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临床试验/EUCTR2018-003098-91-PL
EUCTR2018-003098-91-PL进行中(未招募)1 期

A Phase 2 Placebo-Controlled, Double-Blind, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of DCR-PHXC Solution for Injection (subcutaneous use) in Patients with Primary Hyperoxaluria - PHYOX-2

Dicerna Pharmaceuticals Inc0 个研究点目标入组 36 人开始时间: 2019年4月30日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
36

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

  • In order to be eligible to participate in this study, an individual must
  • meet all of the following criteria:
  • 1. At least 6 years of age, at the time of signing the informed
  • consent/assent.
  • Type of Participant and Disease Characteristics
  • 2. Documented diagnosis of PH1 or PH2, confirmed by genotyping
  • (historically available genotype information is acceptable for study
  • eligibility)
  • 3. 24-hour Uox excretion = 0.7 mmol (adjusted per 1.73 m2 BSA in
  • participants < 18 years of age) in both collections performed in the
  • screening period. Of the first 24 participants enrolled, at least 12 (50%)
  • must have at least one 24 hour Uox excretion = 1.6 mmol (adjusted per 1.73 m2 BSA in participants aged < 18 years).
  • 4. Less than 20% variation between the two 24-hour urinary creatinine
  • measurements in the screening period. Individuals who do not achieve <
  • 20% variation between the 2 screening values may undergo a second
  • round of urine collection. An extra 7 calendar days may be added to the
  • screening window for participants to complete a second round of urine
  • collection. Should potential participants again fail to achieve the within-
  • 20% variation, they will be excluded from participation.
  • 5. Estimated GFR at screening = 30 mL/min normalized to 1.73 m2 BSA,calculated using the CKD-EPI equation in participants aged = 18 years(Levey & Stevens, 2010) or the2012 multivariate equation by Schwartz in participants aged 6 to 17 years (Schwartz et al., 2012).
  • In Japan, the equation by Matsuo et al. will be used for participants aged = 18 years (Uemura et al., 2014 Matsuo et al., 2009).
  • 6. Male or female
  • Male participants:
  • A male participant with a female partner of childbearing potential must
  • agree to use contraception, as detailed in Section 10.4.2, during the
  • treatment period and for at least 12 weeks after the last dose of study
  • intervention and refrain from donating sperm during this period.
  • Female participants:
  • A female participant is eligible to participate if she is not pregnant (see
  • Section 10.4.1), not breastfeeding, and at least 1 of the following
  • conditions applies:
  • Not a woman of childbearing potential (WOCBP) as defined in Section
  • A WOCBP who agrees to follow the contraceptive guidance in Section
  • 10.4.2 during the treatment period and for at least 12 weeks after the
  • last dose of study intervention.
  • Contraceptive use by men or women should be consistent with local
  • regulations regarding the methods of contraception for those
  • participating in clinical studies.
  • Informed Consent/Assent
  • 7. Participant (and/or participant's parent or legal guardian if
  • participant is a minor [defined as patient < 18 years of age, or younger
  • than the age of majority, according to local regulations]) is capable of
  • giving signed informed consent, which includes compliance with the
  • requirements and restrictions listed in the informed consent form (ICF)
  • and in this protocol.
  • a. Adolescents (12 to < 18 years of age, or older than 12 years but
  • younger than the age of majority, according to local regulations) must
  • be able to provide written assent for participation.
  • b. For children younger than 12 years of age, assent will be based on
  • local regulations.
  • 另有 6 项未显示

排除标准

  • An individual who meets any of the following criteria will be excluded
  • from participation in this study:
  • Medical Conditions
  • 1. Prior renal or hepatic transplantation; or planned transplantation
  • within the study period
  • 2. Currently receiving dialysis or anticipating requirement for dialysis
  • during the study period
  • 3. Plasma oxalate > 30 µmol/L
  • 4. Documented evidence of clinical manifestations of systemic oxalosis
  • (including pre-existing retinal, heart, or skin calcifications, or history of
  • severe bone pain, pathological fractures, or bone deformations)
  • 5. Presence of any condition or comorbidities that would interfere with
  • study compliance or data interpretation or potentially impact patient
  • safety including, but not restricted to:
  • a. severe intercurrent illness
  • b. known causes of active liver disease/injury or transaminase elevation
  • (e.g., alcoholic liver disease, nonalcoholic fatty liver
  • disease/steatohepatitis)
  • c. physician concerns about intake of drugs of abuse or excessive alcohol
  • intake, or history of excessive alcohol intake in the 2 years prior to
  • enrollment (defined as = 21 units of alcohol per week in men and = 14
  • units of alcohol per week in women; where a unit of alcohol is
  • equivalent to a 12-ounce beer, 4-ounce glass of wine, or 1 ounce shot of
  • hard liquor)
  • d. history of serious mental illness that includes, but is not limited to,
  • schizophrenia, bipolar disorder, or severe depression requiring
  • hospitalization or pharmacological intervention
  • e. clinically relevant history or presence of cardiovascular, respiratory,
  • gastrointestinal, hematological, lymphatic, neurological,
  • musculoskeletal, genitourinary, immunological diseases, including
  • dermatological including rash, severe eczema or dermatitis, or
  • connective tissue diseases or disorders
  • Prior/Concomitant Therapy
  • 6. Routine or chronic use of more than 3 grams of
  • acetaminophen/paracetamol daily
  • 7. Use of an RNA interference (RNAi) drug within the last 6 months
  • 8. History of one or more of the following reactions to an
  • oligonucleotide-based therapy:
  • a. Severe thrombocytopenia (platelet count = 100,000/µL)
  • b. Hepatotoxicity, defined as alanine aminotransferase (ALT) or
  • aspartate aminotransferase (AST) > 3 times the upper limit of normal
  • (ULN) and total bilirubin > 2 × ULN or international normalized ratio
  • (INR) >1.5
  • c. Severe flu-like symptoms leading to discontinuation of therapy
  • d. Localized skin reaction from the injection (graded severe) leading to
  • discontinuation of therapy
  • e. Coagulopathy/clinically significant prolongation of clotting time
  • 9. Participants receiving pyridoxine must have been at a stable dose for
  • at least 4 weeks prior to Day 1 and must be willing to remain on the
  • same stable dose throughout the study.
  • 另有 11 项未显示

研究者

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