NL-OMON52925已完成2 期
A Phase IIb open-label, multi-centre, extension study to explore the long-term safety and efficacy of KH176 in subjects with a genetically confirmed mitochondrial DNA tRNALeu(UUR) m.3243A>G mutation who have completed the KHENERGYZE study KH176-202. - KHENEREXT
Khondrion B.V.0 个研究点目标入组 9 人开始时间: 待定最近更新:
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- 入组人数
- 9
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- 18 至 99(—)
入选标准
- •1. Males and females aged 18 years or older at screening.
- •2. Ability and willingness to provide written Informed Consent prior to
- •screening evaluations.
- •3. Having fulfilled all inclusion and exclusion criteria and completed the full
- •treatment period of study KH176-202.
- •4. Disease appropriate physical and mental health as established at Screening
- •by medical history, physical examination, ECG and vital signs recording, and
- •results of clinical chemistry and haematology testing as judged by the
- •investigator.
- •5. Objectified Left Ventricular Ejection Fraction (LVEF) >=45%
- •(echocardiography, or otherwise).
- •6. Left Ventricular (LV) wall thickness <=15 mm.
- •7. Left atrium dilatation <= 40 mL/m2. Note: No need to test LV parameters
- •(criteria #5, #6, #7) if favourable echocardiography (or otherwise) results
- •dated less than 13 months prior to Screening are available.
- •8.Women of childbearing potential must be willing to use highly effective
- •contraceptive methods during the entire study, i.e. combined (estrogen and
- •progestogen containing) oral, intravaginal or transdermal hormonal
- •contraception associated with inhibition of ovulation; oral, injectable or
- •implantable progestogen-only hormonal contraception associated with inhibition
- •of ovulation; use of an intrauterine device; an intrauterine hormone releasing
- •system, bilateral tubal occlusion and vasectomy of the partner. Any hormonal
- •contraception method must be supplemented with a barrier method (preferably
- •male condom). Vasectomised partner is considered a highly effective birth
- •control method provided that partner is the sole sexual partner of the subject
- •and that the vasectomised partner has received medical assessment of the
- •surgical success.
- •Sexual abstinence is considered a highly effective method only if defined as
- •refraining from heterosexual intercourse during the entire period of risk
- •associated with the study treatments. Reliability of sexual abstinence needs to
- •be evaluated in relation to the duration of the clinical trial and the
- •preferred and usual lifestyle of the subject. Periodic abstinence (e.g.,
- •calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are
- •not acceptable methods of contraception.
- •Note 1: Natural family planning methods, female condom, cervical cap or
- •diaphragm are not considered adequate contraceptive methods in the context of
- •this study.
- •Note 2: To be considered not of childbearing potential, potential female
- •subjects must be post-menopausal for at least two years, or have been
- •surgically sterilised (bilateral tubal ligation, hysterectomy or bilateral
- •oophorectomy) for at least 6 months prior to Screening.
- •Note 3: Sonlicromanol has been shown non-genotoxic judged from the Ames test,
- •Chromosomal Aberration test and in vivo Micronucleus test. Moreover,
- •appreciable systemic exposure from the exposure to (~2.5 mL) semen is extremely
- •unlikely. However, until reproductive toxicology studies have confirmed that
- •sonlicromanol does not adversely affect normal reproduction in adult males and
- •females, as well as causing developmental toxicity in the offspring, the
- •following contraceptive precautions must be adhered to:
- •male subjects with female partners of childbearing potential must be willing
- •to use condoms during the entire study.
- 另有 1 项未显示
排除标准
- •1. Surgery of gastro-intestinal tract that might interfere with absorption.
- •2. Treatment with an investigational product (except sonlicromanol) within 3
- •months or 5 times the half-life of the investigational product (whichever is
- •longer) prior to the first dose of the study medication.
- •3. Documented history of ventricular tachycardia (HR>110 beats/min), PVC burden
- •>=5% or daytime Mobitz II AV block on any of the Holter assessments in the
- •KH176-202 study or in the medical history.
- •4. History of acute heart failure, (family) history of unexplained syncope or
- •congenital long and short QT syndrome or sudden death.
- •5. Clinically relevant abnormal laboratory, vital signs or physical or mental
- •a) Aspartate aminotransferase (ASAT) or alanine aminotransferase (ALAT) > 3 x
- •upper limit of normal (ULN), or bilirubin > 3 x ULN at screening. If a patient
- •has ASAT or ALAT > 3 x ULN but < 3.5 x ULN, re-assessment is allowed at the
- •investigator*s discretion.
- •b) Estimated glomerular filtration rate <= 60 mL/min according to the CKD-EPI
- •formula at screening.
- •c) Systolic blood pressure > 150 mmHg at screening or baseline.
- •d) All other clinically relevant parameters at screening or baseline as judged
- •by the Investigator.
- •6. Clinically relevant abnormal ECG or cardiac functioning, defined as
- •ST-segment elevation > 1 mm in I, II, III, aVL, aVF, V3, V4, V5, V6; > 2 mm in
- •V1, V2; Mean QTc of triplicate ECG recording > 450 ms for male subjects; mean
- •QTc of triplicate ECG recording > 470 ms for female subjects (Diagram-read),
- •T-top inversion in >1 consecutive lead.
- •7. Serum hyperkalemia (> 5.0 mEq/L).
- •8. Serum hypokalemia (< 3.5 mEq/L).
- •9. History of ischemic heart disease.
- •10. Symptomatic heart failure.
- •11. Clinically relevant aorta and/or mitralis valvular defect as judged by the
- •investigator.
- •12. Pregnancy or breast feeding (females).
- •13. History of hypersensitivity or idiosyncrasy to any of the components of the
- •investigational drug.
- •14. Medical history of drug abuse (illegal drugs such as cannabinoids,
- •amphetamines, cocaine, opiates or problematic use of prescription drugs such as
- •benzodiazepines, opiates).
- •15. The use of any of the following medication and/or supplements within 4
- •weeks or 5 times the half-life (whichever is longer) prior to the first dosing
- •of the study medication:
- •a. (multi)vitamins, co-enzyme Q10, Vitamin E, riboflavin, and antioxidant
- •supplements (including, but not limited to idebenone/EPI-743, mitoQ or
- •alternative names for similar products); unless stable for at least one month
- •before first dosing and remaining stable throughout the study.
- •b. any medication negatively influencing mitochondrial functioning (including
- •but not limited to valproic acid, glitazones, statins, anti-virals, amiodarone,
- •and non-steroidal anti-inflammatory drugs (NSAIDs)), unless stable for at least
- •one month before first dosing and remaining stable throughout the study.
- •Note: thus, mitoQ and any medication negatively influencing mitochondrial
- •functioning are allowed as long as the dose has been stable for at least one
- •month prior to first dosing and remains stable throughout the study.
- 另有 3 项未显示
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