A Study of CK-2017357 in Patients With Amyotrophic Lateral Sclerosis (ALS)
7 maj 2019 uppdaterad av: Cytokinetics
A Phase II, Double-Blind, Randomized, Placebo-Controlled, Three-Way Crossover, Pharmacokinetic and Pharmacodynamic Study of CK-2017357 in Patients With Amyotrophic Lateral Sclerosis (ALS)
The primary objective of this study is to demonstrate a pharmacodynamic effect of CK 2017357 on measures of skeletal muscle function or fatigability in patients with ALS.
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Detaljerad beskrivning
This study is a Phase II, double-blind, randomized, placebo-controlled, three-way crossover study of CK-2017357 in patients with ALS.
36 to 72 patients will be randomized to one of six different treatment sequences.
Each treatment sequence consists of three dosing periods; in each dosing period¸ patients receive a single oral dose of placebo, 250 mg of CK-2017357, or 500 mg of CK-2017357.
All six treatment sequences will enroll approximately the same number of patients.
A washout period of at least 6 days (to a maximum of 10 days) will be employed between the doses for each patient.
This study is designed to assess the effect of CK-2017357 on maximal voluntary muscle strength, on the development of fatigue at maximal and sub-maximal voluntary muscle contraction, and on selected pulmonary function parameters.
The plasma concentration of CK-2017357 will be measured at selected time points after each of two single doses of CK-2017357 in men and women.
The plasma concentration versus time data obtained in this study may be used to develop a population PK model and estimate inter-subject variability of PK parameters in this target patient population, in particular between male and female study patients.
Studietyp
Interventionell
Inskrivning (Faktisk)
67
Fas
- Fas 2
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
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Arizona
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Phoenix, Arizona, Förenta staterna, 85018
- Phoenix Neurological Associates, Ltd.
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California
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Fresno, California, Förenta staterna, 93701
- University Neurology Associates
-
San Francisco, California, Förenta staterna, 94115
- California Pacific Medical Center
-
-
Florida
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Jacksonville, Florida, Förenta staterna, 32224
- Mayo Clinic Florida
-
-
Kentucky
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Lexington, Kentucky, Förenta staterna, 40536
- University of Kentucky
-
-
Maryland
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Baltimore, Maryland, Förenta staterna, 21287
- Johns Hopkins Hospital
-
-
Massachusetts
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Boston, Massachusetts, Förenta staterna, 02114
- Massachusetts General Hospital
-
-
Missouri
-
Saint Louis, Missouri, Förenta staterna, 63110
- Washington University
-
-
New York
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Syracuse, New York, Förenta staterna, 13210
- SUNY Upstate Medical Center
-
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North Carolina
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Durham, North Carolina, Förenta staterna, 27705
- Duke University
-
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Oregon
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Portland, Oregon, Förenta staterna, 97213
- Providence ALS Center
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Pennsylvania
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Philadelphia, Pennsylvania, Förenta staterna, 19102
- Drexel University College of Medicine, Dept of Neurology
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University Park, Pennsylvania, Förenta staterna, 17033
- Penn State
-
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Texas
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San Antonio, Texas, Förenta staterna, 78229
- The University of Texas Health Science Center at San Antonio
-
-
Vermont
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Burlington, Vermont, Förenta staterna, 05401
- University of Vermont
-
-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
Inclusion Criteria
For enrollment, patients were required to satisfy all of the following criteria at baseline:
1. Able to comprehend and willing to sign an Informed Consent Form (ICF)
- A diagnosis of familial or sporadic ALS (defined as meeting the possible, laboratory-supported probable, probable, or definite criteria for a diagnosis of ALS according to the World Federation of Neurology El Escorial criteria) (Brooks, Miller et al. 2000)
- Males or females 18 years of age or older
- Body Mass Index (BMI) of 18.0 to 30.0 kg/m2, inclusive
- Maximum voluntary grip strength in at least one hand between 10 and 40 pounds (females) or 10 and 60 pounds (males)
- Able to swallow capsules with water
- Upright Slow Vital Capacity (SVC) > 40% of predicted for age, height, and sex [See Appendix 16.6.1]
- Able to perform pulmonary function tests
- Pre-study clinical laboratory findings (including troponin I [TnI] and creatine phosphokinase [CPK]) within normal range, or, if outside of the normal range, deemed not clinically significant by the Investigator
- For female patients only: The patient is post-menopausal (≥ 1 year) or sterilized, or if she is of childbearing potential, she is not breastfeeding, her pregnancy test is negative, she has no intention to become pregnant during the course of the study, and she is using contraceptive drugs or devices for the duration of the study and for 10 weeks after the end of the study.
For male patients only: Male patients agree for the duration of the study and 10 weeks after the end of the study to use a condom during sexual intercourse with female partners who are of reproductive potential and to have female partners use an additional effective means of contraception (e.g., diaphragm plus spermicide or oral contraceptives) or the male patient must agree to abstain from sexual intercourse for 10 weeks after the end of the study.
