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- Klinische proef NCT03478319
A Study of ACE-2494 in Healthy Subjects
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamic Effects of ACE-2494 in Healthy Postmenopausal Women
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
Subjects will be evaluated for study inclusion/exclusion criteria during the screening period (within 4 weeks prior to Day -1) and eligible subjects who have signed the informed consent form (ICF) will be enrolled and treated with study drug (ACE-2494 or placebo) on Day 1. Subjects will be randomized (3:1, ACE-2494: placebo) to receive one dose of either ACE-2494 or placebo, respectively, on Day 1.
The primary objective of the study is to evaluate the safety and tolerability of single ascending doses of ACE-2494 in healthy postmenopausal women. The secondary objectives are to characterize the pharmacokinetic (PK) profile and pharmacodynamic (PD) effects, including serum biomarkers, fat, lean, and bone mass (DXA), muscle volume and intramuscular fat fraction (MRI).
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 1
Contacten en locaties
Studie Locaties
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Québec, Canada, G1P0A2
- Syneos Health
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- Postmenopausal women, with menopause defined by follicle stimulating hormone (FSH) level > 40 IU/L and either 12 months of spontaneous amenorrhea or at least 6 months post-surgical bilateral oophorectomy and/or hysterectomy
- Age 45-75 years
- Body mass index (BMI) 18.5-32.0 kg/m2
Clinical laboratory values that meet the following criteria prior to dosing on Day 1:
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2 x upper limit of normal (ULN)
- Serum creatinine ≤ 1.5 x ULN
- Ability to adhere to the study visit schedule/procedures, and to understand and comply with protocol requirements
- Signed written informed consent
Exclusion Criteria:
- Smokers (use of tobacco products within 3 months prior to screening)
- History of hepatitis B (HBsAg and HB core Ab), human immunodeficiency virus (HIV) antibody or active hepatitis C
- Positive drug or alcohol screen test at screening or on Day 1
- History of drug or alcohol abuse (as defined by the investigator) or required treatment for drug or alcohol use within 2 years of Day 1
- Donated or lost ≥ 500 mL of whole blood within 2 months prior to Day 1
- History of opportunistic infection (e.g., invasive candidiasis or pneumocystis pneumonia) within 6 months prior to screening; serious local infection (e.g., cellulitis, abscess) or systemic infection (e.g., septicemia) within 3 months prior to screening
- History of severe allergic or anaphylactic reaction or hypersensitivity to recombinant proteins or any other drugs
- Systemic glucocorticoid therapy, statin medication, growth hormone, androgen, insulin, oral hormone replacement therapy or any other therapy (including investigational) with known or intended effects on muscle within 3 months prior to Day 1
- Anti platelet, anti-coagulant, or any other therapy (including investigational) with known or intended effects on bleeding risk within 1 week prior to Day 1 (Daily low-dose aspirin is allowed)
- Treatment with another investigational drug, device, or approved therapy for investigational use within 30 days prior to Day 1; administration of a biological product in the context of a clinical research study within 90 days prior to Day 1
- Participation in another clinical trial involving intervention with or without an investigational drug or device at any time during the study period
- Unwilling or unable to maintain physical activity at baseline level for the duration of the study
- For Cohorts 4-6 only, any condition that would prevent MRI scanning or compromise the ability to obtain a clear and interpretable scan of the thigh (e.g., pacemaker, knee/hip replacement, metallic implant, extreme claustrophobia, etc.)
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ander
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verdrievoudigen
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Cohort 1
ACE-2494 or placebo 0.06 mg/kg SC Day 1
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Recombination fusion protein
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Experimenteel: Cohort 2
ACE-2494 or placebo 0.2 mg/kg SC Day 1
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Recombination fusion protein
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Experimenteel: Cohort 3
ACE-2494 or placebo 0.6 mg/kg SC Day 1
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Recombination fusion protein
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Experimenteel: Cohort 4
ACE-2494 or placebo 1.0 mg/kg SC Day 1
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Recombination fusion protein
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Experimenteel: Cohort 5
ACE-2494 or placebo 2.0 mg/kg SC Day 1
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Recombination fusion protein
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Experimenteel: Cohort 6
ACE-2494 or placebo TBD (not to exceed 3.0 mg/kg SC) Day 1
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Recombination fusion protein
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Number of participants with ACE-2494 treatment-related adverse events as assessed by CTCAE v5.0
Tijdsspanne: From initiation of treatment (Study Day 1) to end of follow-up period (Study Day 85)
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Adverse events (including both clinical observations and laboratory measurements), deemed related to ACE-2494 treat, will be recorded for each study subject
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From initiation of treatment (Study Day 1) to end of follow-up period (Study Day 85)
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Determination of ACE-2494 serum Cmax
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of maximum serum concentration of ACE-2494 following subcutaneous administration
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of ACE-2494 serum Tmax
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of time to maximum serum concentration of ACE-2494 following subcutaneous administration
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of ACE-2494 serum T1/2
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of serum half-life of ACE-2494 following subcutaneous administration
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of ACE-2494 AUC
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of the area under the serum concentration curve of ACE-2494 following subcutaneous administration
