Badanie ma na celu ocenę bezpieczeństwa i tolerancji preparatu VTx-002 u uczestników z ALS (ALS)
Faza 1/2 badania nowatorskiego schematu eksperymentalnego w stwardnieniu zanikowym bocznym (Pioneer-ALS): otwarte, niekontrolowane, wieloośrodkowe badanie oceniające bezpieczeństwo i tolerancję dwóch dawek VTx-002
PIONEER-ALS is a Phase 1/2, multicenter, open-label, ascending dose, uncontrolled, first-in-human study that will evaluate the safety, tolerability and effects on clinical and biomarker endpoints of intracisternal administration of Vtx-002 in participants with Amyotrophic Lateral Sclerosis (ALS).
Two escalating dose (low dose and high dose) cohorts are planned. The duration of the study will be a maximum of 5 years and 5 weeks (265 weeks) for each participant. The screening period may last up to 5 weeks to complete screening procedures.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Szczegółowy opis
All participants will receive a single injection of the study drug. During the first year of the study there will be 12 visits to the study center, including an overnight stay after dosing of at least 1 night. There will be a further 4 remote visits (telephone or video call).
From Year 2-5 there will be 8 further visits. These will be every 6 months and will be either in-person at the study site or remote (telephone or video call) if needed or preferred.
Throughout the 5-year observation period, there will be up to 20 study visits to complete follow-up tests and assessments and monitor the ongoing effects of the study drug.
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Faza 2
- Faza 1
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Dr Olga Uspenskaya Chief medical Officer, VectorY Therapeutics, M.D; PhD
- Numer telefonu: patients@vectorytx.com
- E-mail: patients@vectorytx.com
Lokalizacje studiów
-
-
-
Leuven, Belgia
- Rekrutacyjny
- UZ Leuven
-
Kontakt:
- Evi Parente Study Coordinator
- Numer telefonu: + 32 1638668
- E-mail: evi.parente@uzleuven.be
-
Kontakt:
- Ann Dhondt Study Coordinator
- Numer telefonu: + 32 16347577
- E-mail: ann.dhondt@uzleuven.be
-
Główny śledczy:
- Dr Philip Van Damme, Doctor of Medicine
-
-
-
-
-
Utrecht, Holandia
- Rekrutacyjny
- UMC Utrecht
-
Kontakt:
- Prof Leonard Van Den Berg, Doctor of Medicine
- Numer telefonu: +31 887555555
- E-mail: l.h.vandenberg@umcutrecht.nl
-
Główny śledczy:
- Prof Leonard Van Den Berg, Doctor of Medicine
-
-
-
-
Arizona
-
Phoenix, Arizona, Stany Zjednoczone, 85013
- Jeszcze nie rekrutacja
- St Joseph's Hospital and medical Center - Barrow Neurological Institute
-
Główny śledczy:
- Dr Shafeeq Ladha, Doctor of Medicine
-
Kontakt:
- Dr S Ladha, Doctor of Medicine
- Numer telefonu: (602) 406-6262
- E-mail: fulton.research@commonspirit.org
-
-
California
-
San Diego, California, Stany Zjednoczone, 92121
- Rekrutacyjny
- University of California San Diego Medical Center
-
Kontakt:
- Dr John Ravits, Doctor of Medicine
- Numer telefonu: (858) 246-1154
- E-mail: jravits@health.ucsd.edu
-
Główny śledczy:
- Dr John Ravits, Doctor of Medicine
-
-
Florida
-
Jacksonville, Florida, Stany Zjednoczone, 32224
- Rekrutacyjny
- Mayo Clinic in Florida
-
Kontakt:
- Dr Bjorn Oskarsson, Doctor of Medicine
- Numer telefonu: (904) 953-0407
- E-mail: oskarsson.bjorn@mayo.edu
-
Główny śledczy:
- Dr Bjorn Oskarsson, Doctor of Medicine
-
-
Massachusetts
-
Boston, Massachusetts, Stany Zjednoczone, 02114
- Rekrutacyjny
- Sean M. Healey & AMG Center for ALS at Massachusetts General Hospital
-
Główny śledczy:
- Dr Doreen Ho, Doctor of Medicine
-
Kontakt:
- Winifred Asigri Study Coordinator
- Numer telefonu: (617) 724-5659
- E-mail: pioneeralshealey@mgb.org
-
-
New York
-
New York, New York, Stany Zjednoczone, 10032
- Jeszcze nie rekrutacja
- The Eleanor & Lou Gehrig ALS Center
-
Główny śledczy:
- Dr Neil Schneider, Doctor of Medicine
-
Kontakt:
- The Eleanor & Lou Gehrig ALS Center
- Numer telefonu: (212) 305-6788
- E-mail: alsresearch@cumc.columbia.edu
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, Stany Zjednoczone, 19104
- Rekrutacyjny
- University of Pennsylvania
-
Główny śledczy:
- Dr Colin Quinn, Doctor of Medicine
-
Kontakt:
- Spriha Thapa Study Coordinator
- Numer telefonu: 267-610-8822
- E-mail: Spriha.Thapa@pennmedicine.upenn.edu
-
-
-
-
-
Sheffield, Zjednoczone Królestwo, S10 2JF
- Rekrutacyjny
- Royal Hallamshire Hospital
-
Kontakt:
- Dr Chris McDermott, Doctor of medicine
- Numer telefonu: +44 114 226 1049
- E-mail: c.j.mcdermott@sheffield.ac.uk
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Key Inclusion Criteria:
- Capable of, and willing to, provide written informed consent and comply with study procedures, including visits to the study site and visit requirements
- Male or female ≥ 18 years of age
- Has a diagnosis of ALS according to the El Escorial criteria (Brooks, et al., 2000) (probable, laboratory results supported; clinically probable, clinically definite)
- Confirmed absence of ALS caused by FUS and SOD1 gene mutations confirmed by laboratory tests.
