Clinical trial
A Two Part Seamless, Multi-Center Randomized, Placebo-Controlled, Double-Blind Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Efficacy of Risdiplam (RO7034067) in Type 2 and 3 Spinal Muscular Atrophy Patients
Name
BP39055
Description
Multi-center, randomized, double-blind, placebo-controlled study to assess the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy of Risdiplam in adult and pediatric participants with Type 2 and Type 3 SMA. The study consists of two parts, an exploratory dose finding part (Part 1) of Risdiplam for 12 weeks and a confirmatory part (Part 2) of Risdiplam for 24 months.
Trial arms
Trial start
2016-10-19
Estimated PCD
2019-09-06
Trial end
2023-10-02
Status
Completed
Phase
Early phase I
Treatment
Placebo
Placebo will be administered orally (via mouth) or through a feeding tube (naso-gastric or gastrostomy tube).
Arms:
Part 1 Group A: Adolescents and Adults (Placebo), Part 1 Group B: Children (Placebo), Part 2: Placebo
Risdiplam
Risdiplam will be administered orally (via mouth) or through a feeding tube (naso-gastric or gastrostomy tube).
Arms:
Part 1 Group A: Adolescents and Adults (Placebo), Part 1 Group A: Adolescents and Adults (Risdiplam), Part 1 Group B: Children (Placebo), Part 1 Group B: Children (Risdiplam), Part 2: Placebo, Part 2: Risdiplam
Other names:
RO7034067
Size
231
Primary endpoint
Part 1: Selected Part 2 Dose of Risdiplam for Participants With a Body Weight (BW) of >/=20kg
Day 1 up to at least 4 weeks on study (Up to CCOD of 25 July 2017)
Part 1: Selected Part 2 Dose of Risdiplam for Participants With BW of <20kg
Day 1 up to at least 4 weeks on study (Up to CCOD of 25 July 2017)
Part 2: Change From Baseline in the Total Motor Function Measure 32 (MFM-32) Total Score at Month 12
Baseline (Day-1) and Month 12
Eligibility criteria
Inclusion Criteria:
* Confirmed diagnosis of 5q-autosomal recessive SMA
* Negative blood pregnancy test at screening and agreement to comply with measures to prevent pregnancy and restrictions on sperm donation
* For Part 1: Type 2 or 3 SMA ambulant or non-ambulant
* For Part 2: 1) Type 2 or 3 SMA non-ambulant; 2) RULM entry item A greater than or equal to 2; 3) ability to sit independently as assessed by item 9 of the MFM
Exclusion Criteria:
* Concomitant or previous participation in any investigational drug or device study within 90 days prior to screening, or 5 half-lives of the drug, whichever is longer
* Concomitant or previous administration of a SMN2-targeting antisense oligonucleotide, SMN2 splicing modifier or gene therapy either in a clinical study or as part of medical care
* Any history of cell therapy
* Hospitalization for a pulmonary event within the last 2 months or planned at time of screening
* Surgery for scoliosis or hip fixation in the one year preceding screening or planned within the next 18 months
* Unstable gastrointestinal, renal, hepatic, endocrine, or cardiovascular system diseases as considered to be clinically significant by the Investigator
* Presence of clinically significant electrocardiogram abnormalities before study drug administration from average of triplicate measurement or cardiovascular disease indicating a safety risk for participants as determined by the Investigator
* Any major illness within one month before the screening examination or any febrile illness within one week prior to screening and up to first dose administration
* Recently initiated treatment (within less than \[\<\] 6 months prior to randomization) with oral salbutamol or another beta 2-adrenergic agonist taken orally
* Any prior use of chloroquine, hydroxychloroquine, retigabin, vigabatrin or thioridazine, is not allowed
* Ascertained or presumptive hypersensitivity (e.g., anaphylactic reaction) to Risdiplam or to the constituents of its formulation
* Recent history (less than one year) of ophthalmological diseases
* Participants requiring invasive ventilation or tracheostomy
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'DOUBLE', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR']}}, 'enrollmentInfo': {'count': 231, 'type': 'ACTUAL'}}
Updated at
2024-04-24
1 organization
1 product
1 drug
2 indications
Organization
Hoffmann La RocheDrug
VarlilumabIndication
Muscular AtrophyIndication
spinalProduct
Risdiplam