Clinical trial • Phase II • Other
AMY109 for Endometriosis
Phase II trial of AMY109 for Endometriosis.
Overview
- Trial Therapeutic Area
- Other
- Trial Disease
- Endometriosis
- Trial Stage
- Phase II
- Drug Modality
- Peptide/protein/enzyme|Small molecule
Key dates
- Initial CTIS Submission Date
- 31-01-2024
- First CTIS Authorization Date
- 16-05-2024
Trial design
Randomised, desogestrel 75 microgram film-coated tablets (comparator; oral; max daily dose 75 µg as listed). placebo to match amy109 (placebo arm). placebo to match desogestrel (placebo comparator).-controlled Phase II trial in Romania, Czechia, Poland.
- Randomised
- Yes
- Comparator
- Desogestrel 75 microgram film-coated tablets (comparator; oral; max daily dose 75 µg as listed). Placebo to match AMY109 (placebo arm). Placebo to match desogestrel (placebo comparator).
- Target Sample Size
- 120
- Trial Duration For Participant
- 364
Eligibility
Recruits 120 isVulnerablePopulationSelected: true. Participants are adult females (18-49 years). Subject information sheets and informed consent forms are provided (documents L1/L2 available), indicating informed consent must be obtained from each participant; no assent for minors is specified..
- Vulnerable Population
- isVulnerablePopulationSelected: true. Participants are adult females (18-49 years). Subject information sheets and informed consent forms are provided (documents L1/L2 available), indicating informed consent must be obtained from each participant; no assent for minors is specified.
Inclusion criteria
- {"criterion_text":"- Female patients between 18 and 49 years of age inclusive at the time of written informed consent\n- Agree to switch from usual analgesics for dysmenorrhea, dyspareunia, and NMPP to analgesics permitted by the study protocol\n- Has moderate to severe endometriosis-associated NMPP (NRS score of ≥4 on ≥4 days of the screening period) and dysmenorrhea (NRS score of ≥4 on ≥2 days of the screening period)\n- The laparoscopy cohort only (only in the UK): Patient who is willing to have laparoscopic surgery after study treatment is completed and understands the surgery may be delayed by participation in the study. • The investigators should confirm the patient is clinically suitable for receiving a surgical treatment for her endometriosis\n- The laparoscopy cohort only(only in the UK): Patients who have received a laparoscopic diagnosis within 9 months before entering the screening period but have not received any surgical treatment at the laparoscopic diagnosis (for example due to severity of disease). • This diagnostic laparoscopy should have been conducted outside of the study in line with standard practice • Biopsies taken at laparoscopic diagnosis which are not considered treatments are permitted\n- The laparoscopy cohort only(only in the UK): Patient who is staged Ⅲ/Ⅳ endometriosis according to the revised American Society of Reproductive Medicine (r-ASRM) score by central readers based on images obtained at the laparoscopic diagnosis • Videos/operational records or notes can be used to support staging the score if available\n- The imaging cohort only(only in the EU): Patient who has clinical diagnosis of endometriosis based on at least one of the following criteria: • Laparoscopy/laparotomy performed within 10 years before written informed consent • Clinical symptoms and imaging assessment (i.e., TVUS or MRI) before entering treatment period. Patient must have at least one ovarian endometrioma on MRI assessed by a central reader during the screening period\n- The imaging cohort only(only in the EU): Patient who has at least 1 endometriotic nodule with > 5mm short diameter and > 10 mm long diameter using MRI assessed by a central reader during the screening period • Patients with a nodule indistinct from adenomyosis can be enrolled if another endometriotic nodule or endometrioma is identified during the screening period"}
Exclusion criteria
- {"criterion_text":"- Clinically significant abnormalities in laboratory test results, physical examination, vital signs, 12-lead ECG, chest X-ray, hematology (e.g., Hemoglobin [Hb] < 90 g/L), blood chemistry, serology, and urinalysis at screening\n- Patient has chronic pelvic pain that is not caused by endometriosis and that requires chronic analgesic or other chronic therapy, or that would interfere with the assessment of endometriosis related pain (e.g. pelvic inflammatory disease)\n- Patient has a surgical history of hysterectomy and/or bilateral oophorectomy\n- Prior treatment with antibody preparations (commercially available or investigational) within 6 months or 5 half-lives of the drug, whichever is longer, before entering the screening period\n- Prior treatment with anti-IL-8 antibody preparations"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Changes of total score and stage in the revised American Society of Reproductive Medicine (r-ASRM) score assessed by laparoscopy from pre-treatment to post-treatment (only in the UK)\n- Change in sum of long (i.e., the largest) diameters of endometriotic nodules assessed by MRI from pre-treatment to post-treatment","definition_or_measurement_approach":"Assessment by laparoscopy using the revised ASRM score (pre-treatment vs post-treatment) for laparoscopic cohort (UK); central-read MRI measurement of sum of longest diameters of endometriotic nodules (pre-treatment vs post-treatment) for imaging cohort."}
Recruitment
- Digital Remote Recruitment
- Yes
- Planned Sample Size
- 120
- Recruitment Window Months
- 49
- Consent Approach
- Informed consent is required from each participant (subject information and informed consent form documents L1/L2 are included). ICF materials exist in multiple languages (English, Polish, Romanian, Czech). Participants are adults (18-49) so consent is provided by the participant; no assent process for minors is specified.
