E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Fabry's disease |
malattia di Fabry |
|
E.1.1.1 | Medical condition in easily understood language |
Fabry's disease |
malattia di Fabry |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 24.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10016016 |
E.1.2 | Term | Fabry's disease |
E.1.2 | System Organ Class | 10010331 - Congenital, familial and genetic 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 compare the effect of venglustat with standard of care Fabry therapies on left ventricular mass index over 18 months in participants with Fabry disease and left ventricular hypertrophy |
Valutare l’effetto di venglustat con le terapie standard di cura per la malattia di Fabry sull’indice di massa del ventricolo sinistro nell’arco di 18 mesi nei/nelle partecipanti con malattia di Fabry e ipertrofia ventricolare sinistra |
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E.2.2 | Secondary objectives of the trial |
- To evaluate the effect of venglustat on renal function - To evaluate the effect of venglustat versus standard therapy on measures of cardiac function and cardiac lipid storage - To assess the safety and tolerability of venglustat in participants with Fabry disease - To evaluate the PK of venglustat in participants with Fabry disease |
- Valutare l’effetto di venglustat sulla funzionalità renale - Valutare l’effetto di venglustat rispetto alla terapia standard sulle misure della funzione cardiaca e dell’accumulo di lipidi cardiaci - Valutare la sicurezza e la tollerabilità di venglustat in partecipanti affetti da malattia di Fabry - Valutare la PK di venglustat in partecipanti affetti da malattia di Fabry |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Male and female participants aged 18 to 65 with previously confirmed diagnosis of Fabry disease and a history of clinical symptoms of Fabry disease. - Participants may be receiving treatment with agalsidase alfa, agalsidase beta, or migalastat, or may be untreated. - Left ventricular hypertrophy. - Contraception for male or female participants: not pregnant or breastfeeding; no sperm donating for male participant. - A signed informed consent must be provided prior to any study-related procedures. |
- Partecipanti adulti di sesso maschile e femminile di età compresa tra 18 e 65 anni con una diagnosi precedentemente confermata di malattia di Fabry e un’anamnesi di sintomi clinici della malattia di Fabry. - I partecipanti potrebbero ricevere una terapia con agalsidasi alfa, agalsidasi beta o migalastat, oppure potrebbero essere non trattati - Ipertrofia ventricolare sinistra - L'uso di contraccettivi da parte di uomini e donne: non in gravidanza o in allattamento; non donatori di sperma per i partecipanti di sesso maschile - Un consenso informato scritto sarà ottenuto prima della conduzione di qualsiasi procedura correlata allo studio. |
|
E.4 | Principal exclusion criteria |
- History of transient ischemic attack, stroke, myocardial infarction, heart failure, major cardiovascular surgery or kidney transplantation. - History of seizures currently requiring treatment. - Underlying medical condition that may cause or contribute to left ventricular hypertrophy. - Asymmetric hypertrophy by echocardiography at screening. - Advanced cardiac fibrosis, defined as significant late gadolinium enhancement beyond the basal inferolateral left ventricular wall on cardiac MRI. - History of ongoing clinically significant cardiac arrythmia, prior or ongoing treatment for the above. - Estimated glomerular filtration rate <60 ml/min/1.73m2 - Presence of severe depression as measured by Beck's Depression Inventory (BDI)-II >28 and/or a history of an untreated, unstable major affective disorder within 1 year of the screening visit. - Patients with hepatitis C, HIV, or hepatitis B infection. - Positive SARS-CoV-2 virus test within 2 weeks of enrollment, or COVID 19 requiring hospitalization within 6 months of enrollment. - History of drug and/or alcohol abuse. - Moderate to severe hepatic impairment. - History of or active hepatobiliary disease. - Liver enzymes (alanine aminotransferase/aspartate aminotransferase) or total bilirubin >2 times the upper limit of normal. - Cortical cataract >/=one-quarter of the lens circumference (Grade cortical cataract [COR-2]) or a posterior subcapsular cataract >/=2 mm (Grade [posterior subcapsular cataract [PSC-2]) at the time of screening. - Chronic regimen of potentially cataractogenic medications. - Strong or moderate inducers or inhibitors of cytochrome P450 CYP3A4 per Food and Drug Administration (FDA) classification within 14 days or 5 half lives, whichever is longer, prior to randomization. |
