A Phase 1/2 Ascending Dose Study to Evaluate the Safety and Effects on Progranulin Levels of LY3884963 in Patients With Fronto-Temporal Dementia With Progranulin Mutations (FTD-GRN)

Who is this study for? Patients with Frontotemporal Dementia
What treatments are being studied? PR006+Methylprednisolone+Sirolimus+Prednisone+Rituximab
Status: Recruiting
Location: See all (12) locations...
Intervention Type: Drug, Biological
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

Study J4B-MC-OKAA is a Phase 1/2, multi-center, open-label ascending dose, first-in-human study that will evaluate the safety and effect of intra-cisternal LY3884963 administration on progranulin protein (PGRN) levels in patients with frontotemporal dementia with progranulin mutations (FTD-GRN). Two escalating dose (low dose and medium dose) cohorts are planned, as well as one bridging cohort which will allocate patients to receive either low or medium dose. The duration of the study is 5 years. During the first year, patients will be evaluated for the effect of LY3884963 on safety, tolerability, immunogenicity, biomarkers, and efficacy. Patients will follow up for an additional 4 years to monitor safety and changes on selected biomarkers and clinical outcomes.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 30
Maximum Age: 85
Healthy Volunteers: f
View:

• Men or women aged 30 to 85 years (inclusive), at the time of informed consent.

• Body weight range of ≥40 kg (88 lbs) to ≤110 kg (242 lb) and a BMI of 18 to 34 kg/m2.

• Has symptomatic frontotemporal dementia (FTD), including mild behavioral, cognitive, motor or language impairment per Investigator's assessment (behavioral-variant FTD, primary progressive aphasia-FTD, FTD with corticobasal syndrome, or a combination of syndromes are allowed for enrollment).

• Score ≥0.5 and ≤15 on CDR plus NACC FTLD sum of boxes (Cohorts 1-4 only). Note: In Cohort 5 only patients with CDR plus NACC FTLD with sum of boxes ≥0.5 and ≤9 AND global score of 0.5 or 1 will be enrolled.

• Stable use of background medications at least 8 weeks prior to LY3884963 dosing.

• Carrier of a pathogenic progranulin gene (GRN) mutation.

• Negative screening test for Mycobacterium tuberculosis (MTB) or documented negative MTB test within 1year prior to screening.

• Age- and gender-appropriate cancer screenings are up-to-date and completed.

• Patient and/or patient's legally authorized representative has the ability to understand the purpose and risks of the study, and provide written informed consent and authorization to use protected health information.

• Women of nonchildbearing potential must be either surgically sterile (hysterectomy, bilateral tubal ligation, salpingectomy, and/or bilateral oophorectomy at least 26 weeks before Screening) or postmenopausal, defined as spontaneous amenorrhea for at least 2 years, with follicle stimulating hormone level in the postmenopausal range at Screening based on the central laboratory's range.

• Men and women of childbearing potential (i.e., ovulating, premenopausal, and not surgically sterile) must use a highly effective method of contraception consistently and correctly for the duration of the study, including the long term follow up. Highly effective methods of contraception are those that, alone or in combination, result in a failure rate of less than 1% per year when used consistently and correctly (i.e., perfect use) and include the following for female patients of childbearing potential:

‣ Combined (estrogen and progestogen containing) oral, intravaginal, or transdermal hormonal contraception associated with inhibition of ovulation.

⁃ Oral, injectable, or implantable progestogen-only hormonal contraception associated with inhibition of ovulation.

⁃ Intrauterine device.

⁃ Intrauterine hormone-releasing system.

⁃ Bilateral tubal ligation or bilateral tubal occlusion (performed at least 3 months prior to Screening).

⁃ Vasectomized partner (performed at least 3 months prior to Screening).

⁃ Sexual abstinence (no sexual intercourse), if in line with the patient's usual and preferred lifestyle.

• Acceptable forms of contraception for male patients include:

‣ Sexual abstinence (no sexual intercourse), if in line with the patient's usual and preferred lifestyle.

⁃ History of vasectomy (performed at least 3 months prior to Screening, with documented absence of sperm in the ejaculate) in combination with condom.

⁃ Condom with spermicide used together with highly effective female contraceptive methods if the female partner(s) is of childbearing potential (see above for list of acceptable female contraceptive methods).

∙ Note: Individuals who are in exclusively same sex relationships (as their preferred and usual lifestyle) are not required to use contraception.

• Men must agree to use a condom during any sexual intercourse (including male patients who have had a vasectomy) and abstain from sperm donation for the duration of the study, including long-term follow-up.

• Women must agree to abstain from egg donation for the duration of the study, including long-term follow-up.

• Women of childbearing potential cannot be pregnant or lactating/breastfeeding and must have a negative result for the serum pregnancy test (β-human chorionic gonadotropin) at Screening.

• Patient must agree to abstain from blood donation for the first year following gene transfer.

• Patient has a reliable study partner/informant (e.g. family member, friend) willing and able to participate in the study as a source of information on the patient's health status and cognitive and functional abilities.

• Patient is not dependent on a walker or wheelchair.

• Patient is living in the community (i.e. not in nursing home); some levels of assisted living may be permitted at the discretion of the investigator.

• Pneumococcal pneumonia and shingles vaccines are required within 10 years of Screening allowed to be performed during Screening but must be given at least 4 weeks prior to initiation of immunosuppressant regimen.

Locations
United States
Florida
k2 Medical Research-Maitland
RECRUITING
Maitland
PPD Phase 1 Clinic, 100 West Gore Street, Suite 202
COMPLETED
Orlando
Massachusetts
Lahey Hospital & Medical Center, 41 Burlington Mall Road
RECRUITING
Burlington
Pennsylvania
Hospital of the University of Pennsylvania, 3 West Gates Building, 3400 Spruce Street
RECRUITING
Philadelphia
Other Locations
Australia
Royal Prince Alfred Hospital, Brain & Mind Research Institute, 94 Mallet Street
RECRUITING
Camperdown
Belgium
UZ Leuven, Neurologie Herestraat 49
RECRUITING
Leuven
France
Centre Mémoire de Ressources
RECRUITING
Lille
Le Ber, Institut du Cerveau et de la Moelle Epinière
RECRUITING
Paris
AP-HM Hôpital de La Timone
COMPLETED
Saint-pierre
Spain
Hospital Clinic de Barcelona, Villaroel 170 Servicio de Neurología
COMPLETED
Barcelona
Hospital Universitario de Donostia, Servicio De Neurologia, Consultas Externas Neurologia, San Sebastian, Guipúzcoa
COMPLETED
Donostia / San Sebastian
United Kingdom
University College London,Queen Square, Dementia Research Building, London,
RECRUITING
London
Contact Information
Primary
Prevail Therapeutics
prevail.patients@lilly.com
(917) 336-9310
Time Frame
Start Date: 2020-11-09
Estimated Completion Date: 2031-04-30
Participants
Target number of participants: 35
Treatments
Experimental: Initial Cohort - Low dose
Experimental: Initial Cohort - Medium dose
Experimental: Bridging Cohort - Low dose
Participants enrolled in the Bridging Cohort will be assigned to either low or medium dose in an alternating manner
Experimental: Bridging Cohort - Medium dose
Participants enrolled in the Bridging Cohort will be assigned to either low or medium dose in an alternating manner
Experimental: Cohort 5-Medium Dose
Will enroll up to 10 participants with early phase of disease
Related Therapeutic Areas
Sponsors
Leads: Prevail Therapeutics
Collaborators: Eli Lilly and Company

This content was sourced from clinicaltrials.gov