Amyotrophic Lateral SclerosisPhase 1NCT03945279
A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BIIB100 Administered Orally to Adults With Amyotrophic Lateral Sclerosis
A Phase 1 study testing BIIB100 in people with Amyotrophic Lateral Sclerosis, run by Biogen at 9 sites in United States.
Trial summary
The primary objective of this study is to evaluate the safety, tolerability of single-ascending doses of BIIB100 in adults with amyotrophic lateral sclerosis (ALS). The secondary objective of the study is to characterize the pharmacokinetic profile of BIIB100. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Amyotrophic Lateral Sclerosis
- What is being tested?
- BIIB100
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 49 participants
- Where
- 9 sitesUnited States
- Study dates
- 30 May 2019to 21 Jun 2021
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Must meet the laboratory-supported probable, probable, or definite criteria for diagnosing ALS according to the World Federation of Neurology El Escorial criteria.
- Participants taking concomitant riluzole at study entry must be on a stable dose for greater than or equals to (>=) 30 days prior to the first dose of study treatment (Day 1). Participants taking concomitant riluzole must be willing to continue with the same dose regimen throughout the study, unless the Investigator determines that riluzole should be discontinued for medical reasons, in which case it may not be restarted during the study.
- Participants taking concomitant edaravone at study entry must be on a stable dose for >= 60 days prior to the first dose of study treatment (Day 1).
- Adequate respiratory function as indicated by slow vital capacity (SVC) >= 65% of predicted value as adjusted for sex, age, and height (from the sitting position).
Who cannot join
- Ongoing medical condition (e.g., wasting or cachexia, severe anemia) that would, in the opinion of the Investigator, interfere with the conduct or assessments of the study.
- Significant cognitive impairment or unstable psychiatric illness, including psychosis, suicidal ideation, suicide attempt, or untreated major depression less than or equals to (<=) 90 days of Screening, which in the opinion of the Investigator would interfere with the study procedures.
- Treatment with drugs that are transported by Breast Cancer Resistance Protein (BCRP) and P-glycoprotein (P-gp) including, but not limited to, rosuvastatin, sulfasalazine, dabigatran, digoxin and fexofenadine.
- Current enrollment or plan to enroll in any interventional clinical study in which an investigational treatment or approved therapy for investigational use is administered within 30 days or 5 half-lives of the agent, whichever is longer, prior to the Baseline Visit (pre-dose on Day 1). Participation in a noninterventional study focused on ALS natural history may be allowed at the discretion of the Investigator and after consultation with the Sponsor.
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
9 sites in 1 country.
9 sites in 1 country
United States9 sites
Johns Hopkins University, Dept of Neurology
Baltimore, Maryland, 21205
Research Site
Boston, Massachusetts, 21219
Mayo Clinic Hospital
Jacksonville, Florida, 32224
Alliance for Multispecialty Research NOCCR/VRG
Knoxville, Tennessee, 37920
Research Site
Lincoln, Nebraska, 68506
Barrow Neurological Institute
Phoenix, Arizona, 85013
University of California San Diego Medical Center
San Diego, California, 92121
Research Site
St Louis, Missouri, 63110
University of South Florida
Tampa, Florida, 33612
About this study
Official title: A Phase 1, Double-Blind, Placebo-Controlled, Single-Ascending-Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BIIB100 Administered Orally to Adult Participants With Amyotrophic Lateral Sclerosis
The primary objective of this study is to evaluate the safety, tolerability of single-ascending doses of BIIB100 in adults with amyotrophic lateral sclerosis (ALS). The secondary objective of the study is to characterize the pharmacokinetic profile of BIIB100.
- Conditions
- Amyotrophic Lateral Sclerosis
- Being tested
- BIIB100, Placebo
- Medical subject headings
- Amyotrophic Lateral Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BIIB100Drug
Administered as specified in the treatment arm.
PlaceboDrug
Administered as specified in the treatment arm.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1: BIIB100 Dose 1 | Experimental | Participants will receive single oral dose of BIIB100 on Day 1. Receives: Drug: BIIB100 |
| Cohort 2: BIIB100 Dose 2 | Experimental | Participants will receive single oral dose of BIIB100 on Day 1. Receives: Drug: BIIB100 |
| Cohort 3: BIIB100 Dose 3 | Experimental | Participants will receive single oral dose of BIIB100 on Day 1. Receives: Drug: BIIB100 |
| Cohort 4: BIIB100 Dose 4 | Experimental | Participants will receive single oral dose of BIIB100 on Day 1. Receives: Drug: BIIB100 |
| Cohort 5: BIIB100 Dose 5 | Experimental | Participants will receive single oral dose of BIIB100 on Day 1. Receives: Drug: BIIB100 |
| Cohort 6: BIIB100 Dose 6 | Experimental | Participants will receive single oral dose of BIIB100 on Day 1. Receives: Drug: BIIB100 |
| Cohort 1-6: Matching Placebo | Placebo comparator | Participants will receive single oral dose of matching placebo on Day 1. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. An SAE is any untoward medical occurrence that at any dose results in death, is a life-threatening event, requires inpatient hospitalization or prolongation of existing hospitalization, results in a significant disability/incapacity or congenital anomaly, or is a medically important event.
Measured: Screening (Day -28 ) up to Day 15
Secondary outcomes (7)
Area Under the Concentration-Time Curve From Time 0 to Time of the Last Measurable Concentration (AUClast) of BIIB100
BIIB100 will be measured in the plasma.
Measured: Day 1 (pre-dose) up to Day 3
Area Under the Concentration-Time Curve From Time 0 to Infinity (AUCinf) of BIIB100
BIIB100 will be measured in the plasma.
Measured: Day 1 (pre-dose) up to Day 3
Maximum Observed Concentration (Cmax) of BIIB100
BIIB100 will be measured in the plasma.
Measured: Day 1 (pre-dose) up to Day 3
Time to Reach Cmax (Tmax) of BIIB100
BIIB100 will be measured in the plasma.
Measured: Day 1 (pre-dose) up to Day 3
Terminal Elimination Half-life (t1/2) of BIIB100
BIIB100 will be measured in the plasma.
Measured: Day 1 (pre-dose) up to Day 3
Apparent Clearance (CL/F) of BIIB100
BIIB100 will be measured in the plasma.
Measured: Day 1 (pre-dose) up to Day 3
Apparent Volume of Distribution During the Terminal Elimination (Vz/F) of BIIB100
BIIB100 will be measured in the plasma.
Measured: Day 1 (pre-dose) up to Day 3
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 May 2019
- Study start30 May 2019
- Primary completion21 Jun 2021
- Study completion21 Jun 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Amyotrophic Lateral SclerosisStudies of the same condition, open and under way.
- More trials run by BiogenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 49 participants (actual)
Sponsor and investigators
- Lead sponsor
- Biogen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Biogen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03945279
- Sponsor's protocol ID
- 261AS101
- Status last verified
- Apr 2023
- First submitted
- 8 May 2019
- Last updated
- 18 Apr 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/
Study at a glance
From the registry record, last updated by the sponsor on 18 Apr 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1, Double-Blind, Placebo-Controlled, Single-Ascending-Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BIIB100 Administered Orally to Adult Participants With Amyotrophic Lateral Sclerosis
- ClinicalTrials.gov ID
- NCT03945279
- Acronym / sponsor ID
- 261AS101
- Conditions
- Amyotrophic Lateral Sclerosis
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 49 participants (actual)
- Lead sponsor
- BiogenIndustry (pharma, biotech, devices)
- Study start
- 30 May 2019 (actual)
- Primary completion
- 21 Jun 2021 (actual)
- Study completion
- 21 Jun 2021 (actual)
- First posted
- 10 May 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this study is to evaluate the safety, tolerability of single-ascending doses of BIIB100 in adults with amyotrophic lateral sclerosis (ALS). The secondary objective of the study is to characterize the pharmacokinetic profile of BIIB100.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Cohort 1: BIIB100 Dose 1 | Experimental | Drug: BIIB100Participants will receive single oral dose of BIIB100 on Day 1. |
| Cohort 2: BIIB100 Dose 2 | Experimental | Drug: BIIB100Participants will receive single oral dose of BIIB100 on Day 1. |
| Cohort 3: BIIB100 Dose 3 | Experimental | Drug: BIIB100Participants will receive single oral dose of BIIB100 on Day 1. |
| Cohort 4: BIIB100 Dose 4 | Experimental | Drug: BIIB100Participants will receive single oral dose of BIIB100 on Day 1. |
| Cohort 5: BIIB100 Dose 5 | Experimental | Drug: BIIB100Participants will receive single oral dose of BIIB100 on Day 1. |
| Cohort 6: BIIB100 Dose 6 | Experimental | Drug: BIIB100Participants will receive single oral dose of BIIB100 on Day 1. |
| Cohort 1-6: Matching Placebo | Placebo comparator | Drug: PlaceboParticipants will receive single oral dose of matching placebo on Day 1. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Must meet the laboratory-supported probable, probable, or definite criteria for diagnosing ALS according to the World Federation of Neurology El Escorial criteria.
- Participants taking concomitant riluzole at study entry must be on a stable dose for greater than or equals to (>=) 30 days prior to the first dose of study treatment (Day 1). Participants taking concomitant riluzole must be willing to continue with the same dose regimen throughout the study, unless the Investigator determines that riluzole should be discontinued for medical reasons, in which case it may not be restarted during the study.
- Participants taking concomitant edaravone at study entry must be on a stable dose for >= 60 days prior to the first dose of study treatment (Day 1).
- Adequate respiratory function as indicated by slow vital capacity (SVC) >= 65% of predicted value as adjusted for sex, age, and height (from the sitting position).
Key exclusion criteria (5 listed)
- Ongoing medical condition (e.g., wasting or cachexia, severe anemia) that would, in the opinion of the Investigator, interfere with the conduct or assessments of the study.
- Significant cognitive impairment or unstable psychiatric illness, including psychosis, suicidal ideation, suicide attempt, or untreated major depression less than or equals to (<=) 90 days of Screening, which in the opinion of the Investigator would interfere with the study procedures.
- Treatment with drugs that are transported by Breast Cancer Resistance Protein (BCRP) and P-glycoprotein (P-gp) including, but not limited to, rosuvastatin, sulfasalazine, dabigatran, digoxin and fexofenadine.
- Current enrollment or plan to enroll in any interventional clinical study in which an investigational treatment or approved therapy for investigational use is administered within 30 days or 5 half-lives of the agent, whichever is longer, prior to the Baseline Visit (pre-dose on Day 1). Participation in a noninterventional study focused on ALS natural history may be allowed at the discretion of the Investigator and after consultation with the Sponsor.
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BIIB100Administered as specified in the treatment arm. | Drug | Cohort 1: BIIB100 Dose 1, Cohort 2: BIIB100 Dose 2, Cohort 3: BIIB100 Dose 3, Cohort 4: BIIB100 Dose 4, Cohort 5: BIIB100 Dose 5, Cohort 6: BIIB100 Dose 6 |
| PlaceboAdministered as specified in the treatment arm. | Drug | Cohort 1-6: Matching Placebo |
Primary outcome
Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: Screening (Day -28 ) up to Day 15
An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. An SAE is any untoward medical occurrence that at any dose results in death, is a life-threatening event, requires inpatient hospitalization or prolongation of existing hospitalization, results in a significant disability/incapacity or congenital anomaly, or is a medically important event.
7 secondary outcomes
Area Under the Concentration-Time Curve From Time 0 to Time of the Last Measurable Concentration (AUClast) of BIIB100
Time frame: Day 1 (pre-dose) up to Day 3
Area Under the Concentration-Time Curve From Time 0 to Infinity (AUCinf) of BIIB100
Time frame: Day 1 (pre-dose) up to Day 3
Maximum Observed Concentration (Cmax) of BIIB100
Time frame: Day 1 (pre-dose) up to Day 3
Time to Reach Cmax (Tmax) of BIIB100
Time frame: Day 1 (pre-dose) up to Day 3
Terminal Elimination Half-life (t1/2) of BIIB100
Time frame: Day 1 (pre-dose) up to Day 3
Apparent Clearance (CL/F) of BIIB100
Time frame: Day 1 (pre-dose) up to Day 3
Apparent Volume of Distribution During the Terminal Elimination (Vz/F) of BIIB100
Time frame: Day 1 (pre-dose) up to Day 3
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Apr 2023.
- Individual participant dataSharing planned: Yes. In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Biogen
9 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing BIIB100 in people with Amyotrophic Lateral Sclerosis, run by Biogen at 9 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs) (time frame: Screening (Day -28 ) up to Day 15). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Apr 2023.