Badanie doboru dawki doustnego PHA-022121 w profilaktyce napadów obrzęku naczynioruchowego u pacjentów z dziedzicznym obrzękiem naczynioruchowym typu I lub typu II (HAE CHAPTER-1)
Badanie fazy II, z podwójnie ślepą próbą, kontrolowane placebo, randomizowane, z różnymi dawkami, w równoległych grupach, oceniające bezpieczeństwo i skuteczność PHA-022121 podawanego doustnie w profilaktyce przeciw napadom obrzęku naczynioruchowego u pacjentów z dziedzicznym obrzękiem naczynioruchowym spowodowanym niedoborem inhibitora C1 ( Typ I lub Typ II)
Przegląd badań
Status
Status
Warunki
Warunki
- Dziedziczny obrzęk naczynioruchowy
- Dziedziczny obrzęk naczynioruchowy typu I
- Dziedziczny obrzęk naczynioruchowy typu II
- Dziedziczny obrzęk naczynioruchowy typu I i II
- Dziedziczny atak obrzęku naczynioruchowego
- Dziedziczny obrzęk naczynioruchowy z niedoborem inhibitora esterazy C1
- Dziedziczny obrzęk naczynioruchowy — typ 1
- Dziedziczny obrzęk naczynioruchowy — typ 2
- Niedobór inhibitora esterazy C1
- Niedobór inhibitora C1
Interwencja / Leczenie
Interwencja / Leczenie
Typ studiów
Typ studiów
Zapisy (Rzeczywisty)
Zapisy
Faza
Faza
- Faza 2
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Pharvaris Clinical Team
- Numer telefonu: +31 (71) 203-6410
- E-mail: clinicaltrials@pharvaris.com
Lokalizacje studiów
-
-
-
Vienna, Austria, A-1090
- Study Site
-
-
-
-
-
Sofia, Bułgaria, 1680
- Study Site
-
-
-
-
-
Dublin, Irlandia, D08NHY1
- Study Site
-
-
-
-
Ontario
-
Ottawa, Ontario, Kanada, K1H 1E4
- Study Site
-
-
Quebec
-
Montreal, Quebec, Kanada, H2W 1R7
- Study Site
-
-
-
-
-
Berlin, Niemcy, 10117
- Study Site
-
Frankfurt, Niemcy, 60323
- Study Site
-
-
-
-
-
Krakow, Polska
- Study Site
-
-
-
-
Alabama
-
Birmingham, Alabama, Stany Zjednoczone, 35209
- Study Site
-
-
Arizona
-
Paradise Valley, Arizona, Stany Zjednoczone, 85253
- Study Site
-
-
Missouri
-
St Louis, Missouri, Stany Zjednoczone, 63141
- Study Site
-
-
-
-
-
Milan, Włochy, 20157
- Study Site
-
Palermo, Włochy, 0146
- Study Site
-
-
PD
-
Padua, PD, Włochy, 35128
- Study Site
-
-
-
-
England
-
Brighton, England, Zjednoczone Królestwo, BN2 1ES
- Study Site
-
Bristol, England, Zjednoczone Królestwo, BS10 5NB
- Study Site
-
Cambridge, England, Zjednoczone Królestwo, CB2 0QQ
- Study Site
-
London, England, Zjednoczone Królestwo, E1 1FR
- Study Site
-
Southampton, England, Zjednoczone Królestwo, SO16 6YD
- Study Site
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Opis
Kryteria przyjęcia:
- Podpisany i opatrzony datą formularz świadomej zgody
- Rozpoznanie HAE typu I lub II
- Udokumentowana historia co najmniej 3 ataków HAE w ciągu ostatnich 3 kolejnych miesięcy przed badaniem przesiewowym lub co najmniej 2 ataków HAE w okresie badania przesiewowego
- Niezawodny dostęp i doświadczenie w stosowaniu standardowych leków na ostre napady
Kryteria wyłączenia:
- Ciąża lub karmienie piersią
- Klinicznie istotny nieprawidłowy elektrokardiogram
- Jakakolwiek inna choroba ogólnoustrojowa lub istotna choroba lub zaburzenie, które mogłyby zakłócić bezpieczeństwo pacjenta lub jego zdolność do udziału w badaniu
- Stosowanie inhibitora C1-esterazy, doustnych inhibitorów kalikreiny, atenuowanych androgenów, leków przeciwfibrynolitycznych lub monoklonalnej terapii HAE w określonym okresie przed włączeniem
- Nieprawidłowa czynność wątroby
- Nieprawidłowa czynność nerek
- Historia nadużywania alkoholu lub narkotyków w określonym okresie lub aktualne dowody uzależnienia lub nadużywania substancji
- Udział w jakimkolwiek innym badaniu leku eksperymentalnego w określonym czasie
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Zapobieganie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Poczwórny
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
|
Komparator placebo: Część 1: Placebo
BID placebo
|
Dopasowane kapsułki placebo do stosowania doustnego
|
|
Eksperymentalny: Część 1: Niska dawka
BID mała dawka deukrytybantu
|
Deucrictibant softgel kapsułki do stosowania doustnego (PHVS416)
|
|
Eksperymentalny: Część 1: Wysoka dawka
BID duża dawka deukrytybantu
|
Deucrictibant softgel kapsułki do stosowania doustnego (PHVS416)
|
|
Eksperymentalny: Część 2: Otwarta etykieta
BID duża dawka deukrytybantu
|
Deucrictibant softgel kapsułki do stosowania doustnego (PHVS416)
|
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Number of Investigator-confirmed Hereditary Angioedema (HAE) Attacks (Expressed as the Normalized Number of Attacks Per Month [4 Weeks] of Exposure) During the Treatment Period in Part 1
Ramy czasowe: Up to Day 84
|
HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily electronic patient-reported outcome (ePRO) diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days, multiplied by 28.
Mean rate ratio, confidence interval (CI), and p-value were estimated using a generalized linear model with Poisson distribution, with baseline attack rate included as a factor.
|
Up to Day 84
|
Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Number of Investigator-confirmed Moderate or Severe HAE Attacks During the Treatment Period in Part 1
Ramy czasowe: Up to Day 84
|
HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days×28.
Moderate HAE attack defined as which limits/interferes with the participant's ability to attend work/school or participate in family life and social/recreational activities whereas Severe HAE attack significantly limits the participant's ability.
|
Up to Day 84
|
|
Number of Investigator-confirmed HAE Attacks Requiring Acute Treatment During the Treatment Period in Part 1
Ramy czasowe: Up to Day 84
|
HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days, multiplied by 28.
|
Up to Day 84
|
|
Number of Participants Achieving ≥50%, ≥70% and ≥90% Reduction in Attack Rate Relative to Baseline During the Treatment Period in Part 1
Ramy czasowe: Up to Day 84
|
Baseline attack rate was defined as each participant's normalized HAE attack rate (attacks per 4 weeks) prior to randomization, based on documented history or confirmed during screening.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days, multiplied by 28.
Percent reduction from baseline was calculated for each participant by comparing the normalized treatment-period attack rate to the baseline attack rate.
Participants were classified as responders if they achieved ≥50%, ≥70%, or ≥90% reduction in attack rate relative to baseline during Part 1.
|
Up to Day 84
|
|
Number of Participants Who Were Investigator-confirmed Attack-free During the Treatment Period in Part 1
Ramy czasowe: Up to Day 84
|
HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Participants reporting no confirmed attacks over the treatment period were considered attack-free.
|
Up to Day 84
|
|
Number of Days With Investigator-confirmed HAE Symptoms During the Treatment Period in Part 1
Ramy czasowe: Up to Day 84
|
HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
HAE symptom days were identified from daily participant entries in the ePRO diary and were confirmed by the investigator.
|
Up to Day 84
|
|
Proportion of Days With Investigator-confirmed HAE Symptoms During the Treatment Period in Part 1
Ramy czasowe: Up to Day 84
|
HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
HAE symptom days were identified from daily participant entries in the ePRO diary and were confirmed by the investigator.
|
Up to Day 84
|
|
Time to First Investigator-confirmed HAE Attack in the Treatment Period in Part 1
Ramy czasowe: Up to Day 84
|
Time to first investigator-confirmed HAE attack was defined as days from date of first administration of study drug until the onset date of first Investigator-confirmed HAE attack.
