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- Klinische proef NCT06836609
Een studie om ALN-CIDEB te evalueren bij volwassen deelnemers met metabole disfunctie-geassocieerde steatotische leverziekte of met metabole disfunctie-geassocieerde steatohepatitis (MASLD/MASH)
A Phase 1/2a, Randomized, Double-Blind, Placebo-Controlled, Two-Part Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of a Single Dose of ALN-CIDEB in Adult Participants With Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) and Two Doses of ALN-CIDEB in Adult Participants With Metabolic Dysfunction-Associated Steatohepatitis (MASH)
This study is researching an experimental drug called ALN-CIDEB, also referred to as "study drug". The study is focused on participants with metabolic dysfunction-associated steatotic liver disease (MASLD) (Part A) and metabolic dysfunction-associated steatohepatitis (MASH) (Part B). MASLD and MASH are long-lasting liver conditions caused by having too much fat in the liver.
The aim of the study is to see how safe and tolerable the study drug is.
The study is looking at several other research questions, including:
- What side effects may happen from taking the study drug
- How the study drug works to change liver fat content
- How much study drug and study drug metabolites (byproducts of the body breaking down the study drug) are in the blood at different times
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
- Fase 1
Contacten en locaties
Studie Locaties
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Greater London
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London, Greater London, Verenigd Koninkrijk, SE1 1YR
- Richmond Pharmacology Limited
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London
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Harrow, London, Verenigd Koninkrijk, HA1 3UJ
- Parexel International Early Phase Clinical Unit
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Arizona
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Chandler, Arizona, Verenigde Staten, 85225
- Arizona Liver Health
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Tucson, Arizona, Verenigde Staten, 85712
- Adobe Clinical Research
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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
Key Inclusion Criteria:
- Part A: 18 to 55 years at Screening Visit 1 with MASLD, at Screening Visit 1 Part B: 18 to 65 years at Screening Visit 1 with a diagnosis of MASH, at Screening Visit 1
- Body Mass Index (BMI) ≥30 kg/m2 and ≤40 kg/m2 at Screening Visit 1
- Controlled-Attenuation Parameter (CAP) ≥285 dB/m by FibroScan during screening as described in the protocol
- Liver fat content ≥8.5% by MRI-PDFF during screening
- If on anti-hypertensive and/or lipid lowering medications and/or glucose lowering medications, must be on generally stable dose(s) for at least 12 weeks prior to screening and no changes to the dose(s) are anticipated during the study
- Part B: A diagnosis of MASH documented in the participant's medical history, or a clinical suspicion of MASH based on non-invasive biomarkers (eg, evidence of fatty liver on imaging and elevated liver enzymes) and clinical risk factors, including having a history of 2 or more elements of metabolic syndrome, as defined in the protocol
- Part B: Screening percutaneous liver biopsy NAFLD Activity Score (NAS) ≥3 and fibrosis stage, as defined in the protocol
Key Exclusion Criteria:
- Known historical or current diagnosis of portal hypertension or cirrhosis based on clinical assessment, imaging, and/or liver biopsy
- Known historical or current diagnosis of other forms of chronic liver disease, as defined in the protocol
- Prior or current suspected or known drug-induced liver injury within 1 year prior to screening
- History of liver transplant, current placement on a liver transplant list, or Model for End-stage Liver Disease (MELD) score >12
- Contraindication to MRI examinations, such as persons with cardiac pacemaker and implants made of metal, severe claustrophobia, size restrictions, or other contraindications for MRI
- Liver stiffness measurement, laboratory parameter assessment, estimated Glomerular Filtration Rate (GFR), and evidence of uncontrolled hypertension, as defined in the protocol
- Evidence of Human Immunodeficiency Virus (HIV) infection, Hepatitis B Virus (HBV) infection, or Hepatitis C Virus (HCV) infection during screening, as described in the protocol
- History of Type 1 Diabetes
- Bariatric surgery, including any procedures to revise, reverse, or remove any previous bariatric surgery interventions, within approximately 5 years prior to randomization or planned during the study period
NOTE: Other protocol-defined inclusion/exclusion criteria apply.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Sequentiële toewijzing
- Masker: Dubbele
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: Part A
Randomized per the protocol |
Administered per the protocol Administered per the protocol |
|
Experimenteel: Part B
Randomized per the protocol |
Administered per the protocol Administered per the protocol |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
|
Ernst van Teaes
Tijdsspanne: Tot 48 weken
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Tot 48 weken
|
|
Incidentie van behandeling-gerelateerde bijwerkingen (TEAE's)
Tijdsspanne: Tot 48 weken
|
Tot 48 weken
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Totale concentratie van aln-cideb in plasma
Tijdsspanne: Tot 48 weken
|
Tot 48 weken
|
|
|
Totale concentratie van potentiële grote metaboliet (s) in plasma
Tijdsspanne: Tot 48 weken
|
Tot 48 weken
|
|
|
Verandering in levervetfractie door Magnetic Resonance Imaging-Proton Density Fat Fraction (MRI-PDFF)
Tijdsspanne: Baseline tot 48 weken
|
Baseline tot 48 weken
|
|
|
Verandering in Aspartaataminotransferase (AST)
Tijdsspanne: Baseline tot 48 weken
|
Baseline tot 48 weken
|
|
|
Verandering in Alanine-aminotransferase (ALT)
Tijdsspanne: Baseline tot 48 weken
|
Baseline tot 48 weken
|
|
|
Urinary recovery of ALN-CIDEB as a proportion of the dose
Tijdsspanne: Up to 36 Weeks
|
Part A |
Up to 36 Weeks
|
|
Urinary recovery of potential major metabolite(s) as a proportion of the dose
Tijdsspanne: Up to 36 Weeks
|
Part A |
Up to 36 Weeks
|
|
Change in hepatic Cell death-Inducing DNA fragmentation factor alpha-like Effector B (CIDEB) messenger RiboNucleic Acid (mRNA) level
Tijdsspanne: Baseline up to 36 Weeks
|
Part B |
Baseline up to 36 Weeks
|
Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Studie directeur: Clinical Trial Management, Regeneron Pharmaceuticals
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
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
- Zwaarlijvig
- Niet-alcoholische steatohepatitis
- NAFLD
- NASH
- Niet-alcoholische leververvetting
- Vette lever
- Vette leverziekte
- Lever ontsteking
- MASLD
- Metabole disfunctie-geassocieerde steatohepatitis
- MAAK
- Metabole disfunctie-geassocieerde steatotische leverziekte
- Steatotische leverziekte
- Fibrotic MASH
- Early liver scarring
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- ALN-CIDEB-NASH-2486
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
IPD-tijdsbestek voor delen
When Regeneron has:
- received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development
- made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry)
- the legal authority to share the data, and
- ensured the ability to protect participant privacy
IPD-toegangscriteria voor delen
Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf
IPD delen Ondersteunend informatietype
- LEERPROTOCOOL
- SAP
- ICF
- ANALYTIC_CODE
- MVO
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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