Une étude de l'Orelabrutinib chez les patients atteints de sclérose en plaques progressive secondaire
Une étude de phase 3, randomisée, en double aveugle, évaluant l'efficacité et l'innocuité de l'orelabrutinib par rapport à un placebo chez des patients atteints de sclérose en plaques progressive secondaire non active
Orelabrutinib is a CNS-penetrable BTK inhibitor. This is a phase 3, randomized, double-blind, parallel-group, multicenter study to evaluate the efficacy and safety of orelabrutinib compared with placebo in patients with non-active Secondary Progress MS. Patients will be treated for approximately 24 to 60 months, with a minimum treatment duration of 12 months. The study will enroll approximately 990 subjects in a 2:1 randomization (orelabrutinib: placebo), globally.
Aperçu de l'étude
Statut
Statut
Les conditions
Les conditions
Intervention / Traitement
Intervention / Traitement
Description détaillée
This is a phase 3, randomized, double-blind, parallel-group, multicenter study to evaluate the efficacy and safety of orelabrutinib compared with placebo in patients with naSPMS. The study will enroll approximately 990 subjects in a 2:1 randomization (orelabrutinib: placebo), globally.
The study consists of the following periods:
- Screening Period: Up to 4 weeks.
- Treatment Period: The duration of treatment will vary for individual participants ranging from approximately 24 to 60 months, depending on the time of recruitment. A month is defined as a period of 28 days by convention.
- Double-blinded (DB) Treatment: All eligible participants will be randomized at 2:1 ratio to accept orelabrutinib QD or placebo during the DB treatment period. The study will be unblinded when all participants in the DB period have reached a minimum treatment duration of 12 months at the time of primary analysis timing cutoff.
- Open-label (OL) Treatment: Participants with 24-week CDP as assessed by EDSS are eligible for 2-year open-label orelabrutinib treatment.
- Safety Follow-Up Period: It will last 4 weeks. The safety follow-up period will begin when the participants discontinue from the treatment before the end of the trial for any reasons or complete the trial but do not enter the long-term safety study (LTS) (see below).
All active study participants will have a final end of study (EOS) visit within 4 weeks of the study end date. Participants who are receiving IMP in DB or OL but do not consent to or are not eligible for enrollment in the LTS study, must return for a final safety follow-up visit 4 weeks later. For participants who intend and are eligible to join the LTS, open-label treatment with orelabrutinib will continue and no safety follow-up will occur.
Type d'étude
Type d'étude
Inscription (Estimé)
Inscription
Phase
Phase
- Phase 3
Contacts et emplacements
Coordonnées de l'étude
Coordonnées de l'étude
- Nom: Patient and Medical Information
- Numéro de téléphone: 833-269-4696
- E-mail: clinicaltrialsinfo@zenasbio.com
Sauvegarde des contacts de l'étude
- Nom: Patient and Medical Information
- Numéro de téléphone: 833-269-4696
- E-mail: clinialtrialsinfo@zenasbio.com
Lieux d'étude
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Hesse
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Bad Homburg, Hesse, Allemagne, 61348
- Recrutement
- Zentrum fur klinische Forschung Dr.Scholl GmbH
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New South Wales
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Kogarah, New South Wales, Australie, 2217
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- Southern Neurology Suite 2
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Sovet, Belgique, 1408
- Recrutement
- DCC Neoclinic - Sofia
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Limburg
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Overpelt, Limburg, Belgique, 3900
- Recrutement
- MS-Netwerk Limburg - Revalidatie
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Pleven, Bulgarie, 5800
- Recrutement
- Avis Medica Hospital Pleven
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Plovdiv
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Plovdiv, Plovdiv, Bulgarie, 4000
- Recrutement
- Medical Center Nevrocentrum
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Sofia
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Sofia, Sofia, Bulgarie, 1680
- Recrutement
- Diagnostic and Consultative Center Convex
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Sofia, Sofia, Bulgarie, 1510
- Recrutement
- Medical Center Hera EOOD
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Tarnovo
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Veliko Tarnovo, Tarnovo, Bulgarie, 5000
- Recrutement
- Medical Center Medica Plus OOD
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Zagreb, Croatie, 10 000
- Recrutement
- Klinicki Bolnicki Centar Zagreb-Rebro
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A Coruña
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A Coruña, A Coruña, Espagne, 15006
- Recrutement
- Complejo Hospitalario Universitario A Coruña
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Galicia
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Vigo, Galicia, Espagne, 36312
- Recrutement
- Hospital Alvaro Cunqueiro
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Madrid
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Madrid, Madrid, Espagne, 28007
- Recrutement
- Hospital Gregorio Marañon
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Majadahonda, Madrid, Espagne, 28222
- Recrutement
- Hospital Universitario Puerta de Hierro de Majadahonda
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Málaga
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Málaga, Málaga, Espagne, 29016
- Recrutement
- Vithas Hospital Parque San Antonio
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Seville
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Castilleja de la Cuesta, Seville, Espagne, 41950
- Recrutement
- Hospital Vithas Nisa Sevilla
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Harju
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Tallinn, Harju, Estonie, 10617
- Recrutement
- Astra clinic (Clinic4U)
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Brest
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Pordic, Brest, France, 29609
- Recrutement
- CHU Brest Hospital Cavale
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Gard
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Nîmes, Gard, France, 30029
- Recrutement
- Centre Hospitalier Universitaire de Nimes (CHU) - Hopital Universitaire Caremeau
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Yveline
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Poissy, Yveline, France, 78300
- Recrutement
- Centre Hospitalier Intercommunal (Chi) Poissy-Saint-Germain-En-Laye - Site De Poissy
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Athens
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Cholargós, Athens, Grèce, 15562
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- Metropolitan General Hospital
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Attica
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Athens, Attica, Grèce, 11526
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- Errikos Dunant Hospital
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Tbilisi, Géorgie, 0114
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- LTD Pineo Medical Ecosystem
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Tbilisi, Géorgie, 0186
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- Raymann, LLC
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Tbilisi, Géorgie, 0159
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- NNLE Jo Ann University Hospital
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Tbilisi, Géorgie, 0186
- Recrutement
- Caucasus Medical Center Ltd
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K'alak'i T'bilisi
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Tbilisi, K'alak'i T'bilisi, Géorgie, 0114
- Recrutement
- JSC Curatio
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Saburtalo
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Tbilisi, Saburtalo, Géorgie, 0160
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- MD Georgia Staff Physician MediClub Georgia
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Budapest, Hongrie, 1145
- Recrutement
- National Institute of Clinical Neurosciences
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Tatabánya, Hongrie, 2800
- Recrutement
- Komarom-Esztergom Varmegyei Szent Borbala Korhaz
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Komarom-Esztergom Vamegye
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Esztergom, Komarom-Esztergom Vamegye, Hongrie, 2500
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- Valeomed Kft.
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Chieti
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Chieti, Chieti, Italie, 66100
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- University G. D'Annunzio of Chieti-Pescara
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Isernia/Molise
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Pozzilli, Isernia/Molise, Italie, 86077
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- IRCCS Istituto Neurologico Mediterraneo Neuromed
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Kauno
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Kaunas, Kauno, Lituanie, 50161
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- Hospital of Lithuanian University of Health Sciences
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Lublin, Pologne, 20-064
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- Galen Clinic
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Plewiska, Pologne, 62-064
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- Neurologiczny Niepubliczny ZOZ Centrum Leczenia SM Osrodek Badan Klinicznych im. dr n. med. Hanki Hertmanowskiej
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Poznan, Pologne, 15-540
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- Prywatna Lecznica Certus Sp. z o.o.
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Szczecin, Pologne, 70-111
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- EUROMEDIS Osrodek Badan Klinicznych
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Żory, Pologne, 44-240
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- Centrum Medyczne ProNeuro Żory
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Kuyavian-Pomeranian Voivodeship
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Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Pologne, 85-605
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- Centrum Medyczne INTERCOR Sp. z o.o.
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Lublin Voivodeship
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Lublin, Lublin Voivodeship, Pologne, 20-601
- Recrutement
- Malva Trials
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Lublin, Lublin Voivodeship, Pologne, 20-064
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- Instytut Naukowo-Badawczy w Lublinie Sp. z o.o.
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Lublin, Lublin Voivodeship, Pologne, 20-064
- Recrutement
- NZOZ Neuromed M. i M. Nastaj Sp.P
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Lubusz Voivodeship
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Nowa Sól, Lubusz Voivodeship, Pologne, 67-100
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- Twoja Przychodnia Centrum Medyczne Nowa Sól
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Mazovian
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Warsaw, Mazovian, Pologne, 02-172
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- MTZ Clinical Researcz Powered by pratia
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Rzeszów
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Rzeszów, Rzeszów, Pologne, 35-323
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- Nmedis sp. z o.o.
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Silesian Voivodeship
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Katowice, Silesian Voivodeship, Pologne, 40-081
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- Centrum Medyczne Pratia Katowice
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Katowice, Silesian Voivodeship, Pologne, 40-571
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- MA-LEK Clinical Sp. z o.o.
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Katowice, Silesian Voivodeship, Pologne, 40-584
- Recrutement
- NZOZ Novo Med
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Upper Silesia
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Katowice, Upper Silesia, Pologne, 40-686
- Recrutement
- Neuro Medic Clinic
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Wielkopolska
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Poznan, Wielkopolska, Pologne, 61-853
- Recrutement
- Nzoz Neuro-Kard Ilkowski I Partnerzy Spolka Partnerska Lekarzy
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Poznan, Wielkopolska, Pologne, 60-324
- Recrutement
- Twoja Przychodnia PCM
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Łódź Voivodeship
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Lodz, Łódź Voivodeship, Pologne, 91-743
- Recrutement
- PRO SALUS Sp. z o.o. sp.k.
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Lodz, Łódź Voivodeship, Pologne, 90-324
- Recrutement
- Centrum Neurologii Krzysztof Selmaj
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Guaynabo, Porto Rico, 00969
- Recrutement
- Caribbean Center for Clinical Research
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Constanța County
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Constanța, Constanța County, Roumanie, 900123
- Recrutement
- Spital Clinic CF Constanta
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Suceava
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Radauti, Suceava, Roumanie, 725400
- Recrutement
- Spitalul Municipal Sf. Doctori Cosma si Damian Radauti
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Kragujevac, Serbie, 34000
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- University Clinical Centre of Kragujevac
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Niš, Serbie, 18000
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- Clinic of Neurology - Clinical Center Nis
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Belgrade
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Belgrade, Belgrade, Serbie, 11000
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- University Clinical Centre of Serbia
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Choceň, Tchéquie, 56501
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- NEUROHK, s.r.o.
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Jihlava, Tchéquie, 58601
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- Regional Hospital Jihlava
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Ivano-Frankivsk, Ukraine, 76943
- Recrutement
- Neuro Global
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Lviv, Ukraine, 79010
- Recrutement
- Lviv National Medical University named after Danylo Galytskiy
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Vinnytsia, Ukraine, 21009
- Recrutement
- Medical Clinical Investigational Center of Medical Center LLC Health Clinic
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Chernivtsi Oblast
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Chernivtsi, Chernivtsi Oblast, Ukraine, 58023
- Recrutement
- Regional Municipal Non-commercial Enterprise Chernivtsi Emergency Medical Hospital
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Ivano-Frankivs'k Oblast
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Ivano-Frankivsk, Ivano-Frankivs'k Oblast, Ukraine, 76018
- Recrutement
- CNE City Clinical Hospital #1 of Ivano-Frankivsk council
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Lviv Oblast
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Lviv, Lviv Oblast, Ukraine, 79000
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- Limited Liability Company Medical Center Neuroclinic
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Lviv, Lviv Oblast, Ukraine, 79029
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- Limited Liability Company "Neurofocus"
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Arizona
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Phoenix, Arizona, États-Unis, 85032
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- Arizona Neuroscience Research, LLC
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Scottsdale, Arizona, États-Unis, 85253
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- Perseverance Research Center, LLC (PRC)
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California
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Fullerton, California, États-Unis, 92835
- Recrutement
- Fullerton Neurology and Headache Center
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Torrance, California, États-Unis, 90502-2006
- Recrutement
- Harbor-UCLA Medical Center - The Lundquist Institute (Los Angeles Biomedical Research Institute (LA BioMed))
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West Hollywood, California, États-Unis, 90048
- Recrutement
- Regina Berkovich MD, PhD Inc
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Florida
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Boca Raton, Florida, États-Unis, 33487
- Recrutement
- SFM Clinical Research, LLC
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Bradenton, Florida, États-Unis, 34209
- Recrutement
- Nova Clinical Research, LLC
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Clearwater, Florida, États-Unis, 33761
- Recrutement
- MS and Neuromuscular Center of Excellence
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Maitland, Florida, États-Unis, 32751
- Recrutement
- Neurology Associates
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Naples, Florida, États-Unis, 34105
- Recrutement
- Aqualane Clinical Research
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Tampa, Florida, États-Unis, 33612
- Recrutement
- University of South Florida Department of Neurology - MS Division
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Indiana
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Indianapolis, Indiana, États-Unis, 46256
- Recrutement
- Josephson Wallack Munshower Neurology, Pc Suite 225
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Kansas
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Kansas City, Kansas, États-Unis, 66160
- Recrutement
- University of Kansas Medical Center
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Roeland Park, Kansas, États-Unis, 66205
- Recrutement
- KC Research Center, PA Neurology Research Dept
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Massachusetts
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Boston, Massachusetts, États-Unis, 02131
- Retiré
- Boston Clinical Trials
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Worcester, Massachusetts, États-Unis, 01655
- Recrutement
- University of Massachusetts Memorial Medical Center
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Michigan
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Rochester Hills, Michigan, États-Unis, 48307
- Recrutement
- Profound Research LLC at Oakland Neurology Center
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Missouri
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St Louis, Missouri, États-Unis, 63110
- Recrutement
- Washington University School of Medicine
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New Mexico
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Albuquerque, New Mexico, États-Unis, 87131
- Recrutement
- University Of New Mexico School Of Medicine
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New York
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New York, New York, États-Unis, 10029
- Recrutement
- Mount Sinai Medical Center
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Ohio
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Columbus, Ohio, États-Unis, 43235
- Recrutement
- The Boster Center for Multiple Sclerosis
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Columbus, Ohio, États-Unis, 43221
- Recrutement
- The Ohio State University Wexner Medical Center (OSUWMC)
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Oklahoma
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Oklahoma City, Oklahoma, États-Unis, 73104
- Recrutement
- OMRF Multiple Sclerosis Center of Excellence
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South Carolina
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Greenville, South Carolina, États-Unis, 29605
- Recrutement
- Premier Neurology
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Tennessee
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Cordova, Tennessee, États-Unis, 38018
- Recrutement
- Neurology Clinic, P.C.
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Texas
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San Antonio, Texas, États-Unis, 78258
- Recrutement
- Lone Star Neurology
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Sherman, Texas, États-Unis, 75092
- Recrutement
- Texas Institute for Neurological Disorders - Sherman
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Critères de participation
Critère d'éligibilité
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- 18 to 60 years of age, inclusive, at the time of signing the informed consent.
- Participant must have a previous diagnosis of RRMS in accordance with 2024 McDonald criteria
- Participant must have a current diagnosis of SPMS in accordance with the clinical course criteria revised in 2013
- Participant must have documented evidence of disability progression independent of clinical relapse observed during the 24 months before screening. A written summary of the clinical evidence of disability progression must be discussed and aligned between the Investigator and the Sponsor's dedicated qualified person(s).
- Absence of clinical relapses for at least 24 months.
Exclusion Criteria:
- The patient has been diagnosed with primary progressive MS (PPMS) according to 2024 McDonald diagnostic criteria
- Immunologic disorder other than MS or any other conditions requiring corticosteroid therapy.
- History or current diagnosis of other neurological disorders that may mimic MS
- History or current diagnosis of progressive multifocal leukoencephalopathy
- Active, clinically significant viral, bacterial, or fungal infection
- History of any other significant active medical condition
- History of suicidal behavior within 6 months prior to Screening
- Any prior history of malignancy
- Patients on anticoagulation, or antiplatelet therapy
- Patients took strong/moderate CYP3A inhibitors or strong/moderate CYP3A inducers within 14 days
- Clinically significant laboratory abnormalities at Screening.
- Vaccination with live or live-attenuated virus vaccine within 1 month prior to Screening
- History of alcohol abuse or alcohol use disorder or other drug abuse within 12 months prior to screening.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Quadruple
Nombre de bras
Armes et Interventions
Groupe de participants / BrasGroupe de participants / Bras |
Intervention / TraitementIntervention / Traitement |
|---|---|
|
Expérimental: Orelabrutinib Group
Orelabrutinib PO daily |
Orelabrutinib orally |
|
Comparateur placebo: Placebo Group
Placebo PO daily |
Placebo orally |
Que mesure l'étude ?
