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临床试验/NCT04931862
NCT04931862终止1 期

A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase 1b/2a Study of WVE-004 Administered Intrathecally to Patients With C9orf72-associated Amyotrophic Lateral Sclerosis (ALS) or Frontotemporal Dementia (FTD)

Wave Life Sciences Ltd.17 个研究点 分布在 8 个国家目标入组 35 人开始时间: 2021年6月28日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
终止
入组人数
35
试验地点
17
主要终点
Safety: Proportion of patients with adverse events (AEs)

研究概览

简要总结

This is a Phase 1b/2a multicenter, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, PK, and PD of intrathecal (IT) WVE-004 in adult patients with C9orf72-associated ALS or FTD. To participate in the study, patients must have a documented mutation (GGGGCC [G4C2] repeat expansion) in the first intronic region of the C9orf72 gene and be diagnosed with ALS or FTD.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • ALS-specific: Diagnosis of ALS based on clinical manifestations.
  • ALS-specific: Clinically diagnosed possible, laboratory supported probable, probable, or definite criteria for diagnosing ALS according to the World Federation of Neurology revised El Escorial criteria.
  • ALS-specific: Patients receiving riluzole have been on a stable dose for a minimum of 30 days.
  • ALS-specific: Patients on edaravone have received a minimum of 1 cycle (28 days).
  • ALS-specific: Patients discontinuing riluzole or edaravone had the last dose administered ≥1 month prior to Screening.
  • FTD-specific: Must have Global Clinical Dementia Rating - Frontotemporal Lobar Degeneration (CDR® plus NACC FTLD) score of 0.5 or
  • FTD-specific: Able to undergo periodic magnetic resonance imaging (MRI) of the brain. Participants with mixed phenotype (ALS and FTD) need not undergo MRI if their ALS symptoms prevent it.
  • Mixed-phenotype: Patients who are mixed phenotype (ALS and FTD) must meet both the ALS-specific and FTD-specific criteria.

排除标准

  • Clinically significant medical finding on the physical examination other than C9orf72-associated ALS or FTD that, in the judgment of the Investigator, will make the patient unsuitable for participation in, and/or completion of the trial procedures
  • Received any other investigational drug, biological agent, or device within 1 month or 5 half-lives of study agent, whichever is longer. Received an investigational oligonucleotide, within the past 6 months or 5 half-lives of the drug, whichever is longer.

研究组 & 干预措施

WVE-004 (Dose C) or placebo

Experimental

干预措施: WVE-004 (Drug)

WVE-004 (Dose C) or placebo

Experimental

干预措施: Placebo (Drug)

WVE-004 (Dose A) or placebo

Experimental

干预措施: WVE-004 (Drug)

WVE-004 (Dose A) or placebo

Experimental

干预措施: Placebo (Drug)

WVE-004 (Dose B) or placebo

Experimental

干预措施: WVE-004 (Drug)

WVE-004 (Dose B) or placebo

Experimental

干预措施: Placebo (Drug)

WVE-004 (Dose D) or placebo

Experimental

干预措施: WVE-004 (Drug)

WVE-004 (Dose D) or placebo

Experimental

干预措施: Placebo (Drug)

结局指标

主要结局

Safety: Proportion of patients with adverse events (AEs)

时间窗: Period 1 Day 1 to Period 2 Week 24 (end of study)

次要结局

  • Pharmacodynamic: Change from baseline in concentration of poly-GP levels in the CSF(Period 1 Day 1 to Period 2 Week 24 (end of study))
  • Pharmacokinetic: Concentration of WVE-004 in cerebrospinal fluid (CSF)(Period 1 Day 1 to Period 2 Week 24 (end of study))

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (17)

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