EUCTR2022-001991-32-AT进行中(未招募)1 期
A PHASE II, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, DOSE-FINDING STUDY TO EVALUATE THE SAFETY, BIOMARKERS, AND EFFICACY OF TOMINERSEN IN INDIVIDUALS WITH PRODROMAL AND EARLY MANIFEST HUNTINGTON’S DISEASE
适应症
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
- 入组人数
- 300
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
- 性别
- All
入选标准
- •- Age 25-50 years
- •- Huntington’s disease (HD) gene expansion mutation carrier status
- •- Eighter:
- •-Prodromal HD or Early manifest HD
- •- Estimated glomerular filtration rate >= 60 mL/min/1.73 m2 in at least one out of two maximum screening samples
- •- Total body weight > 40 kg and a body mass index within the range of 18-32 kg/m2
- •- Ability to read the words red, blue, and greenand be fluent in the language of the Informed Consent and the tests used at the study site
- •- Ability to walk unassisted without a cane or walker and move about without a wheelchair on a daily basis as determined at screening and baseline visit (Day 1)
- •- Ability to undergo and tolerate MRI scans
- •- Ability to tolerate blood draws and lumbar punctures (LPs)
- •- Stable medical, psychiatric, and neurologic status as assessed by physician for at least 12 weeks prior to screening and at the time of enrollment
- •- Negative hepatitis B surface antigen test at screening
- •- Negative hepatitis C virus (HCV) antibody test at screening, or a positive HCV antibody test followed by a negative HCV ribonucleic acid (RNA) test at screening
- •- For female participants of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraception and agree to refrain from donating eggs during the treatment period and for 5 months after the final dose of the study drug. Female participants must refrain from donating eggs during this same period
- •- For male participants: agreement to remain abstinent (refrain from heterosexual intercourse) or use a condom and agree to refrain from donating sperm during the treatment period and for 5 months after the final dose of the study drug to avoid exposing the embryo. Male participants must refrain from donating sperm during this same period
- •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 300
- •F.1.3 Elderly (>=65 years) no
- •F.1.3.1 Number of subjects for this age range
排除标准
- •- History of attempted suicide or suicidal ideation with plan that required hospital visit and/or change in level of care within 12 months prior to screening
- •- Active psychosis, confusional state, or violent behavior, including aggression that could cause harm to self or others, over the 12 weeks prior to screening
- •- Clinical diagnosis of chronic migraines as per the International Headache Society Classification of Headache Disorders
- •- Pregnancy or breastfeeding, or intention of becoming pregnant during the study or within 5 months after the final dose of study drug
- •- Presence of an implanted shunt for the drainage of CSF or an implanted central nervous system (CNS) catheter
- •- Hydrocephalus
- •- History of deep brain stimulation
- •- Known human immunodeficiency viruses (HIV) infection
- •- An infection requiring oral or intravenous antibiotics within 14 days prior to screening, during screening and prior to randomization
- •- Anti-retroviral medications, including anti-retroviral medication taken as prophylaxis within 12 months of study enrollment
- •- Current or previous use of an antisense oligonucleotide (ASO) or any huntingtin protein (HTT) lowering therapy
- •- Treatment with investigational therapy within 4 weeks or 5 drug-elimination half-lives, whichever is longer, prior to screening
- •- Current or previous history of a primary independent psychotic disorder
- •- Current use of anti-psychotics for motor symptoms or mood
- •stabilization and/or tetrabenazine, valbenazine, or deutetrabenazine at
- •a dose that has not been stable for at least 12 weeks prior to screening
- •or is anticipated to change during the study, including at screening
- •- Cholinesterase inhibitors, memantine, or riluzole use within 12 weeks
- •from initiation of study treatment
- •- Current use of amantadine, anti-depressant or benzodiazepine at a
- •dose that has not been stable for at least 12 weeks prior to screening or
- •is anticipated to change during the study, including at screening
- •- Current use of supplements used to treat HD symptoms, including in an
- •experimental setting, at a dose that has not been stable for at least 6
- •weeks prior to screening or is anticipated to change during the study,
- •including at screening
- •- Anti-platelet or anticoagulant therapy within 14 days prior to screening
- •- History of bleeding diathesis or coagulopathy
- •- Platelet count less than the lower limit of normal
- •- History of gene therapy, cell transplantation, or brain surgery
- •- Planned brain surgery during the study
- •- Concurrent or planned participation in any interventional clinical study,
- •including explicit pharmacological and non-pharmacological
- •interventions. Observational studies are acceptable; however, data
- •collection is not permitted between screening and baseline visits and
- •throughout the duration of the study
- •- Poor peripheral venous access
- •- Scoliosis or spinal deformity or surgery making intrathecal (IT)
- •injection not feasible in an outpatient setting and potentially interfering
- •with distribution of tominersen up the neuraxis
- •- Malignancy within 5 years prior to screening, except basal or squamous cell carcinoma of the skin or carcinoma in situ of the cervix that has been successfully treated
- •- Preexisting intra-axial or extra-axial lesions as assessed by a centrally read MRI scan during the screening period
研究者
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