E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Pulmonary Arterial Hypertension (PAH) |
Hipertensión Arterial Pulmonar (HAP) |
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E.1.1.1 | Medical condition in easily understood language |
Cardiovascular Disease |
Enfermedad Cardiovascular |
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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 | PT |
E.1.2 | Classification code | 10064911 |
E.1.2 | Term | Pulmonary arterial hypertension |
E.1.2 | System Organ Class | 10038738 - Respiratory, thoracic and mediastinal 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 |
The primary objective of this open-label, LTFU study is to evaluate the long-term safety and tolerability of sotatercept when added to background PAH therapy in adult participants with PAH. |
El objetivo principal de este estudio abierto de SLP consiste en evaluar la seguridad y la tolerabilidad a largo plazo de sotatercept añadido a la terapia de base para la HAP en participantes adultos con HAP. |
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E.2.2 | Secondary objectives of the trial |
The secondary objective is to follow participants from parent sotatercept studies that were treated with sotatercept or placebo and assess continued efficacy. |
El objetivo secundario consiste en hacer un seguimiento de los participantes procedentes de los estudios originales de sotatercept, tratados con sotatercept o placebo, y evaluar la continuación de la eficacia. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Eligible participants must meet the following criteria to be enrolled in the study: 1. Participants must have completed their current respective PAH sotatercept clinical study, must have completed the parent study requirements, and must not have discontinued early. 2. Participants must be willing to adhere to the study visit schedule and understand and comply with all protocol requirements. 3. Participants must have the ability to understand and provide written informed consent f. 4. Females of childbearing potential must: a. Have a negative pregnancy tests as verified by the investigator prior to starting study drug administration; she must agree to ongoing pregnancy testing during the course of the study and until 8 weeks after the last dose of the study drug. b. If sexually active, have used, and agree to continue to use highly effective contraception without interruption, for at least 28 days prior to starting the investigational product, during the study (including dose interruptions), and for 16 weeks (112 days) after discontinuation of study drug. c. Refrain from breastfeeding a child or donating blood, eggs, or ovum for the duration of the study and for at least 16 weeks (112 days) after the last dose of study drug. 5. Male participants must: a. Agree to use a condom, defined as a male latex condom or non-latex condom NOT made out of natural (animal) membrane (e.g., polyurethane), during sexual contact with a pregnant female or a female of childbearing potential while participating in the study, during dose interruptions, and for at least 16 weeks (112 days) following investigational product discontinuation, even if he has undergone a successful vasectomy b. Refrain from donating blood or sperm for the duration of the study and for 16 weeks (112 days) after the last dose of study drug. 6. Participants must agree not to participate in any other trials of investigational drugs/devices while they are enrolled in the A011-12 study |
Para poder participar en el estudio, los pacientes deberán cumplir los siguientes criterios: 1.Los participantes deberán haber completado su respectivo estudio clínico actual de sotatercept para la HAP y haber cumplido sus requisitos, y no podrán haberse retirado prematuramente. 2.Los participantes deben estar dispuestos a cumplir el calendario de visitas del estudio y comprender y cumplir todos los requisitos del protocolo. 3.Los participantes deben ser capaces de comprender y otorgar su consentimiento informado por escrito. 4.Las mujeres con capacidad reproductiva deberán: a. Tener una prueba de embarazo negativa, verificada por el investigador antes de iniciar la administración del fármaco del estudio; deberá comprometerse a someterse a pruebas de embarazo periódicamente durante el estudio y hasta 8 semanas después de la última dosis del fármaco del estudio. b. En caso de ser sexualmente activas, haber utilizado y comprometerse a continuar utilizando un método anticonceptivo muy eficaz sin interrupción durante un mínimo de 28 días antes de empezar a recibir el producto en investigación, durante el estudio (incluidas las interrupciones de la administración) y durante 16 semanas (112 días) después de suspender el fármaco del estudio. c. Abstenerse de amamantar a un niño o de donar sangre u óvulos durante el estudio y durante al menos 16 semanas (112 días) después de la última dosis del fármaco del estudio. 5. Los participantes varones deberán: a. Comprometerse a utilizar un preservativo, definido como un preservativo masculino de látex o de otro material diferente al látex que NO esté fabricado con membranas naturales (de origen animal), por ejemplo, de poliuretano, cuando mantengan relaciones sexuales con mujeres embarazadas o con capacidad para procrear mientras participen en el estudio, durante las interrupciones del tratamiento y hasta un mínimo de 16 semanas (112 días) después de la suspensión del producto en investigación, aunque se hayan sometido a una vasectomía con éxito. b. Abstenerse de donar sangre o semen durante el estudio y hasta 16 semanas (112 días) después de la última dosis del fármaco del estudio. 6. Los participantes deberán comprometerse a no participar en ningún otro ensayo de fármacos o productos en investigación mientras participen en el estudio A011-12. |
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E.4 | Principal exclusion criteria |
Participants will be excluded from the study if any of the following criteria are met: 1. Not enrolled in a PAH parent study at the time of enrollment. 2. Missed more than the equivalent of 4 consecutive doses between the end of parent study and the start of this study. 3. Presence of an ongoing serious adverse event (SAE) that occurred during a PAH sotatercept clinical study that is assessed to be possibly or probably related to sotatercept. 4. Pregnant or breastfeeding females. |
Se excluirá del estudio a los participantes que cumplan alguno de los criterios siguientes: 1. No incluido en un estudio original sobre la HAP en el momento de la inclusión. 2. Pérdida de más del equivalente a 4 dosis consecutivas entre el final del estudio original y el comienzo de este estudio. 3. Presencia de un acontecimiento adverso grave persistente que se produzca durante un estudio clínico de sotatercept para la HAP y que se considere posible o probablemente relacionado con sotatercept. 4. Embarazo o lactancia materna. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The following endpoints will be evaluated as a measure of safety and tolerability: • AEs • Anti-drug antibodies (ADA) • Clinical laboratory assessments (hematology and serum chemistry) • Vital signs • 12-lead electrocardiogram (ECG) |
Se evaluarán los siguientes criterios de valoración como medida de la seguridad y la tolerabilidad: - AAs - Anticuerpos contra el fármaco (ACF) - Evaluaciones analíticas (hematología y bioquímica en suero) - Constantes vitales - Electrocardiograma (ECG) de 12 derivaciones |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
24 months and 48 months |
24 meses y 48 meses |
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E.5.2 | Secondary end point(s) |
The following efficacy endpoints will be evaluated: • 6-minute walk distance • N-terminal pro-hormone B-type natriuretic peptide • World Health Organization functional class • Pulmonary vascular resistance • Overall survival |
Se evaluarán los siguientes criterios de valoración de la eficacia: - Distancia recorrida en 6 minutos - Propéptido natriurético de tipo B aminoterminal - Categoría funcional de la Organización Mundial de la Salud - Resistencia vascular pulmonar - Supervivencia general |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
24 months and 48 months |
24 meses y 48 meses |
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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 | 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 | 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) | 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 | 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.8.2.4 | Number of treatment arms in the trial | 1 |
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 | 6 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 83 |
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 |
Australia |
Brazil |
Israel |
Korea, Republic of |
Mexico |
New Zealand |
Serbia |
United States |
Austria |
Belgium |
France |
Germany |
Ireland |
Italy |
Netherlands |
Poland |
Spain |
Sweden |
Switzerland |
United Kingdom |
Czechia |
Argentina |
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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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A participant is considered to have completed the study if he/she has completed all phases of the study, including the EOT Visit and Follow-up Visit. The End of Study is defined as when the last participant completes the last visit. |
Se considera que un participante ha completado el estudio si él/ella ha completado todas las fases del mismo, incluyendo la Visita FdT y la visita de seguimiento. El final del estudio se define cuando el último participante completa la última visita |
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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 | 6 |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 7 |