Study of Oral Deucrictibant XR Tablet for Prophylaxis and Deucrictibant Soft Capsule for On-Demand Treatment of Angioedema Attacks in Adults With Acquired Angioedema Due to C1 Inhibitor Deficiency (CREAATE)
A Phase 3, Randomized, Double-blind, Placebo-controlled, 3-Part Study to Evaluate the Efficacy and Safety of Orally Administered Deucrictibant XR Tablet for Prophylaxis and Deucrictibant Soft Capsule for On-demand Treatment of Angioedema Attacks in Adults With Acquired Angioedema Due to C1 Inhibitor Deficiency
This is a Phase 3, multicenter, 3-part study, with 2 randomized, double-blind, placebo-controlled parts and an open-label extension part, to evaluate the efficacy and safety of orally administered deucrictibant XR tablet for prophylaxis, and deucrictibant soft capsule for on-demand treatment of angioedema attacks in adult participants aged ≥ 18 years with AAE-C1INH.
Обзор исследования
Статус
Подробное описание
The study consists of a Screening Period, during which eligibility is confirmed, a Part 1 Prophylaxis Double-blind Treatment Phase, a Part 2 On-demand, Double-blind Treatment Phase, and a Part 3 On-demand Open-label Extension Phase. Approximately 24 participants will be randomized in Part 1 into 2 parallel arms for a treatment period of 12 weeks. During the prophylaxis treatment period participants will receive blinded study drug (deucrictibant 40 mg XR or placebo randomized in a 1:1 ratio). Upon completion of Part 1, participants will roll-over into Part 2. In addition to rollover participants completing Part 1, new deucrictibant treatment-naïve participants will be enrolled directly into Part 2 and this may occur while Part 1 is ongoing. During the on-demand period participants will receive blinded study drug (deucrictibant 20 mg soft capsule or matching placebo randomized in a 1:1 ratio, 2-period, 2-treatment crossover design) for 2 qualifying AAE-C1INH attacks. Participants completing Part 2 may roll over into Part 3 where all AAE-C1INH attacks will be treated with open-label deucrictibant 20 mg soft capsule.
Тип исследования
Регистрация (Оцененный)
Фаза
- Фаза 3
Контакты и местонахождение
Контакты исследования
- Имя: Pharvaris Clinical Team
- Номер телефона: 0031-712-036-410
- Электронная почта: clinicaltrials@pharvaris.com
Места учебы
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Clayton, Австралия
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Vienna, Австрия
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Sofia, Болгария
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Budapest, Венгрия
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Berlin, Германия
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Frankfurt am Main, Германия
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Munich, Германия
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Madrid, Испания
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Milan, Италия
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- Study Site 1
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Milan, Италия
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- Study Site 2
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Milan, Италия
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- Study Site 3
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Padova, Италия
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Roma, Италия
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Edmonton, Канада
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Amsterdam, Нидерланды
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Auckland, Новая Зеландия
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Krakow, Польша
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Bristol, Соединенное Королевство
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Cambridge, Соединенное Королевство
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Leicester, Соединенное Королевство
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London, Соединенное Королевство
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Newcastle upon Tyne, Соединенное Королевство
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Plymouth, Соединенное Королевство
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California
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San Diego, California, Соединенные Штаты, 92093
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Walnut Creek, California, Соединенные Штаты, 94598,
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Missouri
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St Louis, Missouri, Соединенные Штаты, 63130
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Pennsylvania
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Hershey, Pennsylvania, Соединенные Штаты, 17033
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Ankara, Турция (Туркие)
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Grenoble, Франция
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Lille, Франция
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Paris, Франция
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Basel, Швейцария
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Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
Принимает здоровых добровольцев
Полы, имеющие право на обучение
Описание
Inclusion Criteria:
- Provision of written informed consent
- Male or female (sex at birth) aged ≥18 years
- Diagnosis of AAE-C1INH
- History of AAE-C1INH attacks prior to the Screening Visit.
- If underlying disease associated with AAE is present, the underlying disease must be stable throughout the duration of part 1.
- Reliable access and ability to use available therapy to effectively manage AAE- C1INH attacks.
- Female participants of childbearing potential must agree to the protocol-specified pregnancy testing and to be abstinent from heterosexual intercourse or to use an acceptable contraception method.
Females of non-childbearing potential (surgically sterile, or postmenopausal with ≥ 12 months amenorrhea and postmenopausal FSH confirmation) are not required to use contraception during the study.
• Capable of recording, without assistance, eDiary and ePRO data using an electronic device, as evidenced by the eDiary and ePRO training.
Exclusion Criteria:
- Participation in a clinical study with any other investigational drug within the last 30 days or within 5 half-lives of the investigational drug at the Screening Visit (whichever is longer).
- Receiving long-term prophylaxis (LTP) treatment for AAE-C1INH and satisfied with this treatment. Participants who are not satisfied (eg, tolerability issues, lack of efficacy) and have previously stopped LTP treatment for AAE-C1INH, for reasons other than participation in this study, can sign the ICF and begin the Screening Period only if their last dose of the treatment was received prior to the timepoint before the Screening Visit
- Any females who are pregnant, plan to become pregnant, or are currently breast-feeding
- Abnormal hepatic function
- Moderate or severe renal impairment
- Any clinically significant comorbidity or systemic dysfunction that would interfere with the participant's safety or ability to participate in the study.
- History of epilepsy and/or other significant neurological diseases
- Any clinically significant and uncontrolled gastrointestinal dysfunction that may impact study drug absorption
- Evidence of current alcohol or drug abuse
- Use of medications that are moderate and strong inhibitors of cytochrome P450 (CYP) 3A4, or strong inducers of CYP3A4 within the last 30 days or within 5 half-lives (whichever is longer) at the time of the Screening Visit
- Known hypersensitivity to deucrictibant or any of the excipients of the study drug
- Use of angiotensin-converting enzyme (ACE) inhibitors or any estrogen-containing medications with systemic absorption within 5 half-lives before the Screening Visit
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Уход
- Распределение: Рандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Четырехместный
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
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Экспериментальный: Часть 1 - Группа 1 - Активная
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Part 1: Deucrictibant 40 mg extended-release tablet for once daily oral use Part 2: Deucrictibant 20 mg soft capsule oral use Part 3: Deucrictibant 20 mg soft capsule oral use |
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Плацебо Компаратор: Часть 1 - Группа 2 - Плацебо
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Part 1: Placebo Comparator tablet for once daily oral use Part 2: Placebo Comparator soft capsule oral use |
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Экспериментальный: Часть 2 - Группа 1
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Part 1: Deucrictibant 40 mg extended-release tablet for once daily oral use Part 2: Deucrictibant 20 mg soft capsule oral use Part 3: Deucrictibant 20 mg soft capsule oral use Part 1: Placebo Comparator tablet for once daily oral use Part 2: Placebo Comparator soft capsule oral use |
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Экспериментальный: Часть 2 - Группа 2
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Part 1: Deucrictibant 40 mg extended-release tablet for once daily oral use Part 2: Deucrictibant 20 mg soft capsule oral use Part 3: Deucrictibant 20 mg soft capsule oral use Part 1: Placebo Comparator tablet for once daily oral use Part 2: Placebo Comparator soft capsule oral use |
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Экспериментальный: Часть 3 - Открытое исследование
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Part 1: Deucrictibant 40 mg extended-release tablet for once daily oral use Part 2: Deucrictibant 20 mg soft capsule oral use Part 3: Deucrictibant 20 mg soft capsule oral use |
Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Временное ограничение |
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Part 1: Time-normalized number of Investigator-confirmed AAE-C1INH attacks during Treatment Phase
Временное ограничение: 12 weeks
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12 weeks
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Part 2: Time to symptom relief, Patient Global Impression of Change (PGI-C) rating of at least "better"
Временное ограничение: 12 hours post-treatment
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12 hours post-treatment
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Part 3: Incidence of treatment-emergent adverse events (TEAEs), treatment-emergent adverse events of special interest (AESIs), and serious adverse events (SAEs)
Временное ограничение: Through study termination, an average of 36 weeks
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Through study termination, an average of 36 weeks
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Part 3: Number of participants with clinically significant changes from baseline in Hematology parameters
Временное ограничение: Through study termination, an average of 36 weeks
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Through study termination, an average of 36 weeks
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Part 3: Number of participants with clinically significant changes from baseline in Urinalysis parameters
Временное ограничение: Through study termination, an average of 36 weeks
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Through study termination, an average of 36 weeks
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Part 3: Number of participants with clinically significant changes from baseline in Biochemistry parameters
Временное ограничение: Through study termination, an average of 36 weeks
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Through study termination, an average of 36 weeks
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Part 3: Number of participants with clinically significant changes from baseline in vital signs
Временное ограничение: Through study termination, an average of 36 weeks
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Through study termination, an average of 36 weeks
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Part 3: Number of participants with clinically significant changes from baseline in physical examinations
Временное ограничение: Through study termination, an average of 36 weeks
