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Efficacy and Safety of ALXN1840 Administered for 48 Weeks Versus Standard of Care in Participants With Wilson Disease

Primary Purpose

Wilson Disease

Status
Terminated
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
ALXN1840
SoC Therapy
Sponsored by
Alexion
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Wilson Disease focused on measuring Wilson Disease, ALXN1840, Copper

Eligibility Criteria

12 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  • Established diagnosis of WD by Leipzig-Score ≥ than 4
  • Female participants of childbearing potential, if heterosexually active, must be willing to follow protocol-specified guidance for highly effective contraception starting at least 6 weeks before the Day 1 visit and continuing through 28 days after the last dose of either ALXN1840 or SoC
  • Male participants, if heterosexually active, must be willing to follow protocol-specified guidance for highly effective contraception beginning at Day 1 visit and continuing through 90 days after last dose of either ALXN1840 or SoC

Key Exclusion Criteria:

  • Decompensated hepatic cirrhosis
  • MELD score > 13
  • Modified Nazer score > 7
  • Clinically significant gastrointestinal bleed within past 3 months
  • Alanine aminotransferase > 2 X upper limit of normal (ULN) for participants treated for > 28 days with WD therapy (Cohort 1)
  • Alanine aminotransferase > 5 X ULN for treatment-naïve participants or participants who have been treated for ≤ 28 days (Cohort 2)
  • Marked neurological disease requiring either nasogastric feeding or intensive inpatient medical care
  • Hemoglobin < 9 grams/deciliter
  • History of seizure activity within 6 months prior to informed consent
  • Pregnant (or women who are planning to become pregnant) or breastfeeding women
  • Active infection with hepatitis B virus (positive hepatitis B surface antigen) or C virus or seropositivity for human immunodeficiency virus (HIV)
  • Previous treatment with tetrathiomolybdate
  • Participants with end-stage renal disease on dialysis (chronic kidney disease stage 5) or creatinine clearance < 30 milliliter/minute

Sites / Locations

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Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

ALXN1840

Standard of Care (SoC) Medication

Arm Description

ALXN1840 was administered orally for 48 weeks at doses ranging from 15 milligrams (mg) every other day (QOD) up to a titrated dose of 60 mg daily. Participants who completed the Primary Evaluation Period had the option to participate in the up to 60-month Extension Period.

SoC medication was administered for 48 weeks. Participants who completed the Primary Evaluation Period had the option to participate in the up to 60-month Extension Period.

Outcomes

Primary Outcome Measures

Daily Mean Area Under The Effect-time Curve (AUEC) of Directly Measured Non-ceruloplasmin-bound Copper (dNCC) From 0 to 48 Weeks (dNCC AUEC0-48W)
dNCC is the directly quantified copper not bound to ceruloplasmin, obtained by inductively coupled plasma mass spectrometry after immunocapture and removal of ceruloplasmin. Baseline was defined as last non-missing value on or before first study drug administration. Least square (LS) mean and standard error (SE) was calculated using analysis of covariance (ANCOVA).

