E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Amyotrophic Lateral Sclerosis (ALS) |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10002026 |
E.1.2 | Term | Amyotrophic lateral sclerosis |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of this study will be to evaluate the long term safety of ALS patients following dosing of ONO-2506PO, 1200mg OD.
The following safety information will be collected during the study.
• Adverse events • Death • Tracheotomy or permanent assisted ventilation |
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E.2.2 | Secondary objectives of the trial |
There is no secondary objective |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Adult males and females patients with diagnosis of ALS over the age of 18 years.
2. Previous randomisation and completion of the last visits (Visit 11: Month 18) in ONO- 2506POE014 study.
3. Ability to swallow study medication without the requirement for nasogastric or percutaneous endoscopic gastrostomy (PEG) feeding as evidenced by a score of ≥ 3 on ALSFRS-R question # c (swallowing) at Visit 1 (same as Visit 11 in study ONO- 2506POE014).
4. Agreement for themselves or their partner to use an adequate method of contraception throughout the study. Adequate methods of contraception for themselves or their partner include but are not limited to barrier method (i.e. condoms, diaphragm with spermicide gel), surgical sterilisation, vasectomy and abstinence.
5. Concomitant standard Riluzole therapy (50mg twice daily) during study ONO- 2506POE014.
6. Patients whom the investigator has no concern and judges tolerable for the continue treatment with ONO-2506PO and Riluzole from a risk and benefit point of view.
7. Able and willing to give written informed consent, personally or via their legally authorised representative. |
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E.4 | Principal exclusion criteria |
1. Requirement for prescription drugs that are metabolised via the cytochrome P450 2C9 listed in section 9.5.3 of the protocol.
2. A clinically relevant medical history or presence of cardiovascular, gastrointestinal, renal, hepatic, endocrine/metabolic, neurologic, lymphatic, haematologic, immunologic, musculoskeletal, connective tissue, dermatologic, genito/urinary, psychiatric diseases or disorders that, in the opinion of the investigator, may pose an unwarranted risk to the patient.
3. Presence or intention of pregnancy and breast feeding (female patients only).
4. Males with the intention of fathering a child during the study period.
5. Observed drug or alcohol abuse during study ONO-2506POE014 (alcoholic patients who are recovered for at least 2 years will be allowed to enrol in the study).
6. Patients who have used any other investigational drug and/or participated in any clinical trial since their participation in study ONO-2506POE014.
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E.5 End points |
E.5.1 | Primary end point(s) |
There is no primary ‘efficacy’ endpoint. Primary endpoint is safety (evaluated using AEs, death rates, occurrence of tracheotomy/PAV). |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Double-blind, parallel treatment phase followed by open-label phase. |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 25 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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see protocol section 15.5 |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 10 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 10 |