Methods
- Country-specific patient brochures and patient study guides (documents available in EN, PL, RO, CZ)
- Patient posters and patient posters (country-specific versions)
- Doctor-to-patient letters and physician referral brochures (materials for clinicians to refer patients)
- Animation video storyboard (digital outreach material)
- Patient advertisement / Patient appreciation items / Thank you cards
- Medication instruction cards and patient ID cards
- Study-specific recruitment arrangements documents (K1/K2) per country
Geography
- Total Number Of Sites
- 10
- Total Number Of Participants
- 80
Romania
- Earliest CTIS Part Ii Submission Date
- 19-04-2024
- Latest Decision Or Authorization Date
- 04-05-2026
- Processing Time Days
- 745
- Number Of Sites
- 2
- Number Of Participants
- 23
Sites
- Site Name
- Centrul Medical Unirea S.R.L.
- Department Name
- Obstetrics Gynecology
- Principal Investigator Name
- Marius Alexandru Moga
- Principal Investigator Email
- moga.og@gmail.com
- Contact Person Name
- Marius Alexandru Moga
- Contact Person Email
- moga.og@gmail.com
- Site Name
- Materna Care S.R.L.
- Department Name
- Obstetrics Gynecology
- Principal Investigator Name
- Simedrea Caius Voicu
- Principal Investigator Email
- voicusimedrea@gmail.com
- Contact Person Name
- Simedrea Caius Voicu
- Contact Person Email
- voicusimedrea@gmail.com
Czechia
- Earliest CTIS Part Ii Submission Date
- 18-04-2024
- Latest Decision Or Authorization Date
- 06-05-2026
- Processing Time Days
- 748
- Number Of Sites
- 1
- Number Of Participants
- 14
Sites
- Site Name
- Fakultni Nemocnice Brno
- Department Name
- Clinic of Gynaecology and Obstetrics
- Principal Investigator Name
- Karel Crha
- Principal Investigator Email
- crha.karel@fnbrno.cz
- Contact Person Name
- Karel Crha
- Contact Person Email
- crha.karel@fnbrno.cz
Poland
- Earliest CTIS Part Ii Submission Date
- 09-05-2024
- Latest Decision Or Authorization Date
- 29-04-2026
- Processing Time Days
- 720
- Number Of Sites
- 7
- Number Of Participants
- 43
Sites
- Site Name
- Twoja Przychodnia Szczecinskie Centrum Medyczne Sp. z o.o.
- Principal Investigator Name
- Katarzyna Oronowicz
- Principal Investigator Email
- oronowicz@twojaprzychodnia.com
- Contact Person Name
- Katarzyna Oronowicz
- Contact Person Email
- oronowicz@twojaprzychodnia.com
- Site Name
- Clinical Medical Research Sp. z o.o.
