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Study of WVE-004 in Patients With C9orf72-associated Amyotrophic Lateral Sclerosis (ALS) or Frontotemporal Dementia (FTD) (FOCUS-C9)

Primary Purpose

ALS, FTD

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
WVE-004
Placebo
Sponsored by
Wave Life Sciences Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for ALS

Eligibility Criteria

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

Inclusion Criteria:

  1. ALS-specific: Diagnosis of ALS based on clinical manifestations.
  2. ALS-specific: Clinically diagnosed possible, laboratory supported probable, probable, or definite criteria for diagnosing ALS according to the World Federation of Neurology revised El Escorial criteria.
  3. ALS-specific: Patients receiving riluzole have been on a stable dose for a minimum of 30 days.
  4. ALS-specific: Patients on edaravone have received a minimum of 1 cycle (28 days).
  5. ALS-specific: Patients discontinuing riluzole or edaravone had the last dose administered ≥1 month prior to Screening.
  6. FTD-specific: Must have Global Clinical Dementia Rating - Frontotemporal Lobar Degeneration (CDR® plus NACC FTLD) score of 0.5 or 1.
  7. FTD-specific: Able to undergo periodic magnetic resonance imaging (MRI) of the brain. Participants with mixed phenotype (ALS and FTD) need not undergo MRI if their ALS symptoms prevent it.
  8. Mixed-phenotype: Patients who are mixed phenotype (ALS and FTD) must meet both the ALS-specific and FTD-specific criteria.

Exclusion Criteria:

  1. Clinically significant medical finding on the physical examination other than C9orf72-associated ALS or FTD that, in the judgment of the Investigator, will make the patient unsuitable for participation in, and/or completion of the trial procedures
  2. Received any other investigational drug, biological agent, or device within 1 month or 5 half-lives of study agent, whichever is longer. Received an investigational oligonucleotide, within the past 6 months or 5 half-lives of the drug, whichever is longer.

Sites / Locations

  • Macquarie University
  • The Wesley Hospital
  • Perron Institute
  • UZ Leuven
  • Sunnybrook Health Sciences Centre
  • McGill University Health Center - Research Institute
  • St James Hospital - Ireland
  • Erasmus University MC
  • Universitair Medisch Centrum Utrecht
  • Auckland City Hospital
  • New Zealand Brain Research Institute
  • Karolinska University Hospital
  • University of Cambridge
  • University College London Hospital
  • King's College Hospital
  • University of Oxford - Nuffield Department of Clinical Neurosciences
  • University of Sheffield

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

WVE-004 (Dose A) or placebo

WVE-004 (Dose B) or placebo

WVE-004 (Dose C) or placebo

WVE-004 (Dose D) or placebo

Arm Description

Outcomes

Primary Outcome Measures

Safety: Proportion of patients with adverse events (AEs)

Secondary Outcome Measures

Pharmacokinetic: Concentration of WVE-004 in cerebrospinal fluid (CSF)
Pharmacodynamic: Change from baseline in concentration of poly-GP levels in the CSF

Full Information

First Posted
June 11, 2021
Last Updated
October 18, 2023
Sponsor
Wave Life Sciences Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04931862
Brief Title
Study of WVE-004 in Patients With C9orf72-associated Amyotrophic Lateral Sclerosis (ALS) or Frontotemporal Dementia (FTD)
Acronym
FOCUS-C9
Official Title
A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase 1b/2a Study of WVE-004 Administered Intrathecally to Patients With C9orf72-associated Amyotrophic Lateral Sclerosis (ALS) or Frontotemporal Dementia (FTD)
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Terminated
Why Stopped
Despite robust, sustained reductions in poly(GP), no clinical benefit was seen at 24 weeks, and reductions in poly(GP) were not associated with stabilization in functional outcomes. Based on these data, Wave decided to stop development of WVE-004.
Study Start Date
June 28, 2021 (Actual)
Primary Completion Date
June 27, 2023 (Actual)
Study Completion Date
June 27, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Wave Life Sciences Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase 1b/2a multicenter, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, PK, and PD of intrathecal (IT) WVE-004 in adult patients with C9orf72-associated ALS or FTD. To participate in the study, patients must have a documented mutation (GGGGCC [G4C2] repeat expansion) in the first intronic region of the C9orf72 gene and be diagnosed with ALS or FTD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
ALS, FTD

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
35 (Actual)

