E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Prevention of thromboembolic events in ESRD patients on hemodialysis who are at risk for thromboembolic events |
Prevenção de eventos tromboembólicos em doentes com doença renal terminal (DRT) em hemodiálise e que estejam em risco de eventos tromboembólicos |
|
E.1.1.1 | Medical condition in easily understood language |
Prevention of blood clots in end-stage renal disease patients |
Prevenção de coágulos sanguíneos em doentes com doença renal terminal |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Cardiovascular Diseases [C14] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10049910 |
E.1.2 | Term | Thromboembolism prophylaxis |
E.1.2 | System Organ Class | 100000004865 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10066622 |
E.1.2 | Term | Chronic hemodialysis |
E.1.2 | System Organ Class | 100000004865 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10077512 |
E.1.2 | Term | End stage renal disease |
E.1.2 | System Organ Class | 10038359 - Renal and urinary disorders |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To clinically assess the safety of different doses of osocimab administered subcutaneously once a month as compared to placebo |
Avaliar clinicamente a segurança de doses diferentes de osocimab administrado por via subcutânea uma vez por mês em comparação com placebo |
|
E.2.2 | Secondary objectives of the trial |
To assess the change of key pharmacodynamic parameter from baseline |
Avaliar a alteração do parâmetro-chave de farmacodinâmica em relação ao valor basal |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Participants must be at least 18 years of age
• Patients with end-stage renal disease on hemodialysis (including hemodiafiltration) for ≥3 months, receiving dialysis at least 9 hours a week and stable in the view of the investigator
• Body weight of at least 50 kg
• Male and/or female. Contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. |
- Participantes devem ter pelo menos 18 anos de idade
- Doentes com DRT em hemodiálise (incluíndo hemodiafiltração) por um período igual ou superior a 3 meses, a receber diálise durante pelo menos 9 horas por semana e estáveis do ponto de vista do Investigador
-Peso corporal de pelo menos 50 Kg
-Homem e/ou mulher. O uso de contraceptivos pelo homem ou mulher deve ser consistente com os regulamentos locais em relação aos métodos de contracepção para utilização dos participantes em ensaios clínicos |
|
E.4 | Principal exclusion criteria |
• Recent (<6 months before screening) clinically significant bleeding
• Hemoglobin (Hb) < 9.0 g/dL at screening
• Platelet count < 100 x 109/L
• aPTT or PT > ULN (upper limit of normal)
• Hepatic disease associated with ALT > 3x ULN, or total bilirubin >2x ULN with direct bilirubin > 20% of the total
• Sustained uncontrolled hypertension (diastolic blood pressure ≥100 mmHg and/or systolic blood pressure ≥ 180 mmHg)
• Known intracranial neoplasm, arteriovenous malformation or aneurysm
• Known bleeding disorders e.g. von-Willebrand disease or Hemophilia A, B or C
• Recent (<3 months before screening) thromboembolic event, e.g. acute coronary syndrome, stroke or VTE (except dialysis access thrombosis)
• Recent (<3 months before screening) major surgery or scheduled major surgery during study participation
• Scheduled living donor renal transplant during study participation
• Persistent heart failure as classified by the New York Heart Association (NYHA) classification of 3 or higher
• Receiving antiplatelet therapy except daily ASA ≤ 150 mg/day
• Receiving anticoagulation in therapeutic doses, other than standard anticoagulation during the hemodialysis procedure |
- Hemorragia recente clinicamente significativa (nos 6 meses anteriores à triagem)
- Hemoglobina (Hb) < 9.0 g/dL na triagem
- Contagem de plaquetas < 100 x 109 /L
- aPTT ou PT > ULN (limite superior do normal)
- Doença hepática associada com ALT > 3x ULN, ou bilirrubina total > 2x ULN com bilirrubina directa > 20% do total
- Hipertensão não controlada sustentada (pressão sanguínea diastólica igual ou superior a 100 mmHg e/ou pressão sanguínea sistólica igual ou superior a 180 mmHg)
- Neoplasia intracraniana conhecida, malformação arteriovenosa ou aneurisma
- Distúrbios hemorrágicos conhecidos, por exemplo doença de von-Willebrand ou Hemofilia A, B ou C
- Eventos tromboembólicos recentes (<3 meses anteriores à triagem), por exemplo síndrome coronário agudo, acidente vascular cerebral ou TEV (excepto trombose de acesso à diálise)
-Cirurgia major recente (< 3 meses anteriores à triagem) ou programada durante a participanção no ensaio
- Insuficiência cardíaca persistente com classificação igual ou superior a 3, classificada de acordo com a New York Heart Association (NYHA)
- A receber terapêutica antiplaquetária excepto ASA diário menor ou igual a 150 mg/dia
- A receber anticoagulação em doses terapêuticas, diferente da anticoagulação padrão durante o procedimento de hemodiálise |
|
E.5 End points |
E.5.1 | Primary end point(s) |
• Composite of major and clinically-relevant non-major bleeding events (in alignment with ISTH guidelines), as assessed by blinded Central Independent Adjudication Committee (CIAC)
• Composite of moderate and severe AEs and SAEs |
-Composto de eventos hemorrágicos major e clinicamente relevantes (em alinhamento com as orientações ISTH), conforme avaliado pelo Comité Independente de Adjudicação Central com ocultação
-Combinação de EA moderados e graves e EAG |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
From the first dose at month 1 and up to 6 months |
Desde a primeira dose no mês 1 e até 6 meses |
|
E.5.2 | Secondary end point(s) |
• Activated partial thromboplastin time (aPTT) at trough levels measured by the kaolin-trigger method and analyzed as ratio to baseline
• Factor XIa (FXIa) activity at trough levels assessed with an aPTT-based coagulation test using FXI deficient plasma and analyzed as ratio to baseline |
- Tempo de tromboplastina parcial ativada (aPTT) em níveis mínimos medida pelo método de kaolin-trigger e analisada como proporção para a avaliação inicial
- Actividade do Factor XIa (FXIa) em níveis mínimos avaliada com base num teste de coagulação aPTT usando plasma deficitário em FXI e analisada como proporção para a avaliação inicial |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
At baseline and after 6 months |
Na avaliação inicial e após 6 meses |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | Yes |
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 | 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 | No |
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 | 4 |
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 | 7 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 93 |
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 | No |
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 |
Austria |
Belgium |
Bulgaria |
China |
Czech Republic |
France |
Greece |
Hungary |
Israel |
Italy |
Japan |
Lithuania |
Netherlands |
Poland |
Portugal |
Russian Federation |
Spain |
Ukraine |
United States |
|
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
|
The end of the study is defined as the date of the last visit of the last subject in the study globally (LVLS) |
O fim do ensaio é definido como a data da Última Visita do Último Participante no ensaio a nível global (UVUP) |
|
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 | 11 |
E.8.9.1 | In the Member State concerned days | 4 |
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 | 2 |
E.8.9.2 | In all countries concerned by the trial days | 15 |