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临床试验/NCT07636811
NCT07636811招募中2 期

A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled Study, to Evaluate Efficacy, Safety, Tolerability, and Pharmacodynamics of Intrathecally Administered Mivelsiran in Adult Participants With Early-Stage Down Syndrome-Associated Alzheimer's Disease (DS-AD)

Alnylam Pharmaceuticals5 个研究点 分布在 2 个国家目标入组 58 人开始时间: 2026年8月17日最近更新:
干预措施

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
58
试验地点
5

研究概览

简要总结

The purpose of the study is to evaluate the effect of mivelsiran in adult participants with early-stage DS-AD and to characterize the safety, tolerability, and pharmacodynamics (PD) of mivelsiran. The study will be conducted over 2 periods: a 24-month double-blind period and an optional 12-month open-label treatment extension (OLE) period. The estimated duration of study participation, inclusive of screening, treatment, and additional safety follow-up, is up to 39 months.

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
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
40 Years 至 55 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Clinical diagnosis of Down-Syndrome (DS) associated with trisomy 21
  • Positive amyloid PET scan
  • Cognitively stable in the opinion of the investigator
  • Seizures must be well controlled with no occurrence of seizures in the 6 months prior to screening

排除标准

  • Has severe intellectual disability (ID)
  • Has a history of DS regression disorder
  • Has alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >2×upper limit of normal (ULN) at Screening
  • Has estimated glomerular filtration rate (eGFR) <45 mL/min/1.73m^2 at Screening
  • Has recently received an investigational agent
  • Has had treatment with amyloid-targeting antibody
  • Comorbidities such as obstructive sleep apnea and hypothyroidism that are not well controlled
  • Note: other protocol defined inclusion / exclusion criteria apply

研究组 & 干预措施

Mivelsiran (Treatment Group B)

Experimental

Participants will be administered multiple high doses of mivelsiran.

干预措施: Mivelsiran (Drug)

Mivelsiran (Treatment Group A)

Experimental

Participants will be administered multiple low doses of mivelsiran.

干预措施: Mivelsiran (Drug)

Placebo (Treatment Group C)

Placebo Comparator

Participants will be administered multiple doses of placebo.

干预措施: Placebo (Drug)

研究者

发起方
Alnylam Pharmaceuticals
申办方类型
Industry
责任方
Sponsor

研究点 (5)

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