8. Arms, Groups, and Interventions

Arm Title
WVE-004 (Dose A) or placebo
Arm Type
Experimental
Arm Title
WVE-004 (Dose B) or placebo
Arm Type
Experimental
Arm Title
WVE-004 (Dose C) or placebo
Arm Type
Experimental
Arm Title
WVE-004 (Dose D) or placebo
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
WVE-004
Intervention Description
WVE-004 is a stereopure antisense oligonucleotide (ASO)
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Artificial cerebrospinal fluid (aCSF)
Primary Outcome Measure Information:
Title
Safety: Proportion of patients with adverse events (AEs)
Time Frame
Period 1 Day 1 to Period 2 Week 24 (end of study)
Secondary Outcome Measure Information:
Title
Pharmacokinetic: Concentration of WVE-004 in cerebrospinal fluid (CSF)
Time Frame
Period 1 Day 1 to Period 2 Week 24 (end of study)
Title
Pharmacodynamic: Change from baseline in concentration of poly-GP levels in the CSF
Time Frame
Period 1 Day 1 to Period 2 Week 24 (end of study)

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: ALS-specific: Diagnosis of ALS based on clinical manifestations. ALS-specific: Clinically diagnosed possible, laboratory supported probable, probable, or definite criteria for diagnosing ALS according to the World Federation of Neurology revised El Escorial criteria. ALS-specific: Patients receiving riluzole have been on a stable dose for a minimum of 30 days. ALS-specific: Patients on edaravone have received a minimum of 1 cycle (28 days). ALS-specific: Patients discontinuing riluzole or edaravone had the last dose administered ≥1 month prior to Screening. FTD-specific: Must have Global Clinical Dementia Rating - Frontotemporal Lobar Degeneration (CDR® plus NACC FTLD) score of 0.5 or 1. FTD-specific: Able to undergo periodic magnetic resonance imaging (MRI) of the brain. Participants with mixed phenotype (ALS and FTD) need not undergo MRI if their ALS symptoms prevent it. Mixed-phenotype: Patients who are mixed phenotype (ALS and FTD) must meet both the ALS-specific and FTD-specific criteria. Exclusion Criteria: Clinically significant medical finding on the physical examination other than C9orf72-associated ALS or FTD that, in the judgment of the Investigator, will make the patient unsuitable for participation in, and/or completion of the trial procedures Received any other investigational drug, biological agent, or device within 1 month or 5 half-lives of study agent, whichever is longer. Received an investigational oligonucleotide, within the past 6 months or 5 half-lives of the drug, whichever is longer.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director, MD
Organizational Affiliation
Wave Life Sciences
Official's Role
Study Director
Facility Information:
Facility Name
Macquarie University
City
North Ryde
State/Province
New South Wales
ZIP/Postal Code
2109
Country
Australia
Facility Name
The Wesley Hospital
City
Brisbane
State/Province
Queensland
ZIP/Postal Code
QLD 4066
Country
Australia
Facility Name
Perron Institute
City
Nedlands
State/Province
Western Australia
ZIP/Postal Code
6009
Country
Australia
Facility Name
UZ Leuven
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Sunnybrook Health Sciences Centre
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4N 3M5
Country
Canada
Facility Name
McGill University Health Center - Research Institute
City
Montréal
State/Province
Quebec
Country
Canada
Facility Name
St James Hospital - Ireland
City
Dublin
ZIP/Postal Code
D08 NHY1
Country
Ireland
Facility Name
Erasmus University MC
City
Rotterdam
ZIP/Postal Code
3015
Country
Netherlands
Facility Name
Universitair Medisch Centrum Utrecht
City
Utrecht
Country
Netherlands
Facility Name
Auckland City Hospital
City
Auckland
ZIP/Postal Code
1023
Country
New Zealand
Facility Name
New Zealand Brain Research Institute
City
Christchurch
ZIP/Postal Code
8011
Country
New Zealand
Facility Name
Karolinska University Hospital
City
Solna
Country
Sweden
Facility Name
University of Cambridge
City
Cambridge
Country
United Kingdom
Facility Name
University College London Hospital
City
London
ZIP/Postal Code
WC1N 3BG
Country
United Kingdom
Facility Name
King's College Hospital
City
London
ZIP/Postal Code
WC2R 2LS
Country
United Kingdom
Facility Name
University of Oxford - Nuffield Department of Clinical Neurosciences
City
Oxford
ZIP/Postal Code
OX3 7LF
Country
United Kingdom
Facility Name
University of Sheffield
City
Sheffield
ZIP/Postal Code
S10 2TN
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study of WVE-004 in Patients With C9orf72-associated Amyotrophic Lateral Sclerosis (ALS) or Frontotemporal Dementia (FTD)

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