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Clinical Trials/EUCTR2017-004972-74-AT
EUCTR2017-004972-74-ATActive, not recruitingPhase 1

An Open-label, Ascending Multiple dose Study to Evaluate Safety,Tolerability, Pharmacokinetics, and Pharmacodynamics of Romosozumab in Children and Adolescents With Osteogenesis Imperfecta

Amgen Inc.0 sites24 target enrollmentStarted: March 24, 2022Last updated:

Trial Snapshot

Phase
Phase 1
Status
Active, not recruiting
Sponsor
Enrollment
24

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional clinical trial of medicinal product

Eligibility Criteria

Sex
All

Inclusion Criteria

  • Subject's legally acceptable representative has provided informed
  • consent and the subject has provided written assent based on local
  • regulations and/or guidelines prior to initiation of any study-specific
  • activities/procedures
  • Ambulatory male or female children 5 to less than 12 years of age
  • (cohorts 2,4, and 6) or adolescents 12 to less than 18 years of age
  • (cohorts 1, 3 and 5) upon entry into screening
  • Clinical diagnosis of OI defined as a clinical history consistent with type
  • I-IV OI as determined by presence of expected phenotype (eg, facial
  • shape, voice, blue sclera, dentinogenesis imperfecta, typical radiographic
  • features, fracture pattern) and lack of additional features unrelated to
  • type I-IV OI (eg, blindness, mental retardation, neuropathy,
  • craniosynostosis, premature exfoliation of deciduous teeth)
  • If familial, also must be autosomal dominant
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) no
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

Exclusion Criteria

  • History of an electrophoresis pattern inconsistent with type I to type IV
  • History of known mutation in a gene other than type I collagen
  • alpha 1/type I collagen alpha 2 (COL1AI/COL1A2) causing OI or other
  • metabolic bone disease
  • History of congenital dislocation of the radial head, interosseous
  • membrane calcification, or exuberant callus formation
  • History of osteomalacia or rickets
  • Body weight less than 10 kg or greater than 90 kg
  • History of other bone diseases that affect bone metabolism (eg,
  • osteoporosis pseudoglioma syndrome, idiopathic juvenile osteoporosis,
  • osteopetrosis, hypophosphatasia)
  • History of Kawasaki disease, rheumatic myocarditis, ischemic
  • cardiomyopathy, inherited cardiomyopathies, valvular heart disease,
  • nephrotic syndrome, familial hypercholesterolemia, stroke, or any
  • thromboembolic disorder
  • Evidence of untreated or unhealed oral cavities or oral infections
  • Unhealed or planned invasive dental or tooth procedure; removal of baby
  • teeth is acceptable and not considered an invasive dental procedure
  • Unhealed fracture as defined by orthopedic opinion
  • Osteotomy, rodding surgery or spinal fusion surgery within 5 months
  • prior to screening, or not yet healed per orthopedic surgeon
  • Any planned major surgery, including skeletal surgery (eg, rodding
  • surgery, spinal surgery) within the next 6 months from day 1 that would
  • interfere with study procedures or would require missing of any IP
  • Symptoms associated with skull abnormalities such as basilar
  • invagination, basilar impression or Chiari malformation (headache
  • induced by coughing or straining for stool, or parasthesia or weakness)
  • History of malabsorption (in children with serum albumin < lower limit
  • normal [LLN]), malabsorption should be clinically ruled out by the
  • investigator to confirm eligibility)
  • History of long QT syndrome
  • History of malignancy
  • History of any solid organ or bone marrow transplant
  • Positive blood screen for hepatitis B surface antigen (HbsAg), hepatitis B
  • core antibody (HBcAb), or hepatitis C antibody (HepCAb), human
  • immunodeficiency virus (HIV) -1 or -2 antibody
  • History of hyper- or hypothyroidism, unless subject is on stable therapy
  • > 6 months and has supporting laboratory documentation within 6
  • months prior to or at screening indicating normal serum thyroidstimulating
  • hormone [TSH] value
  • Evidence of any of the following:
  • Current hyper- or hypoparathyroidism (parathyroid hormone outside the
  • normal range)
  • Renal disease: Estimated glomerular filtration rate (eGFR) < 60
  • mL/min/1.73 m2 (calculated by the bedside Schwartz equation at
  • eGFR (mL/min/1.73 m2)= 0.413 X (height/serum creatinine)
  • (Height is in centimeters, and serum creatinine is in mg/dL)
  • Current hypocalcemia (albumin-adjusted serum calcium < LLN of the
  • laboratory's reference range) or hypercalcemia (albumin-adjusted serum
  • calcium > ULN of the laboratory's reference range) at the time of
  • +12 more not shown

Investigators

Sponsor
Amgen Inc.

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