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Through study termination, an average of 36 weeks
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Part 3: Number of participants with clinically significant changes in electrocardiogram (ECG)
Временное ограничение: Through study termination, an average of 36 weeks
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Through study termination, an average of 36 weeks
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Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
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Part 1: Proportion of participants who are AAE-C1INH attack-free during Treatment Phase
Временное ограничение: 12 weeks
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12 weeks
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Part 1: Time-normalized number of Investigator-confirmed AAE-C1INH attacks treated with on-demand medication during Treatment Phase
Временное ограничение: 12 weeks
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12 weeks
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Part 1: Time-normalized number of Investigator-confirmed moderate or severe AAE-C1INH attacks during Treatment Phase
Временное ограничение: 12 weeks
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12 weeks
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Part 1: Time-normalized number of Investigator-confirmed severe AAE-C1INH attacks during Treatment Phase
Временное ограничение: 12 weeks
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12 weeks
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Part 1: Proportion of participants achieving ≥50%, ≥70% and ≥90% reduction in AAE-C1NH attack rate relative to baseline during Treatment Phase
Временное ограничение: 12 weeks
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12 weeks
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Part 1: Incidence of TEAEs, treatment-emergent AESIs, and SAEs
Временное ограничение: 12 weeks
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12 weeks
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Part 1: Number of participants with clinically significant changes from baseline in Hematology parameters
Временное ограничение: 12 weeks
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12 weeks
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Part 1: Number of participants with clinically significant changes from baseline in Urinalysis parameters
Временное ограничение: 12 weeks
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12 weeks
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Part 1: Number of participants with clinically significant changes from baseline in Biochemistry parameters
Временное ограничение: 12 weeks
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12 weeks
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Part 1: Number of participants with clinically significant changes from baseline in Vital signs
Временное ограничение: 12 weeks
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12 weeks
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Part 1: Number of participants with clinically significant changes from baseline in physical examination
Временное ограничение: 12 weeks
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12 weeks
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Part 1: Number of participants with clinically significant changes from baseline in ECG parameters
Временное ограничение: 12 weeks
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12 weeks
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Part 1: Pre-dose plasma concentrations of Deucrictibant
Временное ограничение: At Weeks 6 and 12
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Deucrictibant plasma concentrations will be analyzed using liquid chromatography-mass spectrometry/mass spectrometry methods |
At Weeks 6 and 12
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Part 1: Pre-dose plasma concentrations of deucrictibant metabolites
Временное ограничение: At Weeks 6 and 12
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Deucrictibant metabolites plasma concentrations will be analyzed using liquid chromatography-mass spectrometry/mass spectrometry methods |
At Weeks 6 and 12
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Part 1: Pharmacokinetics [PK]: Urine concentrations of Deucrictibant and deucrictibant metabolites
Временное ограничение: At Week 12
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At Week 12
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Part 1: Change from baseline in Angioedema Quality of Life (AE-QoL) questionnaire total score, functioning domain score, and fears/shame domain score
Временное ограничение: Baseline (Day 1) and at Weeks 4, 8 and 12
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The AE-QoL is a short 17-item questionnaire designed to retrospectively assess HRQoL, with a recall period of 4 weeks. Its results can be displayed as a total score or as 4 domain scores. The scores range from 0 to 100, after linear transformation of raw values, with higher scores indicating higher HRQoL impairment. |
Baseline (Day 1) and at Weeks 4, 8 and 12
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Part 1: Change from baseline in Angioedema Control Test 4-week version (AECT-4wk)
Временное ограничение: Baseline (Day 1) and at Week 12
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AECT-4wk measures disease control retrospectively, it comprises 4 questions over a 4-week recall period. Scores for the responses in the AECT range from 0 to 16, with higher scores indicating better disease control (≤ 9 poorly controlled; ≥ 10 well controlled) |
Baseline (Day 1) and at Week 12
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Part 1: Patient Global Assessment-Status (PGA-S) at baseline
Временное ограничение: At Baseline (Day 1)
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PGA-Status assesses on a 5-point scale how the participant's QoL has been impacted by AAE-C1INH since start taking the study drug |
At Baseline (Day 1)
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Part 1: Patient Global Assessment of Change (PGA-Change) at Week 12
Временное ограничение: At Week 12
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PGA-Change assesses on a 5-point scale how the participant's QoL has been impacted by AAE-C1INH since start taking the study drug |
