Medicine
-
Contacto:
- Dr S Ladha, Doctor of Medicine
- Número de teléfono: (602) 406-6262
- Correo electrónico: fulton.research@commonspirit.org
-
-
California
-
San Diego, California, Estados Unidos, 92121
- Reclutamiento
- University of California San Diego Medical Center
-
Contacto:
- Dr John Ravits, Doctor of Medicine
- Número de teléfono: (858) 246-1154
- Correo electrónico: jravits@health.ucsd.edu
-
Investigador principal:
- Dr John Ravits, Doctor of Medicine
-
-
Florida
-
Jacksonville, Florida, Estados Unidos, 32224
- Reclutamiento
- Mayo Clinic in Florida
-
Contacto:
- Dr Bjorn Oskarsson, Doctor of Medicine
- Número de teléfono: (904) 953-0407
- Correo electrónico: oskarsson.bjorn@mayo.edu
-
Investigador principal:
- Dr Bjorn Oskarsson, Doctor of Medicine
-
-
Massachusetts
-
Boston, Massachusetts, Estados Unidos, 02114
- Reclutamiento
- Sean M. Healey & AMG Center for ALS at Massachusetts General Hospital
-
Investigador principal:
- Dr Doreen Ho, Doctor of Medicine
-
Contacto:
- Winifred Asigri Study Coordinator
- Número de teléfono: (617) 724-5659
- Correo electrónico: pioneeralshealey@mgb.org
-
-
New York
-
New York, New York, Estados Unidos, 10032
- Aún no reclutando
- The Eleanor & Lou Gehrig ALS Center
-
Investigador principal:
- Dr Neil Schneider, Doctor of Medicine
-
Contacto:
- The Eleanor & Lou Gehrig ALS Center
- Número de teléfono: (212) 305-6788
- Correo electrónico: alsresearch@cumc.columbia.edu
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, Estados Unidos, 19104
- Reclutamiento
- University of Pennsylvania
-
Investigador principal:
- Dr Colin Quinn, Doctor of Medicine
-
Contacto:
- Spriha Thapa Study Coordinator
- Número de teléfono: 267-610-8822
- Correo electrónico: Spriha.Thapa@pennmedicine.upenn.edu
-
-
-
-
-
Utrecht, Países Bajos
- Reclutamiento
- UMC Utrecht
-
Contacto:
- Prof Leonard Van Den Berg, Doctor of Medicine
- Número de teléfono: +31 887555555
- Correo electrónico: l.h.vandenberg@umcutrecht.nl
-
Investigador principal:
- Prof Leonard Van Den Berg, Doctor of Medicine
-
-
-
-
-
Sheffield, Reino Unido, S10 2JF
- Reclutamiento
- Royal Hallamshire Hospital
-
Contacto:
- Dr Chris McDermott, Doctor of medicine
- Número de teléfono: +44 114 226 1049
- Correo electrónico: c.j.mcdermott@sheffield.ac.uk
-
-
Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Key Inclusion Criteria:
- Capable of, and willing to, provide written informed consent and comply with study procedures, including visits to the study site and visit requirements
- Male or female ≥ 18 years of age
- Has a diagnosis of ALS according to the El Escorial criteria (Brooks, et al., 2000) (probable, laboratory results supported; clinically probable, clinically definite)
- Confirmed absence of ALS caused by FUS and SOD1 gene mutations confirmed by laboratory tests.
- A maximum of 18 months since first appearance of weakness (e.g., limb weakness, dysarthria, dysphagia, shortness of breath)
- Erect (seated) SVC % predicted ≥ 80% at Screening
- Treatment Research Initiative to Cure ALS (TRICALS) risk score between -2 and -6 at Screening
- Has a reliable caregiver/partner/legal representative willing and able to support the participant in participation in the study and to give informed consent on behalf of the participant in the case that disease progression prevents the participant of giving consent (local legal rules will apply).
