オーストラリアの冠動脈アテローム性動脈硬化症患者におけるYN001-004
オーストラリアの冠状動脈硬化症患者におけるYN001の有効性と安全性を評価するための第IIa相臨床研究
This study is to evaluate the efficacy and safety of intravenously administered YN001 in patients with coronary atherosclerosis in Australia. This study will be conducted in eligible participants with a diagnosis of coronary atherosclerosis, and at least 1 coronary artery is blocked determined by coronary computed tomography angiography (CCTA)
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
詳細な説明
This is a multicenter, randomized, open label, parallel-group, proof of concept study. It is designed to determine if the study drug, called YN001, administered in addition to evolocumab can effectively reduce the total amount of plaque formed in the coronary artery as measured by CCTA from baseline to week 13.
A total of 24 patients with coronary atherosclerosis are expected to be enrolled and will be randomly assigned in a 1:1 ratio to 1 of 2 YN001 treatment arms (12 patients per arm) with 2 different dose levels for 12 weeks.
The study will be comprised of a maximum 41-day screening period (Day -42-Day -2), a baseline period (Day-1), a treatment and observation period (W1D1- W13D7), and a safety follow-up period (14 days post last dose).
研究の種類
研究の種類
入学 (実際)
入学
段階
段階
- フェーズ2
連絡先と場所
研究場所
-
-
-
Tugun、オーストラリア
- John Flynn Private Hospital
-
-
Australian Capital Territory
-
Canberra、Australian Capital Territory、オーストラリア
- Canberra Hospital
-
-
New South Wales
-
Albury、New South Wales、オーストラリア、1125
- Albury Wodonga Private Hospital
-
-
Queensland
-
Birtinya、Queensland、オーストラリア、4575
- Sunshine Coast University Private Hospital
-
-
Victoria
-
Melbourne、Victoria、オーストラリア、3025
- Altona Clinical Research
-
Melbourne、Victoria、オーストラリア、3199
- Peninsula Heart Centre
-
-
参加基準
適格基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Fully understand the purposes, features, and methods of the study, and sign the ICF before performing any assessment.
- Male or female Australia patients between 18 and 75 years.
- Patients diagnosed with coronary atherosclerosis, and at least 1 vessel with diameter stenosis determined by coronary computed tomography angiography (CTA).
- Female patients must be non-pregnant and non-lactating, and females of childbearing potential (including a female partner of a male patient) must agree to use 1 effective contraception method from the screening period to 3 months after receiving their last dose of the study drug. In addition, male patients must be willing to refrain from sperm donation during this time.
- Willing and able to comply with the requirements of protocol to the best of the patient's and investigator's knowledge.
Exclusion Criteria:
- Prior treatment with other investigational drug(s) within 30 days or 5 half-lives, whichever is longer, prior to randomization.
- Previously received YN001.
- Any type of vaccination within 4 weeks prior to randomization.
- Contraindication for coronary CTA (e.g., known history of anaphylactic contrast reactions).
- Multi-vessel severe disease.
- Recent acute ST-segment elevation myocardial infarction (STEMI) occurred within 2 weeks prior to randomization.
- Relapse and highly symptomatic arrhythmia uncontrolled by drugs within the past 3 months, such as ventricular tachycardia, atrial fibrillation with rapid ventricular rate and paroxysmal supraventricular tachycardia.
- Prior treatment with CABG, heart transplantation, SAVR/TAVR, etc., or CABG, heart transplantation, SAVR/TAVR, etc., is required or planned during the study.
- PCI performed within 4 weeks prior to randomization or PCI is required or planned during study treatment.
- New York Heart Association (NYHA) class III or IV, or last known left ventricular ejection fraction (LVEF) <40%.
- Recent clinically evident stroke occurred within 6 months prior to randomization (except for TIA).
- Presenting with history of myopathy/myalgia, or susceptible to myopathy/rhabdomyolysis.
- Known inflammatory bowel disease, ulcers, gastrointestinal or rectal bleeding within 6 months prior to randomization.
- Evidence of major diseases that not recovered within 2 weeks prior to randomization, or major surgery is expected during the study.
- Presenting with history of malignancy (except in patients who have been disease-free >5 years; or whose only malignancy has been basal or squamous cell skin carcinoma).
- Presence of any type of autoimmune disease.
- Allergy to multiple food or drugs or known sensitivity to any components to be administered during dosing
- Life expectancy is less than 1 year.
- Systolic blood pressure of ≥150 mmHg at final screening despite antihypertensive therapy.
- Known familial hypercholesterolemia
- Triglycerides≥400 mg/dl (4.5 mmol/l) at final screening.
- Active liver disease or hepatic dysfunction defined by any of ALT, AST, or total bilirubin > 2 times upper limit of normal (ULN) at final screening.
