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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03118570
Other study ID # MBPS205
Secondary ID 2016-005096-27
Status Completed
Phase Phase 2
First received
Last updated
Start date September 11, 2017
Est. completion date November 12, 2020

Study information

Verified date February 2022
Source Ultragenyx Pharmaceutical Inc
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to select a suitable dose of BPS804 by measuring the strength/quality of bone using a special type of CT scanner. Participants will be treated for 12 months and followed up for a further 12 months.


Description:

This study was previously posted by Mereo Biopharma and was transferred to Ultragenyx in February 2021.


Recruitment information / eligibility

Status Completed
Enrollment 112
Est. completion date November 12, 2020
Est. primary completion date October 1, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years to 75 Years
Eligibility Inclusion Criteria: - Patients with a clinical diagnosis of OI Type I, III or IV with a confirmed defect in the COL1A1/COL1A2 genes, as confirmed by genetic testing - One or more fractures in the past 5 years - Capable of giving signed consent Exclusion Criteria: - History of skeletal malignancies or other bone diseases (other than OI) - History of neural foraminal stenosis (except if due to scoliosis) - History of myocardial infarction, angina pectoris, ischaemic stroke or transient ischaemic attack - History of endocrine or thyroid/parathyroid conditions that could affect bone metabolism - Treatment with bisphosphonates within 3 months of randomisation - Treatment with teraparatide, denosumab or other anabolic/anti-reabsorptive medications within 6 months of randomisation

Study Design


Intervention

Drug:
setrusumab
Intravenous infusion
Dietary Supplement:
Calcium
tablets
Vitamin D
capsules
Drug:
zoledronic acid (optional)
Following completion of the study treatment (Month 12) participants can receive an optional single dose of zoledronic acid. Participants can receive an optional further dose of zoledronic acid at Month 18 at the discretion of their treating physician.

Locations

Country Name City State
Canada Mereo Investigator Site Montreal Quebec
Canada Mereo Investigator Site Quebec City Quebec
Canada Mereo Investigator Site Toronto Ontario
Denmark Mereo Investigator Site Aarhus
Denmark Mereo Investigator Site Odense
France Mereo Investigator Site Lyon
France Mereo Investigator Site Paris
France Mereo Investigator Site Paris Paris Cedex 14
United Kingdom Mereo Investigator Site Bristol
United Kingdom Mereo Investigator Site Cambridge Cambridgeshire
United Kingdom Mereo Investigator Site London
United Kingdom Mereo Investigator Site Newcastle upon Tyne Newcastle
United Kingdom Mereo Investigator Site Oxford Oxfordshire
United States Mereo Investigator Site Albuquerque New Mexico
United States Mereo Investigator Site Baltimore Maryland
United States Mereo Investigator Site Birmingham Alabama
United States Mereo Investigator Site Boston Massachusetts
United States Mereo Investigator Site Cincinnati Ohio
United States Mereo Investigator Site Houston Texas
United States Mereo Investigator Site Jacksonville Florida
United States Mereo Investigator Site Nashville Tennessee
United States Mereo Investigator Site Pittsburgh Pennsylvania
United States Mereo Investigator Site Portland Oregon
United States Mereo Investigator Site Saint Louis Missouri
United States Mereo Investigator Site Saint Paul Minnesota

Sponsors (2)