- Treatment with riluzole and/or edaravone is allowed if treatment was started and has remained at a stable dose for at least 2 weeks (riluzole) or one treatment cycle (edaravone) before the Screening visit
- Women of childbearing potential (WOCBP) and male participants with female partners who are WOCBP must agree to use highly effective contraception during and after the study. WOCBP cannot be pregnant or breastfeeding
- Women of nonchildbearing potential must be post-menopausal or surgically sterile (e.g. hysterectomy, bilateral tubal ligation, ovaries removed)
Key Exclusion Criteria:
- Diagnosis of a significant CNS or peripheral nervous system disease other than ALS that may be a cause for the participant's ALS symptoms or may confound study objectives
- Spinal, cervical, or brain MRI/MRA indicating clinically significant abnormality
- Presence of tracheostomy and feeding tube at Screening
- Contraindications to corticosteroid use (e.g. due to osteoporosis, uncontrolled blood pressure, diabetes or cholesterol).
5. Significant concomitant disease or condition within 6 months of Screening that could pose an unacceptable safety risk to the participant or interfere with the participant's ability to comply with study procedures, e.g. heart disease, uncontrolled diabetes, liver disease, autoimmune diseases needing strong immune-suppressing drugs, cancer, etc or a current psychiatric diagnosis.
6. Clinically significant abnormalities in laboratory test results at Screening for example poor liver or kidney function, abnormal clotting or infections such as Hepatitis or HIV
7. Use of blood thinners (e.g., warfarin, heparin, and novel oral anticoagulants) and being unable to safely stop them before certain study procedures.
8. Contraindications to imaging methods MRI, MRA, CT due to claustrophobia and/or intolerance to contrast agents.
9. Contraindications to general anaesthesia (GA) or deep sedation
10 Positive test for illegal drugs (except prescribed medications or permitted medicinal/recreational marijuana if used responsibly)
11. Generally frail or if the Investigator deems participation in the study would not be in the best interest of the participant or is likely to prohibit further participation during the study
Other protocol-defined inclusion/exclusion criteria may apply
-
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: No aleatorizado
- Modelo Intervencionista: Asignación Secuencial
- Enmascaramiento: Ninguno (etiqueta abierta)
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
|---|---|
|
Experimental: Gene Therapy Group 1: Dose 1 (Low Dose)
Gene Therapy: VTx-002 18 participants will receive dose 1 administered intra cisterna magna. Dosing of the first 3 participants will be staggered at specific timepoints apart and with a safety monitoring committee review of health-related information in between each participant being dosed. VTx-002 is a single dose therapy Drug: Preventative (Prophylactic) Medication: Methylprednisolone |
An investigational gene therapy targeting a specific protein. To reduce the risk of reactions caused by the study treatment, steroid medicines will be given in advance.
Otros nombres:
|
|
Experimental: Gene Therapy Group 2: Dose 2 (High Dose)
Gene Therapy: VTx-002 18 participants will receive dose 2 administered intra cisterna magna. The participant dosing in group 2 will be staggered as it was in group 1. VTx-002 is a single dose therapy. Drug: Preventative (Prophylactic) Medication - Methylprednisolone |
An investigational gene therapy targeting a specific protein. To reduce the risk of reactions caused by the study treatment, steroid medicines will be given in advance.
Otros nombres:
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Periodo de tiempo: Over 5 years
|
Assessed by reviewing the nature, incidence, severity, relatedness, seriousness and outcome of treatment emergent adverse events. |
Over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Periodo de tiempo: Over 5 years
|
Assessed by reviewing laboratory values |
Over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Periodo de tiempo: Over 5 years
|
Assessed by reviewing Magnetic Resonance Imaging (MRI) findings. |
Over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Periodo de tiempo: over 5 years
|
Assessed by review of Treatment Induced Peripheral Neuropathy Assessment Scale (TNAS) *TNAS a brief participant-reported questionnaire used to measure the severity and progression of peripheral neuropathy. Each item is rated on a scale of 0 to 10, where 0 means no symptom and 10 means the symptom is as bad as it can possibly be. |
over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Periodo de tiempo: Over 5 years
|
Assessed by reviewing cellular responses by analyzing blood samples. |
Over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Periodo de tiempo: Over 5 years
|
Assessed by reviewing scores of the Columbia Suicide Severity Rating Scale (C-SSRS) *C-SSRS is a widely used, evidence-based suicide risk assessment tool that helps identify whether someone is at risk for suicide and gauge the level of support needed. A low score is associated with a lower risk level in this brief questionnaire. |
Over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Periodo de tiempo: At month 6 and month 12
|
Assessed by performing 4 formal interim analyses
|
At month 6 and month 12
|
Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Periodo de tiempo: At month 6 and month 12
|
Changes certain blood values |
At month 6 and month 12
|
|
To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Periodo de tiempo: over 12 months
|
Time to assisted permanent ventilation or death |
over 12 months
|
|
To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Periodo de tiempo: Over 5 years
|
Immune responses assessed by analyzing blood samples |
Over 5 years
|
|
To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Periodo de tiempo: At month 6 and month 12
|
Change in Slow Vital Capacity |
At month 6 and month 12
|
|
To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Periodo de tiempo: At month 6 and month 12
|
Changes in CSF values |
At month 6 and month 12
|
|
To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Periodo de tiempo: At month 6 and month 12 *ALSFRS-R is a scale used to monitor disease progression. The 12 questions. Questions are scored from 0 to 4, with a maximum score of 48 indicating full function and a minimum score of 0 indicating significant impairment.