- A maximum of 18 months since first appearance of weakness (e.g., limb weakness, dysarthria, dysphagia, shortness of breath)
- Erect (seated) SVC % predicted ≥ 80% at Screening
- Treatment Research Initiative to Cure ALS (TRICALS) risk score between -2 and -6 at Screening
- Has a reliable caregiver/partner/legal representative willing and able to support the participant in participation in the study and to give informed consent on behalf of the participant in the case that disease progression prevents the participant of giving consent (local legal rules will apply).
- Treatment with riluzole and/or edaravone is allowed if treatment was started and has remained at a stable dose for at least 2 weeks (riluzole) or one treatment cycle (edaravone) before the Screening visit
- Women of childbearing potential (WOCBP) and male participants with female partners who are WOCBP must agree to use highly effective contraception during and after the study. WOCBP cannot be pregnant or breastfeeding
- Women of nonchildbearing potential must be post-menopausal or surgically sterile (e.g. hysterectomy, bilateral tubal ligation, ovaries removed)
Key Exclusion Criteria:
- Diagnosis of a significant CNS or peripheral nervous system disease other than ALS that may be a cause for the participant's ALS symptoms or may confound study objectives
- Spinal, cervical, or brain MRI/MRA indicating clinically significant abnormality
- Presence of tracheostomy and feeding tube at Screening
- Contraindications to corticosteroid use (e.g. due to osteoporosis, uncontrolled blood pressure, diabetes or cholesterol).
5. Significant concomitant disease or condition within 6 months of Screening that could pose an unacceptable safety risk to the participant or interfere with the participant's ability to comply with study procedures, e.g. heart disease, uncontrolled diabetes, liver disease, autoimmune diseases needing strong immune-suppressing drugs, cancer, etc or a current psychiatric diagnosis.
6. Clinically significant abnormalities in laboratory test results at Screening for example poor liver or kidney function, abnormal clotting or infections such as Hepatitis or HIV
7. Use of blood thinners (e.g., warfarin, heparin, and novel oral anticoagulants) and being unable to safely stop them before certain study procedures.
8. Contraindications to imaging methods MRI, MRA, CT due to claustrophobia and/or intolerance to contrast agents.
9. Contraindications to general anaesthesia (GA) or deep sedation
10 Positive test for illegal drugs (except prescribed medications or permitted medicinal/recreational marijuana if used responsibly)
11. Generally frail or if the Investigator deems participation in the study would not be in the best interest of the participant or is likely to prohibit further participation during the study
Other protocol-defined inclusion/exclusion criteria may apply
-
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Nielosowe
- Model interwencyjny: Zadanie sekwencyjne
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
|
Eksperymentalny: Gene Therapy Group 1: Dose 1 (Low Dose)
Gene Therapy: VTx-002 18 participants will receive dose 1 administered intra cisterna magna. Dosing of the first 3 participants will be staggered at specific timepoints apart and with a safety monitoring committee review of health-related information in between each participant being dosed. VTx-002 is a single dose therapy Drug: Preventative (Prophylactic) Medication: Methylprednisolone |
An investigational gene therapy targeting a specific protein. To reduce the risk of reactions caused by the study treatment, steroid medicines will be given in advance.
Inne nazwy:
|
|
Eksperymentalny: Gene Therapy Group 2: Dose 2 (High Dose)
Gene Therapy: VTx-002 18 participants will receive dose 2 administered intra cisterna magna. The participant dosing in group 2 will be staggered as it was in group 1. VTx-002 is a single dose therapy. Drug: Preventative (Prophylactic) Medication - Methylprednisolone |
An investigational gene therapy targeting a specific protein. To reduce the risk of reactions caused by the study treatment, steroid medicines will be given in advance.
