E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Neuromyelitis Optica Spectrum Disorder (NMOSD) |
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E.1.1.1 | Medical condition in easily understood language |
NMOSD is a chronic disorder of the brain and spinal cord dominated by inflammation of the optic nerve (optic neuritis) and inflammation of the spinal cord (myelitis). |
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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 | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10029322 |
E.1.2 | Term | Neuromyelitis optica |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
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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 | 10077875 |
E.1.2 | Term | Neuromyelitis optica spectrum disorder |
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 investigate the pharmacokinetics of satralizumab by evaluating serum exposure over 24 weeks in patients aged 2-11 years |
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E.2.2 | Secondary objectives of the trial |
●To evaluate the efficacy of subcutaneously administered satralizumab for 48 weeks in pediatric patients (three weight-based cohorts). ● To evaluate the safety of subcutaneously administered satralizumab for 48 weeks in pediatric patients (three weight-based cohorts) ● To evaluate the immune response to satralizumab
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
● Age at screening 2-11 years, inclusive ● Body weight at screening >=10 kg ● For female patients of childbearing potential (postmenarchal): agreement to either remain completely abstinent (refrain from heterosexual intercourse) or to use a reliable means of contraception ● Diagnosed as having NMOSD with AQP4 antibody seropositive status as defined by the Wingerchuk 2015 criteria ● Neurological stability for >=30 days prior to both screening and baseline ●Normal or abnormal neurologic status as described by EDSS (0 to 6.5)
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E.4 | Principal exclusion criteria |
● Pregnancy or lactation ● Evidence of other demyelinating disease mimicking NMOSD including but not limited to MS, myelin oligodendrocyte glycoprotein-IgG associated disease, or progressive multifocal leukoencephalopathy ● Active or presence of recurrent bacterial, viral, fungal, mycobacterial infection, or other infection (excluding fungal infection of nail beds or dental caries) at baseline ● Evidence of chronic active hepatitis B or C ● Evidence of untreated latent or active tuberculosis (TB) ● Receipt of a live or live-attenuated vaccine within 6 weeks prior to baseline
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E.5 End points |
E.5.1 | Primary end point(s) |
1. Summary of observed serum concentration of satralizumab at specified trough timepoints (mean and standard deviation of trough concentration [Ctrough] at each sampling timepoint) 2. Population and individual estimates of PK parameters using a population-PK modeling approach
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1-2. Baseline through Week 24 |
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E.5.2 | Secondary end point(s) |
1. Proportion of relapse-free patients by Week 48 2. Annualized relapse rate (ARR) 3. Time to first relapse (TFR) 4. Time to relapse requiring rescue therapy 5. Change from baseline in Expanded Disability Status Scale (EDSS) at Weeks 24 and 48 6. Change from baseline in visual acuity (evaluated using standardized logMAR visual acuity charts, such as Sloan charts, LEA Symbols® chart, and HOTV chart) at Weeks 24 and 48 7. Change from baseline in FACES® Pain Rating Scale at Weeks 24 and 48 8. Change from baseline in EuroQol 5-Dimension, Youth (EQ-5D-Y) score and its proxy (for patients younger than 8 years of age) at Weeks 24 and 48 9. Incidence and severity of adverse events, adverse events of special interest, serious adverse events 10. Change from baseline in targeted vital signs 11. Change from baseline in weight and height 12. Change from baseline in targeted clinical laboratory test results 13. Change from baseline in targeted ECG parameters 14. Incidence of anti-drug antibodies (ADAs) at baseline and incidence of ADAs during the study
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1-2. Week 48 3-4. Up to Week 48 5-8. Baseline to Week 48 9. Up to Week 48 10-14. Baseline to Week 48 |
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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 | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
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 |
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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) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
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 | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 9 |
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 |
Argentina |
Mexico |
United Kingdom |
United States |
France |
Italy |
Poland |
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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
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The end of this study is defined as the date when the last patient, last visit occurs or the date at which the last data point required for safety and efficacy or safety follow-up is received for the last patient, whichever occurs later. |
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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 | 4 |
E.8.9.1 | In the Member State concerned months | 8 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 9 |
E.8.9.2 | In all countries concerned by the trial days | 15 |