- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07883590
A Study of LY3873862 in Participants With Sporadic or Familial Amyotrophic Lateral Sclerosis (ALS).
A Phase 1b, Randomized, Placebo-Controlled, Participant and Investigator-Blinded, Multiple-Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Cytochrome P450 Interaction of Orally Administered LY3873862 in Participants With Sporadic or Familial Amyotrophic Lateral Sclerosis
The main purpose of this study in participants with Sporadic or Familial Amyotrophic Lateral Sclerosis (ALS) is to test the safety of different doses and to determine the amount of LY3873862 that gets into the bloodstream and how long it takes the body to get rid of it. For each participant, the study will last up to approximately 13 weeks and will include 6 clinic visits.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Estimé)
Phase
- La phase 1
Contacts et emplacements
Coordonnées de l'étude
- Nom: Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
- Numéro de téléphone: 1-317-615-4559
- E-mail: LillyTrials@Lilly.com
Sauvegarde des contacts de l'étude
- Nom: Physicians interested in becoming principal investigators please contact
- E-mail: clinical_inquiry_hub@lilly.com
Lieux d'étude
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Montreal, Canada, H3A 2B4
- Montreal Neurological Institute and Hospital
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Chercheur principal:
- Angela Genge
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Contact:
- Numéro de téléphone: 514-449-8741
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Toronto, Canada, M4N 3M5
- Sunnybrook Health Sciences Centre
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Chercheur principal:
- Agessandro Abrahao
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Contact:
- Numéro de téléphone: (416) 480-6100 x687561
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California
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San Francisco, California, États-Unis, 94109
- Sutter Health Research Institute- California Pacific Medical Center, Van Ness Campus
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Chercheur principal:
- Jonathan Katz
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Contact:
- Numéro de téléphone: (415) 600-3604
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Colorado
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Aurora, Colorado, États-Unis, 80045
- University of Colorado Anschutz
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Chercheur principal:
- Laura Foster
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District of Columbia
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Washington D.C., District of Columbia, États-Unis, 20007
- Georgetown University Medical Center
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Chercheur principal:
- Shakti Nayar
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Illinois
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Chicago, Illinois, États-Unis, 60611
- Northwestern University
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Chercheur principal:
- Senda Ajroud-Driss
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Contact:
- Numéro de téléphone: 312-503-0671
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Massachusetts
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Boston, Massachusetts, États-Unis, 02114
- Healey and AMG Center for ALS at Mass General Hospital
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Chercheur principal:
- Doreen Ho
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Contact:
- Numéro de téléphone: 617-724-3914
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Have a diagnosis of sporadic or familial Amyotrophic Lateral Sclerosis (ALS) (definite, probable, laboratory probable) made by physician experienced with management of ALS as defined by the World Federation of Neurology revised El Escorial criteria.
- Have an ALS symptom onset as determined by the investigator within 24 months of screening.
- Have a body mass index within the range 18 to 35 kilograms per square meter (kg/m²) (inclusive).
- Are individuals assigned male at birth (AMAB) or assigned female at birth (AFAB), including both individuals of childbearing potential (IOCBP) and individuals not of childbearing potential (INOCBP). Contraceptive use by participants should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- Are able to safely swallow solids or liquids, or both.
Exclusion Criteria:
- Have a history or presence of medical illness that, in the judgment of the investigator, indicates a medical problem that would preclude study participation including, but not limited to cardiovascular, renal, hepatic, gastrointestinal, respiratory, hematological, endocrine, psychiatric, neurologic, convulsions, or any clinically significant laboratory abnormality.
- Have a history of another neurodegenerative disease or significant dementia/severe cognitive problems at screening.
- Have a slow vial capacity (SVC) less than (<) 50% predicted value (for sex, age, ethnic origin, and height) at screening.
- Have significant hepatic abnormalities (aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >2 times (×) upper limit of normal (ULN) or total bilirubin (TBL) >1.5× ULN, in asymptomatic individuals with a history of Gilbert's syndrome, use TBL of >2× ULN).
- Have a significant renal impairment (estimated glomerular filtration rate less than 60 milliliters per minute per 1.73 square meters (eGFR<60 mL/min/1.73m²)).
- If taking riluzole, must be on a stable dose for more than 30 days (prior to Day 1).
- If taking intravenous or oral edaravone, must have completed 2 treatment cycles (prior to Day 1).
- Are currently taking or plan to take tofersen for the duration of the study.
- Show evidence of Human Immunodeficiency Virus (HIV) and/or positive human HIV antibodies.
- Show evidence of hepatitis B and/or positive hepatitis B surface antigen.
- Have a positive Hepatitis C Virus (HCV) antibody test. Participants with a positive HCV antibody test at screening can be included only if a confirmatory HCV Ribonucleic Acid (RNA) test is negative.
- Have an abnormal blood pressure judged to be clinically significant by the investigator.
- Have a history of clinically significant back pain, pathological conditions of the back, or back injury (for example, degenerative disease, spinal deformity, or spinal surgery), have a local infection at the intended site of the lumbar puncture (LP) that may predispose to complications or technical difficulty with LP.
- Are taking or intend to take inhibitors or inducers of CYP1A2, CYP2C9, CYP2C19, CYP2D6, and CYP3A4 from 14 days prior to the first dose of any study intervention, or for 5 half lives (whichever is longer), until the final PK sample is collected.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Science basique
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Double
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: LY3873862 or Placebo (Cohort 1)
LY3873862 or placebo administered orally |
Administered orally Administered orally |
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Expérimental: LY3873862 or Placebo (Cohort 2)
LY3873862 or placebo administered orally with a CYP450 drug cocktail |
Administered orally Administered orally CYP450 Drug Cocktail (caffeine, midazolam, flurbiprofen, dextromethorphan and omeprazole) administered orally. |
|
Expérimental: LY3873862 or Placebo (Cohort 3)
LY3873862 or placebo administered orally with a CYP450 drug cocktail |
Administered orally Administered orally CYP450 Drug Cocktail (caffeine, midazolam, flurbiprofen, dextromethorphan and omeprazole) administered orally. |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
|---|---|
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Number of Patients with One or More Treatment Emergent Adverse Events Considered by the Investigator to be Related to Study Drug Administration
Délai: Baseline, Day 28
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Baseline, Day 28
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Mesures de résultats secondaires
Mesure des résultats |
Délai |
|---|---|
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Pharmacokinetics: Area Under the Concentration Versus Time Curve (AUC) of LY3873862
Délai: Baseline, Day 7
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Baseline, Day 7
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Pharmacokinetics: Maximum Concentration (Cmax) of LY3873862
Délai: Baseline, Day 7
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Baseline, Day 7
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Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Directeur d'études: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Maladies du système nerveux central
- Maladies du système nerveux
- Maladies neuromusculaires
- Maladies métaboliques
- Maladies neurodégénératives
- Maladies de la moelle épinière
- TDP-43 Protéinopathies
- Déficits de protéostase
- Maladie du motoneurone
- Maladies nutritionnelles et métaboliques
- La sclérose latérale amyotrophique
Autres numéros d'identification d'étude
- 27886
- J3X-MC-LYGD (Autre identifiant: Eli Lilly and Company)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
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
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