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An Extension Study of Belcesiran in Patients With Alpha-1 Antitrypsin Deficiency Associated Liver Disease (AATLD)

Phase 2
Withdrawn
Conditions
Alpha 1-Antitrypsin Deficiency
Interventions
Registration Number
NCT05146882
Lead Sponsor
Dicerna Pharmaceuticals, Inc., a Novo Nordisk company
Brief Summary

This is a Phase 2, multicenter, open-label extension of Study DCR-A1AT-201, designed to evaluate the long-term safety and further characterize the pharmacodynamics (PD) of belcesiran in adult patients with PiZZ AATLD.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  1. Must be 18 to 75 years of age inclusive, at the time of signing the Informed Consent Form (ICF).
  2. Documented diagnosis of PiZZ-type Alpha-1 Antitrypsin deficiency (AATD), confirmed by genotyping.
  3. Lung, renal and liver function within acceptable limits.
  4. Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.
Exclusion Criteria
  1. Any condition that, in the opinion of the Investigator, would make the participant unsuitable for enrollment or could interfere with participation in or completion of the study
  2. Routine use of acetaminophen/paracetamol
  3. Use of systemically acting steroids in the month prior to Screening and throughout the study period.
  4. Positive SARS-CoV-2 virus test at Screening
  5. Any other safety laboratory test result considered clinically significant and unacceptable by the Investigator
  6. Inability or unwillingness to comply with the specified study procedures, including lifestyle considerations

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
belcesiranBelcesiranParticipants who completed the DCR-A1AT-201 treatment period will receive open-label belcesiran administered subcutaneously
Primary Outcome Measures
NameTimeMethod
The change from baseline in pulmonary function tests (PFTs)up to 152 weeks

Forced expiratory volume in 1 second (FEV1)

The change from baseline in physical examination (PE) findingsup to 56 weeks

body weight

The change from baseline in clinical laboratory tests: Clinical Chemistryup to 152 weeks

Clinical Chemistry is collected to evaluate the long-term safety of belcesiran

The change from baseline in PFTsup to 152 weeks

diffusing capacity for carbon monoxide (DLCO)

The incidence of treatment-emergent adverse eventsup to 152 weeks
The change from baseline in 12-lead electrocardiogram (ECG)up to 56 weeks

heart rate

The change from baseline in ECGup to 56 weeks

ventricular rate

The change from baseline in 12-lead ECGup to 56 weeks

corrected QT interval (QTcF, Fridericia correction)

The change from baseline in PE findingsup to 56 weeks

physical examination to assess skin, lungs, cardiovascular system, and abdomen (liver and spleen) based on the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE; version 5.0) grading scale

The change from baseline in clinical laboratory tests: Hematologyup to 152 weeks

Hematology is collected to evaluate the long-term safety of belcesiran

The change from baseline in clinical laboratory tests: Coagulationup to 152 weeks

Coagulation is collected to evaluate the long-term safety of belcesiran

The change from baseline in vital sign measurementsup to 56 weeks

oral temperature

The change from baseline in clinical laboratory tests: Urinalysisup to 152 weeks

Urinalysis is collected to evaluate the long-term safety of belcesiran

Secondary Outcome Measures
NameTimeMethod
Changes in serum AAT protein concentrations over timeup to 152 weeks

Trial Locations

Locations (1)

Auckland Clinical Studies

🇳🇿

Grafton, Auckland, New Zealand

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