A Study to Evaluate the Efficacy, Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BIIB067 Administered to Adult Subjects With Amyotrophic Lateral Sclerosis and Confirmed Superoxide Dismutase 1 Mutation

Study Purpose:

The primary objectives of Parts A and B of this study are to evaluate the safety, tolerability, and pharmacokinetics (PK) of ascending doses of BIIB067 (tofersen) in adults with ALS and a documented superoxide dismutase 1 (SOD1) mutation. The primary objective of Part C of this study is to evaluate the clinical efficacy of BIIB067 administered to adults with ALS and a confirmed SOD1 mutation.

The secondary objective of Parts A and B of this study is to evaluate the effects of BIIB067 on levels of total SOD1 protein in the cerebrospinal fluid (CSF). The secondary objectives of Part C are to evaluate the safety, tolerability, pharmacodynamic (PD), and biomarker effects of BIIB067.

Study Status:

Not recruiting

Disease:

Amyotrophic Lateral Sclerosis

Study Type:

Interventional

Type of Intervention:

Drug, N/A

Intervention Name:

BIIB067, Placebo

Placebo:

Yes

Phase:

Phase 3

Study Chair(s)/Principal Investigator(s):

Medical Director, Biogen

Clinicaltrials.gov ID:

NCT02623699

Neals Affiliated?

Yes

Coordinating Center Contact Information

Biogen

United States

Full Study Summary:

This is a 3-part study to examine the efficacy, safety, tolerability, PK, and PD of BIIB067. Part A is the single ascending dose (SAD) component of the study, Part B is the multiple ascending dose (MAD) component of the study and Part C is the fixed dose component of the study. Hence, the overall phase of development of the study is 1/2/3.

The study completed on 15 Jul 2021. In total, the study enrolled 178 participants, of which 108 enrolled in Part C.

Study Sponsor:

Biogen

Estimated Enrollment:

178

Estimated Study Start Date:

01 / 20 / 2016

Estimated Study Completion Date:

07 / 16 / 2021

Posting Last Modified Date:

07 / 19 / 2022

Date Study Added to neals.org:

12 / 08 / 2015

Additional information can be found here: www.alsvalorstudy.com

Minimum Age:

18 Years

Maximum Age:

N/A

Can participants use Riluzole?

Yes

Key Inclusion Criteria: Part A and B

- Weakness attributable to ALS and documented SOD1 mutation at Screening Visit 2.

- A forced vital capacity (FVC) ≥50% of predicted value as adjusted for sex, age, and height (from the sitting position). Participants with stable FVC <50% but ≥45%, whose FVC has not declined by more than 5% in the last 6 months may be considered for inclusion, at the discretion of the Investigator.

- If taking riluzole, participant must be on a stable dose for ≥30 days prior to Day 1 and expected to remain at that dose until the final study visit.

- Medically able to undergo the study procedures, and to adhere to the visit schedule at the time of study entry, as determined by the Investigator.

Key Exclusion Criteria: Part A and B

- History of or positive test result for human immunodeficiency virus.

- History of, or positive test result at Screening, for hepatitis C virus antibody.

- Current hepatitis B infection (defined as positive for hepatitis B surface antigen [HBsAg] and/or hepatitis B core antibody [HBcAb]). Participants with immunity to hepatitis B from previous natural infection (defined as negative HBsAg, positive hepatitis B surface antibody immunoglobulin G, and positive HBcAb) or vaccination (defined as positive anti-HBs) are eligible to participate in the study.

- Treatment with another investigational drug, biological agent, or device within 1 month or 5 half-lives of study agent, whichever is longer. Specifically, no prior treatment with small interfering ribonucleic acid, stem cell therapy, or gene therapy is allowed.

- Current enrollment in any other interventional study.

- Current or recent (within 1 month) use, or anticipated need, in the opinion of the Investigator, of copper (II) (diacetyl-bis (N4-methylthiosemicarbazone)) or pyrimethamine.

- Current or anticipated need, in the opinion of the Investigator, of a diaphragm pacing system (DPS) during the study period.

Key Inclusion Criteria: Part C

- Weakness attributable to ALS and confirmed SOD1 mutation at Screening Visit.

- If taking riluzole, participant must be on a stable dose for ≥30 days prior to Day 1 and expected to remain at that dose until the final study visit.