At Week 12
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Part 1: Change from baseline in EuroQol 5 Dimension 5 level (EQ 5D 5L)
Временное ограничение: Baseline (Day 1) and at Week 12
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EQ 5D 5L is a brief, multiattribute, generic, health status measure composed of 5 questions with Likert response options (descriptive system) and a visual analog scale (EQ-VAS). The latter asks patients to rate their own health from 0 to 100 (the worst and best imaginable health, respectively) |
Baseline (Day 1) and at Week 12
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Part 2: Time to complete symptom resolution, Patient Global Impression of Severity (PGI-S) rating of "no symptoms
Временное ограничение: sustained within 24 hours post-treatment
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sustained within 24 hours post-treatment
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Part 2: Time to symptom relief defined as PGI-S rating of at least 1 point reduction
Временное ограничение: 12 hours post-treatment
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12 hours post-treatment
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Part 2: Proportion of study drug-treated attacks achieving complete symptom resolution defined as achieving PGI- S rating of "no symptoms"
Временное ограничение: At 24 hours post-treatment
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At 24 hours post-treatment
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Part 2: Time to onset of symptom relief, defined as PGI-C rating of at least "a little better"
Временное ограничение: Within 12 hours post-treatment
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Within 12 hours post-treatment
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Part 2: Time to End of Progression (EoP) in attack symptoms
Временное ограничение: Within 12 hours post-treatment
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EOP is defined as the earliest post-treatment timepoint after which all subsequent PGI-C ratings are stable or improved |
Within 12 hours post-treatment
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Part 2: Incidence of TEAEs, treatment-emergent AESIs, and SAEs
Временное ограничение: Up to 24 weeks
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Up to 24 weeks
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Part 2: Number of participants with clinically significant changes from baseline in Hematology parameters
Временное ограничение: 24 weeks
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24 weeks
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Part 2: Number of participants with clinically significant changes from baseline in Urinalysis parameters
Временное ограничение: 24 weeks
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24 weeks
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Part 2: Number of participants with clinically significant changes from baseline in Biochemistry parameters
Временное ограничение: 24 weeks
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24 weeks
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Part 2: Number of participants with clinically significant changes from baseline in Vital signs
Временное ограничение: 24 weeks
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24 weeks
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Part 2: Number of participants with clinically significant changes from baseline in physical examination
Временное ограничение: 24 weeks
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24 weeks
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Part 2: Number of participants with clinically significant changes from baseline in ECG parameters
Временное ограничение: 24 weeks
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24 weeks
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Part 2: Pharmacokinetics [PK]: Deucrictibant and deucrictibant metabolites plasma concentration-time profiles
Временное ограничение: Day 1
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Day 1
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Part 3: Time to symptom relief, as PGI-C rating of at least "better"
Временное ограничение: 12 hours post-treatment
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12 hours post-treatment
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Part 3: Time to symptom relief, as PGI-S rating of at least 1 point reduction
Временное ограничение: 12 hours post-treatment
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12 hours post-treatment
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Part 3: Proportion of study drug-treated attacks achieving complete symptom resolution, defined as achieving PGI-S rating of "no symptoms"
Временное ограничение: 24 hours post-treatment
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24 hours post-treatment
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Соавторы и исследователи
Спонсор
Следователи
- Директор по исследованиям: Study Director, Pharvaris, Pharvaris Netherlands B.V.
Даты записи исследования
Изучение основных дат
Начало исследования (Действительный)
Первичное завершение (Оцененный)
Завершение исследования (Оцененный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Действительный)
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Ключевые слова
Дополнительные соответствующие термины MeSH
- Наследственные болезни дефицита комплемента
- Первичные иммунодефицитные заболевания
- Сосудистые заболевания
- Сердечно-сосудистые заболевания
- Генетические заболевания, врожденные
- Заболевания иммунной системы
- Гиперчувствительность, немедленная
- Гиперчувствительность
- Синдромы иммунологического дефицита
- Кожные заболевания
- Крапивница
- Кожные заболевания, сосудистые
- Врожденные, наследственные и неонатальные заболевания и аномалии
- Заболевания кожи и соединительной ткани
- Ангионевротический отек
- Ангионевротические отеки, наследственные
- Приобретенный ангионевротический отек
Другие идентификационные номера исследования
- PHA022121-C308
Информация о лекарствах и устройствах, исследовательские документы
Изучает лекарственный продукт, регулируемый FDA США.
Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .