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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT04931862
Registration number
NCT04931862
Ethics application status
Date submitted
11/06/2021
Date registered
18/06/2021
Date last updated
23/10/2023
Titles & IDs
Public title
Study of WVE-004 in Patients With C9orf72-associated Amyotrophic Lateral Sclerosis (ALS) or Frontotemporal Dementia (FTD)
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Scientific title
A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase 1b/2a Study of WVE-004 Administered Intrathecally to Patients With C9orf72-associated Amyotrophic Lateral Sclerosis (ALS) or Frontotemporal Dementia (FTD)
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Secondary ID [1]
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WVE-004-001
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Universal Trial Number (UTN)
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Trial acronym
FOCUS-C9
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
ALS
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FTD
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Condition category
Condition code
Neurological
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Neurodegenerative diseases
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Neurological
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Dementias
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Mental Health
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Other mental health disorders
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Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - WVE-004
Treatment: Drugs - Placebo
Experimental: WVE-004 (Dose A) or placebo -
Experimental: WVE-004 (Dose B) or placebo -
Experimental: WVE-004 (Dose C) or placebo -
Experimental: WVE-004 (Dose D) or placebo -
Treatment: Drugs: WVE-004
WVE-004 is a stereopure antisense oligonucleotide (ASO)
Treatment: Drugs: Placebo
Artificial cerebrospinal fluid (aCSF)
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Safety: Proportion of patients with adverse events (AEs)
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Assessment method [1]
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Timepoint [1]
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Period 1 Day 1 to Period 2 Week 24 (end of study)
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Secondary outcome [1]
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Pharmacokinetic: Concentration of WVE-004 in cerebrospinal fluid (CSF)
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Assessment method [1]
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Timepoint [1]
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Period 1 Day 1 to Period 2 Week 24 (end of study)
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Secondary outcome [2]
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Pharmacodynamic: Change from baseline in concentration of poly-GP levels in the CSF
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Assessment method [2]
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Timepoint [2]
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Period 1 Day 1 to Period 2 Week 24 (end of study)
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Eligibility
Key inclusion criteria
1. ALS-specific: Diagnosis of ALS based on clinical manifestations.
2. ALS-specific: Clinically diagnosed possible, laboratory supported probable, probable,
or definite criteria for diagnosing ALS according to the World Federation of Neurology
revised El Escorial criteria.
3. ALS-specific: Patients receiving riluzole have been on a stable dose for a minimum of
30 days.
4. ALS-specific: Patients on edaravone have received a minimum of 1 cycle (28 days).
5. ALS-specific: Patients discontinuing riluzole or edaravone had the last dose
administered =1 month prior to Screening.
6. FTD-specific: Must have Global Clinical Dementia Rating - Frontotemporal Lobar
Degeneration (CDR® plus NACC FTLD) score of 0.5 or 1.
7. FTD-specific: Able to undergo periodic magnetic resonance imaging (MRI) of the brain.
Participants with mixed phenotype (ALS and FTD) need not undergo MRI if their ALS
symptoms prevent it.
8. Mixed-phenotype: Patients who are mixed phenotype (ALS and FTD) must meet both the
ALS-specific and FTD-specific criteria.
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Clinically significant medical finding on the physical examination other than
C9orf72-associated ALS or FTD that, in the judgment of the Investigator, will make the
patient unsuitable for participation in, and/or completion of the trial procedures
2. Received any other investigational drug, biological agent, or device within 1 month or
5 half-lives of study agent, whichever is longer. Received an investigational
oligonucleotide, within the past 6 months or 5 half-lives of the drug, whichever is
longer.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1/Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Terminated
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/06/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
27/06/2023
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Sample size
Target
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Accrual to date
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Final
35
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,WA
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Recruitment hospital [1]
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Macquarie University - North Ryde
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Recruitment hospital [2]
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The Wesley Hospital - Brisbane
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Recruitment hospital [3]
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Perron Institute - Nedlands
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Recruitment postcode(s) [1]
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2109 - North Ryde
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Recruitment postcode(s) [2]
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QLD 4066 - Brisbane
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Recruitment postcode(s) [3]
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6009 - Nedlands
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Recruitment outside Australia
Country [1]
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Belgium
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State/province [1]
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Leuven
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Canada
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Ontario
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Canada
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Quebec
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Ireland
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Dublin
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Netherlands
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Rotterdam
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Netherlands
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Utrecht
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New Zealand
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Auckland
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New Zealand
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Christchurch
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Country [9]
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Sweden
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Solna
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Country [10]
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United Kingdom
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State/province [10]
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Cambridge
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Country [11]
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United Kingdom
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London
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Country [12]
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United Kingdom
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Oxford
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United Kingdom
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State/province [13]
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Sheffield
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
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Name
Wave Life Sciences Ltd.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase 1b/2a multicenter, randomized, double-blind, placebo-controlled study to
evaluate the safety, tolerability, PK, and PD of intrathecal (IT) WVE-004 in adult patients
with C9orf72-associated ALS or FTD. To participate in the study, patients must have a
documented mutation (GGGGCC [G4C2] repeat expansion) in the first intronic region of the
C9orf72 gene and be diagnosed with ALS or FTD.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT04931862
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Medical Director, MD
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Address
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Wave Life Sciences
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Phone
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT04931862
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