Clinical trial • Phase I • Rare Disease|Endocrinology

CO-5122 for Urea cycle disorder|Ornithine transcarbamylase deficiency

Phase I trial of CO-5122 for Urea cycle disorder|Ornithine transcarbamylase deficiency.

Overview

Trial Therapeutic Area
Rare Disease|Endocrinology
Trial Disease
Urea cycle disorder|Ornithine transcarbamylase deficiency
Trial Stage
Phase I
Drug Modality
Oligonucleotide
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
30-04-2025
First CTIS Authorization Date
09-08-2025

Trial design

Randomised, placebo (sodium chloride for injection); no dose specified. comparator administered per module: single dose in sad modules and once every 4 weeks (q4w) x3 in mad modules as described in protocol module descriptions.-controlled, adaptive Phase I trial in Netherlands.

Randomised
Yes
Comparator
Placebo (Sodium Chloride for injection); no dose specified. Comparator administered per module: single dose in SAD modules and once every 4 weeks (q4w) x3 in MAD modules as described in protocol module descriptions.
Adaptive
True, includes single and multiple ascending dose cohorts (SAD: up to 4 cohorts of 12 plus 2 optional cohorts; MAD: multiple cohorts with dose escalation), cohort-wise dose escalation design and optional cohorts as described in module summaries
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
132

Eligibility

Recruits 132 paediatric patients.

Vulnerable Population
Vulnerable population selected; written consent must be obtained from the study participant and documented. (Inclusion criterion: "1. Written consent obtained from the study participant and documented.")

Inclusion criteria

  • {"criterion_text":"- 1. Written consent obtained from the study participant and documented.\n- 2. BMI ≥18.0 and ≤32 kg/m2 at screening, and ≤110 kg.\n- 3. Module 1 Part C and Module 2: Participants must be female and must have confirmed heterozygous OTC genotype.\n- 4. Module 1: Participants 18 to <65 years of age inclusive at time of informed consent.\n- 5. Module 2: Participants 16 to <65 years of age inclusive at time of informed consent."}

Exclusion criteria

  • {"criterion_text":"- 1. Any significant disease or disorder which, in the opinion of the Investigator, may either put the study participant at risk because of participation in the study, may influence the results of the study, or may affect the study participant’s ability to participate in the study\n- 2. Clinically relevant illness or infection within 7 days before the first dose of study drug that would risk integrity of the study, its data and/or participation, in the opinion of the Investigator.\n- 3. History of intolerance to SC injection or relevant abdominal scarring.\n- 4. Laboratory results outside of the normal ranges at screening and judged as clinically relevant by the Investigator for liver function, kidney function, and platelets.\n- 5. Positive viral serology test results for HIV type 1 or 2 antibodies, hepatitis B surface antigen or hepatitis C virus (HCV) antibody.\n- 6. History of multiple drug allergies, history of serious anaphylaxis, or history of allergic reaction to oligonucleotides, GalNAc, polyethylene glycol, compound used for ureagenesis rate test, or other excipients.\n- 7. Any other safety laboratory result considered clinically significant and unacceptable by the Investigator."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- 1. Incidence of AEs","definition_or_measurement_approach":""}
  • {"endpoint_text":"- 2. Vital signs","definition_or_measurement_approach":""}
  • {"endpoint_text":"- 3. ECG","definition_or_measurement_approach":""}
  • {"endpoint_text":"- 4. Clinical laboratory assessment","definition_or_measurement_approach":""}
  • {"endpoint_text":"- 5. Physical examination","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- 1. Plasma concentration of CO-5122, the active ingredient of CMP-CPS-001","definition_or_measurement_approach":""}
  • {"endpoint_text":"- 2. Calculated PK parameters","definition_or_measurement_approach":""}
  • {"endpoint_text":"- 3. Urine concentration of CO-5122, the active ingredient of CMP-CPS-001","definition_or_measurement_approach":""}
  • {"endpoint_text":"- 4. Ureagenesis rate test determinations","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
132
Recruitment Window Months
11
Consent Approach
Written consent obtained from the study participant and documented.

Geography

Total Number Of Sites
1
Total Number Of Participants
12

Netherlands

Earliest CTIS Part Ii Submission Date
07-07-2025
Latest Decision Or Authorization Date
09-08-2025
Processing Time Days
33
Number Of Sites
1
Number Of Participants
12

Sites

Site Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Department Name
Internal Medicine
Principal Investigator Name
M.A.E.M. (Margreet) Wagenmakers
Principal Investigator Email
m.wagenmakers@erasmusmc.nl
Contact Person Name
M.A.E.M. (Margreet) Wagenmakers
Contact Person Email
m.wagenmakers@erasmusmc.nl
Number Of Participants
12

Sponsor

Primary sponsor

Full Name
Camp4 Therapeutics Corp.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Icon Clinical Research Limited
Responsibilities
Codes: 1,10,11,12,5,6,8

Third parties

  • {"country":"United States","full_name":"Biobridges LLC","duties_or_roles":"11","organisation_type":"Pharmaceutical company"}
  • {"country":"Canada","full_name":"Altasciences Compagnie Inc.","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Metabolic Solutions LLC","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
  • {"country":"Netherlands","full_name":"Amsterdam UMC Research B.V.","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient reimbursements and Travel","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"ECG readings","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Rittia Medical Writing & Consulting LLC","duties_or_roles":"11","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"1,10,11,12,5,6,8","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
CMP-CPS-001
Active Substance
CO-5122
Modality
Oligonucleotide
Routes Of Administration
Subcutaneous
Route
Subcutaneous
Authorisation Status
Test product (no marketing authorisation indicated)
Frequency
Single dose in SAD modules; 3 doses once every 4 weeks (q4w) in MAD modules
Investigational Product Name
Sodium Chloride for injection
Modality
Other
Authorisation Status
Placebo (no marketing authorisation indicated)
Investigational Product Name
[13C]Sodium Acetate
Active Substance
Sodium acetate (1-13C)
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Auxiliary/Tracer (no marketing authorisation indicated)
Investigational Product Name
15NH4Cl
Active Substance
Ammonium (15N) chloride
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Auxiliary/Tracer (no marketing authorisation indicated)

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