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A Study of IPL344 in the Treatment of ALS Patients (ALS)

Primary Purpose

Amyotrophic Lateral Sclerosis

Status
Unknown status
Phase
Phase 1
Locations
Israel
Study Type
Interventional
Intervention
IPL344
Sponsored by
Immunity Pharma Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Amyotrophic Lateral Sclerosis

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female participants ages ≥18 to 80 years
  2. Consenting participants fulfilling the El Escorial criteria for probable and definite ALS (sporadic and familial)
  3. Participant has ALSFRS-R score >20, the latest ALSFRS-R test should be no more than 6 weeks before screening visit, AND:

    1. a disease progression rate greater than 0.55 ALSFRS-R point per month on average, over at least 4 months, prior to the latest ALSFRS-R test OR
    2. a decline of at least 3 points in ALSFRS-R score within the last 4 months prior to the latest ALSFRS-R test
  4. Previous data of Force Vital Capacity (FVC) of ≥60% at least 3 months before screening and not more than 12 months.
  5. Written informed consent consistent with ICH-GCP and local laws, signed prior to any study procedures being performed.
  6. BMI 18.5 to 30 kg/m2 inclusive and weigh at least 50 kg and no more than 100 kg.
  7. If taking riluzole or edaravone, the participant must be on a stable dose for ≥30 days prior to Day 1 and expected to remain at that dose until the final study visit.
  8. Medically able to undergo the study procedures, and to adhere to the visit schedule at the time of study entry.
  9. Medically is able and willing to undergo placement and maintain a central venous catheter as determined by the investigator.
  10. Participant has a competent caregiver or qualified individual who can and will be responsible for the administration of study drug and reporting home activities.
  11. Geographic accessibility to the study site
  12. Females must not be lactating or pregnant at Screening, as documented by a negative beta-human chorionic gonadotropin [ß-hCG] (or human chorionic gonadotropin [hCG].
  13. Women of child-bearing potential or males whose partners are women of child-bearing potential use an effective method of contraception throughout the trial.

Exclusion Criteria:

  1. Concurrent therapy that, in the PI's opinion, would interfere with the evaluation of the safety or efficacy of the study medication.
  2. Co-existing psychiatric disorder excluding a depression disorder occurred after ALS diagnosis.
  3. Participant is a respiratory dependent.
  4. Subjects with a significant pulmonary disorder not attributed to ALS.
  5. Slow Vital Capacity (SVC) <60.
  6. Presence of any other condition or circumstance that, in the judgment of the Investigator, might contraindicate or increase the risk to the participant or decrease the chance of obtaining satisfactory data to achieve the objectives of the study.
  7. History of HIV, positive HBV or HCV serology.
  8. Participants suffering from significant cardiac, or any other disease that may endanger the participant or interfere with the ability to interpret the results.
  9. A participant with active infections.
  10. Documented active cancer.
  11. Treatment with another investigational drug, biological agent, or device within 2 months of the first dose, or investigational cell therapy within 6 months of the first dose.

Sites / Locations

  • Hadassah Medical Center -Motor Neuron Disease ClinicRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

IPL344

Arm Description

IPL344 will be administered Intravenously on a daily basis. The dose range of IPL344 is 1.7-3.2 mg/kg

Outcomes

Primary Outcome Measures

Adverse Events (AEs) and serious adverse events (SAEs) Reporting
All AEs will be recorded, whether considered minor or serious, drug-related or not
Maximum Tolerated Dose (MTD)
Dose defined as the highest dose with no Dose Limiting Toxicity (DLT). DLT will be defined as a Grade ≥ 3 toxicity per participant according to Common Terminology Criteria for Adverse Events (CTCAE v5.0).

Secondary Outcome Measures

Pharmacokinetic (PK) profile - Maximum Plasma Concentration (Cmax)
Blood will be collected for PK testing on Day 1 prior to and after first dose and on each dose-escalation administration day and on Day 28
Pharmacokinetic (PK) profile - Area Under the Curve (AUC)
Blood will be collected for PK testing on Day 1 prior to and after first dose and on each dose-escalation administration day and on Day 28
Pharmacokinetic (PK) profile - time to reach maximum plasma concentration (Tmax)
Blood will be collected for PK testing on Day 1 prior to and after first dose and on each dose-escalation administration day and on Day 28
Pharmacokinetic (PK) profile - apparent terminal exponential half-life (T1/2)
Blood will be collected for PK testing on Day 1 prior to and after first dose and on each dose-escalation administration day and on Day 28

Full Information

First Posted
August 13, 2018
Last Updated
August 10, 2020
Sponsor
Immunity Pharma Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03652805
Brief Title
A Study of IPL344 in the Treatment of ALS Patients
Acronym
ALS
Official Title
Phase 1/2a, Multi-center, Open-Label, Dose-escalating Study to Assess Safety, Tolerability, and Pharmacokinetics of Intravenously Administered IPL344 for The Treatment of Amyotrophic Lateral Sclerosis (ALS)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2019
Overall Recruitment Status
Unknown status
Study Start Date
August 1, 2018 (Actual)
Primary Completion Date
July 15, 2022 (Anticipated)
Study Completion Date
August 15, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Immunity Pharma Ltd.

4. Oversight

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

5. Study Description

Brief Summary
This is a prospective, open-label, phase 1/2a study, dose escalation, to evaluate tolerability, safety, and PK of I.V. administered IPL344 in participants with Amyotrophic Lateral Sclerosis (ALS).
Detailed Description
The study is designed to determine the tolerability, safety and PK of IPL344 administered I.V. once a day for 28 days and to identify the maximum tolerated dose. All patients enrolled will have a documented history of ALS disease prior to study enrollment. Treatment will start with 1.7mg/kg with dose escalation by 0.5 mg/kg every 3-4 days and will increase to the maximum dose of 3.2mg/kg. Day 1 to Day 28 patients will be on active treatment. After completion of 28 treatment days, participants who will choose to continue treatment (at the investigator's discretion), will be enrolled in a follow-up study. Participants that discontinue treatment after Day 28 will be followed up by a nurse phone call and return to the clinic for a final visit on Day 56 from the first dose.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Amyotrophic Lateral Sclerosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
15 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
IPL344
Arm Type
Experimental
Arm Description
IPL344 will be administered Intravenously on a daily basis. The dose range of IPL344 is 1.7-3.2 mg/kg
Intervention Type
Drug
Intervention Name(s)
IPL344
Intervention Description
The study is designed to determine the tolerability, safety and PK of IPL344 administered I.V. once a day for 28 days and to identify the maximum tolerated dose. All patients enrolled will have a documented history of ALS disease prior to study enrollment. Treatment will start with 1.7mg/kg with dose escalation by 0.5 mg/kg every 3-4 days and will increase to the maximum dose of 3.2mg/kg. Day 1 to Day 28 patients will be on active treatment. After completion of 28 treatment days, participants who will choose to continue treatment (at the investigator's discretion), will be enrolled in a follow-up study. Participants that discontinue treatment after Day 28 will be followed up by a nurse phone call and return to the clinic for a final visit on Day 56 from the first dose.
Primary Outcome Measure Information:
Title
Adverse Events (AEs) and serious adverse events (SAEs) Reporting
Description
All AEs will be recorded, whether considered minor or serious, drug-related or not
Time Frame
(up-to Day 56)
Title
Maximum Tolerated Dose (MTD)
Description
Dose defined as the highest dose with no Dose Limiting Toxicity (DLT). DLT will be defined as a Grade ≥ 3 toxicity per participant according to Common Terminology Criteria for Adverse Events (CTCAE v5.0).
Time Frame
Study treatment duration (Day 1 -28 days)
Secondary Outcome Measure Information:
Title
Pharmacokinetic (PK) profile - Maximum Plasma Concentration (Cmax)
Description
Blood will be collected for PK testing on Day 1 prior to and after first dose and on each dose-escalation administration day and on Day 28
Time Frame
Pre-Dose and 5, 10, 20, 30, 45, 60 and 120 minutes after dosing
Title
Pharmacokinetic (PK) profile - Area Under the Curve (AUC)
Description
Blood will be collected for PK testing on Day 1 prior to and after first dose and on each dose-escalation administration day and on Day 28
Time Frame
Pre-Dose and 5, 10, 20, 30, 45, 60 and 120 minutes after dosing
Title
Pharmacokinetic (PK) profile - time to reach maximum plasma concentration (Tmax)
Description
Blood will be collected for PK testing on Day 1 prior to and after first dose and on each dose-escalation administration day and on Day 28
Time Frame
Pre-Dose and 5, 10, 20, 30, 45, 60 and 120 minutes after dosing
Title
Pharmacokinetic (PK) profile - apparent terminal exponential half-life (T1/2)
Description
Blood will be collected for PK testing on Day 1 prior to and after first dose and on each dose-escalation administration day and on Day 28
Time Frame
Pre-Dose and 5, 10, 20, 30, 45, 60 and 120 minutes after dosing
Other Pre-specified Outcome Measures:
Title
Exploratory: Biomarker testing
Description
Blood samples for exploratory Biomarkers (Biobanking)
Time Frame
up-to Day 56
Title
Exploratory: Anti-Drug Antibody (ADA) testing
Description
Blood samples for Anti-Drug Antibody (Biobanking)
Time Frame
up-to Day 56
Title
Exploratory: identify a marker based on the mechanism of action (MOA)
Description
Blood samples for future PD (Biobanking)
Time Frame
up-to Day 56
Title
Changes from baseline in ALS disease progression
Description
ALS functional rating scale-Revised (ALSFRS-R) - Questionnaire
Time Frame
up-to day 56
Title
Changes from baseline in Pulmonary Function
Description
Measured by Vital Capacity (VC)
Time Frame
up-to day 56
Title
Changes from baseline in Muscle strength
Description
Assessed by using a quantitative strength testing tool, Hand Held Dynamometry (HHD)
Time Frame
up-to day 56
Title
Changes from baseline in Anti-Depression effect
Description
Evaluated by ALS Depression Inventory (ADI-12) - questionnaire
Time Frame
up-to day 56
Title
Changes from baseline in Anti-Depression effect
Description
the Hospital Anxiety and Depression Scale (HADS) - questionnaire
Time Frame
up-to day 56

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female participants ages ≥18 to 80 years Consenting participants fulfilling the El Escorial criteria for probable and definite ALS (sporadic and familial) Participant has ALSFRS-R score >20, the latest ALSFRS-R test should be no more than 6 weeks before screening visit, AND: a disease progression rate greater than 0.55 ALSFRS-R point per month on average, over at least 4 months, prior to the latest ALSFRS-R test OR a decline of at least 3 points in ALSFRS-R score within the last 4 months prior to the latest ALSFRS-R test Previous data of Force Vital Capacity (FVC) of ≥60% at least 3 months before screening and not more than 12 months. Written informed consent consistent with ICH-GCP and local laws, signed prior to any study procedures being performed. BMI 18.5 to 30 kg/m2 inclusive and weigh at least 50 kg and no more than 100 kg. If taking riluzole or edaravone, the participant must be on a stable dose for ≥30 days prior to Day 1 and expected to remain at that dose until the final study visit. Medically able to undergo the study procedures, and to adhere to the visit schedule at the time of study entry. Medically is able and willing to undergo placement and maintain a central venous catheter as determined by the investigator. Participant has a competent caregiver or qualified individual who can and will be responsible for the administration of study drug and reporting home activities. Geographic accessibility to the study site Females must not be lactating or pregnant at Screening, as documented by a negative beta-human chorionic gonadotropin [ß-hCG] (or human chorionic gonadotropin [hCG]. Women of child-bearing potential or males whose partners are women of child-bearing potential use an effective method of contraception throughout the trial. Exclusion Criteria: Concurrent therapy that, in the PI's opinion, would interfere with the evaluation of the safety or efficacy of the study medication. Co-existing psychiatric disorder excluding a depression disorder occurred after ALS diagnosis. Participant is a respiratory dependent. Subjects with a significant pulmonary disorder not attributed to ALS. Slow Vital Capacity (SVC) <60. Presence of any other condition or circumstance that, in the judgment of the Investigator, might contraindicate or increase the risk to the participant or decrease the chance of obtaining satisfactory data to achieve the objectives of the study. History of HIV, positive HBV or HCV serology. Participants suffering from significant cardiac, or any other disease that may endanger the participant or interfere with the ability to interpret the results. A participant with active infections. Documented active cancer. Treatment with another investigational drug, biological agent, or device within 2 months of the first dose, or investigational cell therapy within 6 months of the first dose.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Marc Gotkine, M.D.
Phone
+972 2 6778899
Email
marc@gotkine.com
Facility Information:
Facility Name
Hadassah Medical Center -Motor Neuron Disease Clinic
City
Jerusalem
Country
Israel
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Marc Gotkune, M.D.
Phone
+972 2 6778899
Email
marc@gotkine.com
First Name & Middle Initial & Last Name & Degree
Marc Kotkine, M.D.

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of IPL344 in the Treatment of ALS Patients

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