|
Change in Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) |
At month 6 and month 12 *ALSFRS-R is a scale used to monitor disease progression. The 12 questions. Questions are scored from 0 to 4, with a maximum score of 48 indicating full function and a minimum score of 0 indicating significant impairment.
|
Otras medidas de resultado
Otras medidas de resultado
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
To assess changes in biomarkers
Periodo de tiempo: Over 5 years
|
Analysis of blood samples to assess viral shedding |
Over 5 years
|
|
To assess changes in muscle strength assessments from baseline.
Periodo de tiempo: Measured at month 6 and month 12
|
Change in muscle strength measured by Hand-held Dynamometry |
Measured at month 6 and month 12
|
|
To assess disease severity and improvement
Periodo de tiempo: over 12 months
|
Disease severity and improvement measured using the Clinical Global Impression (CGI) scales for Severity (CGI-S) and Improvement (CGI-I). The CGI scales each use a seven-point scale where 1 indicates less severe (CGI-S) or most improved (CGI-I) and 7 indicates more severe illness (CGI-S) or worsening of condition (CGI-I) |
over 12 months
|
|
To assess immunogenicity of VTx002
Periodo de tiempo: Over 5 years
|
Assessed by the review of the immunogenicity to the capsid and transgene by analyzing blood samples. |
Over 5 years
|
|
To assess changes Health Related Quality of Life
Periodo de tiempo: Measured at month 6 and month 12
|
Change in Health Related Quality of Life measured using the EQ5D-L questionnaire. *The EQ5D-L is a self-completed questionnaire assessing five core dimensions (Mobility, Self-care, Usual Activities, Pain/Discomfort, Anxiety/Depression). It is scored by combining patient responses across the five dimensions and then converting to a single utility score whereby 1.0 indicates perfect health and 0 indicates death |
Measured at month 6 and month 12
|
|
To assess changes Health Related Quality of Life
Periodo de tiempo: Measured at month 6 and month 12
|
Change in Health Related Quality of Life measured using the ALSAQ-5 questionnaire. *The ALSAQ-5 is a brief, 5-item questionnaire used to measure the impact of Amyotrophic Lateral Sclerosis on a patient's quality of life. Five key areas are rated for difficulties and converted to a total score from 0 (worst) to 100 (best) |
Measured at month 6 and month 12
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Inicio del estudio
Finalización primaria (Estimado)
Finalización primaria
Finalización del estudio (Estimado)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Enfermedades del Sistema Nervioso Central
- Enfermedades del Sistema Nervioso
- Enfermedades Neuromusculares
- Enfermedades metabólicas
- Enfermedades neurodegenerativas
- Enfermedades de la médula espinal
- Proteinopatías TDP-43
- Deficiencias de proteostasis
- Enfermedad de la neuronas motoras
- Enfermedades Nutricionales y Metabólicas
- La esclerosis lateral amiotrófica
- Compuestos policíclicos
- Espierra
- Embarazos
- Esteroides
- Compuestos de anillo fusionado
- Esparrazadienetrioles
- Madreadiediols
- Prednisona
- Prednisolona
Otros números de identificación del estudio
Otros números de identificación del estudio
- VTx-002-01-001
- 2025-522697-37-00 (Ctis)
- PIONEER-ALS (Otro identificador: VectoryTherapeutics)
- 2025 (Subvención/contrato del NIH de EE. UU.)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .