- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT06836609
En studie for å evaluere ALN-CideB hos voksne deltakere med metabolsk dysfunksjonsassosiert steatotisk leversykdom eller med metabolsk dysfunksjonsassosiert steatohepatitt (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
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Studietype
Registrering (Faktiske)
Fase
- Fase 2
- Fase 1
Kontakter og plasseringer
Studiesteder
-
-
Arizona
-
Chandler, Arizona, Forente stater, 85225
- Arizona Liver Health
-
Tucson, Arizona, Forente stater, 85712
- Adobe Clinical Research
-
-
-
-
Greater London
-
London, Greater London, Storbritannia, SE1 1YR
- Richmond Pharmacology Limited
-
-
London
-
Harrow, London, Storbritannia, HA1 3UJ
- Parexel International Early Phase Clinical Unit
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
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.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Sekvensiell tildeling
- Masking: Dobbelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Part A
Randomized per the protocol |
Administered per the protocol Administered per the protocol |
|
Eksperimentell: Part B
Randomized per the protocol |
Administered per the protocol Administered per the protocol |
Hva måler studien?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Alvorlighetsgraden av Teaes
Tidsramme: Opptil 48 uker
|
Opptil 48 uker
|
|
Forekomst av behandlingsrelaterte bivirkninger (TEAEs)
Tidsramme: Opptil 48 uker
|
Opptil 48 uker
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Total konsentrasjon av aln-cideb i plasma
Tidsramme: Opptil 48 uker
|
Opptil 48 uker
|
|
|
Total konsentrasjon av potensielle hovedmetabolitt (er) i plasma
Tidsramme: Opptil 48 uker
|
Opptil 48 uker
|
|
|
Endring i leverfettfraksjon målt med Magnetisk Resonansavbildning-Proton Tetthets Fett Fraksjon (MRI-PDFF)
Tidsramme: Baseline opptil 48 uker
|
Baseline opptil 48 uker
|
|
|
Endring i aspartat aminotransferase (AST)
Tidsramme: Grunnlinje opp til 48 uker
|
Grunnlinje opp til 48 uker
|
|
|
Endring i Alanin Aminotransferase (ALT)
Tidsramme: Utgangspunkt opp til 48 uker
|
Utgangspunkt opp til 48 uker
|
|
|
Urinary recovery of ALN-CIDEB as a proportion of the dose
Tidsramme: Up to 36 Weeks
|
Part A |
Up to 36 Weeks
|
|
Urinary recovery of potential major metabolite(s) as a proportion of the dose
Tidsramme: 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
Tidsramme: Baseline up to 36 Weeks
|
Part B |
Baseline up to 36 Weeks
|
Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Studieleder: Clinical Trial Management, Regeneron Pharmaceuticals
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- ALN-CIDEB-NASH-2486
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
IPD-delingstidsramme
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
Tilgangskriterier for IPD-deling
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-deling Støtteinformasjonstype
- STUDY_PROTOCOL
- SEVJE
- ICF
- ANALYTIC_CODE
- CSR
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Studerer et amerikansk FDA-regulert enhetsprodukt
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .