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- Essai clinique NCT07646860
A Study of Sotatercept (MK-7962) in Japanese Children With Pulmonary Arterial Hypertension (PAH) (MK-7962-032)
7 septembre 2026 mis à jour par: Merck Sharp & Dohme LLC
A Phase 2 Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of Sotatercept (MK-7962) in Japanese Children From 1 to Less Than 18 Years of Age With PAH on Standard of Care.
The goal of this study is to learn about the safety of sotatercept and how well Japanese children tolerate it, when taken along with standard (usual) pulmonary arterial hypertension (PAH) treatment.
Researchers also want to learn what happens to it in a person's body over time and whether it lowers resistance in blood vessels in the lungs.
Aperçu de l'étude
Statut
Recrutement
Les conditions
Intervention / Traitement
Type d'étude
Interventionnel
Inscription (Estimé)
6
Phase
- Phase 2
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Coordonnées de l'étude
- Nom: Toll Free Number
- Numéro de téléphone: 1-888-577-8839
- E-mail: Trialsites@merck.com
Lieux d'étude
-
-
Osaka
-
Izumi, Osaka, Japon, 594-1101
- Recrutement
- Osaka Prefectural Hospital Organization Osaka Women's and Children's Hospital ( Site 3203)
-
Contact:
- Study Coordinator
- Numéro de téléphone: +81-725-56-1260
-
Suita, Osaka, Japon, 565-0871
- Recrutement
- The University of Osaka Hospital ( Site 3201)
-
Contact:
- Study Coordinator
- Numéro de téléphone: +81-6-6879-5111
-
-
Tokyo
-
Setagaya City, Tokyo, Japon, 157-8535
- Recrutement
- National Center for Child Health and Development ( Site 3202)
-
Contact:
- Study Coordinator
- Numéro de téléphone: +81-3-3416-0181
-
-
Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
Accepte les volontaires sains
Non
La description
Inclusion Criteria:
The main inclusion criteria include but are not limited to the following:
- Has pulmonary arterial hypertension (PAH, World Health Organization Group 1) confirmed by a prior right heart catheterization
- Has idiopathic, heritable, drug- or toxin-induced PAH, connective tissue disease-associated PAH, repaired congenital heart disease-associated PAH, or PAH with coincidental shunt
- Has PAH classified as World Health Organization Functional Class I, or symptomatic World Health Organization Functional Class II to IV
- Has been receiving stable standard-of-care background therapy for PAH for at least 90 days
- Is Japanese
Exclusion Criteria:
The main exclusion criteria include but are not limited to the following:
- History of left-sided heart disease
- Has severe congenital or developmental abnormalities of the lung, thorax, and/or diaphragm
- History of Eisenmenger syndrome, Potts shunt, or recent atrial septostomy within 180 days
- Has unrepaired or residual cardiac shunt with Qp/Qs >1.5
- Has pulmonary veno-occlusive disease, pulmonary capillary hemangiomatosis, or overt signs of pulmonary capillary and/or venous involvement
- PAH associated with portal hypertension
- Known visceral arteriovenous malformations
- History of full or partial pneumonectomy
- Untreated more than mild obstructive sleep apnea
- History of known pericardial constriction
- Family history of sudden cardiac death or long QT syndrome
- History of symptomatic coronary disease within 6 months or cerebrovascular accident within 3 months
- Prior treatment with sotatercept or luspatercept
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: Sotatercept
Participants receive sotatercept by subcutaneous injection every 3 weeks (Q3W) for up to approximately 24 weeks while continuing standard-of-care background therapy for PAH.
Participants start at a dose of 0.3 mg/kg Q3W, and may titrate up to the target dose of 0.7 mg/kg SC injection Q3W starting at Week 6 based on protocol-defined dose-escalation guidance.
