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
Contact Person Name
Dagmara Makowska Mainka
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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