A Study to Evaluate MAR002 for Acromegaly
A Phase 2, Multicenter, Randomized, Double-Blind, Placebo- Controlled, Multiple-Dose Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of MAR002 in Participants With Acromegaly (TROUGH-2)
研究概览
详细说明
MAR-202 is a randomized, multicenter, double-blind, placebo-controlled dose-range finding study.
After screening, participants who meet all eligibility criteria will be randomized to 1 of 3 active MAR002 regimens or matching placebo in a 3:1 ratio for a 10-week Treatment Period. During the Treatment Period, study drug (MAR002 or matching placebo) will be administered at study visits every 2 weeks (Q2W; Days 1, 15, 29, 43, and 57) followed then by a Follow-up Period before the End of Study (EOS) Visit on Week 16.
This study will aim to enroll a total of approximately 72 participants with acromegaly across 3 groups (Group 1: "untreated"; Group 2: "controlled on medical therapy"; Group 3: "uncontrolled on medical therapy").
研究类型
注册 (估计的)
阶段
- 阶段2
联系人和位置
学习地点
-
-
Arizona
-
Phoenix、Arizona、美国、85013
- 招聘中
- St. Joseph's Hospital and Medical Center
-
接触:
- Mary Thornton
- 电话号码:6024062768
- 邮箱:mary.thornton@commonspirit.org
-
首席研究员:
- Kevin Yuen
-
-
Ohio
-
Columbus、Ohio、美国、43201
- 招聘中
- Endocrinology Associates, Inc
-
首席研究员:
- Elena Christofides
-
接触:
- Camila Caudy
- 电话号码:6143546215
- 邮箱:camila@endocrinology-associates.com
-
-
Texas
-
San Antonio、Texas、美国、78258
- 招聘中
- Consano Clinical Research
-
首席研究员:
- Daniel Katselnik
-
接触:
- Marissa Flores
- 电话号码:2105454900
- 邮箱:Marissa@consanosa.com
-
-
参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
Inclusion Criteria:
- Willing to provide written informed consent and comply with study procedures as specified in this protocol and comply with study treatment.
- Age 18 to 75 years (inclusive) at screening with active acromegaly confirmed by an endocrinologist specialized in the care of pituitary patients. At a minimum, there must be documentation of a pituitary tumor (e.g., imaging evidence of a pituitary tumor by magnetic resonance imaging [MRI]/computerized tomography [CT] or histopathologic evidence of pituitary adenoma following pituitary surgery) and an elevated IGF-1 in the past.
- Participants receiving acromegaly medical therapy at screening (i.e., Group 2 and Group 3) may be enrolled if the regimen is considered stable by the Investigator and must agree to wash out acromegaly treatment, if applicable per protocol.
- Average serum IGF-1 level of ≥ 1.3 × ULN defined as the mean of 2 measurements obtained ≥ 1 week apart during Screening.
- Participants with hypothyroidism and adrenal insufficiency should have these hormone axes adequately replaced as judged by the Investigator.
- Weight ≥ 50 kg at screening.
Exclusion Criteria:
- History of hypersensitivity to monoclonal antibodies.
- Participation in any other investigational drug study and received the last dose of investigational drug within 60 days or 5 half-lives (whichever is longer) of SV1.
- History of severe allergic or anaphylactic reactions.
- History of malignancy within 5 years prior to screening other than successfully treated basal or squamous cell carcinoma or localized cervical carcinoma. Any carcinoma in situ is allowed if appropriately treated within 2 years prior to screening. Subjects with a history of malignancy ≥ 5 years prior to screening should be considered cured of their oncological disease.
- Pituitary surgery in the past 6 months prior to screening or any prior use of pituitary radiation therapy.
- Pituitary adenoma with concern for mass effect on the optic chiasm or other critical structures within the study period as per judgment of the Investigator.
- Poorly controlled diabetes mellitus, defined as having a hemoglobin A1c (HbA1c) ≥ 9.0%.
- Severe renal insufficiency (estimated glomerular filtration rate [eGFR by Chronic Kidney Disease Epidemiology Collaboration] < 30 mL/min/1.73 m2) or significant liver disease (including cirrhosis) prior to randomization.
- History or evidence of any of the following within the previous 12 months: myocardial infarction, cardiac surgery revascularization (coronary artery bypass grafting or percutaneous transluminal coronary angioplasty), hospitalization for heart failure, or stroke or transient ischemic attack.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:三倍
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的:MAR002 Dose 1
Subcutaneous injection
|
Subcutaneous injection
|
|
实验性的:MAR002 Dose 2
Subcutaneous injection
|
Subcutaneous injection
|
|
实验性的:MAR002 Dose 3
Subcutaneous injection
|
Subcutaneous injection
|
|
安慰剂比较:Matched Placebo
Subcutaneous Placebo
|
皮下注射
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Number of participants with TEAEs (treatment-emergent adverse events), SAEs (serious adverse events), and other laboratory endpoints
大体时间:Baseline to Week 16
|
To assess the safety and tolerability of multiple subcutaneous (SC) dose administrations of MAR002 in participants with acromegaly
|
Baseline to Week 16
|
|
Percent change from baseline in serum insulin-like growth factor 1 (IGF-1) levels as an average of Week 8 and Week 10
大体时间:Baseline to Week 10
|
To assess the effect of MAR002 on serum insulin-like growth factor 1 (IGF-1) levels in participants with acromegaly
|
Baseline to Week 10
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Change from baseline in ring size
大体时间:Baseline to Week 10
|
To explore the effects of MAR002 on acromegaly symptoms
|
Baseline to Week 10
|
|
Change from baseline in acromegaly symptoms as measured by the Acromegaly Quality of Life (AcroQoL)
大体时间:Baseline to Week 10
|
To explore the effects of MAR002 on acromegaly symptoms
|
Baseline to Week 10
|
|
Change from baseline in acromegaly symptoms as measured by Investigator assessment
大体时间:Baseline to Week 10
|
To explore the effects of MAR002 on acromegaly symptoms
|
Baseline to Week 10
|
|
Change from baseline in acromegaly symptoms as measured by the Acromegaly Symptom Diary (ASD)
大体时间:Baseline to Week 10
|
To explore the effects of MAR002 on acromegaly symptoms
|
Baseline to Week 10
|
合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.