Secondary Outcome Measures

Number of Participants With Treatment-emergent Adverse Events (TEAEs)
An AE was any untoward medical occurrence in a participant administered the study drug and which did not necessarily have a causal relationship with this treatment. TEAEs were defined as those AEs with onset after the first dose of randomized treatment or existing events that worsened in severity after the first dose of randomized treatment. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Change From Baseline in the Unified Wilson Disease Rating Scale (UWDRS) Part II Total Score at Week 48
The UWDRS is a clinical rating scale designed to evaluate the neurological manifestations of Wilson Disease (WD). The UWDRS comprises 3 parts: UWDRS Part I (level of consciousness, item 1), UWDRS Part II (a patient-reported review of daily activity items [disability], items 2 to 11 [10 items in total]), and UWDRS Part III (a detailed neurological examination, items 12 to 34 [23 items in total]). The UWDRS Part II may be reported to a non-blinded member of the study team, by the participant, family member or caregiver. The UWDRS Part II total score was calculated as the sum of Question 2 to Question 11 (each question has range 0 [none] to 4 [severe]). The UWDRS Part II total score ranges from 0 (no disability) to 40 (severe disability), with lower score indicating improvement in condition and a better outcome. Change from baseline was calculated as: postbaseline assessment value - baseline assessment value when both values were not missing.
Change From Baseline in UWDRS Part III Total Score at Week 48
The UWDRS is a clinical rating scale designed to evaluate the neurological manifestations of Wilson Disease (WD). The UWDRS comprises 3 parts: UWDRS Part I (level of consciousness, item 1), UWDRS Part II (a patient-reported review of daily activity items [disability], items 2 to 11 [10 items in total]), and UWDRS Part III (a detailed neurological examination, items 12 to 34 [23 items in total]). The UWDRS Part I and III was assessed by a neurologist who was blinded to the treatment randomization. The UWDRS Part III total score was calculated as the sum of Question 12 to Question 34. The UWDRS Part III total score ranges from 0 (normal) to 175 (severe disease), with lower score indicating improvement in condition and a better outcome. Change from baseline was calculated as: postbaseline assessment value - baseline assessment value when both values were not missing.
Change From Baseline in UWDRS Part III Functional Subscale Score at Week 48
UWDRS Part III Functional Subscale consists of speech, handwriting, arising from chair, and gait from UWDRS Part III. The standardized score of the first 3 items ranges from 0 (normal) to 10 (worst), and standardized transformed score of gait ranges from 0 (normal) to 10 (worst). The average of these scores was used to create the Part III Functional Subscale with a range of 0 (normal) - 10 (worst) with higher scores indicating more functional disability.
Change From Baseline in UWDRS Part III Individual Items/Subscales (Speech, Handwriting, Arising From a Chair, and Gait) Score at Week 48
UWDRS Part III individual items speech, handwriting, arising from chair, and gait are reported here. For speech (Question 12), original score ranges from 0 (normal) to 4 (unintelligible). For handwriting (Question 20), original score ranges from 0 (normal) to 4 (cannot hold a pen). For arising from chair (Question 27), original score ranges from 0 (normal) to 4 (unable to arise without help). For gait (Question 29), the original score (range: 0 [normal] to 10 [severe condition]) was calculated by summing subscores (0 [normal] to 4 [severe]) of Part A (Right and Left Leg dystonia), B (Ataxia), and C (Parkinsonism).
Clinical Global Impression-Improvement Scale (CGI-I) Score at Week 48
The CGI-I is a 7-point scale where the clinician assessed how much participant's illness improved or worsened relative to a Baseline state at the beginning of the intervention and rated as: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse.
Change From Baseline in Clinical Global Impression Severity Scale (CGI-S) Score at Week 48