Lead Sponsor Collaborator
Ultragenyx Pharmaceutical Inc Mereo BioPharma

Countries where clinical trial is conducted

United States,  Canada,  Denmark,  France,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change From Baseline in Radial Trabecular Volumetric Bone Mineral Density (Tr vBMD) at Month 12 Assessed by high resolution peripheral quantitative computed tomography (HRpQCT). HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presents the ratio of the means between the visit and Baseline from analysis of covariance (ANCOVA). Baseline, Month 12 (end of treatment [EOT])
Primary Change From Baseline in Radial Bone Strength (Failure Load) at Month 12 Assessed by finite element analysis (FEA) of models generated from HRpQCT images of the distal radius. Baseline, Month 12 (EOT)
Primary Change From Baseline in Radial Bone Strength (Stiffness) at Month 12 Assessed by FEA of models generated from HRpQCT images of the distal radius. Baseline, Month 12 (EOT)
Secondary Change From Baseline in Radial and Tibial Tr VBMD Over Time: Full Analysis Set Assessed by HRpQCT. HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presented is the ratio of the means between the Visit and Baseline from ANCOVA. Baseline, Months 6, 12 (EOT), 18, 24
Secondary Changes From Baseline in Radial and Tibial Tr VBMD at Months 6 and 12: Open-Label Arm Assessed by HRpQCT. HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presented is the ratio of the means between the Visit and Baseline from ANCOVA. Baseline, Months 6, 12 (EOT)
Secondary Changes From Baseline in Radial and Tibial Bone Strength (Failure Load) Over Time: Full Analysis Set Assessed by FEA of models generated from HRpQCT images of the distal radius. Baseline, Months 6, 12 (EOT), 18, 24
Secondary Changes From Baseline in Radial and Tibial Bone Strength (Failure Load) at Months 6 and 12: Open-Label Arm Assessed by FEA of models generated from HRpQCT images of the distal radius. Baseline, Months 6, 12 (EOT)
Secondary Changes From Baseline in Radial and Tibial Bone Strength (Stiffness) Over Time: Full Analysis Set Assessed by FEA of models generated from HRpQCT images of the distal radius. Baseline, Months 6, 12 (EOT), 18, 24
Secondary Changes From Baseline in Radial and Tibial Bone Strength (Stiffness) at Months 6 and 12: Open-Label Arm Assessed by FEA of models generated from HRpQCT images of the distal radius. Baseline, Months 6, 12 (EOT)
Secondary Percentage of Participants With at Least 1 New Fracture (Peripheral, Vertebral, Long-Bone, Any) at Month 12 Fracture assessment, confirmed by central radiographic reading, was carried out for peripheral including all major long bones, minor bone (digits, ribs) and vertebral fractures. Fractures without clinical symptoms, detected only by means of radiographic investigations, were not included in the analysis. Month 12 (EOT)
Secondary Change From Baseline in Lumbar, Total Body, and Femoral Neck Bone Mineral Density (BMD) T-score at Month 6 BMD was evaluated by dual-energy x-ray absorptiometry (DXA). T-Score was calculated based on actual measured bone density value. T-scores are standardized scores that reflect the standard deviations (SDs) above/below the normal mean for young adults. A score of 50 indicates the population mean with a standard deviation of 10. A positive change in DXA T-score indicates an improvement in BMD. Baseline, Month 6
Secondary Change From Baseline in Lumbar, Total Body, and Femoral Neck BMD at Month 6 BMD was evaluated by DXA. Baseline, Month 6
Secondary Change From Baseline in Lumbar, Total Body, and Femoral Neck BMD T-score at Month 12 BMD was evaluated by DXA. T-Score was calculated based on actual measured bone density value. T-scores are standardized scores that reflect the standard deviations (SDs) above/below the normal mean for young adults. A score of 50 indicates the population mean with a standard deviation of 10. A positive change in DXA T-score indicates an improvement in BMD. Baseline, Month 12 (EOT)
Secondary Change From Baseline in Lumbar, Total Body, and Femoral Neck BMD at Month 12 BMD was evaluated by DXA. Baseline, Month 12 (EOT)
Secondary Change From Baseline in Total vBMD (Radial and Tibial) Over Time Assessed by HRpQCT. HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presented is the ratio of the means between the Visit and Baseline from ANCOVA. Baseline, Months 6, 12 (EOT), 18, and 24
Secondary Change From Baseline in Cortical vBMD (Radial and Tibial) Over Time Assessed by HRpQCT. HRpQCT scans were performed on the participant's distal non-dominant arm. In cases of an arm that had been supported with rods or had significant deformity, the dominant limb was selected. Data presented is the ratio of the means between the Visit and Baseline from ANCOVA. Baseline, Months 6, 12 (EOT), 18, and 24
Secondary Number of Participants With Clinically Significant Changes From Baseline in Body Height, Weight and Body Mass Index (BMI) at 6 and 12 Months: Full Analysis Set Baseline, Month 6, Month 12 (EOT)
Secondary Change From Baseline in Lean and Fat Body Mass From Whole Body at Months 6 and 12 Lean and fat body mass was evaluated using whole body DXA (including the head). Baseline, Months 6, 12 (EOT)
Secondary Change From Baseline in Amino-Terminal Propeptide of Type 1 Procollagen (P1NP) up to Month 12 Baseline, Months 1, 3, 6, 9, 12 (EOT)
Secondary Change From Baseline in Carboxy-Terminal Telo-Peptide [CTX-1] up to Month 12 Baseline, Months 1, 3, 6, 9, 12 (EOT)
Secondary Change From Baseline in Short Form 12 Health Survey (SF-12) Physical Component Summary Score at Months 6 and 12 The SF-12 is a generic, 12-item survey that measures 8 domains of health: physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health. It yields scale scores for each of these 8 domains and 2 summary measures of physical and mental health: The Physical Component Summary and the Mental Component Summary. The total score for the Physical Component Summary ranges from 0 to 100, where higher scores reflect better physical functioning. Baseline, Months 6, 12 (EOT)
Secondary Change From Baseline in SF-12 Mental Component Summary Score at Months 6 and 12 The SF-12 is a generic, 12-item survey that measures 8 domains of health: physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health. It yields scale scores for each of these 8 domains and 2 summary measures of physical and mental health: The Physical Component Summary and the Mental Component Summary. The total score for the Mental Component Summary ranges from 0 to 100, where higher scores reflect better mental health functioning. Baseline, Months 6, 12 (EOT)
Secondary Change From Baseline in Index (Utility) Score on EuroQol 5-Dimension 5-Level Descriptive System (EQ-5D-5L) Score at Months 6 and 12 The EQ-5D-5L is a standardised measure of health status comprised of a descriptive system of 5 health-related quality of life states (i.e., mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and a Visual Analogue Scale (VAS) of overall health. Each dimension is rated on a 5-point response scale indicating severity of problems, where 1 is "no problems" and 5 is "extreme problems". The 5 questions are scored and together contribute to the EQ-5D index (utility) score between 0 and 1 (1 being perfect health). Baseline, Months 6 and 12 (EOT)
Secondary Change From Baseline in Osteogenesis Imperfecta Specific Quality of Life Questionnaire for Adults (OIQoL-A) Total Score at Months 6 and 12 The OIQoL-A measures 5 areas of quality of life related to OI (Physical Function, Pain, Hearing Loss, Taking Care/Concerns, Social and Family Life and Activities). The total score is calculated on a 0-100 scale, where higher scores indicate a greater (negative) impact on quality of life. Baseline, Months 6, 12 (EOT)
Secondary Change From Baseline in OIQoL-A Pain Subscale Score at Months 6 and 12 The OIQoL-A measures 5 areas of quality of life related to OI (Physical Function, Pain, Hearing Loss, Taking Care/Concerns, Social and Family Life and Activities). The Pain subscale ranges from 0 to 10, with higher value representing worse pain. Baseline, Months 6, 12 (EOT)
Secondary Change From Baseline in OIQoL-A Activity Subscale Score at Months 6 and 12 The OIQoL-A measures 5 areas of quality of life related to OI (Physical Function, Pain, Hearing Loss, Taking Care/Concerns, Social and Family Life and Activities). The Activities subscale ranges from 0 to 100, with higher value representing increased difficulty. Baseline, Months 6, 12 (EOT)
Secondary Percentage of Participants Who Were Positive for Anti-Setrusumab Antibodies at Any Time During the Study up to Month 14 Serum samples were screened for antibodies binding to setrusumab using a validated assay method by or under the supervision of the sponsor. up to Month 14
Secondary Percentage of Participants With Adverse Events (AEs), Treatment-Emergent AEs (TEAEs), Serious TEAEs, and TEAEs Leading to Discontinuation or Death An AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. A serious AE (SAE) is defined as any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; is a congenital anomaly/birth defect; is another important medical event. The intensity for each AE was graded as mild, moderate or severe, according to the investigator's judgement. An event was considered related to study drug if there were a "reasonable possibility" of a relationship, according to the investigator's clinical judgment. A TEAE was defined as an event occurring or worsening on or after the first dose of study medication. Non-serious AEs: up to Month 14; Serious AEs: up to Month 24. (Average duration of exposure to placebo was 5 months and for setrusumab was 11 month plus follow-up to 24 months.)
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