- Principal Investigator Name
- Dagmara Makowska Mainka
- Principal Investigator Email
- dagmara.m.mainka@clinicalmedicalresearch.pl
- Contact Person Name
- Dagmara Makowska Mainka
- Contact Person Email
- dagmara.m.mainka@clinicalmedicalresearch.pl
- Site Name
- Gyncentrum Sp. z o.o. (Warsaw)
- Department Name
- NZOZ Gyncentrum-Oddzial Warszawa
- Principal Investigator Name
- Anna Bednarska-Czerwinska
- Principal Investigator Email
- a.czerwinska@holsaclinical.com
- Contact Person Name
- Anna Bednarska-Czerwinska
- Contact Person Email
- a.czerwinska@holsaclinical.com
- Site Name
- Specjalistyczna Poradnia Ginekologiczna Janusz Tomaszewski sp.k.
- Principal Investigator Name
- Janusz Tomaszewski
- Principal Investigator Email
- klinika.jtomaszewski@wp.pl
- Contact Person Name
- Janusz Tomaszewski
- Contact Person Email
- klinika.jtomaszewski@wp.pl
- Site Name
- Gyncentrum Sp. z o.o. (Katowice)
- Department Name
- NZOZ Gyncentrum
- Principal Investigator Name
- Dariusz Mercik
- Principal Investigator Email
- d.mercik@gyncentrum.pl
- Contact Person Name
- Dariusz Mercik
- Contact Person Email
- d.mercik@gyncentrum.pl
- Site Name
- Hlk Sp. z o.o.
- Department Name
- Centrum Medyczne Chodzki HLK
- Principal Investigator Name
- Maciej Paszkowski
- Principal Investigator Email
- mapaszko@tlen.pl
- Contact Person Name
- Maciej Paszkowski
- Contact Person Email
- mapaszko@tlen.pl
- Site Name
- Niepubliczny Zaklad Opieki Zdrowotnej Medem Wilk Sp. j.
- Principal Investigator Name
- Krzysztof Wilk
- Principal Investigator Email
- krzysztof.wilk@onet.pl
- Contact Person Name
- Krzysztof Wilk
- Contact Person Email
- krzysztof.wilk@onet.pl
Sponsor
Primary sponsor
- Full Name
- Chugai Pharmaceutical Co. Ltd.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Japan
Contract research organisations
- Name
- IQVIA Limited
- Responsibilities
- 1,12,2,3,5,8
- Name
- Iqvia Laboratories Limited
- Responsibilities
- 4
- Name
- IQVIA Laboratories LLC
- Responsibilities
- 4
- Name
- Cmic Inc.
- Responsibilities
- 4
Third parties
- {"country":"United Kingdom","full_name":"Iqvia Laboratories Limited","duties_or_roles":"4","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Neogenomics Laboratories Inc.","duties_or_roles":"4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Cmic Inc.","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Rules Based Medicine Inc.","duties_or_roles":"4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"1,12,2,3,5,8","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"IQVIA Laboratories LLC","duties_or_roles":"4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"Japan","full_name":"Riken Genesis Co. Ltd.","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"Denmark","full_name":"Nordic Bioscience A/S","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Specialty Laboratories Inc.","duties_or_roles":"4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"7","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Japan","full_name":"Takara Bio Inc.","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Quest Diagnostics Nichols Institute Inc.","duties_or_roles":"4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"Japan","full_name":"Cmic Pharma Science Co. Ltd.","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"Japan","full_name":"Mediford Corp.","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"Japan","full_name":"Micron Inc.","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"France","full_name":"Cerba","duties_or_roles":"4","organisation_type":"Laboratory/Research/Testing facility"}
Investigational products
- Investigational Product Name
- AMY109
- Active Substance
- AMY109
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- INTRAVENOUS INFUSION
- Route
- INTRAVENOUS INFUSION
- Authorisation Status
- 1
- Maximum Dose
- 10 mg/kg (max daily dose amount listed)
- Investigational Product Name
- DESOGESTREL
- Active Substance
- DESOGESTREL
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- 2
- Maximum Dose
- 75 µg (max daily dose amount listed)
- Investigational Product Name
- Placebo to match AMY109
- Modality
- Other
- Investigational Product Name
- Placebo to match desogestrel
- Modality
- Other
- Combination Treatment
- Yes
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