The CGI-S is a 7-point scale where the investigator rated severity of participant's illness at the time of assessment, relative to the investigator's past experience with participants who have the same diagnosis. Considering total clinical experience, a participant was assessed on severity of illness at time of rating as: 1, normal, not at all ill; 2, borderline ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill.
Change From Baseline in Model for End-Stage Liver Disease (MELD) Score at Week 48
The MELD is a scoring system for assessing the severity of chronic liver disease in participants 12 years and older. The MELD score uses the participant's values for bilirubin, creatinine, and the international normalized ratio (INR). The initial MELD score (MELD[i]) is calculated according to the following formula: MELD(i) = 3.78*ln[serum bilirubin (mg/dL)] + 11.2*ln[INR] + 9.57*ln[serum creatinine (mg/dL)] + 6.43. Creatinine, bilirubin, and INR values less than 1.0 are set to 1.0 and creatinine values greater than 4.0 are set to 4.0 when calculating MELD(i). Additionally, creatinine, bilirubin, and INR are rounded to the 10th decimal place prior to performing the calculation. The initial MELD score is then rounded to the nearest integer. The MELD score ranges from 6 (least sick) - 40 (most sick), with higher values indicating more advanced disease.
Absolute Change From Baseline in Calculated Non-Ceruloplasmin Bound Copper (cNCC) or Calculated Non-Ceruloplasmin Bound Copper Corrected (cNCCcorrected) in Plasma at Week 48
cNCC [µmol/L] = Plasma Total Copper (Cu) [micrograms (µg)/L]-(3.15*ceruloplasmin [milligrams (mg)/L])/63.5 [µg/µmol] For ALXN1840-treated participants, cNCC in plasma was corrected for the amount of Cu bound to ALXN1840 tripartite complex (TPC) using square root-based cNCC correction method (cNCCcorrected): cNCCcorrected = (√cNCC- 0.993)2√Mo, (Mo= molybdenum). In calculation of cNCC and cNCCcorrected following rules apply: For plasma total Cu concentration values <lower limit of quantification (LLOQ), cNCC was considered missing (LLOQ value of plasma total Cu= 20 nanograms [ng]/mL); Serum ceruloplasmin concentration values <LLOQ are set to 0 (LLOQ value of serum ceruloplasmin= 22.5 mg/L); Plasma total Mo concentration values <LLOQ are set to 0 (LLOQ value of plasma total Mo= 1 ng/L); In cases where cNCC calculation produces a negative result, cNCC was considered missing and cNCCcorrected was not derived; cNCCcorrected was set to 0 when 0.993√Mo > √cNCC.
Percent Change From Baseline in cNCC or cNCCcorrected in Plasma at Week 48
cNCC was calculated as follows: cNCC [µmol/L] = Plasma Total Cu [µg/L]-(3.15*ceruloplasmin [mg/L])/63.5 [µg/µmol] For ALXN1840-treated participants, the cNCC in plasma was corrected for the amount of Cu bound to the ALXN1840 TPC using the square root-based cNCC correction method (cNCCcorrected) as follows: cNCCcorrected = (√cNCC- 0.993)2√Mo, where Mo = molybdenum. In the calculation of cNCC and cNCCcorrected the following rules apply: For plasma total Cu concentration values < LLOQ, cNCC was considered missing (LLOQ value of plasma total Cu = 20 ng/mL); Serum ceruloplasmin concentration values <LLOQ are set to 0 (LLOQ value of serum ceruloplasmin = 22.5 mg/L); Plasma total Mo concentration values <LLOQ are set to 0 (LLOQ value of plasma total Mo = 1 ng/L); In cases where cNCC calculation produces a negative result, cNCC was considered missing and cNCCcorrected was not derived; cNCCcorrected was set to 0 when 0.993√Mo > √cNCC.
cNCC/cNCCcorrected Responder at Week 48
cNCC/cNCCcorrected responder was defined as participants who achieved or maintained normalized cNCC/cNCCcorrected concentration (0.8-2.3 μmol) within (at or before) 48 weeks or reached a reduction of at least 25% in cNCC/cNCCcorrected within 48 weeks. Thus, a participant was considered a cNCC/cNCCcorrected responder if they met at least 1 of the following criteria: Achieved normalized cNCC/cNCCcorrected concentration for 2 consecutive measurements within 48 weeks, for participants who had elevated cNCC concentrations at baseline; Maintained normalized cNCC/cNCCcorrected concentration within 48 weeks, for participants who had normal cNCC concentrations at baseline; Reached a reduction of at least 25% in cNCC/cNCCcorrected for 2 consecutive measurements within 48 weeks.