- Presence of renal insufficiency.
- Untreated or inadequately treated hypothyroidism defined by thyroid stimulating hormone (TSH) > 1.5 times ULN at final screening.
- Poorly controlled (defined by HbA1c > 9%) type 2 diabetes mellitus.
- A positive hepatitis B surface antigen (HBsAg), or positive antibody against hepatitis C virus (anti-HCV) or human immunodeficiency virus (anti-HIV), or positive treponema pallidum antibody (TP-Ab).
- Current smoker who has smoked an average of≥5 cigarettes (or equivalent) per day over the preceding year.
- Presence of any other diseases or conditions (apart from those outlined above) that, in the opinion of the investigator, would make it unsuitable for the patient to participate in this study.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:独身
アーム数
武器と介入
参加者グループ / アーム参加者グループ / アーム |
介入・治療介入・治療 |
|---|---|
|
実験的:Dose 1 treatment arm
Dose 1 YN001 will be administrated intravenously weekly. |
Dose 1 YN001 will be administered on Day 1 of each week from Week 1 to Week 13, 13 times in total. Evolocumab 140 mg will be administered subcutaneously every 2 weeks.
他の名前:
|
|
実験的:Dose 2 treatment arm
Dose 2 YN001 will be administrated intravenously weekly. |
Evolocumab 140 mg will be administered subcutaneously every 2 weeks.
他の名前:
Dose 2 YN001 will be administered on Day 1 of each week from Week 1 to Week 13, 13 times in total. |
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Changes in coronary plaque characteristics (volume and composition)
時間枠:From baseline to Week 13
|
Evaluating YN001 on top of evolocumab therapy in changing coronary plaque volume assessed by coronary computed tomography angiography (CCTA). |
From baseline to Week 13
|
二次結果の測定
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in mean of mean carotid IMT
時間枠:From baseline to Week 13
|
Evaluating YN001 on top of evolocumab therapy in changing carotid intima-media thickness (IMT) assessed by carotid ultrasound. |
From baseline to Week 13
|
|
Change in mean of mean carotid IMT
時間枠:From baseline to Week 5
|
Evaluating YN001 on top of evolocumab therapy in changing carotid intima-media thickness (IMT) assessed by carotid ultrasound. |
From baseline to Week 5
|
|
Change in mean of mean carotid IMT
時間枠:From baseline to Week 9
|
Evaluating YN001 on top of evolocumab therapy in changing carotid intima-media thickness (IMT) assessed by carotid ultrasound. |
From baseline to Week 9
|
|
Change in mean peri-coronary Fat attenuation index (FAI)
時間枠:From baseline to Week 13
|
Evaluating YN001 on top of evolocumab therapy in changing inflammation using the peri-coronary FAI value measured by quantitative CTA analysis. |
From baseline to Week 13
|
|
The safety profile of YN001
時間枠:From baseline to Week 15
|
Incidence of Adverse events (AEs)/Serious adverse events (SAEs) |
From baseline to Week 15
|
|
Plasma concentration of total and free drug
時間枠:From Week 1 to Week 13
|
Plasma concentration of total and free drug at pre-dose (0 h) and at the end of infusion |
From Week 1 to Week 13
|
|
Population pharmacokinetics (PK)
時間枠:From Week 1 to Week 13
|
Plasma PK parameter (AUC) and patient covariates of interest will be evaluated graphically and in the population PK model. |
From Week 1 to Week 13
|
その他の成果指標
その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Immunogenicity(ADA) analysis
時間枠:From Week 1 to Week 13
|
The proportion of patients who develop anti-drug antibodies (ADA) following drug administration. |
From Week 1 to Week 13
|
|
Immunogenicity (APA)analysis
時間枠:From screening to Week 13
|
The proportion of patients with pre-exsiting anti-PEG antibodies (APA), treatment emergent APA or treatment boosted APA following drug administration. |
From screening to Week 13
|
|
Exploratory dose-response analysis of plaque volume
時間枠:From Week 1 to Week 13
|
Exploratory dose-response analysis will be performed by comparing the difference of coronary plaque volume changing between 2 different dose levels |
From Week 1 to Week 13
|
|
Exploratory dose-response analysis of AEs
時間枠:From Week 1 to Week 13
|
Exploratory dose-response analysis will be performed by comparing the difference of incidence of AEs between 2 different dose levels |
From Week 1 to Week 13
|
協力者と研究者
捜査官
捜査官
- スタディディレクター:Teresa Chen, PhD、Beijing Inno Medicine Co., Ltd.
研究記録日
主要日程の研究
研究開始 (実際)
研究開始
一次修了 (実際)
一次修了
研究の完了 (実際)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (実際)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
その他の研究ID番号
- YN001-004
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。