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临床试验/EUCTR2014-005413-23-ES
EUCTR2014-005413-23-ES进行中(未招募)1 期

A Phase 3, Multi-National, Double-Blind, Randomized, Placebo-Controlled, Stratified, Parallel Group, Study to Evaluate the Safety, Tolerability and Efficacy of Tirasemtiv in Patients with Amyotrophic Lateral Sclerosis (ALS)

Cytokinetics, Inc.0 个研究点目标入组 445 人开始时间: 2015年12月10日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
445

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Able to comprehend and willing to sign an Informed Consent Form (ICF)
  • 2. Male or female 18 years of age or older
  • 3. A diagnosis of familial or sporadic ALS (defined as meeting the possible, laboratory-supported probable, probable, or definite criteria for a diagnosis of ALS according to the World Federation of Neurology El Escorial criteria) 4. Upright SVC >/=70 % of predicted for age, height and sex
  • 5. Able to swallow tablets without crushing, and in the opinion of the Investigator, is expected to continue to be able to do so during the trial
  • 6. A caregiver if one is needed
  • 7. Clinical laboratory findings within the normal range or, if outside the normal range, deemed not clinically significant by the Investigator
  • 8. Male patients must agree for the duration of the study and 10 weeks after the end of the study to use a condom during sexual intercourse with female partners who are of reproductive potential and to have female partners use an additional effective means of contraception (e.g., diaphragm plus spermicide, or oral contraceptives) or the male patient must agree to abstain from sexual intercourse during and for 10 weeks after the end of the study
  • 9. Female patients must be post-menopausal (>/= 1 year) or sterilized, or, if of childbearing potential, not be breastfeeding, have a negative pregnancy test, have no intention to become pregnant during the course of the study, and use contraceptive drugs or devices as detailed in item 8 for the duration of the study and for 10 weeks after the end of the study
  • 10. Patients must be either on a stable dose of riluzole 50 mg twice daily for at least 30 days prior to screening or have not taken riluzole for at least 30 days prior to screening and are willing not to begin riluzole use until they complete study drug dosing
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 320
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 125

排除标准

  • 1. At the time of screening, any use of non-invasive positive pressure ventilation (NIPPV, e.g. continuous positive airway pressure [CPAP] or bi-level positive airway pressure [BiPAP]) for any portion of the day, or mechanical ventilation via tracheostomy, or on any form of oxygen supplementation
  • 2. Patients with a diaphragm pacing system (DPS) at study entry or who anticipate DPS placement during the course of the study
  • 3. BMI of 20.0 kg/m2 or lower
  • 4. Unwilling or unable to discontinue tizanidine and theophylline-containing medications during study participation
  • 5. Serum chloride outside the normal reference range
  • 6. Neurological impairment due to a condition other than ALS, including history of transient ischemic attack within the past year
  • 7. Presence at screening of any medically significant cardiac, pulmonary, GI, musculoskeletal, or psychiatric illness that might interfere with the patient´s ability to comply with study procedures or that might confound the interpretation of clinical safety or efficacy data, including, but not limited to:
  • a. Poorly controlled hypertension
  • b. NYHA Class II or greater congestive heart failure
  • c. Chronic obstructive pulmonary disease or asthma requiring daily use bronchodilator medications
  • d. GI disorder that might impair absorption of study drug
  • e. History of significant liver disease defined by bilirubin > 2 times the upper limit of normal (ULN) or ALT or AST > 3 times the ULN on repeat testing
  • f. Poorly controlled diabetes mellitus
  • g. History of vertigo within three months of study entry
  • h. History of syncope without an explainable or treated cause
  • i. History of untreated intracranial aneurysm or poorly controlled seizure disorder
  • j. Amputation of a limb
  • k. Cognitive impairment, related to ALS or otherwise, sufficient to impair the patient´s ability to give informed consent and to understand and/or comply with study procedures
  • l. Cancer with metastatic potential (other than basal cell carcinoma, carcinoma in situ of the cervix, or squamous cell carcinoma of the skin excised with clean margins) diagnosed and treated within the last two years
  • m. Any other condition, impairment or social circumstance that, in the opinion of the Investigator, would render the patient not suitable to participate in the study
  • n. Patient judged to be actively suicidal or a suicide risk by the Investigator
  • 8. Has taken any investigational study drug within 30 days or five half-lives of the prior agent, whichever is greater, prior to dosing
  • 9. Prior participation in any form of stem cell therapy for the treatment of ALS
  • 10. Previously received tirasemtiv in any previous clinical trial

研究者

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