Exclusion Criteria
Patients satisfying any of the following criteria at baseline were excluded from enrollment:
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 3 times the upper limit of normal (ULN)
- Life expectancy < 3 months
- Participation in any trial in which receipt of investigational study drug occurred within 30 days prior to dosing
- Any prior treatment with CK-2017357
- In the opinion of the Investigator, the patient is not suitable to participate in the study
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Crossover tilldelning
- Maskning: Fyrdubbla
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: Treatment Sequence 1
Treatment sequence 1 consisted of three dosing periods in which patients received single oral doses of placebo, 250 mg, and 500 mg of CK-2017357, in that order, with approximately one week between each dose.
Each patient acted as their own control, as all doses were represented in each treatment sequence.
|
Matchande placebo i kapslar administrerade som en oral enkeldos.
250 mg CK-2017357 i kapslar administrerad som en oral enkeldos.
Andra namn:
500 mg CK-2017357 i kapslar administrerad som en oral enkeldos.
Andra namn:
|
|
Experimentell: Treatment Sequence 2
Treatment sequence 2 consisted of three dosing periods in which patients received single oral doses of placebo, 500 mg, and 250 mg of CK-2017357, in that order, with approximately one week between each dose.
Each patient acted as their own control, as all doses were represented in each treatment sequence.
|
Matchande placebo i kapslar administrerade som en oral enkeldos.
250 mg CK-2017357 i kapslar administrerad som en oral enkeldos.
Andra namn:
500 mg CK-2017357 i kapslar administrerad som en oral enkeldos.
Andra namn:
|
|
Experimentell: Treatment Sequence 3
Treatment sequence 3 consisted of three dosing periods in which patients received single oral doses of 250 mg, placebo and 500 mg of CK-2017357, in that order, with approximately one week between each dose.
Each patient acted as their own control, as all doses were represented in each treatment sequence.
|
Matchande placebo i kapslar administrerade som en oral enkeldos.
250 mg CK-2017357 i kapslar administrerad som en oral enkeldos.
Andra namn:
500 mg CK-2017357 i kapslar administrerad som en oral enkeldos.
Andra namn:
|
|
Experimentell: Treatment Sequence 4
Treatment sequence 4 consisted of three dosing periods in which patients received single oral doses of 250 mg, 500 mg and placebo of CK-2017357, in that order, with approximately one week between each dose.
Each patient acted as their own control, as all doses were represented in each treatment sequence.
|
Matchande placebo i kapslar administrerade som en oral enkeldos.
250 mg CK-2017357 i kapslar administrerad som en oral enkeldos.
Andra namn:
500 mg CK-2017357 i kapslar administrerad som en oral enkeldos.
Andra namn:
|
|
Experimentell: Treatment Sequence 5
Treatment sequence 5 consisted of three dosing periods in which patients received single oral doses of 500 mg, placebo, and 250 mg of CK-2017357, in that order, with approximately one week between each dose.
Each patient acted as their own control, as all doses were represented in each treatment sequence.
|
Matchande placebo i kapslar administrerade som en oral enkeldos.
250 mg CK-2017357 i kapslar administrerad som en oral enkeldos.
Andra namn:
500 mg CK-2017357 i kapslar administrerad som en oral enkeldos.
Andra namn:
|
|
Experimentell: Treatment Sequence 6
Treatment sequence6 consisted of three dosing periods in which patients received single oral doses of 500 mg, 250 mg, and placebo of CK-2017357, in that order, with approximately one week between each dose.
Each patient acted as their own control, as all doses were represented in each treatment sequence.
|
Matchande placebo i kapslar administrerade som en oral enkeldos.
250 mg CK-2017357 i kapslar administrerad som en oral enkeldos.
Andra namn:
500 mg CK-2017357 i kapslar administrerad som en oral enkeldos.
Andra namn:
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
ALSFRS-R
Tidsram: 2 days
|
An instrument for evaluating the functional status of patients with ALS.
Minimum score is 0 and maximum score is 40.
The higher the score the more function is retained.
|
2 days
|
|
Maximum grip strength
Tidsram: 2 days
|
Measured using the DynEx Electronic Hand Dynamometer.
Patients asked to squeeze the device with the maximum possible force to establish the maximum voluntary contraction.
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2 days
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Maximum grip strength fatigability
Tidsram: 2 days
|
Handgrip fatigue is measured using the DynEx Electronic Hand Dynamometer.
Patient is asked to squeeze the device until they can no longer stay above 60% of target or 120 seconds.
|
2 days
|
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Shoulder extension fatigue
Tidsram: 2 days
|
Patient is asked to hold one arm outstretched in front of them at a 90 degree angle.
The time the arm falls below 90 degrees for > 2 seconds will be recorded, up to a total evaluation time of 2 minutes.
This is then repeated with the other arm.
|
2 days
|
|
Slow Vital Capacity (SVC)
Tidsram: 2 days
|
SVC is measured using the Puritan Bennett Renaissance II Spirometry System and accessories.
|
2 days
|
|
Maximum Voluntary Ventilation (MVV)
Tidsram: 2 days
|
MVV is the volume of air that can be exhaled during 12 seconds of rapid deep breathing.
