Study of Ozanezumab (GSK1223249) Versus Placebo in the Treatment of Amyotrophic Lateral Sclerosis
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Purpose
This is a 48-week, randomised, multi-centre, double-blind, placebo-controlled, parallel group investigation of the efficacy and safety of intravenous (IV) ozanezumab (GSK1223249) compared to placebo in subjects with Amyotrophic Lateral Sclerosis (ALS). Following a screening period of up to four weeks, eligible subjects will be randomised (1:1) to receive IV placebo or 15 milligram (mg)/ kilogram (kg) IV ozanezumab every 2 weeks for a period of 48 weeks with a follow-up visit around 14 weeks after the last infusion. A total of approximately 294 eligible subjects will be randomised from approximately 37 centers worldwide. The primary objective is to assess the effect of ozanezumab on the physical function and survival of ALS subjects over a treatment period of 48 weeks. Function will be measured using the ALS Functional Rating Scale - Revised (ALSFRS-R). Secondary objectives include the evaluation of other clinical outcomes associated with ALS (respiratory function, muscle strength, progression free survival and overall survival) in support of the primary objective. Quality of life, safety, tolerability, immunogenicity and pharmacokinetics (ozanezumab and riluzole) will also be assessed.
| Condition | Intervention | Phase |
|---|---|---|
|
Amyotrophic Lateral Sclerosis |
Drug: Ozanezumab Drug: Placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Study NOG112264, a Phase II Study of Ozanezumab (GSK1223249) Versus Placebo in the Treatment of Amyotrophic Lateral Sclerosis |
- To assess the effect of ozanezumab on the function and survival of ALS patients [ Time Frame: Over 48 weeks ] [ Designated as safety issue: No ]The effect of ozanezumab on the function and survival of ALS patients will be measured by the joint rank scores for combined analysis of function and survival measured by the ALS Functional Rating Scale-Revised (ALSFRS-R) over 48-weeks.
- Change from Baseline in amyotrophic lateral sclerosis functional rating scale-revised (ALSFRS R) [ Time Frame: Week 48 ] [ Designated as safety issue: No ]
- Change from Baseline in Slow Vital Capacity (SVC) [ Time Frame: Week 48 ] [ Designated as safety issue: No ]
- Change from Baseline in Muscle Strength as measured by Hand Held Dynamometry (HDD) [ Time Frame: Week 48 ] [ Designated as safety issue: No ]
- Proportion of Clinical Global Impression - Improvement Scale (CGI-I) responders at Week 48 [ Time Frame: Week 48 ] [ Designated as safety issue: No ]
- Overall Survival (at Week 48 and Week 60) [ Time Frame: Up to Week 48 and up to Week 60 ] [ Designated as safety issue: No ]Defined as time from randomisation to death or censored at Week 48 / Week 60 whichever comes first
- Progression-free Survival [ Time Frame: Up to Week 48 ] [ Designated as safety issue: No ]Defined as time from randomisation to progression or death or censored at Week 48 whichever comes first
- Change from Baseline to Week 48 in EuroQol-Short form (EQ 5D-L) [ Time Frame: Week 48 ] [ Designated as safety issue: No ]
- Change from Baseline to Week 48 in amyotrophic lateral sclerosis assessment questionnaire-40 (ALSAQ 40) [ Time Frame: Week 48 ] [ Designated as safety issue: No ]
- Incidence and severity of adverse events (AEs) [ Time Frame: Throughout the study (screening upto follow-up) ] [ Designated as safety issue: No ]Number of subjects with incidence of AEs
- Change from Baseline in vital signs (systolic blood pressure, diastolic blood pressure and heart rate) and weight [ Time Frame: up to Week 60 ] [ Designated as safety issue: No ]
- Change from Baseline in routine laboratory tests [ Time Frame: up to Week 60 ] [ Designated as safety issue: No ]
- Change from Baseline in electrocardiogram (ECG) parameters [ Time Frame: up to Week 60 ] [ Designated as safety issue: No ]
- Plasma PK parameters at steady state [ Time Frame: W0, W2 (only part A), W4, W8, W12, W24, W36, W44, W48, W60 ] [ Designated as safety issue: No ]Estimates of individual ozanezumab PK parameters, including AUC(0-tau)ss, Cavgss, will be listed and summarized
- Plasma concentrations of riluzole [ Time Frame: W0, W2 (only part A), W4, W8, W12, W24, W36, W44, W48, W60 ] [ Designated as safety issue: No ]
- To assess the immunogenicity of IV ozanezumab [ Time Frame: W0, W12, W24, W36, W48 and Follow-up (W>=60) ] [ Designated as safety issue: No ]Incidence of anti-ozanezumab antibodies and relationship to trough concentration in serum will be measured
| Estimated Enrollment: | 294 |
| Study Start Date: | December 2012 |
| Estimated Study Completion Date: | May 2015 |
| Estimated Primary Completion Date: | May 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Ozanezumab IV
Administered by IV route. Treatment period - 48 Weeks
|
Drug: Ozanezumab
Ozanezumab injection solution
|
|
Placebo Comparator: Placebo
Normal saline by IV route. Treatment period - 48 weeks
|
Drug: Placebo
Normal saline (0.9% sodium chloride) infusion
|
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with diagnosis of familial or sporadic ALS
- Onset of muscle weakness no more than 30 months before screening visit.
- Slow Vital Capacity (SVC) of at least 65% predicted for gender, age, ethnicity and height at Screening.
- If on riluzole, the dose must have been stable for at least 28 days prior to Baseline visit.
