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A Study of Sotatercept (MK-7962) in Japanese Children With Pulmonary Arterial Hypertension (PAH) (MK-7962-032)

2026年9月7日 更新者：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.

調査の概要

状態

募集

条件

介入・治療

研究の種類

介入

入学 (推定)

6

段階

  • フェーズ2

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究連絡先

研究場所

  • 日本
    • Osaka
      • Izumi、Osaka、日本、594-1101
        • 募集
        • Osaka Prefectural Hospital Organization Osaka Women's and Children's Hospital ( Site 3203)
        • コンタクト：
          • Study Coordinator
          • 電話番号：+81-725-56-1260
      • Suita、Osaka、日本、565-0871
        • 募集
        • The University of Osaka Hospital ( Site 3201)
        • コンタクト：
          • Study Coordinator
          • 電話番号：+81-6-6879-5111
    • Tokyo
      • Setagaya City、Tokyo、日本、157-8535
        • 募集
        • National Center for Child Health and Development ( Site 3202)
        • コンタクト：
          • Study Coordinator
          • 電話番号：+81-3-3416-0181

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

  • 子

健康ボランティアの受け入れ

いいえ

説明

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

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

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：なし
  • 介入モデル：単一グループの割り当て
  • マスキング：なし（オープンラベル）

武器と介入

参加者グループ / アーム
介入・治療
実験的：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.
生物学的：Sotatercept
Sotatercept subcutaneous injection every 3 weeks
他の名前：
  • エース-011
  • MK-7962
  • ActRIIA-IgG1Fc
  • ウィンリエア®

この研究は何を測定していますか？

主要な結果の測定

結果測定
メジャーの説明
時間枠
Number of Participants With One or More Adverse Events
時間枠：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
時間枠：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
時間枠：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
時間枠：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
時間枠：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
時間枠：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
時間枠：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)
時間枠：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)
時間枠：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
時間枠：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
時間枠：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)
時間枠：Baseline and Week 24
The change from baseline in PVRI will be presented.
Baseline and Week 24

二次結果の測定

結果測定
メジャーの説明
時間枠
N末端プロホルモンB型ナトリウム利尿ペプチド（NT-proBNP）のベースラインからの平均変化
時間枠：ベースラインと24週目
血漿 NT-proBNP レベルのベースラインからの変化が報告されます。
ベースラインと24週目
世界保健機関の機能クラス (WHO FC) を改善または維持した参加者の割合
時間枠：ベースラインと24週目
個人の PAH 症状の重症度は、WHO FC システムを使用して等級付けされます。 PAH の WHO 機能分類は、クラス I (身体活動の制限なし、通常の活動で呼吸困難なし)、クラス II (身体活動のわずかな制限)、クラス III (身体活動の著しい制限)、およびクラス IV (身体活動を行うことができない) の範囲です。症状のない活動、安静時の呼吸困難）。 WHO FC のベースラインからの変化は、「改善」、「変化なし」、「悪化」に分類されます。 改善 = FC の減少、悪化 = FC の増加、変化なし = FC の変化なし。
ベースラインと24週目
Mean Change from Baseline in 6-Minute Walk Distance (6MWD)
時間枠：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
時間枠：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
時間枠：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
時間枠：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
時間枠：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
時間枠：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
時間枠：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
時間枠：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)
時間枠：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
時間枠：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
時間枠：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

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

Merck Sharp & Dohme LLC

捜査官

  • スタディディレクター：Medical Director、Merck Sharp & Dohme LLC

出版物と役立つリンク

研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。

便利なリンク

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (推定)

2026年9月25日

一次修了 (推定)

2029年5月24日

研究の完了 (推定)

2031年5月16日

試験登録日

最初に提出

2026年6月9日

QC基準を満たした最初の提出物

2026年6月9日

最初の投稿 (実際)

2026年6月15日

学習記録の更新

投稿された最後の更新 (実際)

2026年9月9日

QC基準を満たした最後の更新が送信されました

2026年9月7日

最終確認日

2026年9月1日

詳しくは

本研究に関する用語

追加の関連 MeSH 用語

その他の研究ID番号

  • 7962-032
  • MK-7962-032 (その他の識別子：MSD)

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

はい

IPD プランの説明

https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

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米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

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