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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05039268
Registration number
NCT05039268
Ethics application status
Date submitted
23/08/2021
Date registered
9/09/2021
Titles & IDs
Public title
3K3A-APC for Treatment of Amyotrophic Lateral Sclerosis (ALS)
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Scientific title
A Phase 2 Open Label Trial of 3K3A-APC in Amyotrophic Lateral Sclerosis
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Secondary ID [1]
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ZZ-3K3A-202
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Amyotrophic Lateral Sclerosis
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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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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - 3K3A-APC Protein
Active comparator: 15mg Dose Group - Participants will receive a fixed dose regimen of five doses of 15mg.
Active comparator: 30mg Dose Group - Participants will receive a fixed dose regimen of five doses of 30mg.
Treatment: Drugs: 3K3A-APC Protein
3K3A-APC with intravenous dosing of five doses of either 15mg or 30mg at 12 hourly interval. The first 8 patients will receive 15mg dose, and the next 8 patients will receive 30mg dose.
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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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Number of Participants Who Had Any Serious Adverse Events or Any Adverse Events With Severity Higher Than "Moderate".
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Assessment method [1]
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Number of participants who had any serious adverse events or any adverse events with severity higher than "moderate", as determined by the Principal Investigator, using the composite safety assessment including clinical laboratory testing (full blood count, biochemistry, coagulation, iron study, CSF analysis and ECG), physical examination and self-reporting of adverse events. All clinical significant findings in the composite safety assessment were reported as adverse events.
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Timepoint [1]
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15 Days
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Primary outcome [2]
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Percentage of Change in PERSI Score in the Motor Cortex Before and After Dosing
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Assessment method [2]
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PERSI (Parametric Estimation of Reference Signal Intensity) score is the measurement of microglial activation in the motor cortex utilising serial \[18F\]FEMPA PET imaging. The percentage of change in PERSI score before and after dosing in the two (2) dose cohorts is calculated.
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Timepoint [2]
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7 Days
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Secondary outcome [1]
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Diffusion Kurtosis Using MRI Scan
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Assessment method [1]
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Change in diffusion kurtosis using MRI scan of the brain to determine whether the blood brain barrier integrity can be measured in ALS by Magnetic Resonance Imaging, and whether 3K3A-APC is able to repair it
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Timepoint [1]
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7 Days
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Secondary outcome [2]
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Monocyte Activation
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Assessment method [2]
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Change in the level of monocyte activation in the peripheral blood utilising a novel method.
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Timepoint [2]
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7 Days
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Secondary outcome [3]
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Cytokine Level
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Assessment method [3]
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Change in cytokine level in serum, plasma and CSF.
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Timepoint [3]
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7 Days
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Secondary outcome [4]
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Chemokine Level
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Assessment method [4]
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Change in chemokine level in serum, plasma and CSF.
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Timepoint [4]
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7 Days
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Secondary outcome [5]
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Neurofilament Level
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Assessment method [5]
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Change in neurofilament level in serum, plasma and CSF.
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Timepoint [5]
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7 Days
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Secondary outcome [6]
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Soluble CD14 Level
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Assessment method [6]
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Change in soluble CD14 level in serum, plasma and CSF.
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Timepoint [6]
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7 Days
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Secondary outcome [7]
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Kynurenine Level
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Assessment method [7]
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Change in kynurenine level in serum, plasma and CSF.
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Timepoint [7]
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7 Days
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Eligibility
Key inclusion criteria
1. Patients must have clinically definite ALS (Awaji Criteria)
2. Male or female age 18 years and less than 75 years at time of ALS study
3. Symptom onset less than 36 months before screening
4. Diagnosis of ALS less than 24 months before screening
5. Clinically definite Upper Motor Neuron signs
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Minimum age
18
Years
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Maximum age
75
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. Current treatment with anticoagulants (e.g., warfarin, novel oral anticoagulants, heparin) that might preclude safe completion of the lumbar puncture
2. Condition that precludes the safe performance of routine lumbar puncture, such as prohibitive lumbar spinal disease, bleeding diathesis, or clinically significant coagulopathy or thrombocytopenia
3. Use of investigational drugs or devices within 60 days prior to Baseline (dietary supplements taken outside of a clinical trial are not exclusionary, e.g., coenzyme Q10)
4. Prolonged prothrombin time or activated partial thromboplastin time >2xULN
5. Severe hypertension or hypotension
6. Glomerular filtration rate (GFR) <35 mL/min
7. Forced vital capacity (FVC) at screening of <50% of predicted
8. Prior exposure to any exogenous form of APC
9. Inability to lie flat for procedures (MRI, PET, LP)
10. Pregnant or lactating during the study period
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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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
25/11/2021
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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
12/09/2022
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Sample size
Target
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Accrual to date
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Final
16
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Macquarie University - Macquarie Park
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Recruitment postcode(s) [1]
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2113 - Macquarie Park
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Funding & Sponsors
Primary sponsor type
Other
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Name
Macquarie University, Australia
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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ZZ Biotech, LLC
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
Phase 2 open label trial to investigate the safety and potentially efficacy of 3K3A-APC in patients with Amyotrophic Lateral Sclerosis (ALS).
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Trial website
https://clinicaltrials.gov/study/NCT05039268
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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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Dominic Rowe, PhD, MD
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Address
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Macquarie University, Australia
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/68/NCT05039268/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/68/NCT05039268/Prot_SAP_000.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT05039268