E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Familial hypercholesterolemia
Niemann-Pick disease type B (NPB)
Niemann-Pick disease type C (NPC)
Partial lipodystrophy
in children and adults |
|
E.1.1.1 | Medical condition in easily understood language |
Patients lysosomal lipid storage disorders and other associated metabolic disorders |
|
E.1.1.2 | Therapeutic area | Body processes [G] - Metabolic Phenomena [G03] |
MedDRA Classification |
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 |
To test whether active pneumococci immunization can alleviate inflammation and improve cholesterol metabolism in lysosomal lipid storage diseases and associated metabolic disorders. |
|
E.2.2 | Secondary objectives of the trial |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Patients of following diseases (characterized by lysosomal lipid storage or associated metabolic pathology)
° Familial hypercholesterolemia,
° NPB,
° NPC
° Partial lipodystrophy (PPARg mutations and laminin A/C mutations)
- Intention to be treated and participate to the treatment
- Written informed consent
|
|
E.4 | Principal exclusion criteria |
- Medical conditions that may interfere with the study procedures: cancer Hodgkin lymphoma (all related to immune cells); autoimmune diseases; immune deficiency; splenectomy syndrome
- Alcohol abuse (quantitative limit >20g/day for men and >10g for women)
- Illiteracy
- Patients younger than 10 years.
- Any condition which in the opinion of the (co-) investigator might interfere with the evaluation of the study objectives.
|
|
E.5 End points |
E.5.1 | Primary end point(s) |
Main study parameter: the effect of reduced plasma oxLDL levels on the level of inflammation and/or cholesterol metabolism
END POINTS: The clinical endpoint is different among the different pathologies. The level of inflammation (familial hypercholesterolemia, NPB, NPC) and/or the level of cholesterol metabolism (familial hypercholesterolemia, NPB, NPC, partial lipodystrophy) after active pneumococci immunization will be used as clinical endpoint.
|
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Timepoint (weeks) 1 2 3 4
Active immunization x
Blood sampling x x
VOC measurement x x
Questionnaire x x x
|
|
E.5.2 | Secondary end point(s) |
As a measure for lysosomal dysfunction we will measure the levels of lysosomal enzymes in the plasma in all aforementioned diseases and analyze lysosomal structure on electron microscopy pictures of monocytes derived from patients. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Timepoint (weeks) 1 2 3 4
Active immunization x
Blood sampling x x
VOC measurement x x
Questionnaire x x x
|
|
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 | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
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) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | No |
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 | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
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
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |