E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Progressive supranuclear palsy |
Paralisi Sopranucleare Progressiva (PSP) |
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E.1.1.1 | Medical condition in easily understood language |
A rare and progressive condition that can cause problems with balance, movement, vision, speech and swallowing |
Una rara e progressiva condizione che può causare problemi conl' equilibrio, con il movimento, con la visione, con la parola, con la deglutizione |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10036813 |
E.1.2 | Term | Progressive supranuclear palsy |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
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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 |
To evaluate the efficacy of BIIB092, compared to placebo, as measured by a change from baseline in the PSP Rating Scale (PSPRS) at Week 52. To assess the safety and tolerability of BIIB092, relative to placebo, by measuring the frequency of deaths, SAEs, AEs leading to discontinuation, and Grade 3 & 4 laboratory abnormalities |
Valutare l'efficacia di BIIB092, rispetto al placebo, misurata da una variazione dal basale nella scala di valutazione della PSP (‘PSP Rating Scale’, PSPRS) alla Settimana 52. Valutare la sicurezza e la tollerabilità di BIIB092, rispetto al placebo, misurando la frequenza di decessi, EAG, EA che portano alla sospensione, ed anomalie di laboratorio di Grado 3 & 4. |
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E.2.2 | Secondary objectives of the trial |
To evaluate the efficacy of BIIB092, compared to placebo, as measured by:- a change in baseline in the MDS-UPDRS Part II at Week 52;- the CGI-C at Week 52; - a change in baseline in the RBANS at Week 52; - a change from baseline at Week 48 (Week 52 for CGI-S) on the following instruments: - SEADL Scale;- CGI-S; - Phonemic Fluency Test - Letter-Number Sequencing Test; - Color Trails Test - MoCA To assess the impact of BIIB092 on quality of life, relative to placebo, as measured by change from baseline on the PSP-QoL scale at Week 52.To assess the immunogenicity of BIIB092. To assess the efficacy of BIIB092, relative to placebo, as measured by absolute and percent change from baseline of brain volumes, as determined by MRI, at Week 52 in the following regions: - Ventricles - Whole brain - Midbrain - Superior cerebellar peduncle - Third ventricle - Frontal lobe |
Valutare l’efficacia di BIIB092, rispetto al placebo, misurata da: -una variazione nel basale nell’MDS-UPDRS (Parte II alla Sett.52); -il punteggio della scala CGI-C alla Sett.52;-una variazione al basale nella RBANS;-una variazione dal basale alla Sett48(sett.52 per CGI-C) sui seguenti strumenti:Scala SEADL,CGI-S,Test sulla Fluidità Fonemica,Test di Sequenziamento Lettera-Numero, Color Trials test, MoCA. Valutare l'impatto di BIIB092 sulla qualità della vita, rispetto al placebo, misurata dalla variazione dal basale sulla scala (PSP-QoL) alla sett.52. Valutare l'immunogenicità di BIIB092. Valutare l'efficacia di BIIB092, rispetto al placebo, misurata da una variazione assoluta e percentuale dal basale dei volumi cerebrali, determinata da RM, alla Settimana 52 nelle seguenti regioni: - Ventricoli - Cervello intero - Mesencefalo - Peduncolo cerebellare superiore - Terzo ventricolo - Lobo frontale
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
-Participants with probable or possible PSP -Able to ambulate independently or with assistance -Able to tolerate MRI -Have reliable caregiver to accompany participant to all study visits -Score greater or equal to 20 on the Mini Mental State Exam (MMSE) at screening -Participant must reside outside a skilled nursing facility or dementia care facility at the time of screening and admission to such a facility must not be planned |
-Partecipanti con probabile o possibile PSP - In grado di deambulare indipendentemente o con assistenza - In grado di tollerare RM - Hanno un caregiver affidabile per accompagnare il/la partecipante a tutte le visite dello studio - Punteggio maggiore o uguale a 20 del Mini Mental State Exam (MMSE) allo screening - Il/la partecipante deve risiedere al di fuori di una struttura di assistenza infermieristica qualificata o di struttura per la cura della demenza, al momento dello screening, e non deve essere programmata l’ammissione a tale struttura
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E.4 | Principal exclusion criteria |
-Presence of other significant neurological or psychiatric disorders -Diagnosis of amyotrophic lateral sclerosis (ALS) or other motor neauron disease -History of early, prominent rapid eye movement (REM) sleep behaviour disorder -History of or screening brain MRI scan indicative of significant abnormality -Known history of serum or plasma progranulin level less than one standard deviation below the normal patient mean for the laboratory performing the assay |
-Presenza di altri disturbi neurologici e psichiatrici significativi -Diagnosi di sclerosi laterale amiotrofica (SLA) o altra malattia del motoneurone -Anamnesi di precoci e prominenti disturbi del comportamento durante il sonno causati da movimenti oculari rapidi (REM) -Anamnesi di anormalità significativa o scansione RM del cervello di screening indicativa della stessa -Nota anamnesi del livello di progranulina serica o del plasma inferiore ad una deviazione standard al di sotto della normale media del/la paziente per il laboratorio che esegue l’analisi
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E.5 End points |
E.5.1 | Primary end point(s) |
1. Change in PSP (Progressive Supranuclear Palsy) Rating Scale 2. Frequency of Adverse Events |
1. Cambiamento nella Scala di Valutazione della PSP (Paralisi Sopranucleare Progressiva) 2. Frequenza di Eventi Avversi
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
up to 52 week |
fino a 52 settimane |
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E.5.2 | Secondary end point(s) |
1. Change in Movement Disorder Society (MDS)-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDSUPDRS) Part II. 2. Impact of on the Clinical Global Impression of Change (CGI-C) scale score . 3. Impact on the Repeatable Battery for the Assessment of Neuropsychological Disease Severity (RBANS) scale. 4. Impact on the Progressive Supranuclear Palsy Quality of Life scale (PSP-QoL) scale. 5. Impact on the following instruments: - Schwab and England Activities of Daily Living (SEADL) Scale - Clinical Global Impression of Severity (CGI-S) - Phonemic Fluency Test - Letter-Number Sequencing Test - Color Trails Test - Montreal Cognitive Assessment (MoCA). 6. Immunogenicity by assessment of the presence or absence of specific drug antibodies (anti-BIIB092) in serum. |
1.Cambiamento nella revisione sponsorizzata dalla Movement Disorder Society (MDS, Società sui Disturbi Motori) della Scala Unificata per la Valutazione del Morbo di Parkinson (MDSUPDRS) Parte II.2.Impatto di sul punteggio della scala sull'Impressione Clinica Globale di Cambiamento (‘Clinical Global Impression of Change’, CGI-C). 3.Impatto sulla scala della Batteria Ripetibile per la Valutazione della Gravità della Malattia Neuropsicologica (‘Repeatable Battery for the Assessment of Neuropsychological Disease Severity’, RBANS). 4.Impatto sulla scala della Qualità della Vita per la Paralisi Sopranucleare Progressiva (‘Progressive Supranuclear Palsy Quality of Life’, PSP-QoL). 5.Impatto sui seguenti strumenti: -Scala di Schwab ed England delle Attività della Vita Quotidiana (‘Schwab and England Activities of Daily Living’, SEADL) -Impressione Clinica Globale della Gravità (‘Clinical Global Impression of Severity’, CGI-S) -Test sulla Fluidità Fonemica -Test di Sequenziamento Lettera-Numero -Color-Trails Test -Valutazione Cognitiva di Montreal (‘Montreal Cognitive Assessment’, MoCA). 6.Immunogenicità mediante la valutazione di presenza o assenza di specifici anticorpi al farmaco (anti-BIIB092) nel siero.7.Impatto sui volumi cerebrali, determinato da RM. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
All: - screening and Week 52. Except: - Scale, Phonemic Fluency Test, Letter-Number Sequencing Test, Color Trails Test and MoCA - screening and Week 48. - Immunogenicity - Day 1, Weeks 4, 8, 12, 24, 36 and 48 then at 24 week intervals during the open-label period. |
Tutti: - screening e Settimana 52.Ad eccezione di: -Scala, Test sulla Fluidità Fonemica, Test di Sequenziamento Lettera-Numero, Color Trails Test e MoCA che verranno effettuate allo screening e Settimana 48. -Immunogenicità: - Giorno 1, Settimane 4, 8, 12, 24, 36 e 48 quindi ad intervalli di 24 settimane durante la fase in aperto. |
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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 | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
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 | Yes |
E.6.13.1 | Other scope of the trial description |
Immunogenicity, biomarker analysis |
Immunogenicità, analisi biomarker |
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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 | Yes |
E.8.1.2 | Open | No |
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 |
Fase di trattamento in doppio cieco seguita da una fase di estensione in aperto |
Double-blind treatment period followed by an open-label extension period |
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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.8.2.4 | Number of treatment arms in the trial | 2 |
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 | 40 |
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 |
Australia |
Canada |
Japan |
Korea, Republic of |
Russian Federation |
United States |
Austria |
France |
Germany |
Greece |
Italy |
Netherlands |
Spain |
United Kingdom |
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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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The date that the last participant completes the last study visit or scheduled procedure, will be defined as the end of the study |
La data in cui l'ultimo/a partecipante completa l'ultima visita dello studio o una procedura programmata, verrà definita come fine dello studio. |
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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 | 2 |
E.8.9.1 | In the Member State concerned months | 11 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 11 |
E.8.9.2 | In all countries concerned by the trial days | 0 |