Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of BHV-3241 in Subjects With Multiple System Atrophy (M-STAR Study)
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 421
- 试验地点
- 48
- 主要终点
- Change From Baseline in the Modified UMSARS Score at Week 48
研究概览
简要总结
The purpose of this study is to compare the efficacy of verdiperstat (BHV-3241) versus placebo in participants with Multiple System Atrophy
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Investigator)
盲法说明
Double-blind to Sponsor, Investigator and Subject
入排标准
- 年龄范围
- 40 Years 至 80 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of probable or possible MSA according to consensus clinical criteria (Gilman et al 2008), including participants with MSA of either subtype (MSA-P or MSA-C).
- •Able to ambulate without the assistance of another person, defined as the ability to take at least 10 steps. Use of assistive devices (e.g., walker or cane) is allowed.
- •Anticipated survival of at least 3 years at the time of Screening, as judged by the Investigator.
排除标准
- •Any condition that would interfere with the participant's ability to comply with study instructions, place the participant at unacceptable risk, and/or confound the interpretation of safety or efficacy data from the study, as judged by the Investigator.
- •Diagnosis of neurological disorders, other than MSA.
研究组 & 干预措施
Verdiperstat
Participants received verdiperstat 300 mg tablet orally once daily for 1 week, followed by 300 mg twice daily for 1 week, and then 600 mg twice daily for the remaining 46 weeks of the double-blind phase.
Participants who completed the double-blind phase were offered the opportunity to enroll in an open-label extension (OLE) phase to continue verdiperstat 600 mg twice daily for 48 weeks.
干预措施: Verdiperstat (Drug)
Placebo
Participants received placebo matching with verdiperstat for 48 weeks. Participants who completed the double-blind phase were offered the opportunity to enroll in an OLE phase to receive verdiperstat 600 mg tablet orally twice daily for 48 weeks.
干预措施: Placebo (Drug)
结局指标
主要结局
Change From Baseline in the Modified UMSARS Score at Week 48
时间窗: Baseline and Week 48
UMSARS - clinician-rated scale comprised of 4 parts: Part I (Historical Review), Part II (Motor Examination), Part III (Autonomic Examination), Part IV (Global Disability Scale). Modified UMSARS is composed of subset of 9 items from original UMSARS Part I and Part II. Responses are measured on 4-point scale ranged from 0-3, where 0= no/mild impairment, 1= moderate impairment, 2= severe impairment, 3=complete impairment. Total modified UMSARS score is sum of these 9 items, score range from 0 to 27. Higher scores indicate greater impairment.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
时间窗: Up to 100 weeks
An adverse event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in participants or clinical investigation participants administered an investigational (medicinal) product and that does not necessarily have a causal relationship with this treatment. A serious AE (SAE) is defined as any event that met any of the following criteria at any dose: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect in the offspring of a participant who received study drug; other important medical events that may not have resulted in death, be life-threatening, or required hospitalization, or, based upon appropriate medical judgment, they may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the other serious outcomes.
次要结局
- Clinical Global Impression of Improvement (CGI-I) Score at Week 48(Week 48)
- Change From Baseline in Multiple System Atrophy Quality of Life (MSA-QoL) Motor Subscale at Week 48(Baseline and Week 48)
- Change From Baseline in UMSARS Part III at Week 48 (Heart Rate (HR) Only)(Baseline and Week 48)
- Change From Baseline in Multiple System Atrophy Quality of Life (MSA-QoL) Non-motor Subscale at Week 48(Baseline and Week 48)
- Change From Baseline in UMSARS Part I and Part II Total Score at Week 48(Baseline and Week 48)
- Change From Baseline in Clinical Global Impression of Severity (CGI-S) at Week 48(Baseline and Week 48)
- Change From Baseline in UMSARS Part IV at Week 48(Baseline and Week 48)
- Change From Baseline in Patient Global Impression of Severity (PGI-S) at Week 48(Baseline and Week 48)
- Change From Baseline in UMSARS Part III at Week 48 (Blood Pressure (BP) Only)(Baseline and Week 48)
