Clinical trial

A Randomized, Double-Blind, Placebo-Controlled Dose Range Finding Study With Open-Label Extension to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of LMI070/Branaplam Administered as Weekly Oral Doses in Participants With Early Manifest Huntington's Disease

Name
CLMI070C12203
Description
This is the first study of branaplam in adults with Huntington's Disease (HD) to determine the correct dose required to lower mutant huntingtin protein (mHTT) levels in the cerebrospinal fluid (CSF) to a degree expected to be efficacious over longer periods of time.
Trial arms
Trial start
2021-12-08
Estimated PCD
2023-10-27
Trial end
2023-10-27
Status
Completed
Phase
Early phase I
Treatment
Branaplam
messenger ribonucleic acid (RNA) splicing modifier
Arms:
Treatment Arm A, Treatment Arm B, Treatment Arm C or X or Y
Other names:
LMI070
Placebo
Matching placebo oral solution once weekly
Arms:
Placebo
Size
26
Primary endpoint
Reduction (%) of mHTT protein in cerebrospinal fluid (CSF)
Baseline up to Week 17
Number of treatment emergent adverse events and serious adverse events
Baseline up to approximately 2 years
Eligibility criteria
Inclusion Criteria * Signed informed consent must be obtained prior to participation in the study. * Clinically diagnosed Stage 1 or 2 Huntington's disease with a diagnostic confidence level (DCL) = 4 and a United Huntington's Disease Rating Scale (UHDRS) Total Functional Capacity (TFC) \>8 at screening. * Genetically confirmed Huntington's disease, with presence of ≥40 cytosine-adenineguanine (CAG) repeats in the huntingtin gene. * Male and female participants between 25 to 75 years of age, inclusive, on the day of Informed Consent signature. Exclusion Criteria * Prior participation in clinical trial investigating a huntingtin-lowering therapy (unless participant received only placebo). * Participants taking medications prohibited by the protocol. * Any medical history, lumbar surgery or condition that would interfere with the ability to complete the protocol specified assessments, * Participant has other severe, acute or chronic medical conditions including unstable psychiatric conditions, or laboratory abnormalities that in the opinion of the Investigator may increase the risk associated with study participation, or that may interfere with the interpretation of the study results. * Any surgical or medical condition which might put the participant at risk in case of participation in the study. The Investigator should make this determination in consideration of the participant's medical history and/or clinical or laboratory evidence at the Screening visit:
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'The study design uses a staggered cohort approach, allowing safety and tolerability of lower doses to be assessed before randomizing subjects to higher doses. At the time of the Cohort Gating Assessments (CGAs), all available data will be reviewed from a safety and dose finding perspective by an independent Sponsor team to support the decision to open the next cohort. The independent Data Monitoring Committee (DMC) will review the data separately. The decision to open a new cohort will be made by the Sponsor in consultation with the DMC.', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'QUADRUPLE', 'maskingDescription': 'This is a randomized double blind study. Participants will be randomized in an equal randomization rate among the open treatment arms, and then in a 4:1 ratio for active vs. placebo within each arm.', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 26, 'type': 'ACTUAL'}}
Updated at
2024-02-06

1 organization

2 products

1 indication

Product
Branaplam
Product
Placebo