An Extension Study of Belcesiran in Patients With Alpha-1 Antitrypsin Deficiency Associated Liver Disease (AATLD)
- 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- WITHDRAWN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
- Must be 18 to 75 years of age inclusive, at the time of signing the Informed Consent Form (ICF).
- Documented diagnosis of PiZZ-type Alpha-1 Antitrypsin deficiency (AATD), confirmed by genotyping.
- Lung, renal and liver function within acceptable limits.
- Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.
- 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
- Routine use of acetaminophen/paracetamol
- Use of systemically acting steroids in the month prior to Screening and throughout the study period.
- Positive SARS-CoV-2 virus test at Screening
- Any other safety laboratory test result considered clinically significant and unacceptable by the Investigator
- Inability or unwillingness to comply with the specified study procedures, including lifestyle considerations
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
- Group - Intervention - Description - belcesiran - Belcesiran - Participants who completed the DCR-A1AT-201 treatment period will receive open-label belcesiran administered subcutaneously 
- Primary Outcome Measures
- Name - Time - Method - The change from baseline in physical examination (PE) findings - up to 56 weeks - body weight - The change from baseline in clinical laboratory tests: Clinical Chemistry - up to 152 weeks - Clinical Chemistry is collected to evaluate the long-term safety of belcesiran - The incidence of treatment-emergent adverse events - up to 152 weeks - The change from baseline in 12-lead electrocardiogram (ECG) - up to 56 weeks - heart rate - The change from baseline in ECG - up to 56 weeks - ventricular rate - The change from baseline in 12-lead ECG - up to 56 weeks - corrected QT interval (QTcF, Fridericia correction) - The change from baseline in PE findings - up 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: Hematology - up to 152 weeks - Hematology is collected to evaluate the long-term safety of belcesiran - The change from baseline in clinical laboratory tests: Coagulation - up to 152 weeks - Coagulation is collected to evaluate the long-term safety of belcesiran - The change from baseline in vital sign measurements - up to 56 weeks - oral temperature - The change from baseline in clinical laboratory tests: Urinalysis - up to 152 weeks - Urinalysis is collected to evaluate the long-term safety of belcesiran - 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 PFTs - up to 152 weeks - diffusing capacity for carbon monoxide (DLCO) 
- Secondary Outcome Measures
- Name - Time - Method - Changes in serum AAT protein concentrations over time - up to 152 weeks 
Trial Locations
- Locations (1)
- Auckland Clinical Studies 🇳🇿- Grafton, Auckland, New Zealand Auckland Clinical Studies🇳🇿Grafton, Auckland, New Zealand