After Week 24, participants who meet certain requirements may choose to continue receiving sotatercept for up to 58 months.
|
Sotatercept subcutaneous injection every 3 weeks
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Number of Participants With One or More Adverse Events
Délai: Up to approximately 24 weeks
|
An adverse event is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
|
Up to approximately 24 weeks
|
|
Number of Participants Who Discontinue Study Intervention Due to an Adverse Event
Délai: Up to approximately 24 weeks
|
An adverse event is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
|
Up to approximately 24 weeks
|
|
Laboratory Parameter (Hematology): Concentration of Hemoglobin
Délai: Up to approximately 24 weeks
|
Hematological parameters will be investigated in blood samples from participants by means of clinical laboratory assays and evaluated by the investigator.
The concentration of hemoglobin will be presented.
|
Up to approximately 24 weeks
|
|
Laboratory Parameter (Hematology): Hematocrit
Délai: Up to approximately 24 weeks
|
Hematological parameters will be investigated in blood samples from participants by means of clinical laboratory assays and evaluated by the investigator.
The hematocrit will be presented.
|
Up to approximately 24 weeks
|
|
Laboratory Parameter (Hematology): Red Blood Cell (RBC) Count
Délai: Up to approximately 24 weeks
|
Hematological parameters will be investigated in blood samples from participants by means of clinical laboratory assays and evaluated by the investigator.
The RBC count will be presented.
|
Up to approximately 24 weeks
|
|
Laboratory Parameter (Hematology): Reticulocyte Count
Délai: Up to approximately 24 weeks
|
Hematological parameters will be investigated in blood samples from participants by means of clinical laboratory assays and evaluated by the investigator.
The reticulocyte count will be presented.
|
Up to approximately 24 weeks
|
|
Laboratory Parameter (Hematology): Platelet Count
Délai: Up to approximately 24 weeks
|
Hematological parameters will be investigated in blood samples from participants by means of clinical laboratory assays and evaluated by the investigator.
The platelet count will be presented.
|
Up to approximately 24 weeks
|
|
Blood Pressure (BP)
Délai: Up to approximately 24 weeks
|
BP will be assessed while the participant was seated after a period of rest in a quiet setting with no distractions (eg, television and cell phones).
|
Up to approximately 24 weeks
|
|
Number of Participants with Detectable Anti-Drug Antibodies (ADAs)
Délai: Up to approximately 24 weeks
|
Blood samples will be collected to assess antidrug antibodies to sotatercept.
The number of participants with detectable ADAs at any time during the study will be presented.
|
Up to approximately 24 weeks
|
|
Number of Participants with Detectable Neutralizing Antibodies to Sotatercept
Délai: Up to approximately 24 weeks
|
Neutralizing antibody analysis will be performed on blood samples for participants who are confirmed as antidrug antibody-positive.
The number of participants with detectable neutralizing antibodies at any time during the study will be presented.
|
Up to approximately 24 weeks
|
|
Serum Trough Concentration (Ctrough) of Sotatercept
Délai: At designated time points and up to approximately 24 weeks
|
Serum samples collected predose will be used to determine serum trough concentration (Ctrough) of sotatercept.
|
At designated time points and up to approximately 24 weeks
|
|
Change From Baseline in Pulmonary Vascular Resistance Index (PVRI)
Délai: Baseline and Week 24
|
The change from baseline in PVRI will be presented.
|
Baseline and Week 24
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Changement moyen par rapport au départ du peptide natriurétique de type prohormone B N-terminal (NT-proBNP)
Délai: Ligne de base et Semaine 24
|
Le changement par rapport à la ligne de base des taux plasmatiques de NT-proBNP sera signalé.
|
Ligne de base et Semaine 24
|
|
Pourcentage de participants qui ont amélioré ou maintenu leur classe fonctionnelle de l'Organisation mondiale de la santé (WHO FC)
Délai: Ligne de base et Semaine 24
|
La gravité des symptômes d'HTAP d'un individu sera classée à l'aide du système WHO FC.
La classification fonctionnelle de l'OMS pour l'HTAP va de la classe I (aucune limitation de l'activité physique, pas de dyspnée lors d'une activité normale), la classe II (légère limitation de l'activité physique), la classe III (limitation marquée de l'activité physique) et la classe IV (impossible d'effectuer une activité physique activité asymptomatique, dyspnée au repos).
Le changement par rapport à la ligne de base dans l'OMS FC sera classé en "Amélioré", "Aucun changement" et "Détérioré".
