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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05951049
Registration number
NCT05951049
Ethics application status
Date submitted
29/06/2023
Date registered
18/07/2023
Date last updated
30/01/2024
Titles & IDs
Public title
A Study of AT-02 in Subjects With Systemic Amyloidosis.
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Scientific title
A Phase 2, Open-label Extension Study to Evaluate the Long-term Safety and Tolerability of AT-02
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Secondary ID [1]
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AT02-003
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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:
Amyloidosis; Systemic
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Condition category
Condition code
Metabolic and Endocrine
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Metabolic disorders
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Metabolic and Endocrine
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Other metabolic disorders
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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 - AT02
Experimental: A (AT-02) - Subjects will receive AT-02 via intravenous infusion once every two or 4 weeks for 104 weeks (52 total AT-02 administrations).
Treatment: Drugs: AT02
Dosage Form: Solution for injection/infusion Dosage level: Different dose levels of AT02 Route of Administration: Intravenous use
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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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Incidence, frequency, and severity of Treatment-emergent adverse events (TEAEs) as assessed National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE version 5.0)
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Assessment method [1]
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Timepoint [1]
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Up to 112 weeks
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Primary outcome [2]
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To assess the safety and tolerability of AT-02 through change from baseline in clinical laboratory results
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Assessment method [2]
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Timepoint [2]
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Up to 112 weeks
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Secondary outcome [1]
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To assess PK of AT-02 during long-term administration
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Assessment method [1]
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Parameter: maximum observed concentration of AT-02 (Cmax)
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Timepoint [1]
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Up to 112 weeks
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Secondary outcome [2]
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To assess PK of AT-02 during long-term administration
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Assessment method [2]
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Parameter: time to maximum observed AT-02 concentration (Tmax)
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Timepoint [2]
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Up to 112 weeks
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Secondary outcome [3]
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To assess PK of AT-02 during long-term administration
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Assessment method [3]
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Parameter: AUClast
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Timepoint [3]
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Up to 112 weeks
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Secondary outcome [4]
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To assess PK of AT-02 during long-term administration
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Assessment method [4]
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Parameter: AUCinf
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Timepoint [4]
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Up to 112 weeks
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Secondary outcome [5]
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To assess PK of AT-02 during long-term administration
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Assessment method [5]
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Parameter: volume of distribution at steady state (Vss)
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Timepoint [5]
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Up to 112 weeks
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Secondary outcome [6]
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To assess PK of AT-02 during long-term administration
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Assessment method [6]
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Parameter: total body clearance (CL) of AT-02
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Timepoint [6]
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Up to 112 weeks
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Secondary outcome [7]
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To assess PK of AT-02 during long-term administration
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Assessment method [7]
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Parameter: AT-02 half-life (t½)
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Timepoint [7]
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Up to 112 weeks
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Secondary outcome [8]
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Incidence of treatment-emergent Anti-drug antibodies (ADAs)
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Assessment method [8]
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The number and percentage of subjects who develop detectable ADA will be summarized by dose cohort.
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Timepoint [8]
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Up to 112 weeks
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Secondary outcome [9]
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To evaluate the clinical efficacy of AT-02 during long-term administration through change from baseline in biomarkers
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Assessment method [9]
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Biomarkers include serum N-terminal prohormone of brain natriuretic peptide (NT-proBNP)
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Timepoint [9]
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Up to 112 weeks
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Secondary outcome [10]
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To evaluate the clinical efficacy of AT-02 during long-term administration through change from baseline in biomarkers
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Assessment method [10]
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Biomarkers include serum High-sensitivity cardiac troponin T (hsTnT)
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Timepoint [10]
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Up to 112 weeks
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Secondary outcome [11]
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To evaluate the clinical efficacy of AT-02 during long-term administration through change from baseline in biomarkers
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Assessment method [11]
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Biomarkers include serum Urine albumin creatinine ratio (UACR)
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Timepoint [11]
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Up to 112 weeks
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Secondary outcome [12]
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Serial cardiac magnetic resonance assessments of systemic amyloidosis
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Assessment method [12]
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Timepoint [12]
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Up to 112 weeks
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Eligibility
Key inclusion criteria
1. Subject understands the study procedures and can give signed informed consent.
2. Subject is willing and able to comply with this protocol and will be available for the entire duration of the study.
3. Subject must have a confirmed diagnosis of SA per the diagnostic criteria specified in the parent study protocol.
4. Subject must have participated in the study AT01-001 and wishes to receive open-label AT-02.
5. AT02-001 Part 2:
a. Subjects must have completed the last follow-up visit in AT02-001 Part 2 without significant adverse events, as determined by the Investigator.
6. AT02-001 Part 3:
a. Subjects must have completed the post-treatment imaging studies in AT02-001Part 3 (e.g., CMR, echocardiogram) without significant AEs in the parent study as determined by the Investigator.
7. Must continue to satisfy the eligibility criteria in the parent study protocol for WOCBP, WONCBP, or male participants
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Minimum age
18
Years
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Maximum age
85
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. Is pregnant, breastfeeding, or is planning to become pregnant or breastfeed during this study and follow-up period.
2. Is mentally or legally incapacitated, has significant emotional problems at the time of the study, or has a history of psychosis.
3. Has acquired any new, clinically significant underlying illness since enrollment in the parent study.
4. Has any clinically significant worsening of organ function associated with underlying SA or clinically significant change in concomitant medications for the treatment of SA since enrollment in the parent study.
5. Estimated glomerular filtration (eGFR) =30 mL/min/1.73 m2.
6. Currently using any prohibited concomitant medications.
7. Any contraindication to MRI or MRI contrast.
8. Is currently participating in an interventional clinical study or has participated in another clinical study (other than AT02-001) within the last four (4) weeks or within five (5) half-lives of the prior study treatment, whichever is longer.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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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
Single group
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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
Recruiting
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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
21/09/2023
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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
28/02/2026
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD,SA,VIC,WA
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Recruitment hospital [1]
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Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [2]
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Flinders Medical Centre - Bedford Park
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Recruitment hospital [3]
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Box Hill Hospital - Box Hill
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Recruitment hospital [4]
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Royal Perth Hospital - Perth
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Recruitment postcode(s) [1]
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4102 - Woolloongabba
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Recruitment postcode(s) [2]
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5042 - Bedford Park
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Recruitment postcode(s) [3]
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3128 - Box Hill
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Recruitment postcode(s) [4]
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6000 - Perth
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Kansas
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Country [2]
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United States of America
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State/province [2]
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Maryland
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Country [3]
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United States of America
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State/province [3]
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Ohio
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Country [4]
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United States of America
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State/province [4]
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Oregon
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Country [5]
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United States of America
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State/province [5]
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Pennsylvania
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Country [6]
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United Kingdom
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State/province [6]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Attralus, Inc.
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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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Novotech (Australia) Pty Limited
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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
This is a Phase 2 open-label extension study to evaluate the long-term safety, tolerability, and clinical activity of AT-02. AT-02 is an investigational medicinal product being developed to treat systemic amyloidosis.
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Trial website
https://clinicaltrials.gov/study/NCT05951049
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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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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 public queries
Name
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Scott Stephens
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Address
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Country
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Phone
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+1-321-228-7400
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05951049
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