- If taking edaravone, participant must have initiated edaravone ≥60 days (2 treatment cycles) prior to Day 1 and expected to remain at that dose until the final study visit, unless the Investigator determines that edaravone should be discontinued for medical reasons, in which case it may not be restarted during the study. Edaravone may not be administered on dosing days of this study.

- Medically able to undergo the study procedures and to adhere to the visit schedule at the time of study entry, as determined by the Investigator.

Key Exclusion Criteria: Part C

- History of or positive test result for human immunodeficiency virus.

- Current hepatitis C infection (defined as positive hepatitis C virus [HCV] antibody and detectable HCV ribonucleic acid [RNA]). Participants with positive HCV antibody and undetectable HCV RNA are eligible to participate in the study (United States Centers for Disease Control and Prevention).

- Current hepatitis B infection (defined as positive for HBsAg and/or anti-HBc). participants with immunity to hepatitis B from previous natural infection (defined as negative HBsAg, positive anti-HBc, and positive anti-HBs) or vaccination (defined as negative HBsAg, negative anti-HBc, and positive anti-HBs) are eligible to participate in the study.

- Treatment with another investigational drug (including investigational drugs for ALS through compassionate use programs), biological agent, or device within 1 month or 5 half-lives of study agent, whichever is longer. Specifically, no prior treatment with small interfering RNA, stem cell therapy, or gene therapy is allowed.

- Current enrollment in any other interventional study.

- Current or recent (within 1 month) use, or anticipated need, in the opinion of the Investigator, of copper (II) (diacetyl-bis(N4-methylthiosemicarbazone)) or pyrimethamine.

- Current or anticipated need, in the opinion of the Investigator, of a DPS during the study period.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Barrow Neurological Institute

Phoenix, Arizona 85013
United States

University of California San Diego Medical Center

La Jolla, California 92093-0949
United States

California Pacific Medical Center

San Francisco, California 94115
United States

Mayo Clinic in Florida

Jacksonville, Florida 32224
United States

University of Miami School of Medicine

Miami, Florida 33136
United States

Bioclinica Research

Orlando, Florida 32806
United States

Emory University Hospital

Atlanta, Georgia 30322
United States

Northwestern University Feinberg School of Medicine

Chicago, Illinois 60611
United States

Johns Hopkins University

Baltimore, Maryland 21287
United States

Massachusetts General Hospital

Boston, Massachusetts 02114
United States

Henry Ford Hospital

Detroit, Michigan 48202
United States

Mayo Clinic - Rochester

Rochester, Minnesota 55905
United States

Washington University School of Medicine

Saint Louis, Missouri 63110
United States

Neurology Associates, P.C.

Lincoln, Nebraska 68506
United States

Columbia University Medical Center

New York, New York 10032
United States

The Cleveland Clinic Foundation

Cleveland, Ohio 44106
United States

Providence ALS Center

Portland, Oregon 97213
United States

University of Pennsylvania

Philadelphia, Pennsylvania 19104
United States

New Orleans Center for Clinical Research/Volunteer Research Group, an AMR Company

Knoxville, Tennessee 37920
United States

Methodist Neurological Institute

Houston, Texas 77030
United States

Westmead Hospital

Westmead, New South Wales 2145
Australia

UZ Leuven

Leuven 3000
Belgium

University of Calgary - Health Sciences Centre

Calgary, Alberta T2N 1N4
Canada

Research Site

Edmonton, Alberta T6G 2G3
Canada

Sunnybrook Health Sciences Centre

Toronto, Ontario M4N 3M5
Canada

Montreal Neurological Institute

Montreal, Quebec H3A 2B4
Canada

Bispebjerg Hospital

Copenhagen 2400
Denmark

Hopital Pitie Salpetriere

Paris 75651
France

University of Ulm

Ulm, Baden Wuerttemberg 89081
Germany

ALS Center - Dept. of Neuroscience "Rita Levi Montalcini", University of Turin

Torino 10126
Italy

Research Site

Shinjuku-ku
Japan

Research Site

Suita-Shi
Japan

The University of Tokyo Hospital

Bunkyo-Ku
Japan

Research Site

Kagoshima City
Japan

Research Site

Fukuoka-shi
Japan

Research Site

Yangsan-si, Gyeongsangnam-do 50612
Korea, Republic of

Research Site

Seoul 04763
Korea, Republic of

Research Site

Warszawa 01684
Poland

Research Site

London, Greater London SE5 9RS
United Kingdom

Research Site

Sheffield, South Yorkshire S10 2HQ
United Kingdom