Full Information

First Posted
December 19, 2017
Last Updated
September 13, 2023
Sponsor
Alexion
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1. Study Identification

Unique Protocol Identification Number
NCT03403205
Brief Title
Efficacy and Safety of ALXN1840 Administered for 48 Weeks Versus Standard of Care in Participants With Wilson Disease
Official Title
A Phase 3, Randomized, Rater-Blinded, Multi-Center Study To Evaluate the Efficacy and Safety of ALXN1840 Administered For 48 Weeks Versus Standard of Care in Patients With Wilson Disease Aged 12 Years and Older
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Terminated
Why Stopped
Sponsor decision to terminate the program
Study Start Date
February 15, 2018 (Actual)
Primary Completion Date
February 24, 2021 (Actual)
Study Completion Date
June 30, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alexion

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The study will evaluate the efficacy and safety of ALXN1840 (formerly called WTX101) administered for 48 weeks compared to standard of care (SoC) in Wilson Disease (WD) participants aged 12 and older in the Primary Evaluation Period. In addition, efficacy and safety will be evaluated during an optional 60-month Extension Period.
Detailed Description
The study consists of 2 cohorts. Cohort 1: Participants who have received SoC therapy for > 28 days and Cohort 2: Participants who are treatment-naïve or who have received SoC therapy for ≤ 28 days. All enrolled participants were randomized by cohort in a 2:1 ratio to treatment with ALXN1840 or SoC (either as continued therapy in Cohort 1 or as continued or initial therapy in Cohort 2).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Wilson Disease
Keywords
Wilson Disease, ALXN1840, Copper

