A Study of DS-1211b in Individuals With PseudoXanthoma Elasticum

NCT ID: NCT05569252

Last Updated: 2024-12-31

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-20

Study Completion Date

2023-11-21

Brief Summary

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This study was designed to evaluate the safety, tolerability, pharmacodynamics (PD) of DS-1211b, and pharmacokinetics (PK) in individuals with Pseudoxanthoma elasticum (PXE). PXE is a rare disease that is associated with significant risks of visual impairments and comorbidity from peripheral and cardiovascular diseases, and adversely impacts the quality of life in afflicted individuals.

Detailed Description

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DS-1211b, a potent small-molecule inhibitor of tissue-nonspecific alkaline phosphatase, is being developed for the treatment ectopic calcification diseases such as PXE. This study will assess DS-1211b (low-, middle-, and high-dose tablets) administered once daily for 12 weeks in individuals with PXE.

Conditions

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Pseudoxanthoma Elasticum

Keywords

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Pseudoxanthoma Elasticum DS-1211b

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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DS-1211b low dose

Participants who will be randomized to receive a DS-1211 tablet once daily for 12 weeks.

Group Type EXPERIMENTAL

DS-1211b

Intervention Type DRUG

DS-1211b tablet administered once daily in the morning either in the fasted state or with a meal

DS-1211b middle dose

Participants who will be randomized to receive a DS-1211b tablet once daily for 12 weeks.

Group Type EXPERIMENTAL

DS-1211b

Intervention Type DRUG

DS-1211b tablet administered once daily in the morning either in the fasted state or with a meal

DS-1211b high dose

Participants who will be randomized to receive a DS-1211b tablet once daily for 12 weeks.

Group Type EXPERIMENTAL

DS-1211b

Intervention Type DRUG

DS-1211b tablet administered once daily in the morning either in the fasted state or with a meal

Placebo

Participants who will be randomized to receive a placebo tablet once daily for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo tablet administered once daily in the morning either in the fasted state or with a meal

Interventions

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DS-1211b

DS-1211b tablet administered once daily in the morning either in the fasted state or with a meal

Intervention Type DRUG

Placebo

Placebo tablet administered once daily in the morning either in the fasted state or with a meal

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Signed and dated informed consent
* Male or female participants aged 18 to 75 years at screening
* Have an established diagnosis of PXE
* Fully vaccinated for coronavirus disease 2019 (COVID-19) per current Center for Disease Control and Prevention guidelines

Exclusion Criteria

* Have a history of bone fracture in the past 6 months
* Have a history of active metabolic bone disease, excluding osteopenia or osteoporosis without fragility fracture
* Have a history of calcium pyrophosphate deposit disease
* Have a history of hypophosphatasia
* Have a history of untreated hyperparathyroidism
* Participated in another interventional research study in the past 60 days.
* Used bisphosphonate in the preceding 12 months or had plans to use bisphosphonate during the study.
* Received Vitamin B6 supplementation \>5 mg/day in the month prior to screening and during the study
* Initiated or changed dose of Vitamin D in the preceding month prior to screening
* Have an alkaline phosphatase \<lower limit of normal (LLN) range
* Have a QTcF interval duration \>450 ms at screening
* Have moderate to severe renal insufficiency
* Are pregnant or breast-feeding women
* Are female participants unwilling to use contraceptive methods
* Have any elective surgery planned during the study period
* Have any other significant condition (medical, psychiatric, social, or medication) that, in the judgment of the Investigator, would prevent full participation or would be inappropriate for the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PXE International

OTHER

Sponsor Role collaborator

Daiichi Sankyo

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Director

Role: STUDY_DIRECTOR

Daiichi Sankyo

Locations

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Mid-Atlantic Epilepsy and Sleep Center

Bethesda, Maryland, United States

Site Status

Boston Neuro Research Center

North Dartmouth, Massachusetts, United States

Site Status

Infinity Medical Research Inc

North Dartmouth, Massachusetts, United States

Site Status

Frontage Clinical Services, Inc.

Secaucus, New Jersey, United States

Site Status

Clinilabs

New York, New York, United States

Site Status

Clinical Research of Philadelphia, LLC

Philadelphia, Pennsylvania, United States

Site Status

UMC Utrecht

Utrecht, , Netherlands

Site Status

Countries

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United States Netherlands

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2022-000676-19

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

DS1211-A-U201

Identifier Type: -

Identifier Source: org_study_id