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A Phase 1/2a Study of Oral PRO-1562 in Healthy Subjects and Patients With Relapsing Multiple Sclerosis

11 september 2026 uppdaterad av: Progentos Therapeutics

A Randomized, Double-Blind, Placebo-Controlled Phase 1/2a Trial of PRO-1562 in Healthy Adults and Adults With Multiple Sclerosis and Chronic Optic Neuropathy

Phase 1 will test single oral doses of PRO-1562 in healthy adult subjects to characterize the safety and the amount of drug that is absorbed into the body. Some subjects will have lumbar punctures performed to measure the amount of drug that crosses the blood-brain barrier since that is the site of drug activity.

Phase 2a will be a 6-month trial to test the ability of once monthly dosing of PRO-1562 to promote remyelination of the CNS and provide clinical benefit to adult patients with relapsing multiple sclerosis (RMS) who also have long-term vision problems diagnosed as chronic optic neuropathy. The benefits of remyelination will be measured using tests of visual acuity, speed of optic nerve conduction signals, and clinical assessments of cognitive and motor function. PRO-1562 will be added on to a stable regimen of MS disease modifying therapy.

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Detaljerad beskrivning

Phase 1 is a randomized, double-blind, placebo-controlled, single-ascending dose (SAD) trial of PRO-1562 in healthy adult participants at a single clinical research unit to characterize the safety and pharmacokinetics of a range of oral doses of PRO-1562. Phase 2a is a randomized, double-blind, placebo-controlled, multi-center, 6-month trial of PRO-1562 in adult patients with relapsing multiple sclerosis who also have chronic optic neuropathy. Patients will remain on their stable regimen of an approved MS disease modifying therapy during the trial. Oral PRO-1562 or placebo will be dosed once a month at scheduled clinic visits. Participants will be given the option to continue on their assigned study treatment after completing the 6-month treatment period until the last patient completes the 6-month treatment period.

Studietyp

Interventionell

Inskrivning (Beräknad)

160

Fas

  • Fas 2
  • Fas 1

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studieorter

    • South Australia
      • Adelaide, South Australia, Australien, 5000
        • CMAX Clinical Research
        • Kontakt:

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

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Ja

Beskrivning

Phase 1 Inclusion Criteria:

  1. Able and willing to provide written informed consent
  2. Body weight ≥ 48 kg (105.6 lbs) and body mass index (BMI) ≥ 18.5 and ≤ 30 kg/m2
  3. Must be in good health and without clinically significant abnormalities by review of medical and surgical history, physical examination, vital signs measurement, and 12-lead ECG
  4. No clinically-significant laboratory abnormalities
  5. Willing and able to use highly-effective forms of contraception for at least 30 days after the end of study visit.

Phase 1 Exclusion Criteria:

  1. Ongoing medical condition requiring systemic therapy.
  2. Ongoing infection
  3. mRNA or live vaccine during the past 60 days
  4. History of significant hypersensitivity, intolerance, or allergy to any drug/medication
  5. Participation in another clinical trial with an investigational agent within 30 days prior to Check-in or 5 half-lives (if known) of the investigational drug's PK, PD, or biological activity (if known), whichever is longer
  6. Positive alcohol breath test or urine screen for drugs of abuse.
  7. Use or intent to use natural products or nutritional/dietary supplements (including St. John's wort), vitamins, minerals, and phytotherapeutic /herbal/plant-derived preparations within or received within 14 days or 5 half-lives prior to Check-in, whichever is longer.
  8. Poor peripheral venous access.
  9. Receipt of blood products within 2 months prior to Check-in.
  10. Donation of blood or blood products during the 4 weeks prior to Check-in.
  11. Participants who in the opinion of the Principal Investigator (or designee), should not participate in this 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: Enskild gruppuppgift
  • Maskning: Fyrdubbla

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Phase 1, PRO-1562 Dose level 1
PRO-1562 oral capsule
Oral, CNS-penetrant small molecule designed to induce remyelination
Experimentell: Phase 1, PRO-1562 Dose level 2
PRO-1562 oral capsule
Oral, CNS-penetrant small molecule designed to induce remyelination
Experimentell: Phase 1, PRO-1562 Dose level 3
PRO-1562 oral capsule
Oral, CNS-penetrant small molecule designed to induce remyelination
Experimentell: Phase 1, PRO-1562 Dose level 4
PRO-1562 oral capsules
Oral, CNS-penetrant small molecule designed to induce remyelination
Experimentell: Phase 1, PRO-1562 Dose level 5
PRO-1562 oral capsule
Oral, CNS-penetrant small molecule designed to induce remyelination
Experimentell: Phase 1, PRO-1562 Dose level 6
PRO-1562 oral capsule
Oral, CNS-penetrant small molecule designed to induce remyelination
Placebo-jämförare: Phase 1, Placebo
Placebo oral capsule
Placebo filled capsules that look like the active intervention
Experimentell: Phase 2, PRO-1562 Oral Capsules Dose level 1
PRO-1562 low dose level selected from Phase 1 (oral capsule)
Oral, CNS-penetrant small molecule designed to induce remyelination
Experimentell: Phase 2, PRO-1562 Oral Capsules Dose level 2
PRO-1562 high dose level selected from Phase 1 (oral capsule)
Oral, CNS-penetrant small molecule designed to induce remyelination
Placebo-jämförare: Phase 2, Placebo
Placebo oral capsule
Placebo filled capsules that look like the active intervention

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Phase 1 Incidence of ≥Grade 2 treatment-emergent adverse events
Tidsram: From enrollment until 7 days post dose
Incidence of treatment-emergent adverse events including clinically significant laboratory abnormalities of ≥Grade 2 in healthy participants
From enrollment until 7 days post dose
Phase 2 Change from baseline P100 VEP latency
Tidsram: From enrollment until the end of 6 months of treatment
The change from baseline on visual evoked potential (VEP) in affected eye of RMS patients after 6 months of study treatment
From enrollment until the end of 6 months of treatment

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Area under the concentration-time curve of PRO-1562 (Phase 1)
Tidsram: From enrollment until 7 days post dose.
Concentration over time analysis to determine overall exposure to PRO-1562 by dose group
From enrollment until 7 days post dose.
Brain myelin content, change from baseline
Tidsram: From enrollment to the end of 6 months of treatment
MRI measurement of brain myelin content in multiple brain regions will be determined as baseline and after 6 months of treatment
From enrollment to the end of 6 months of treatment
Safety Phase 2 Incidence of ≥Grade 2 treatment-emergent adverse events
Tidsram: From enrollment until the end of 6-months of treatment
Incidence of treatment emergent adverse events including clinically significant laboratory abnormalities of ≥Grade 2 in RMS patients
From enrollment until the end of 6-months of treatment

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Utredare

  • Studiestol: Paul A Frohna, MD, PhD, PharmD, Progentos Therapeutics

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 (Beräknad)

1 oktober 2026

Primärt slutförande (Beräknad)

1 december 2028

Avslutad studie (Beräknad)

1 februari 2029

Studieregistreringsdatum

Först inskickad

8 september 2026

Först inskickad som uppfyllde QC-kriterierna

11 september 2026

Första postat (Faktisk)

17 september 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

17 september 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

11 september 2026

Senast verifierad

1 september 2026

Mer information

Termer relaterade till denna studie

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Nej

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