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Masking Description
This study is rater-blinded for the Unified Wilson Disease Rating Scale (UWDRS) assessment only.
Allocation
Randomized
Enrollment
214 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ALXN1840
Arm Type
Experimental
Arm Description
ALXN1840 was administered orally for 48 weeks at doses ranging from 15 milligrams (mg) every other day (QOD) up to a titrated dose of 60 mg daily. Participants who completed the Primary Evaluation Period had the option to participate in the up to 60-month Extension Period.
Arm Title
Standard of Care (SoC) Medication
Arm Type
Active Comparator
Arm Description
SoC medication was administered for 48 weeks. Participants who completed the Primary Evaluation Period had the option to participate in the up to 60-month Extension Period.
Intervention Type
Drug
Intervention Name(s)
ALXN1840
Other Intervention Name(s)
Formerly named WTX101, Tiomolibdic acid, Tiomolibdate choline, Bis-choline tetrathiomolybdate
Intervention Description
ALXN1840 administered orally in 15 mg tablets
Intervention Type
Drug
Intervention Name(s)
SoC Therapy
Intervention Description
Depending on the site/region, participants randomized to receive SoC treatment will receive trientine, penicillamine, Zinc, or a combination of these medicines, administered according to standard regimens.
Primary Outcome Measure Information:
Title
Daily Mean Area Under The Effect-time Curve (AUEC) of Directly Measured Non-ceruloplasmin-bound Copper (dNCC) From 0 to 48 Weeks (dNCC AUEC0-48W)
Description
dNCC is the directly quantified copper not bound to ceruloplasmin, obtained by inductively coupled plasma mass spectrometry after immunocapture and removal of ceruloplasmin. Baseline was defined as last non-missing value on or before first study drug administration. Least square (LS) mean and standard error (SE) was calculated using analysis of covariance (ANCOVA).
Time Frame
Baseline to Week 48
Secondary Outcome Measure Information:
Title
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Description
An AE was any untoward medical occurrence in a participant administered the study drug and which did not necessarily have a causal relationship with this treatment. TEAEs were defined as those AEs with onset after the first dose of randomized treatment or existing events that worsened in severity after the first dose of randomized treatment. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Time Frame
Baseline up to Week 48
Title
Change From Baseline in the Unified Wilson Disease Rating Scale (UWDRS) Part II Total Score at Week 48
Description
The UWDRS is a clinical rating scale designed to evaluate the neurological manifestations of Wilson Disease (WD). The UWDRS comprises 3 parts: UWDRS Part I (level of consciousness, item 1), UWDRS Part II (a patient-reported review of daily activity items [disability], items 2 to 11 [10 items in total]), and UWDRS Part III (a detailed neurological examination, items 12 to 34 [23 items in total]). The UWDRS Part II may be reported to a non-blinded member of the study team, by the participant, family member or caregiver. The UWDRS Part II total score was calculated as the sum of Question 2 to Question 11 (each question has range 0 [none] to 4 [severe]). The UWDRS Part II total score ranges from 0 (no disability) to 40 (severe disability), with lower score indicating improvement in condition and a better outcome. Change from baseline was calculated as: postbaseline assessment value - baseline assessment value when both values were not missing.
Time Frame
Baseline, Week 48
Title
Change From Baseline in UWDRS Part III Total Score at Week 48
Description
The UWDRS is a clinical rating scale designed to evaluate the neurological manifestations of Wilson Disease (WD). The UWDRS comprises 3 parts: UWDRS Part I (level of consciousness, item 1), UWDRS Part II (a patient-reported review of daily activity items [disability], items 2 to 11 [10 items in total]), and UWDRS Part III (a detailed neurological examination, items 12 to 34 [23 items in total]). The UWDRS Part I and III was assessed by a neurologist who was blinded to the treatment randomization. The UWDRS Part III total score was calculated as the sum of Question 12 to Question 34. The UWDRS Part III total score ranges from 0 (normal) to 175 (severe disease), with lower score indicating improvement in condition and a better outcome. Change from baseline was calculated as: postbaseline assessment value - baseline assessment value when both values were not missing.
Time Frame
Baseline, Week 48
Title
Change From Baseline in UWDRS Part III Functional Subscale Score at Week 48
Description
UWDRS Part III Functional Subscale consists of speech, handwriting, arising from chair, and gait from UWDRS Part III. The standardized score of the first 3 items ranges from 0 (normal) to 10 (worst), and standardized transformed score of gait ranges from 0 (normal) to 10 (worst). The average of these scores was used to create the Part III Functional Subscale with a range of 0 (normal) - 10 (worst) with higher scores indicating more functional disability.
Time Frame
Baseline, Week 48
Title
Change From Baseline in UWDRS Part III Individual Items/Subscales (Speech, Handwriting, Arising From a Chair, and Gait) Score at Week 48
Description