The actual volume is extrapolated to one minute.
the Puritan Bennett Renaissance II Spirometry System and accessories is used for this measurement.
|
2 days
|
|
Sniff Inspiratory Pressure (SNIP)
Tidsram: 2 days
|
SNIP is measured at Functional Residual Capacity, the bottom of the tidal breathing cycle, through one plugged nostril while the other remains open using the Micro Medical MicroRPM Respiratory Pressure Meter
|
2 days
|
|
Maximum Voluntary Muscle Contraction (MVC)
Tidsram: 2 days
|
MVC is measured using the MicroFET 2 HHD.
|
2 days
|
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Repeated Sub-Maximum Grip Strength Fatigability
Tidsram: 2 days
|
Sub-Maximum Grip Strength Fatigability is measured using the DynEx Electronic Hand.
Dynamometer
|
2 days
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Antal patienter med biverkningar
Tidsram: 4 veckor
|
4 veckor
|
|
|
Characterize the relationship, if any, between the plasma concentration of CK-2017357 and ALSFRS-R.
Tidsram: 2 days
|
ALSFRS-R assessments will be paired with PK concentrations obtained at or near the same time as the ALSFRS-R assessments and analyzed for concentration related effects.
|
2 days
|
|
Characterize the relationship, if any, between the plasma concentration of CK-2017357 and maximum grip strength
Tidsram: 2 days
|
Maximum grip strength assessments will be paired with PK concentrations obtained at or near the same time as the maximum grip strength assessments and analyzed for concentration related effects.
|
2 days
|
|
Characterize the relationship, if any, between the plasma concentration of CK-2017357 and maximum grip strength fatigability
Tidsram: 2 days
|
Maximum grip strength fatigability assessments will be paired with PK concentrations obtained at or near the same time as the maximum grip strength fatigability assessments and analyzed for concentration related effects.
|
2 days
|
|
Characterize the relationship, if any, between the plasma concentration of CK-2017357 and shoulder extension fatigue
Tidsram: 2 days
|
Shoulder extension fatigue assessments will be paired with PK concentrations obtained at or near the same time as the shoulder extension fatigue assessments and analyzed for concentration related effects.
|
2 days
|
|
Characterize the relationship, if any, between the plasma concentration of CK-2017357 and slow vital capacity
Tidsram: 2 days
|
Slow vital capacity assessments will be paired with PK concentrations obtained at or near the same time as the slow vital capacity assessments and analyzed for concentration related effects.
|
2 days
|
|
Characterize the relationship, if any, between the plasma concentration of CK-2017357 and maximum voluntary ventilation
Tidsram: 2 days
|
Maximum voluntary ventilation assessments will be paired with PK concentrations obtained at or near the same time as the maximum voluntary ventilation assessments and analyzed for concentration related effects.
|
2 days
|
|
Characterize the relationship, if any, between the plasma concentration of CK-2017357 and sniff inspiratory pressure
Tidsram: 2 days
|
Sniff inspiratory pressure assessments will be paired with PK concentrations obtained at or near the same time as the sniff inspiratory pressure assessments and analyzed for concentration related effects.
|
2 days
|
|
Characterize the relationship, if any, between the plasma concentration of CK-2017357 and maximum voluntary muscle contraction
Tidsram: 2 days
|
Maximum voluntary muscle contraction assessments will be paired with PK concentrations obtained at or near the same time as the maximum voluntary muscle contraction assessments and analyzed for concentration related effects.
|
2 days
|
|
Characterize the relationship, if any, between the plasma concentration of CK-2017357 and repeated sub-maximum grip strength fatigability
Tidsram: 2 days
|
Repeated sub-maximum grip strength fatigability assessments will be paired with PK concentrations obtained at or near the same time as the repeated sub-maximum grip strength fatigability assessments and analyzed for concentration related effects.
|
2 days
|
|
Effect of CK-2017357 on patient determined global functional assessment
Tidsram: 2 days
|
Patients will be asked to assess whether they feel the same, better or worse as compared to how they felt pre-dose
|
2 days
|
|
Effect of CK-2017357 on investigator determined global functional assessment
Tidsram: 2 days
|
Investigator will assess whether they the patient appears the same, better or worse as compared to the patient's status at pre-dose
|
2 days
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Utredare
- Studiestol: Jeremy M Shefner, MD, PhD, State University of New York - Upstate Medical University
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 mars 2010
Primärt slutförande (Faktisk)
1 november 2010
Avslutad studie (Faktisk)
1 november 2010
Studieregistreringsdatum
Först inskickad
16 mars 2010
Först inskickad som uppfyllde QC-kriterierna
17 mars 2010
Första postat (Uppskatta)
18 mars 2010
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
10 maj 2019
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
7 maj 2019
Senast verifierad
1 maj 2019
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- CY 4021
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