Amélioration = réduction du FC, aggravation = augmentation du FC et pas de changement = pas de changement du FC.
|
Ligne de base et Semaine 24
|
|
Mean Change from Baseline in 6-Minute Walk Distance (6MWD)
Délai: Baseline and Week 24
|
6MWD will be assessed using the 6-minute walk test (6MWT).
|
Baseline and Week 24
|
|
Number of Participants With One or More Adverse Events
Délai: From Week 24 up to approximately 58 months
|
An adverse event is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
|
From Week 24 up to approximately 58 months
|
|
Number of Participants Who Discontinue Study Intervention Due to an Adverse Event
Délai: From Week 24 up to approximately 58 months
|
An adverse event is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
|
From Week 24 up to approximately 58 months
|
|
Laboratory Parameter (Hematology): Concentration of Hemoglobin
Délai: From Week 24 up to approximately 58 months
|
Hematological parameters will be investigated in blood samples from participants by means of clinical laboratory assays and evaluated by the investigator.
The concentration of hemoglobin will be presented.
|
From Week 24 up to approximately 58 months
|
|
Laboratory Parameter (Hematology): Hematocrit
Délai: From Week 24 up to approximately 58 months
|
Hematological parameters will be investigated in blood samples from participants by means of clinical laboratory assays and evaluated by the investigator.
The hematocrit will be presented.
|
From Week 24 up to approximately 58 months
|
|
Laboratory Parameter (Hematology): Red Blood Cell (RBC) Count
Délai: From Week 24 up to approximately 58 months
|
Hematological parameters will be investigated in blood samples from participants by means of clinical laboratory assays and evaluated by the investigator.
The RBC count will be presented.
|
From Week 24 up to approximately 58 months
|
|
Laboratory Parameter (Hematology): Reticulocyte Count
Délai: From Week 24 up to approximately 58 months
|
Hematological parameters will be investigated in blood samples from participants by means of clinical laboratory assays and evaluated by the investigator.
The reticulocyte count will be presented.
|
From Week 24 up to approximately 58 months
|
|
Laboratory Parameter (Hematology): Platelet Count
Délai: From Week 24 up to approximately 58 months
|
Hematological parameters will be investigated in blood samples from participants by means of clinical laboratory assays and evaluated by the investigator.
The platelet count will be presented.
|
From Week 24 up to approximately 58 months
|
|
Blood Pressure (BP)
Délai: From Week 24 up to approximately 58 months
|
BP will be assessed while the participant was seated after a period of rest in a quiet setting with no distractions (eg, television and cell phones).
|
From Week 24 up to approximately 58 months
|
|
Number of Participants with Detectable ADAs
Délai: From Week 24 up to approximately 58 months
|
Blood samples will be collected to assess antidrug antibodies to sotatercept.
The number of participants with detectable ADAs at any time during the study will be presented.
|
From Week 24 up to approximately 58 months
|
|
Number of Participants with Detectable Neutralizing Antibodies to Sotatercept
Délai: From Week 24 up to approximately 58 months
|
Neutralizing antibody analysis will be performed on blood samples for participants who are confirmed as ADA-positive.
The number of participants with detectable neutralizing antibodies at any time during the study will be presented.
|
From Week 24 up to approximately 58 months
|
Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Les enquêteurs
- Directeur d'études: Medical Director, Merck Sharp & Dohme LLC
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Liens utiles
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude (Estimé)
25 septembre 2026
Achèvement primaire (Estimé)
24 mai 2029
Achèvement de l'étude (Estimé)
16 mai 2031
Dates d'inscription aux études
Première soumission
9 juin 2026
Première soumission répondant aux critères de contrôle qualité
9 juin 2026
Première publication (Réel)
15 juin 2026
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
9 septembre 2026
Dernière mise à jour soumise répondant aux critères de contrôle qualité
7 septembre 2026
Dernière vérification
1 septembre 2026
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 7962-032
- MK-7962-032 (Autre identifiant: MSD)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
OUI
Description du régime IPD
https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Non
Étudie un produit d'appareil réglementé par la FDA américaine
Non
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 .