UWDRS Part III individual items speech, handwriting, arising from chair, and gait are reported here. For speech (Question 12), original score ranges from 0 (normal) to 4 (unintelligible). For handwriting (Question 20), original score ranges from 0 (normal) to 4 (cannot hold a pen). For arising from chair (Question 27), original score ranges from 0 (normal) to 4 (unable to arise without help). For gait (Question 29), the original score (range: 0 [normal] to 10 [severe condition]) was calculated by summing subscores (0 [normal] to 4 [severe]) of Part A (Right and Left Leg dystonia), B (Ataxia), and C (Parkinsonism).
Time Frame
Baseline, Week 48
Title
Clinical Global Impression-Improvement Scale (CGI-I) Score at Week 48
Description
The CGI-I is a 7-point scale where the clinician assessed how much participant's illness improved or worsened relative to a Baseline state at the beginning of the intervention and rated as: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse.
Time Frame
Week 48
Title
Change From Baseline in Clinical Global Impression Severity Scale (CGI-S) Score at Week 48
Description
The CGI-S is a 7-point scale where the investigator rated severity of participant's illness at the time of assessment, relative to the investigator's past experience with participants who have the same diagnosis. Considering total clinical experience, a participant was assessed on severity of illness at time of rating as: 1, normal, not at all ill; 2, borderline ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill.
Time Frame
Baseline, Week 48
Title
Change From Baseline in Model for End-Stage Liver Disease (MELD) Score at Week 48
Description
The MELD is a scoring system for assessing the severity of chronic liver disease in participants 12 years and older. The MELD score uses the participant's values for bilirubin, creatinine, and the international normalized ratio (INR). The initial MELD score (MELD[i]) is calculated according to the following formula: MELD(i) = 3.78*ln[serum bilirubin (mg/dL)] + 11.2*ln[INR] + 9.57*ln[serum creatinine (mg/dL)] + 6.43. Creatinine, bilirubin, and INR values less than 1.0 are set to 1.0 and creatinine values greater than 4.0 are set to 4.0 when calculating MELD(i). Additionally, creatinine, bilirubin, and INR are rounded to the 10th decimal place prior to performing the calculation. The initial MELD score is then rounded to the nearest integer. The MELD score ranges from 6 (least sick) - 40 (most sick), with higher values indicating more advanced disease.
Time Frame
Baseline, Week 48
Title
Absolute Change From Baseline in Calculated Non-Ceruloplasmin Bound Copper (cNCC) or Calculated Non-Ceruloplasmin Bound Copper Corrected (cNCCcorrected) in Plasma at Week 48
Description
cNCC [µmol/L] = Plasma Total Copper (Cu) [micrograms (µg)/L]-(3.15*ceruloplasmin [milligrams (mg)/L])/63.5 [µg/µmol] For ALXN1840-treated participants, cNCC in plasma was corrected for the amount of Cu bound to ALXN1840 tripartite complex (TPC) using square root-based cNCC correction method (cNCCcorrected): cNCCcorrected = (√cNCC- 0.993)2√Mo, (Mo= molybdenum). In calculation of cNCC and cNCCcorrected following rules apply: For plasma total Cu concentration values <lower limit of quantification (LLOQ), cNCC was considered missing (LLOQ value of plasma total Cu= 20 nanograms [ng]/mL); Serum ceruloplasmin concentration values <LLOQ are set to 0 (LLOQ value of serum ceruloplasmin= 22.5 mg/L); Plasma total Mo concentration values <LLOQ are set to 0 (LLOQ value of plasma total Mo= 1 ng/L); In cases where cNCC calculation produces a negative result, cNCC was considered missing and cNCCcorrected was not derived; cNCCcorrected was set to 0 when 0.993√Mo > √cNCC.
Time Frame
Baseline, Week 48
Title
Percent Change From Baseline in cNCC or cNCCcorrected in Plasma at Week 48
Description
cNCC was calculated as follows: cNCC [µmol/L] = Plasma Total Cu [µg/L]-(3.15*ceruloplasmin [mg/L])/63.5 [µg/µmol] For ALXN1840-treated participants, the cNCC in plasma was corrected for the amount of Cu bound to the ALXN1840 TPC using the square root-based cNCC correction method (cNCCcorrected) as follows: cNCCcorrected = (√cNCC- 0.993)2√Mo, where Mo = molybdenum. In the calculation of cNCC and cNCCcorrected the following rules apply: For plasma total Cu concentration values < LLOQ, cNCC was considered missing (LLOQ value of plasma total Cu = 20 ng/mL); Serum ceruloplasmin concentration values <LLOQ are set to 0 (LLOQ value of serum ceruloplasmin = 22.5 mg/L); Plasma total Mo concentration values <LLOQ are set to 0 (LLOQ value of plasma total Mo = 1 ng/L); In cases where cNCC calculation produces a negative result, cNCC was considered missing and cNCCcorrected was not derived; cNCCcorrected was set to 0 when 0.993√Mo > √cNCC.
Time Frame
Baseline, Week 48
Title
cNCC/cNCCcorrected Responder at Week 48
Description
cNCC/cNCCcorrected responder was defined as participants who achieved or maintained normalized cNCC/cNCCcorrected concentration (0.8-2.3 μmol) within (at or before) 48 weeks or reached a reduction of at least 25% in cNCC/cNCCcorrected within 48 weeks. Thus, a participant was considered a cNCC/cNCCcorrected responder if they met at least 1 of the following criteria: Achieved normalized cNCC/cNCCcorrected concentration for 2 consecutive measurements within 48 weeks, for participants who had elevated cNCC concentrations at baseline; Maintained normalized cNCC/cNCCcorrected concentration within 48 weeks, for participants who had normal cNCC concentrations at baseline; Reached a reduction of at least 25% in cNCC/cNCCcorrected for 2 consecutive measurements within 48 weeks.
Time Frame
Week 48

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Established diagnosis of WD by Leipzig-Score ≥ 4 Female participants of childbearing potential, if heterosexually active, must be willing to follow protocol-specified guidance for highly effective contraception starting at least 6 weeks before the Day 1 visit and continuing through 28 days after the last dose of either ALXN1840 or SoC Male participants, if heterosexually active, must be willing to follow protocol-specified guidance for highly effective contraception beginning at Day 1 visit and continuing through 90 days after last dose of either ALXN1840 or SoC Key Exclusion Criteria: Decompensated hepatic cirrhosis MELD score > 13 Modified Nazer score > 7 Clinically significant gastrointestinal bleed within past 3 months Alanine aminotransferase > 2 X upper limit of normal (ULN) for participants treated for > 28 days with WD therapy (Cohort 1) Alanine aminotransferase > 5 X ULN for treatment-naïve participants or participants who have been treated for ≤ 28 days (Cohort 2) Marked neurological disease requiring either nasogastric feeding or intensive inpatient medical care Hemoglobin < 9 grams/deciliter History of seizure activity within 6 months prior to informed consent Pregnant (or women who are planning to become pregnant) or breastfeeding women Active infection with hepatitis B virus (positive hepatitis B surface antigen) or C virus or seropositivity for human immunodeficiency virus (HIV) Previous treatment with tetrathiomolybdate Participants with end-stage renal disease on dialysis (chronic kidney disease stage 5) or creatinine clearance < 30 milliliter/minute
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eugene S. Swenson, M.D., Ph.D.
Organizational Affiliation
Alexion
Official's Role
Study Director
Facility Information:
Facility Name
Clinical Trial Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
Facility Name
Clinical Trial Site
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510
Country
United States
Facility Name
Clinical Trial Site
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Clinical Trial Site
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Clinical Trial Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Clinical Trial Site
City
Seattle
State/Province
Washington
ZIP/Postal Code
98145
Country
United States
Facility Name
Clinical Trial Site
City
Concord
State/Province
New South Wales
ZIP/Postal Code
2139
Country
Australia
Facility Name
Clinical Trial Site
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia
Facility Name
Clinical Trial Site
City
Graz
State/Province
Styria
ZIP/Postal Code
8036
Country
Austria
Facility Name
Clinical Trial Site
City
Innsbruck
State/Province
Tyrol
ZIP/Postal Code
6020
Country
Austria
Facility Name
Clinical Trial Site
City
Wien
State/Province
Vienna
ZIP/Postal Code
1090
Country
Austria
Facility Name
Clinical Trial Site
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2C4
Country
Canada
Facility Name
Clinical Trial Site
City
Prague
ZIP/Postal Code
12808
Country
Czechia
Facility Name
Clinical Trial Site
City
Aarhus
ZIP/Postal Code
8200
Country
Denmark
Facility Name
Clinical Trial Site
City
Bron
ZIP/Postal Code
69677
Country
France
Facility Name
Clinical Trial Site
City
Paris
ZIP/Postal Code
75019
Country
France
Facility Name
Clinical Trial Site
City
Leipzig
State/Province
Sachsen
ZIP/Postal Code
04103
Country
Germany
Facility Name
Clinical Trial Site
City
Hamburg
ZIP/Postal Code
20099
Country
Germany
Facility Name
