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临床试验/EUCTR2014-002392-28-DE
EUCTR2014-002392-28-DE进行中(未招募)1 期

Setmelanotide (RM-493) Treatment Trial in Patients with rare genetic disorders of obesity - RM-493-Supplementation-Therapy

Charité Univeritaetsmedizin Berlin0 个研究点目标入组 30 人开始时间: 2014年8月4日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
30

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

  • Written informed consent by the patients or the responsible relatives
  • Rare genetic disease populations in adults (=18 years):
  • o Homozygous or compound heterozygous (different gene mutation on both alleles) POMC, LEPR, MC4R or PCSK1 gene mutation
  • o Heterozygous POMC, MC4R mutations
  • o POMC hypermethylation (epigenetic) variant (>51.92 % POMC methylation intensity at the specific analysed POMC region)
  • o Bardet-Biedl Syndrome
  • o Alstrom’s Syndrome
  • Non-adult adolescent patients (= 12 years of age)
  • o Homozygous or compound heterozygous POMC, LEPR or MC4R gene mutations
  • o POMC hypermethylation (epigenetic) variant (> 35.79% POMC methylation intensity for individuals younger than 30 years at the specific analysed POMC region)
  • o As substantial efficacy is shown in adult patients within each rare genetic disorder, then adolescent patients (greater than or equal to 12 years of age) can enter the study.
  • Obesity (BMI > 30 kg/m2; + 2 BMI SDS)
  • No other therapeutic option, which might cure the patient (e.g. bariatric surgery (see chapter 8))
  • Negative Pregnancy test
  • Highly effective contraception in women (defined as pearl index < 1), if necessary also for partners of test persons)
  • No participation in other clinical trials according to AMG (2 months before and after) at the time of this trial
  • Normal or minimally elevated blood pressure (measured in 24RR monitoring or similar methods) according the guidelines of the ESH (European Society of Hypertension) and Deutsche Hochdruckliga: systolic > 159 mmHg/diastolic 99 mmHg
  • sufficient kidney and liver function (Creatinine, ALT, AST)
  • o normal values Alanin-Aminotransferase (ALT) (female): < 31 U/l
  • o normal values Alanin-Aminotransferase (ALT) (male): < 41 U/l
  • o normal values Aspartat-Aminotransferase (AST) (female > 17 years): < 35 U/l; (female < 17 years): 16-46 U/l
  • o normal values Aspartat-Aminotransferase (AST) (male > 17 years): < 50 U/l; (male < 17 years): 16-46 U/l
  • o normal values Bilirubine (male and female) up to 1,2 mg/dl
  • o normal values Creatinine (female > 15 years): 0,51-0,95 mg/dl) ; (female < 15 years): 0,46-0,77 mg/dl
  • o normal values Creatinine (male > 15 years): 0,67 – 1,17 mg/dl) ; (male < 15 years): 0,46-0,77 mg/dl
  • Are the trial subjects under 18? yes
  • 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 2
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Pregnancy or Breastfeeding
  • All contraindications against study medication (including auxiliary substances)
  • Interactions with study medication
  • Participation of the patient in a clincial study within the last 2 months
  • Intolerance against albumin
  • Concomitant diseases, impaired organ functions, except for known, concurrent GI disorders or other clinical findings expected in PCSK1 or LEPR or MC4R gene disorders
  • Renal insufficiency (Creatinine > 0.95 mg/dl (female), > 1.17 mg/dl (male))
  • Impaired liver function (Bilirubine > 1.2 mg/dl)
  • history of Neurological / psychiatric diseases
  • history of HIV Infection
  • history of Active Hepatitis B or C
  • Melanoma or Melanoma occurrence in the family history
  • Non-compliance
  • Subjects who are legally detained in an official institution
  • HIV Infection
  • Active Hepatitis B or C
  • Melanoma or Melanoma occurrence in the family history
  • Non-compliance
  • Subjects who are legally detained in an official institution

研究者

发起方
Charité Univeritaetsmedizin Berlin

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