- Anamnesi di attacco ischemico transitorio, ictus, infarto del miocardio, insufficienza cardiaca, chirurgia cardiovascolare maggiore o trapianto renale. - Anamnesi di crisi convulsive che attualmente richiedano un trattamento. - Condizione medica di base che può causare o contribuire all’ipertrofia ventricolare sinistra. -Ipertrofia asimmetrica mediante ecocardiografia allo screening. - Fibrosi cardiaca avanzata, definita come significativo aumento tardivo del gadolinio oltre la porzione basale della parete inferolaterale del ventricolo sinistro alla RM cardiaca allo screening. -Anamnesi di Aritmia cardiaca clinicamente significativa in corso, oppure trattamento per quanto sopra indicato precedente o in corso. -Velocità di filtrazione glomerulare stimata <60 ml/min/1,73 m2 - Presenza di depressione grave misurata mediante classificazione della depressione di Beck (BDI)-II >28 e/o anamnesi di disturbo affettivo maggiore instabile non trattato entro 1 anno dalla visita di screening. - Pazienti con epatite C,HIV, o infezioni di epatite B - Positività nota al test del virus SARS-CoV-2 entro 2 settimane dall’arruolamento o COVID-19 che richiede il ricovero ospedaliero entro 6 mesi dall’arruolamento. - Anamnesi di abuso di droghe e/o alcol. - Insufficienza epatica da moderata a grave. - Anamnesi di malattia epatobiliare in passato o attiva - Enzimi epatici (alanina aminotransferasi/aspartato aminotransferasi) o bilirubina totale >2 volte il limite superiore della norma - Il partecipante presenta una cataratta corticale >/= un quarto della circonferenza del cristallino (grado della cataratta corticale [cortical-2, COR-2]) o una cataratta sottocapsulare posteriore >/=2 mm (grado di cataratta sottocapsulare posteriore [posterior subcapsular-2, PSC-2]) al momento dello screening - Regime cronico di farmaci potenzialmente catarattogenici - Induttori o inibitori forti o moderati del citocromo P450 CYP3A secondo la classificazione della Food and Drug Administration (FDA) entro 14 giorni o 5 emivite, a seconda di quale sia il periodo più lungo, prima della randomizzazione. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Slope of left ventricular mass index as measured by cardiac magnetic resonance imaging (MRI) (central reading) |
Pendenza dell’indice di massa del ventricolo sinistro misurata mediante RM cardiaca (lettura centralizzata) |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
from baseline to 18 months |
dal basale a 18 mesi |
|
E.5.2 | Secondary end point(s) |
1. Slope of estimated glomerular filtration rate (eGFR) as assessed by the chronic kidney disease epidemiology collaboration (CKD-EPI) creatinine equation 2. Change in T1 relaxation time, measured by cardiac MRI (central reading) 3. Change in global longitudinal strain, measured by echocardiography (central reading) 4. Number of participants with adverse event (AE) and serious adverse event (SAE) 5. Change in the lens clarity by ophthalmological examination 6. Change in Beck Depression Inventory-II (BDI-II) score 7. Plasma venglustat concentrations at prespecified visits over the study duration; 1. Pendenza della velocità di filtrazione glomerulare (eGFR) valutata mediante l’equazione CKD-EPI della creatinina 2. Variazione nel tempo di rilassamento T1, misurato mediante RM cardiaca (lettura centralizzata) 3. Variazione nello sforzo longitudinale globale, misurato mediante ecocardiografia (lettura centralizzata) 4. Numero di partecipanti con eventi avversi (AE) e eventi avversi seri (SAE) 5. Variazione della trasparenza del cristallino attraverso un esame oftalmologico 6. Variazione nel punteggio BDI-II 7. Concentrazioni plasmatiche di venglustat alle visite predefinite per tutta la durata dello studio |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
From 1/ to 7/: from baseline to 18 months |
Da 1 a 7 : dal basale a 18 mesi |
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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 | 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) | Yes |
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 | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
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) | Yes |
E.8.2.2 | Placebo | No |
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 | 16 |
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 |
Canada |
China |
Japan |
Korea, Republic of |
Taiwan |
Turkey |
United States |
Austria |
Denmark |
France |
Germany |
Italy |
Netherlands |
Norway |
Poland |
Spain |
United Kingdom |
Czechia |
Greece |
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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
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 49 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 52 |
E.8.9.2 | In all countries concerned by the trial days | 0 |