Clinical trial

A Phase 2, 12-Week, Randomized, Double-Blind, Placebo-Controlled Study of DS-1211b in Individuals With PseudoXanthoma Elasticum

Name
DS1211-A-U201
Description
This study was designed to evaluate the safety, tolerability, pharmacodynamics (PD) of DS-1211b, and pharmacokinetics (PK) in individuals with Pseudoxanthoma elasticum (PXE). PXE is a rare disease that is associated with significant risks of visual impairments and comorbidity from peripheral and cardiovascular diseases, and adversely impacts the quality of life in afflicted individuals.
Trial arms
Trial start
2022-10-20
Estimated PCD
2024-04-01
Trial end
2024-04-01
Status
Active (not recruiting)
Phase
Early phase I
Treatment
DS-1211b
DS-1211b tablet administered once daily in the morning either in the fasted state or with a meal
Arms:
DS-1211b high dose, DS-1211b low dose, DS-1211b middle dose
Placebo
Placebo tablet administered once daily in the morning either in the fasted state or with a meal
Arms:
Placebo
Size
65
Primary endpoint
Number of Participants with Treatment-emergent Adverse Events (TEAEs) in Participants Receiving DS-1211b
From the date of signing informed consent form up to Day 98 (14 days after last dose of study drug) post-dose of 12-week treatment period
Change from Baseline in Pharmacodynamic Parameter Alkaline Phosphatase (ALP) Levels
Screening (Days -1 to -30) and at Days 1, 15, 43, 84, 86-88, and 98 post-dose of 12-week treatment period
Change from Baseline in Pharmacodynamic Parameter Inorganic Pyrophosphate (PPi) Levels
Screening (Days -1 to -30) and at Days 1, 15, 43, 84
Change from Baseline in Pharmacodynamic Parameter Pyridoxal 5'-phosphate (PLP) Levels
Screening (Days -1 to -30) and at Days 1, 15, 43, 84, 86-88, and 98 post-dose of 12-week treatment period
Eligibility criteria
Key Inclusion Criteria: * Signed and dated informed consent * Male or female participants aged 18 to 75 years at screening * Have an established diagnosis of PXE * Fully vaccinated for coronavirus disease 2019 (COVID-19) per current Center for Disease Control and Prevention guidelines Key Exclusion Criteria: * Have a history of bone fracture in the past 6 months * Have a history of active metabolic bone disease, excluding osteopenia or osteoporosis without fragility fracture * Have a history of calcium pyrophosphate deposit disease * Have a history of hypophosphatasia * Have a history of untreated hyperparathyroidism * Participated in another interventional research study in the past 60 days. * Used bisphosphonate in the preceding 12 months or had plans to use bisphosphonate during the study. * Received Vitamin B6 supplementation \>5 mg/day in the month prior to screening and during the study * Initiated or changed dose of Vitamin D in the preceding month prior to screening * Have an alkaline phosphatase \<lower limit of normal (LLN) range * Have a QTcF interval duration \>450 ms at screening * Have moderate to severe renal insufficiency * Are pregnant or breast-feeding women * Are female participants unwilling to use contraceptive methods * Have any elective surgery planned during the study period * Have any other significant condition (medical, psychiatric, social, or medication) that, in the judgment of the Investigator, would prevent full participation or would be inappropriate for the study
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'DOUBLE', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR']}}, 'enrollmentInfo': {'count': 65, 'type': 'ACTUAL'}}
Updated at
2023-10-03

1 organization

1 product

1 indication

Organization
Daiichi Sankyo
Product
DS-1211b