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Phase 2, Open-Label Study to Evaluate the Safety and Tolerability of Progerinin in Werner Syndrome

Primary Purpose

Werner Syndrome

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Progerinin
Sponsored by
PRG Science & Technology Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Werner Syndrome

Eligibility Criteria

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

Inclusion Criteria: Subjects must be at least ≥ 18 years of age. Subjects should have a confirmed diagnosis of typical Werner syndrome by genetic analysis. Subjects should be osteopenic (T-score between -1.0 and -2.5) or have confirmed osteoporosis (Tscore ≤ -2.5) at screening/baseline. Subjects may continue to receive bone supplements (e.g., bisphosphonates, calcium supplements, Vitamin D supplements, etc.) as appropriate per standard of care throughout the study. Male or non-pregnant, non-lactating female. Subjects screening blood chemistry inclusive of metabolic panel, hematology, and urine analysis results should be acceptable to the investigator. Negative pregnancy test for female subjects as described below. Women of child bearing potential (WOCBP) and Women not of child-bearing potential are eligible to participate. Both women of childbearing potential and women of non-child-bearing potential should use an approved method of birth control and agrees to continue to use this method for the duration of the study and for 90 days after last treatment. Acceptable methods of contraception include abstinence, female subject/partner's use of hormonal contraceptive (oral, implanted, or injected) in conjunction with a barrier method (WOCBP only), female subject/partner's use of an intrauterine device (IUD), or if the female subject/partner is surgically sterile or two years post-menopausal. All male subjects/partners must agree to use a In addition, subjects may not donate sperm for the duration of the study and for 90 days after last treatment. Females who are less than two (2) years post-menopausal, those with tubal ligations and those using contraception must have a negative serum pregnancy test at baseline within the one (1) week prior to the first study medication administration. Every six weeks, and at study termination a pregnancy test should be performed, either serum or urine stick test. However, if the urine result is positive, a serum pregnancy test will be performed. Provide signed written informed consent and willingness, ability to comply with study requirements. Subject must have a projected life expectancy of ≥ 12 months in the opinion of the Investigator. Exclusion Criteria: Subject with clinical signs seen at screening are at the final stage of Werner syndrome progression, and completion of the study is difficult to be assessed, including: Subjects who received continuous or intermittent home oxygen therapy for 6 months before obtaining consent Subjects who received at least 2 hospitalizations for pneumonia during the 12 months prior to obtaining consent Subjects who have at least 10% net weight loss and have not recovered. This includes significant net weight loss over the last six months. Subjects with significant dehydration as judged by the principal investigator. Subjects with pericardial fluid, ascites and pleural effusion. Therapy with investigational drugs within 30 days of beginning study medication. History of prior malignancy, except for adequately treated in situ cancer, basal cell, squamous cell skin cancer, or other cancers (e.g., breast, prostate) for which the subject has been disease-free for at least 3 years. Any serious medical condition, laboratory abnormality, psychiatric illness, or comorbidity that, in the judgment of the Investigator, would make the subject inappropriate for the study. Serious systemic fungal, bacterial, viral, or other infection that is not controlled or requires intravenous (IV) treatment for infection(s). Subjects with known history of having Acquired Immunodeficiency Syndrome (AIDS) or with a history known to be infected with Human Immunodeficiency Virus (HIV). Subjects with a history of serious drug hypersensitivity or allergic reaction such as anaphylaxis or any component of the formulation. Clinically significant bleeding within 2 weeks prior to baseline (e.g., gastrointestinal [GI] bleeding, intracranial hemorrhage). Medical or recreational use of marijuana or THC-containing compounds within 3 months of screening visit and for the duration of the trial. Pregnant or lactating women. Major surgery, defined as any surgical procedure that involves general anesthesia and a significant incision (i.e., larger than what is required for placement of central venous access, percutaneous feeding tube, or biopsy), within 28 days prior to baseline or anticipated surgery during the study period. Inability to return for scheduled treatment and assessments. Subjects that require concomitant use of any medications or substances that are strong inhibitors or inducers of CYP2D6 or CYP2C8

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Treatment Group

    Arm Description

    all subjects will receive Progerinin 2400mg (1200mg twice daily) after morning and evening meals for a year

    Outcomes

    Primary Outcome Measures

    Incidence and severity of Treatment-Emergent Adverse Events (TEAEs)
    The intensity of the event will be graded using CTCAE v5.0 criteria
    Incidence of Treatment-Related Adverse Events
    Incidence of Serious Adverse Events (SAEs)
    Incidence of TEAEs and SAEs leading to discontinuation of study medication
    Changes in Blood Hemoglobin (g/dl) from baseline
    Changes in Blood White Blood Cell (cell per microliter) from baseline
    Changes in Blood Platelets (cell per microliter) from baseline
    Changes in Serum Creatinine (µmol/L) from baseline
    Changes in Serum Alanine Aminotransferase (IU/l) from baseline
    Changes in Serum Aspartate Aminotransferase (IU/l) from baseline
    Changes in Serum Alkaline Phosphatase (microkatal per liter) from baseline
    Changes in weight (kg) from baseline
    Changes in pulse rate (beats per minute) from baseline
    Changes in respiratory rate (breaths per minute) from baseline
    Changes in temperature (°F) from baseline
    Changes in systolic Blood pressure (mm Hg) from baseline
    Changes in Diastolic Blood pressure (mm Hg) from baseline
    Change in ECG ventricular rate from baseline (beats per minute)
    Change in ECG PR interval (msec)
    Change in ECG QRS interval (msec)
    Change in ECG QT interval (msec)
    Change in ECG QTc interval (msec)

    Secondary Outcome Measures

    Full Information

    First Posted
    March 31, 2023
    Last Updated
    April 26, 2023
    Sponsor
    PRG Science & Technology Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05847179
    Brief Title
    Phase 2, Open-Label Study to Evaluate the Safety and Tolerability of Progerinin in Werner Syndrome
    Official Title
    A Phase 2, Open-Label Study to Evaluate the Safety and Tolerability of Progerinin for the Treatment of Bone Mineral Density (BMD) Loss in Subjects With Typical Werner Syndrome
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    January 1, 2025 (Anticipated)
    Primary Completion Date
    January 1, 2026 (Anticipated)
    Study Completion Date
    January 1, 2027 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    PRG Science & Technology Co., Ltd.

    4. Oversight

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

    5. Study Description

    Brief Summary
    This is a Phase 2, open-label study to A Phase 2, Open-Label Study to Evaluate the Safety and Tolerability of Progerinin for the Treatment of Bone Mineral Density (BMD) Loss in Subjects with Typical Werner Syndrome. There will be up to 5 subjects that will receive treatment with Progerinin twice daily for approximately 1 year.
    Detailed Description
    Subjects who have successfully completed the Screening phase will enter the baseline and treatment phase of the study. Subjects will take the assigned treatment of Progerinin (2400 mg) split as 1200 mg BID in the morning and evening with food for 1-Year. To evaluate the safety and tolerability of Progerinin for the treatment of BMD loss in subjects with typical Werner syndrome. The secondary objectives of this study are: To characterize the activity of Progerinin on bone metabolism in subjects with typical Werner syndrome. To evaluate the pharmacokinetics (PK) of Progerinin sachet administered twice daily (BID) in subjects with typical Werner syndrome

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Werner Syndrome

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Treatment Group
    Arm Type
    Experimental
    Arm Description
    all subjects will receive Progerinin 2400mg (1200mg twice daily) after morning and evening meals for a year
    Intervention Type
    Drug
    Intervention Name(s)
    Progerinin
    Intervention Description
    This is a Phase 2, open-label study to evaluate the safety and Tolerability of Progerinin for the treatment of BMD Bone Mineral Density (BMD) Loss in Subjects with Typical Werner Syndrome. . There will be up to 5 subjects that will receive treatment with Progerinin twice daily for approximately 1 year. This study will have three phases: Screening Phase, Treatment Phase, and Follow-Up Phase.
    Primary Outcome Measure Information:
    Title
    Incidence and severity of Treatment-Emergent Adverse Events (TEAEs)
    Description
    The intensity of the event will be graded using CTCAE v5.0 criteria
    Time Frame
    week 54
    Title
    Incidence of Treatment-Related Adverse Events
    Time Frame
    week 54
    Title
    Incidence of Serious Adverse Events (SAEs)
    Time Frame
    week 54
    Title
    Incidence of TEAEs and SAEs leading to discontinuation of study medication
    Time Frame
    week 54
    Title
    Changes in Blood Hemoglobin (g/dl) from baseline
    Time Frame
    week 54
    Title
    Changes in Blood White Blood Cell (cell per microliter) from baseline
    Time Frame
    week 54
    Title
    Changes in Blood Platelets (cell per microliter) from baseline
    Time Frame
    week 54
    Title
    Changes in Serum Creatinine (µmol/L) from baseline
    Time Frame
    week 54
    Title
    Changes in Serum Alanine Aminotransferase (IU/l) from baseline
    Time Frame
    week 54
    Title
    Changes in Serum Aspartate Aminotransferase (IU/l) from baseline
    Time Frame
    week 54
    Title
    Changes in Serum Alkaline Phosphatase (microkatal per liter) from baseline
    Time Frame
    week 54
    Title
    Changes in weight (kg) from baseline
    Time Frame
    week 54
    Title
    Changes in pulse rate (beats per minute) from baseline
    Time Frame
    week 54
    Title
    Changes in respiratory rate (breaths per minute) from baseline
    Time Frame
    week 54
    Title
    Changes in temperature (°F) from baseline
    Time Frame
    week 54
    Title
    Changes in systolic Blood pressure (mm Hg) from baseline
    Time Frame
    week 54
    Title
    Changes in Diastolic Blood pressure (mm Hg) from baseline
    Time Frame
    week 54
    Title
    Change in ECG ventricular rate from baseline (beats per minute)
    Time Frame
    week 54
    Title
    Change in ECG PR interval (msec)
    Time Frame
    week 54
    Title
    Change in ECG QRS interval (msec)
    Time Frame
    week 54
    Title
    Change in ECG QT interval (msec)
    Time Frame
    week 54
    Title
    Change in ECG QTc interval (msec)
    Time Frame
    week 54

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subjects must be at least ≥ 18 years of age. Subjects should have a confirmed diagnosis of typical Werner syndrome by genetic analysis. Subjects should be osteopenic (T-score between -1.0 and -2.5) or have confirmed osteoporosis (Tscore ≤ -2.5) at screening/baseline. Subjects may continue to receive bone supplements (e.g., bisphosphonates, calcium supplements, Vitamin D supplements, etc.) as appropriate per standard of care throughout the study. Male or non-pregnant, non-lactating female. Subjects screening blood chemistry inclusive of metabolic panel, hematology, and urine analysis results should be acceptable to the investigator. Negative pregnancy test for female subjects as described below. Women of child bearing potential (WOCBP) and Women not of child-bearing potential are eligible to participate. Both women of childbearing potential and women of non-child-bearing potential should use an approved method of birth control and agrees to continue to use this method for the duration of the study and for 90 days after last treatment. Acceptable methods of contraception include abstinence, female subject/partner's use of hormonal contraceptive (oral, implanted, or injected) in conjunction with a barrier method (WOCBP only), female subject/partner's use of an intrauterine device (IUD), or if the female subject/partner is surgically sterile or two years post-menopausal. All male subjects/partners must agree to use a In addition, subjects may not donate sperm for the duration of the study and for 90 days after last treatment. Females who are less than two (2) years post-menopausal, those with tubal ligations and those using contraception must have a negative serum pregnancy test at baseline within the one (1) week prior to the first study medication administration. Every six weeks, and at study termination a pregnancy test should be performed, either serum or urine stick test. However, if the urine result is positive, a serum pregnancy test will be performed. Provide signed written informed consent and willingness, ability to comply with study requirements. Subject must have a projected life expectancy of ≥ 12 months in the opinion of the Investigator. Exclusion Criteria: Subject with clinical signs seen at screening are at the final stage of Werner syndrome progression, and completion of the study is difficult to be assessed, including: Subjects who received continuous or intermittent home oxygen therapy for 6 months before obtaining consent Subjects who received at least 2 hospitalizations for pneumonia during the 12 months prior to obtaining consent Subjects who have at least 10% net weight loss and have not recovered. This includes significant net weight loss over the last six months. Subjects with significant dehydration as judged by the principal investigator. Subjects with pericardial fluid, ascites and pleural effusion. Therapy with investigational drugs within 30 days of beginning study medication. History of prior malignancy, except for adequately treated in situ cancer, basal cell, squamous cell skin cancer, or other cancers (e.g., breast, prostate) for which the subject has been disease-free for at least 3 years. Any serious medical condition, laboratory abnormality, psychiatric illness, or comorbidity that, in the judgment of the Investigator, would make the subject inappropriate for the study. Serious systemic fungal, bacterial, viral, or other infection that is not controlled or requires intravenous (IV) treatment for infection(s). Subjects with known history of having Acquired Immunodeficiency Syndrome (AIDS) or with a history known to be infected with Human Immunodeficiency Virus (HIV). Subjects with a history of serious drug hypersensitivity or allergic reaction such as anaphylaxis or any component of the formulation. Clinically significant bleeding within 2 weeks prior to baseline (e.g., gastrointestinal [GI] bleeding, intracranial hemorrhage). Medical or recreational use of marijuana or THC-containing compounds within 3 months of screening visit and for the duration of the trial. Pregnant or lactating women. Major surgery, defined as any surgical procedure that involves general anesthesia and a significant incision (i.e., larger than what is required for placement of central venous access, percutaneous feeding tube, or biopsy), within 28 days prior to baseline or anticipated surgery during the study period. Inability to return for scheduled treatment and assessments. Subjects that require concomitant use of any medications or substances that are strong inhibitors or inducers of CYP2D6 or CYP2C8
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Anand Balasubramanian
    Phone
    301-956-2531
    Email
    anandb@amarexcro.com

    12. IPD Sharing Statement

    Learn more about this trial

    Phase 2, Open-Label Study to Evaluate the Safety and Tolerability of Progerinin in Werner Syndrome

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