Principaux critères de jugement
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Time to onset of confirmed disability progression (CDP) events, confirmed over at least 24 weeks
Délai: Up to approximately 120 weeks
|
Expanded disability status scale (EDSS) score increase ≥ 1.0 point from baseline when the baseline score is ≤ 5.0, or ≥ 0.5 points from baseline when the baseline score is > 5.0 |
Up to approximately 120 weeks
|
Mesures de résultats secondaires
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
12 Week CDP
Délai: Up to approximately 120 weeks
|
Time to onset of CDP events on EDSS, confirmed over at least 12 weeks |
Up to approximately 120 weeks
|
|
T2 lesions on MRI
Délai: Up to approximately 120 weeks
|
The total number of new or enlarging T2 lesions on MRI scans of the brain |
Up to approximately 120 weeks
|
|
24-week CDP-9-hole Peg Test
Délai: Up to approximately 120 weeks
|
Time to onset of CDP events on 9-hole Peg Test (9HPT), defined as ≥ 20% increase on 9HPT from baseline, confirmed over at least 24 weeks |
Up to approximately 120 weeks
|
|
24-week CDP-T25FWT
Délai: Up to approximately 120 weeks
|
Time to onset of CDP events on Timed 25-Foot Walk Test (T25FWT), defined as ≥ 20% increase on T25FWT from baseline, confirmed over at least 24 weeks |
Up to approximately 120 weeks
|
|
24-week CDI
Délai: Up to approximately 120 weeks
|
Time to onset of confirmed disability improvement (CDI) events on EDSS, defined as ≥ 1.0-point decrease on the EDSS score from baseline when the baseline score is ≤ 5.0, or ≥ 0.5 points from baseline when the baseline score is > 5.0, confirmed over at least 24 weeks |
Up to approximately 120 weeks
|
|
24-week CDI-9HPT
Délai: Up to approximately 120 weeks
|
Time to onset of CDI events on 9HPT, defined as ≥ 20% decrease on the 9HPT score from baseline, confirmed over at least 24 weeks |
Up to approximately 120 weeks
|
|
24-week CDI-T25FWT
Délai: Up to approximately 120 weeks
|
Time to onset of CDI events on T25FWT, defined as ≥ 20% decrease on the T25FWT score from baseline, confirmed over at least 24 weeks |
Up to approximately 120 weeks
|
|
Symbol Digit Modalities Test
Délai: Up to approximately 120 weeks
|
The change in cognitive function as assessed by Symbol Digit Modalities Test (SDMT) from baseline to each scheduled visit |
Up to approximately 120 weeks
|
|
Annualized relapse rate
Délai: Up to approximately 120 weeks
|
Annualized relapse rate (ARR) during the study period assessed by protocol-defined adjudicated relapses |
Up to approximately 120 weeks
|
|
To evaluate the safety and tolerability of orelabrutinib
Délai: Up to approximately 120 weeks
|
Safety as assessed by the nature, severity, and incidence of adverse events (AEs) (graded according to National Cancer Institute-Common Terminology Criteria for AEs, NCI-CTCAE version 5.0); |
Up to approximately 120 weeks
|
Collaborateurs et enquêteurs
Parrainer
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Début de l'étude
Achèvement primaire (Estimé)
Achèvement primaire
Achèvement de l'étude (Estimé)
Achèvement de l'étude
Dates d'inscription aux études
Première soumission
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Première publication
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour publiée
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Maladies du système nerveux
- Processus pathologiques
- Maladie chronique
- Attributs de la maladie
- Maladies auto-immunes
- Maladies du système immunitaire
- Maladies auto-immunes démyélinisantes, SNC
- Maladies auto-immunes du système nerveux
- Maladies démyélinisantes
- Conditions pathologiques, signes et symptômes
- Sclérose en plaques
- Sclérose en plaques, progressive chronique
- orelabrutinib
Autres numéros d'identification d'étude
Autres numéros d'identification d'étude
- ZB020-03-002
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .