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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