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Quantitation of serum GDF8 following ACE-2494 treatment
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Quantitation of serum levels of growth differentiation factor (GDF)8 following treatment with ACE-2492
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Quantitation of serum BSAP following ACE-2494 treatment
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Quantitation of serum levels of bone-specific alkaline phosphatase (BSAP) following treatment with ACE-2494
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Quantitation of serum CTX following ACE-2494 treatment
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Quantitation of serum levels of carboxy-terminal collagen crosslinks (CTX) following treatment with ACE-2494
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Quantitation of serum FSH following ACE-2494 treatment
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Quantitation of serum levels of follicle stimulating hormone (FSH) following treatment with ACE-2494
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of body composition following ACE-2494 treatment by DXA
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Regional and whole-body quantitation of fat mass by dual energy X-ray absorptiometry (DXA) following treatment with ACE-2494
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of body composition following ACE-2494 treatment by DXA
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Regional and whole-body quantitation of lean mass by dual energy X-ray absorptiometry (DXA) following treatment with ACE-2494
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of body composition following ACE-2494 treatment by DXA
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Regional and whole-body quantitation of bone mass by dual energy X-ray absorptiometry (DXA) following treatment with ACE-2494
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of thigh muscle volume and intramuscular fat following ACE-2494 treatment by MRI for patients in Cohorts 4-6 only
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of total muscle volume in the thigh by magnetic resonance imaging (MRI)
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of thigh muscle volume and intramuscular fat following ACE-2494 treatment by MRI for patients in Cohorts 4-6 only
Tijdsspanne: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Determination of intramuscular fat in the thigh by magnetic resonance imaging (MRI)
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From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
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Medewerkers en onderzoekers
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Andere studie-ID-nummers
- A2494-01
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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Klinische onderzoeken op Gezonde vrijwilligers
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University Hospital, GhentWervingHealthy Controls Group - Leeftijd en geslacht afgestemd | Herhaaldelijk negatief denkenBelgië
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University of North Carolina, Chapel HillNorth Carolina Translational and Clinical Sciences InstituteWervingHealthy Controls Group - Leeftijd en geslacht afgestemd | Borderline persoonlijkheidsstoornis (BPS)Verenigde Staten
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Hacettepe UniversityWervingBronchiëctasie Volwassene | Healthy Controls Group - Leeftijd en geslacht afgestemdKalkoen
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Hasselt UniversityWervingMultiple sclerose | Healthy Controls Group - Leeftijd en geslacht afgestemdBelgië, Italië, Spanje
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Yale UniversityNational Institute on Alcohol Abuse and Alcoholism (NIAAA); Brain and Behavior...WervingOpioïdengebruiksstoornis | Healthy Controls Group - Leeftijd en geslacht afgestemdVerenigde Staten
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University of LeicesterNational Institute for Health Research, United KingdomVoltooidPatiënten met hartfalen en behouden ejectiefractie - HFpEF | Patiënten met hartfalen met verminderde ejectiefractie - HFrEF | Healthy Controls Group - Leeftijd en geslacht afgestemd
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University of North Carolina, Chapel HillNational Institute of Neurological Disorders and Stroke (NINDS)WervingMusculoskeletale pijn | Fibromyalgie | Healthy Controls Group - Leeftijd en geslacht afgestemdVerenigde Staten
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Gulseren Demir KarakilicVoltooidFibromyalgie Syndroom | Healthy Controls Group - Leeftijd en geslacht afgestemdKalkoen
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University Hospital, GrenobleUniversity Hospital, Clermont-Ferrand; Grenoble Institut des NeurosciencesBeëindigdZiekte van Parkinson | Healthy Controls Group - Leeftijd en geslacht afgestemdFrankrijk
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Abant Izzet Baysal UniversityVoltooidHealthy Controls Group - Leeftijd en geslacht afgestemd | Ziekte van Alzheimer (AD)Turkije (Türkiye)
Klinische onderzoeken op ACE-2494 or placebo
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Ornovi, Inc.Ingetrokken
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Institut d'Investigació Biomèdica de BellvitgeIdorsia Pharmaceuticals Ltd.; Hospital Universitari de BellvitgeNog niet aan het wervenSlapeloosheid | Ernstige depressieve stoornisSpanje
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Acceleron Pharma Inc. (a wholly owned subsidiary...BeëindigdFacioscapulohumerale spierdystrofieVerenigde Staten, Spanje, Canada
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CelgeneAcceleron Pharma, Inc., a wholly-owned subsidiary of Merck & Co., Inc., Rahway...Voltooid
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Merck Sharp & Dohme LLCBeëindigdDoor chemotherapie geïnduceerde bloedarmoedeVerenigde Staten, Russische Federatie
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Acceleron Pharma Inc. (a wholly owned subsidiary...Voltooid
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CelgeneVoltooidMultipel myeloomRussische Federatie
-
Acceleron Pharma, Inc., a wholly-owned subsidiary...Actief, niet wervendSystemische sclerose met en zonder interstitiële longziekteVerenigde Staten, Canada, Italië, Zwitserland
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Acceleron Pharma Inc. (a wholly owned subsidiary...Voltooid
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Acceleron Pharma Inc. (a wholly owned subsidiary...Beëindigd