Inne nazwy:
|
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Ramy czasowe: Over 5 years
|
Assessed by reviewing the nature, incidence, severity, relatedness, seriousness and outcome of treatment emergent adverse events. |
Over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Ramy czasowe: Over 5 years
|
Assessed by reviewing laboratory values |
Over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Ramy czasowe: Over 5 years
|
Assessed by reviewing Magnetic Resonance Imaging (MRI) findings. |
Over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Ramy czasowe: over 5 years
|
Assessed by review of Treatment Induced Peripheral Neuropathy Assessment Scale (TNAS) *TNAS a brief participant-reported questionnaire used to measure the severity and progression of peripheral neuropathy. Each item is rated on a scale of 0 to 10, where 0 means no symptom and 10 means the symptom is as bad as it can possibly be. |
over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Ramy czasowe: Over 5 years
|
Assessed by reviewing cellular responses by analyzing blood samples. |
Over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Ramy czasowe: Over 5 years
|
Assessed by reviewing scores of the Columbia Suicide Severity Rating Scale (C-SSRS) *C-SSRS is a widely used, evidence-based suicide risk assessment tool that helps identify whether someone is at risk for suicide and gauge the level of support needed. A low score is associated with a lower risk level in this brief questionnaire. |
Over 5 years
|
|
The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Ramy czasowe: At month 6 and month 12
|
Assessed by performing 4 formal interim analyses
|
At month 6 and month 12
|
Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Ramy czasowe: At month 6 and month 12
|
Changes certain blood values |
At month 6 and month 12
|
|
To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Ramy czasowe: over 12 months
|
Time to assisted permanent ventilation or death |
over 12 months
|
|
To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Ramy czasowe: Over 5 years
|
Immune responses assessed by analyzing blood samples |
Over 5 years
|
|
To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Ramy czasowe: At month 6 and month 12
|
Change in Slow Vital Capacity |
At month 6 and month 12
|
|
To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Ramy czasowe: At month 6 and month 12
|
Changes in CSF values |
At month 6 and month 12
|
|
To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Ramy czasowe: At month 6 and month 12 *ALSFRS-R is a scale used to monitor disease progression. The 12 questions. Questions are scored from 0 to 4, with a maximum score of 48 indicating full function and a minimum score of 0 indicating significant impairment.
|
Change in Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) |
At month 6 and month 12 *ALSFRS-R is a scale used to monitor disease progression. The 12 questions. Questions are scored from 0 to 4, with a maximum score of 48 indicating full function and a minimum score of 0 indicating significant impairment.
|
Inne miary wyników
Inne miary wyników
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
To assess changes in biomarkers
Ramy czasowe: Over 5 years
|
Analysis of blood samples to assess viral shedding |
Over 5 years
|
|
To assess changes in muscle strength assessments from baseline.
Ramy czasowe: Measured at month 6 and month 12
|
Change in muscle strength measured by Hand-held Dynamometry |
Measured at month 6 and month 12
|
|
To assess disease severity and improvement
Ramy czasowe: over 12 months
|
Disease severity and improvement measured using the Clinical Global Impression (CGI) scales for Severity (CGI-S) and Improvement (CGI-I). The CGI scales each use a seven-point scale where 1 indicates less severe (CGI-S) or most improved (CGI-I) and 7 indicates more severe illness (CGI-S) or worsening of condition (CGI-I) |
over 12 months
|
|
To assess immunogenicity of VTx002
Ramy czasowe: Over 5 years
|
Assessed by the review of the immunogenicity to the capsid and transgene by analyzing blood samples. |
Over 5 years
|
|
To assess changes Health Related Quality of Life
Ramy czasowe: Measured at month 6 and month 12
|
Change in Health Related Quality of Life measured using the EQ5D-L questionnaire. *The EQ5D-L is a self-completed questionnaire assessing five core dimensions (Mobility, Self-care, Usual Activities, Pain/Discomfort, Anxiety/Depression). It is scored by combining patient responses across the five dimensions and then converting to a single utility score whereby 1.0 indicates perfect health and 0 indicates death |
Measured at month 6 and month 12
|
|
To assess changes Health Related Quality of Life
Ramy czasowe: Measured at month 6 and month 12
|
Change in Health Related Quality of Life measured using the ALSAQ-5 questionnaire. *The ALSAQ-5 is a brief, 5-item questionnaire used to measure the impact of Amyotrophic Lateral Sclerosis on a patient's quality of life. Five key areas are rated for difficulties and converted to a total score from 0 (worst) to 100 (best) |
Measured at month 6 and month 12
|
Współpracownicy i badacze
Sponsor
Sponsor
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
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
- Choroby ośrodkowego układu nerwowego
- Choroby Układu Nerwowego
- Choroby nerwowo-mięśniowe
- Choroby metaboliczne
- Choroby neurodegeneracyjne
- Choroby rdzenia kręgowego
- TDP-43 Proteinopatie
- Niedobory proteostazy
- Choroba neuronu ruchowego
- Choroby żywieniowe i metaboliczne
- Stwardnienie Zanikowe Boczne
- Związki policykliczne
- Ciąży
- Ciężarne
- Steroidy
- Związki sterownika
- Ciąży
- Ciąży
- Prednizon
- Prednizolon
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- VTx-002-01-001
- 2025-522697-37-00 (Ctis)
- PIONEER-ALS (Inny identyfikator: VectoryTherapeutics)
- 2025 (Grant/umowa NIH USA)
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 .