- Age 18 - 80 years inclusive.
- Female subjects may participate if they are of non-child-bearing potential or if they are of child-bearing potential they must agree to use the approved contraceptive methods
- Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) <=2x upper limit of normal (ULN); alkaline phosphatase and bilirubin <=1.5xULN.
- QTc (both QTcB and QTcF) <450 milliseconds (msec) or <480 msec for subjects with Bundle Branch Block at Screening and Baseline (average from triplicate ECGs).
Exclusion Criteria:
- Patients with other neuromuscular disorders (including a history of polio) which in the opinion of the investigator could have contributed to the muscular atrophy or weakness caused by ALS
- Patients with primary lateral sclerosis, monomelic ALS, ALS Parkinsonism dementia complex.
- Patients requiring non-invasive or mechanical ventilation (non-invasive ventilation for sleep apnoea is allowed subject to discussion with Medical Monitor)
- Patients on diaphragmatic pacing.
- Presence of any of the following clinical conditions: Drug abuse or alcoholism, uncontrolled hypertension, active major infectious disease, unstable psychiatric illness within 90 days of the Screening visit
- Subjects, who in the investigator's judgement, pose a significant suicide risk. - Current or chronic history of liver disease, known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones), positive Hepatitis B surface antigen or Hepatitis C antibody test.
- Subjects who have participated in a clinical trial involving receipt of a biopharmaceutical product within 6 months prior to the first dosing day.
- Exposure to non-biological experimental agents 1 month or 5 half-lives prior to Baseline visit (whichever is longer).
- History of sensitivity to ozanezumab, or components thereof, or a history of other allergies that, in the opinion of the investigator, contraindicates participation in the study.
Contacts and Locations| Contact: US GSK Clinical Trials Call Center | 877-379-3718 | GSKClinicalSupportHD@gsk.com |
| Australia, New South Wales | |
| GSK Investigational Site | Recruiting |
| Randwick, New South Wales, Australia, 2031 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| Australia, Queensland | |
| GSK Investigational Site | Recruiting |
| Herston, Queensland, Australia, 4029 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| Belgium | |
| GSK Investigational Site | Recruiting |
| Leuven, Belgium, 3000 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| Canada, Quebec | |
| GSK Investigational Site | Recruiting |
| Montreal, Quebec, Canada, H3A 2B4 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| France | |
| GSK Investigational Site | Not yet recruiting |
| Lille cedex, France, 59037 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| GSK Investigational Site | Not yet recruiting |
| Limoges cedex, France, 87042 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| GSK Investigational Site | Not yet recruiting |
| Montpellier cedex 5, France, 34295 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| GSK Investigational Site | Recruiting |
| Nice cedex 3, France, 06202 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| GSK Investigational Site | Not yet recruiting |
| Paris cedex 13, France, 75651 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| Germany | |
| GSK Investigational Site | Recruiting |
| Ulm, Baden-Wuerttemberg, Germany, 89081 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| GSK Investigational Site | Recruiting |
| Jena, Thueringen, Germany, 07747 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| GSK Investigational Site | Recruiting |
| Berlin, Germany, 13353 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| Italy | |
| GSK Investigational Site | Recruiting |
| Torino, Piemonte, Italy, 10126 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| GSK Investigational Site | Recruiting |
| Verona, Veneto, Italy, 37134 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| Japan | |
| GSK Investigational Site | Not yet recruiting |
| Kanagawa, Japan, 252-0380 | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| Netherlands | |
| GSK Investigational Site | Recruiting |
| Utrecht, Netherlands, 3584 CX | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| United Kingdom | |
| GSK Investigational Site | Not yet recruiting |
| Preston, Lancashire, United Kingdom, PR2 9HT | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| GSK Investigational Site | Recruiting |
| Birmingham, United Kingdom, B15 2TH | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| GSK Investigational Site | Recruiting |
| Brighton, United Kingdom, BN2 5BE | |
| Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com | |
| Contact: EU GSK Clinical Trials Call Center +44 (0) 20 8990 4466 GSKClinicalSupportHD@gsk.com | |
| Study Director: | GSK Clinical Trials | GlaxoSmithKline |
More Information
No publications provided
| Responsible Party: | GlaxoSmithKline |
| ClinicalTrials.gov Identifier: | NCT01753076 History of Changes |
| Other Study ID Numbers: | 112264 |
| Study First Received: | December 17, 2012 |
| Last Updated: | May 9, 2013 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency United States: Food and Drug Administration Belgium: Agence Fédérale des Médicaments et des Produits de la Santé The Netherlands: De Centrale Commissie Mensgebonden Onderzoek France: L’Agence nationale de sécurité du médicament et des produits de santé United States: Institutional Review Board Italy: Comitato Etico per la Sperimentazione, Azienda Ospedaliera Universitaria Integrata di Verona Canada: Health Canada Japan: Pharmaceuticals and Medical Devices Agency Germany: Paul-Ehrlich-Institut South Korea: Food and Drug Administration Australia: Therapeutic Goods Administration |
Keywords provided by GlaxoSmithKline:
|
Amyotrophic lateral sclerosis efficacy ozanezumab safety |
Additional relevant MeSH terms:
|
Amyotrophic Lateral Sclerosis Sclerosis Motor Neuron Disease Spinal Cord Diseases Central Nervous System Diseases Nervous System Diseases |
Neurodegenerative Diseases TDP-43 Proteinopathies Neuromuscular Diseases Proteostasis Deficiencies Metabolic Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on May 16, 2013