Participants without an Investigator-confirmed HAE attack during the treatment period in Part 1 were censored at the date of the last dose of study drug +1 in Part 1 or last day of the study, whichever came sooner.
|
Up to Day 84
|
|
Number of Investigator-confirmed HAE Attacks Resulting in a Visit to the Emergency Department or an Admission to Hospital During the Treatment Period in Part 1
Ramy czasowe: Up to Day 84
|
HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days, multiplied by 28.
Only Investigator-confirmed attacks resulting in emergency department visits or hospital admissions were included.
|
Up to Day 84
|
|
Number of Investigator-confirmed HAE Attacks During the Treatment Period in Part 2
Ramy czasowe: Day 84 to Day 938
|
HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days, multiplied by 28.
An attack will be counted as in Part 2 if it occurs after the first IMP administration in Part 2 and within 24 hours after last IMP administration in Part 2.
|
Day 84 to Day 938
|
|
Number of Investigator-confirmed Moderate or Severe HAE Attacks During the Treatment Period in Part 2
Ramy czasowe: Day 84 to Day 938
|
HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days×28.
Moderate HAE attack defined as which limits/interferes with the participant's ability to attend work/school or participate in family life and social/recreational activities whereas Severe HAE attack significantly limits the participant's ability.
LSM and SE were estimated using a generalized linear model with Poisson distribution.
|
Day 84 to Day 938
|
|
Number of Investigator-confirmed HAE Attacks Requiring Acute Treatment During the Treatment Period in Part 2
Ramy czasowe: Day 84 to Day 938
|
HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days, multiplied by 28.
LSM and SE were estimated using a generalized linear model with Poisson distribution.
|
Day 84 to Day 938
|
|
Number of Days With Investigator-confirmed HAE Symptoms During the Treatment Period in Part 2
Ramy czasowe: Day 84 to Day 938
|
HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
HAE symptom days were identified from daily participant entries in the ePRO diary and were confirmed by the investigator.
|
Day 84 to Day 938
|
|
Proportion of Days With Investigator-confirmed HAE Symptoms During the Treatment Period in Part 2
Ramy czasowe: Day 84 to Day 938
|
HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
HAE symptom days were identified from daily participant entries in the ePRO diary and were confirmed by the investigator.
|
Day 84 to Day 938
|
Współpracownicy i badacze
Sponsor
Sponsor
Śledczy
Śledczy
- Główny śledczy: Marc Riedl, MD, UC San Diego, La Jolla, California, United States
- Główny śledczy: Emel Aygören-Pürsün, MD, University Hospital Frankfurt - Goethe University, Frankfurt, Germany
Publikacje i pomocne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Rzeczywisty)
Zakończenie podstawowe
Ukończenie studiów (Rzeczywisty)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Dziedziczne choroby niedoboru dopełniacza
- Pierwotne niedobory odporności
- Choroby naczyniowe
- Choroby układu krążenia
- Choroby genetyczne, wrodzone
- Choroby układu odpornościowego
- Nadwrażliwość, natychmiastowa
- Nadwrażliwość
- Zespoły niedoboru odporności
- Choroby skórne
- Pokrzywka
- Choroby skóry, naczyniowe
- Wrodzone, dziedziczne i noworodkowe choroby i nieprawidłowości
- Choroby skóry i tkanki łącznej
- Obrzęk naczynioruchowy
- Obrzęk naczynioruchowy, dziedziczny
- Dziedziczny obrzęk naczynioruchowy typu I i II
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- PHA022121-C301
- 2021-000227-13 (Numer EudraCT)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .