A Study to Evaluate the Safety and Efficacy of Basmisanil Treatment in Children Aged 2-14 Years With Dup15q Syndrome
Primary Purpose
Dup15q Syndrome
Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Basmisanil
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Dup15q Syndrome focused on measuring dup15q, dup15q syndrome, 15q, duplication 15q, 15q duplication, chromosome 15q duplication, 15q duplication syndrome, duplication 15, triplication 15
Eligibility Criteria
Inclusion Criteria:
- Documented maternal duplication (3 copies) or triplication (4 copies) of the chromosome 15q11.2-q13.1 region that includes the Prader Willi/Angelman critical region defined as [BP2-BP3] segment
- Dup15q syndrome Clinical Global Impression Severity scale (Dup15q CGI-S) overall severity score ≥ 4 (at least moderately ill)
- Body weight equal to or above the third percentile for age
- Participant has a parent, caregiver, or legally authorized representative (hereinafter "caregiver") of at least 18 years of age, who is fluent in the local language at the site, and capable and willing to provide written informed consent for the participant, according to International Council on Harmonisation and local regulations
- Participant's caregiver must be living with the participant and, in the opinion of the Investigator, able and willing to reliably assess the participant's ongoing condition, to accompany the participant to all clinic visits, and ensure compliance to study treatment throughout the study. The same caregiver is able and willing to complete the caregiver assessments and is available to the Investigational Site by telephone or email if needed
- Participant's caregiver is able and willing to use electronic devices to record information on the participant's condition and to complete assessments at home and agrees to home nursing visits, if local regulations allow for it and if home nursing service is available in the country/region
Exclusion Criteria:
- Uncontrolled epilepsy at screening (as defined by the protocol)
- Lymphoma, leukemia, or any malignancy within the past 5 years, except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years
- Clinically significant ECG abnormalities at Screening
- Clinically significant abnormalities in laboratory test results at screening (including positive results for HIV, hepatitis B and/or hepatitis C)
- Allowed prior existing medication should be on a stable regimen (or frequency of intervention) for at least 6 weeks, and at least 8 weeks for anti-epileptic treatment, prior to Screening
- Non-pharmacological / behavioral therapies should not be stopped or newly started at least 6 weeks prior to Screening and are expected to remain stable for the entire study duration (excluding changes related to standard age and educational interventional programs and minor interruptions such as illness or vacation
- Concomitant use of prohibited medications
- Participation in an investigational drug study within one month or within 6 × the elimination half-life, whichever is longer, prior to dosing in the study
- Significant risk for suicidal behavior, as assessed through the suicidal behavior question adapted from the Columbia Classification Algorithm for Suicide Assessment (C-CASA) (participants ≥ 6 years of age only)
- Known sensitivity to any of the study treatments or components thereof or drug or other allergy that, in the opinion of the Investigator, contraindicates the participation in the study, including severe lactose intolerance (e.g., unable to tolerate 250 mL [8 oz. or 1 cup] of milk, ice cream, or yogurt)
- Concomitant clinically relevant disease or condition or any clinically significant finding at screening that could interfere with, or for which, the treatment might interfere with, the conduct of the study or that would pose an unacceptable risk to the participants in this study
- Known active or uncontrolled bacterial, viral, or other infection (excluding fungal infections of nail beds) or any major clinically significant episode of infection or hospitalization (relating to the completion of the course of antibiotics) within 6 weeks prior to the start of drug administration
Sites / Locations
- Children's Hospital Los AngelesRecruiting
- Rady Children's Hospital - San DiegoRecruiting
- Rush University Medical CenterRecruiting
- Carolina Institute for Development Disabilities University of North Carolina/School of MedicineRecruiting
- Queensland Children?s HospitalRecruiting
- Royal Children's Hospital; Murdoch Children's Research InstituteRecruiting
- IRCCS Oasi Maria SS.; Dipartimento per il ritardo mentaleRecruiting
- Fondazione Stella Maris; Dipartimento di neuroscienze dello sviluppoRecruiting
- IRCCS Eugenio Medea; U.O. di Epilessia e Neurofisiologia clinicaRecruiting
- Uniwersytecki Szpital Kliniczny w Poznaniu; Od. Kliniczny Neurologii Dzieci i M?odziezyRecruiting
- CHULC, E.P.E. - Hospital Dona Estefania; Servico de NeuropediatriaRecruiting
- Hospital Sant Joan De DeuRecruiting
- Hospital Universitario La Paz; Servicio de NeurologiaRecruiting
- Hospital Universitario Virgen del RocíoRecruiting
- Evelina London Children's HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Basmisanil
Placebo
Arm Description
Participants will receive oral basmisanil twice daily (BID) on the first day of treatment, then three times per day (TID) until the end of Part 1 of the trial (Day 365) or the end of Part 2 (Day 1095)
Participants will receive oral placebo BID on the first day of treatment, then TID until the end of Part 1 of the trial (Day 365).
Outcomes
Primary Outcome Measures
Vineland-3 adaptive behavior composite scores
Secondary Outcome Measures
Vineland-3 gross and fine motor subdomains scores
Mullen Scales of Early Learning (MSEL) gross and fine motor domains
MSEL visual reception domain scores
Vineland 3 expressive and receptive communication subdomains
MSEL expressive and receptive language subdomains
Vineland-3 play and leisure time and interpersonal relationships subdomains
Dup15q syndrome Clinician Global Impression of Severity (CGI-S) scale scores
Dup15q syndrome Clinician Global Impression of Change scale (CGI-C) scores
Aberrant Behavior Checklist - Second Edition - Community Version (ABC-2-C) domain scores
Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Incidence of treatment discontinuations due to AEs
Incidence of laboratory abnormalities based on hematology, clinical chemistry, and urinalysis test results
ECG QTc interval changes from baseline
Incidence of abnormal electrocardiogram (ECG) assessments
Change from baseline in seizure frequency, duration, and type
Abnormal changes in EEG recordings compared to baseline with a focus on treatment-emergent epileptiform abnormalities
Systolic and diastolic blood pressure measurements
Heart rate measurements
Suicidality as assessed through questions from selected items adapted from the Columbia Classification Algorithm for Suicide (C-CASA) in participants aged 6 years and above
Height in meters (m)
Weight in kilograms (kg)
Head circumference in centimeters (cm)
Tanner staging over time in participants aged 9 years and above
Plasma concentration of basmisanil
Plasma concentration of the basmisanil metabolite M1
Area under the concentration-time curve during one dosing interval at steady state (AUCtau,ss) of basmisanil
Maximum concentration at steady state (Cmax,ss) of basmisanil
Trough plasma concentration at steady state (Ctrough, ss) of basmisanil
Apparent clearance (CL/F) of basmisanil
Apparent volume of distribution (Vd/F) of basmisanil
Plasma concentration ratio of M1 to basmisanil at trough
Cmax,ss of M1
Ctrough, ss of M1
Quantitative EEG (qEEG) beta-band power
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05307679
Brief Title
A Study to Evaluate the Safety and Efficacy of Basmisanil Treatment in Children Aged 2-14 Years With Dup15q Syndrome
Official Title
A Phase II, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Safety, Efficacy, and Pharmacodynamics of 52 Weeks of Treatment With Basmisanil in Participants Aged 2 to 14 Years Old With Dup15q Syndrome Followed by a 2-Year Optional Open-Label Extension
Study Type
Interventional
2. Study Status
Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 16, 2022 (Actual)
Primary Completion Date
January 1, 2026 (Anticipated)
Study Completion Date
January 1, 2026 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study consists of two parts. Part 1 will evaluate the safety, efficacy, and pharmacodynamics of 52-weeks of basmisanil treatment in children and adolescents (aged 2-14 years) with Dup15q syndrome. Part 1 will test the hypothesis that negative allosteric modulation of a GABAA receptor subtype can address excessive receptor function and positively impact core neurodevelopmental disease feature in individuals with Dup15q syndrome. Part 2 is an optional 2-year open-label extension to evaluate long-term safety, tolerability, and to provide supportive evidence of benefit of continued treatment with basmisanil in selected efficacy outcomes.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dup15q Syndrome
Keywords
dup15q, dup15q syndrome, 15q, duplication 15q, 15q duplication, chromosome 15q duplication, 15q duplication syndrome, duplication 15, triplication 15
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
90 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Basmisanil
Arm Type
Experimental
Arm Description
Participants will receive oral basmisanil twice daily (BID) on the first day of treatment, then three times per day (TID) until the end of Part 1 of the trial (Day 365) or the end of Part 2 (Day 1095)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive oral placebo BID on the first day of treatment, then TID until the end of Part 1 of the trial (Day 365).
Intervention Type
Drug
Intervention Name(s)
Basmisanil
Intervention Description
Participants will receive oral basmisanil at age-appropriate dosages
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Participants will receive oral placebo
Primary Outcome Measure Information:
Title
Vineland-3 adaptive behavior composite scores
Time Frame
Up to 52 weeks
Secondary Outcome Measure Information:
Title
Vineland-3 gross and fine motor subdomains scores
Time Frame
Up to 52 weeks
Title
Mullen Scales of Early Learning (MSEL) gross and fine motor domains
Time Frame
Up to 52 weeks
Title
MSEL visual reception domain scores
Time Frame
Up to 52 weeks
Title
Vineland 3 expressive and receptive communication subdomains
Time Frame
Up to 52 weeks
Title
MSEL expressive and receptive language subdomains
Time Frame
Up to 52 weeks
Title
Vineland-3 play and leisure time and interpersonal relationships subdomains
Time Frame
Up to 52 weeks
Title
Dup15q syndrome Clinician Global Impression of Severity (CGI-S) scale scores
Time Frame
Up to 52 weeks
Title
Dup15q syndrome Clinician Global Impression of Change scale (CGI-C) scores
Time Frame
Up to 52 weeks
Title
Aberrant Behavior Checklist - Second Edition - Community Version (ABC-2-C) domain scores
Time Frame
Up to 52 weeks
Title
Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame
Up to 52 weeks
Title
Incidence of treatment discontinuations due to AEs
Time Frame
Up to 52 weeks
Title
Incidence of laboratory abnormalities based on hematology, clinical chemistry, and urinalysis test results
Time Frame
Up to 52 weeks
Title
ECG QTc interval changes from baseline
Time Frame
Up to 52 weeks
Title
Incidence of abnormal electrocardiogram (ECG) assessments
Time Frame
Up to 52 weeks
Title
Change from baseline in seizure frequency, duration, and type
Time Frame
Up to 52 weeks
Title
Abnormal changes in EEG recordings compared to baseline with a focus on treatment-emergent epileptiform abnormalities
Time Frame
Up to 52 weeks
Title
Systolic and diastolic blood pressure measurements
Time Frame
Up to 52 weeks
Title
Heart rate measurements
Time Frame
Up to 52 weeks
Title
Suicidality as assessed through questions from selected items adapted from the Columbia Classification Algorithm for Suicide (C-CASA) in participants aged 6 years and above
Time Frame
Up to 52 weeks
Title
Height in meters (m)
Time Frame
Up to 52 weeks
Title
Weight in kilograms (kg)
Time Frame
Up to 52 weeks
Title
Head circumference in centimeters (cm)
Time Frame
Up to 52 weeks
Title
Tanner staging over time in participants aged 9 years and above
Time Frame
Up to 52 weeks
Title
Plasma concentration of basmisanil
Time Frame
Up to 52 weeks
Title
Plasma concentration of the basmisanil metabolite M1
Time Frame
Up to 52 weeks
Title
Area under the concentration-time curve during one dosing interval at steady state (AUCtau,ss) of basmisanil
Time Frame
Up to 52 weeks
Title
Maximum concentration at steady state (Cmax,ss) of basmisanil
Time Frame
Up to 52 weeks
Title
Trough plasma concentration at steady state (Ctrough, ss) of basmisanil
Time Frame
Up to 52 weeks
Title
Apparent clearance (CL/F) of basmisanil
Time Frame
Up to 52 weeks
Title
Apparent volume of distribution (Vd/F) of basmisanil
Time Frame
Up to 52 weeks
Title
Plasma concentration ratio of M1 to basmisanil at trough
Time Frame
Up to 52 weeks
Title
Cmax,ss of M1
Time Frame
Up to 52 weeks
Title
Ctrough, ss of M1
Time Frame
Up to 52 weeks
Title
Quantitative EEG (qEEG) beta-band power
Time Frame
Up to 52 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
14 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Documented maternal duplication (3 copies) or triplication (4 copies) of the chromosome 15q11.2-q13.1 region that includes the Prader Willi/Angelman critical region defined as [BP2-BP3] segment
Dup15q syndrome Clinician Global Impression of Severity scale (Dup15q CGI-S) overall severity score ≥ 4 (at least moderately ill)
Body weight equal to or above the third percentile for age
Participant has a parent, caregiver, or legally authorized representative (hereinafter "caregiver") of at least 18 years of age, who is fluent in the local language at the site, and capable and willing to provide written informed consent for the participant, according to International Council for Harmonisation and local regulations
Participant's caregiver must be living with the participant and, in the opinion of the Investigator, able and willing to reliably assess the participant's ongoing condition, to accompany the participant to all clinic visits, and ensure compliance to study treatment throughout the study. The same caregiver is able and willing to complete the caregiver assessments and is available to the Investigational Site by telephone or email if needed
Participant's caregiver is able and willing to use electronic devices to record information on the participant's condition and to complete assessments at home and agrees to home nursing visits, if local regulations allow for it and if home nursing service is available in the country/region
Exclusion Criteria:
Uncontrolled epilepsy at screening (as defined by the protocol)
Lymphoma, leukemia, or any malignancy within the past 5 years, except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years
Clinically significant ECG abnormalities at Screening
Clinically significant abnormalities in laboratory test results at screening (including positive results for HIV, hepatitis B and/or hepatitis C)
Allowed prior existing medication should be on a stable regimen (or frequency of intervention) for at least 6 weeks, and at least 8 weeks for anti-epileptic treatment, prior to Screening
Non-pharmacological / behavioral therapies should not be stopped or newly started at least 6 weeks prior to Screening and are expected to remain stable for the entire study duration (excluding changes related to standard age and educational interventional programs and minor interruptions such as illness or vacation
Concomitant use of prohibited medications
Participation in an investigational drug study within one month or within 6 × the elimination half-life, whichever is longer, prior to dosing in the study
Significant risk for suicidal behavior, as assessed through the suicidal behavior question adapted from the Columbia Classification Algorithm for Suicide Assessment (C-CASA) (participants ≥ 6 years of age only)
Known sensitivity to any of the study treatments or components thereof or drug or other allergy that, in the opinion of the Investigator, contraindicates the participation in the study, including severe lactose intolerance (e.g., unable to tolerate 250 mL [8 oz. or 1 cup] of milk, ice cream, or yogurt)
Concomitant clinically relevant disease or condition or any clinically significant finding at screening that could interfere with, or for which, the treatment might interfere with, the conduct of the study or that would pose an unacceptable risk to the participants in this study
Known active or uncontrolled bacterial, viral, or other infection (excluding fungal infections of nail beds) or any major clinically significant episode of infection or hospitalization (relating to the completion of the course of antibiotics) within 6 weeks prior to the start of drug administration
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Reference Study ID Number: BP42992 https://forpatients.roche.com/
Phone
888-662-6728
Email
global-roche-genentech-trials@gene.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
Facility Name
Children's Hospital Los Angeles
City
Los Angeles
State/Province
California
ZIP/Postal Code
90010
Country
United States
Individual Site Status
Recruiting
Facility Name
Rady Children's Hospital - San Diego
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Individual Site Status
Recruiting
Facility Name
Rush University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612-3244
Country
United States
Individual Site Status
Recruiting
Facility Name
Carolina Institute for Development Disabilities University of North Carolina/School of Medicine
City
Carrboro
State/Province
North Carolina
ZIP/Postal Code
27510
Country
United States
Individual Site Status
Recruiting
Facility Name
Queensland Children?s Hospital
City
South Brisbane
State/Province
Queensland
ZIP/Postal Code
4101
Country
Australia
Individual Site Status
Recruiting
Facility Name
Royal Children's Hospital; Murdoch Children's Research Institute
City
Parkville
State/Province
Victoria
ZIP/Postal Code
3052
Country
Australia
Individual Site Status
Recruiting
Facility Name
IRCCS Oasi Maria SS.; Dipartimento per il ritardo mentale
City
Troina (EN)
State/Province
Sicilia
ZIP/Postal Code
94018
Country
Italy
Individual Site Status
Recruiting
Facility Name
Fondazione Stella Maris; Dipartimento di neuroscienze dello sviluppo
City
Calambrone (pisa)
State/Province
Toscana
ZIP/Postal Code
56128
Country
Italy
Individual Site Status
Recruiting
Facility Name
IRCCS Eugenio Medea; U.O. di Epilessia e Neurofisiologia clinica
City
Conegliano Veneto (TV)
State/Province
Veneto
ZIP/Postal Code
31015
Country
Italy
Individual Site Status
Recruiting
Facility Name
Uniwersytecki Szpital Kliniczny w Poznaniu; Od. Kliniczny Neurologii Dzieci i M?odziezy
City
Pozna?
ZIP/Postal Code
60-355
Country
Poland
Individual Site Status
Recruiting
Facility Name
CHULC, E.P.E. - Hospital Dona Estefania; Servico de Neuropediatria
City
Lisboa
ZIP/Postal Code
1169-045
Country
Portugal
Individual Site Status
Recruiting
Facility Name
Hospital Sant Joan De Deu
City
Esplugues De Llobregas
State/Province
Barcelona
ZIP/Postal Code
08950
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario La Paz; Servicio de Neurologia
City
Madrid
ZIP/Postal Code
28046
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Virgen del Rocío
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
Individual Site Status
Recruiting
Facility Name
Evelina London Children's Hospital
City
London
ZIP/Postal Code
SE1 7EH
Country
United Kingdom
Individual Site Status
Recruiting
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).
Links:
URL
https://forpatients.roche.com/
Description
https://forpatients.roche.com/
Learn more about this trial
A Study to Evaluate the Safety and Efficacy of Basmisanil Treatment in Children Aged 2-14 Years With Dup15q Syndrome
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