Clinical Trial Site
City
Heidelberg
ZIP/Postal Code
69120
Country
Germany
Facility Name
Clinical Trial Site
City
Hong Kong
ZIP/Postal Code
852
Country
Hong Kong
Facility Name
Clinical Trial Site
City
Budapest
ZIP/Postal Code
1085
Country
Hungary
Facility Name
Clinical Trial Site
City
Jerusalem
ZIP/Postal Code
9112001
Country
Israel
Facility Name
Clinical Trial Site
City
Tel-Hashomer
ZIP/Postal Code
52621
Country
Israel
Facility Name
Clinical Trial Site
City
Chiba-Shi
State/Province
Chiba
ZIP/Postal Code
266-0007
Country
Japan
Facility Name
Clinical Trial Site
City
Matsuyama-Shi
State/Province
Ehime
ZIP/Postal Code
790-0024
Country
Japan
Facility Name
Clinical Trial Site
City
Kurume-Shi
State/Province
Fukuoka
ZIP/Postal Code
830-0011
Country
Japan
Facility Name
Clinical Trial Site
City
Sapporo-Shi
State/Province
Hokkaido
ZIP/Postal Code
063-0005
Country
Japan
Facility Name
Clinical Trial Site
City
Yokohama-Shi
State/Province
Kanagawa
ZIP/Postal Code
230-8765
Country
Japan
Facility Name
Clinical Trial Site
City
Takatsuki-Shi
State/Province
Osaka
ZIP/Postal Code
569-8686
Country
Japan
Facility Name
Clinical Trial Site
City
Meguro-Ku
State/Province
Tokyo
ZIP/Postal Code
153-8515
Country
Japan
Facility Name
Clinical Trial Site
City
Daegu
ZIP/Postal Code
41944
Country
Korea, Republic of
Facility Name
Clinical Trial Site
City
Auckland
ZIP/Postal Code
1023
Country
New Zealand
Facility Name
Clinical Trial Site
City
Warszawa
State/Province
Woj. Mazowieckie
ZIP/Postal Code
04-730
Country
Poland
Facility Name
Clinical Trial Site
City
Warszawa
ZIP/Postal Code
02-957
Country
Poland
Facility Name
Clinical Trial Site
City
Moscow
ZIP/Postal Code
115446
Country
Russian Federation
Facility Name
Clinical Trial Site
City
Moscow
ZIP/Postal Code
119435
Country
Russian Federation
Facility Name
Clinical Trial Site
City
Nizhny Novgorod
ZIP/Postal Code
603950
Country
Russian Federation
Facility Name
Clinical Trial Site
City
Saint Petersburg
ZIP/Postal Code
194017
Country
Russian Federation
Facility Name
Clinical Trial Site
City
Belgrade
ZIP/Postal Code
11000
Country
Serbia
Facility Name
Clinical Trial Site
City
Singapore
ZIP/Postal Code
169608
Country
Singapore
Facility Name
Clinical Trial Site
City
Sabadell
State/Province
Barcelona
ZIP/Postal Code
08208
Country
Spain
Facility Name
Clinical Trial Site
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Clinical Trial Site
City
Málaga
ZIP/Postal Code
29011
Country
Spain
Facility Name
Clinical Trial Site
City
Taoyuan City
ZIP/Postal Code
333
Country
Taiwan
Facility Name
Clinical Trial Site
City
Istanbul
ZIP/Postal Code
34010
Country
Turkey
Facility Name
Clinical Trial Site
City
Istanbul
ZIP/Postal Code
34104
Country
Turkey
Facility Name
Clinical Trial Site
City
Izmir
ZIP/Postal Code
35100
Country
Turkey
Facility Name
Clinical Trial Site
City
Birmingham
State/Province
England
ZIP/Postal Code
B15 2TH
Country
United Kingdom
Facility Name
Clinical Trial Site
City
Guildford
State/Province
England
ZIP/Postal Code
GU2 7XX
Country
United Kingdom
Facility Name
Clinical Trial Site
City
London
State/Province
England
ZIP/Postal Code
SE5 9RS
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Alexion has a public commitment to allow requests for access to study data and will be supplying a protocol, CSR, and plain language summaries.

Learn more about this trial

Efficacy and Safety of ALXN1840 Administered for 48 Weeks Versus Standard of Care in Participants With Wilson Disease

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