Clinical trial • Phase I/II • Rare Disease|Respiratory|Gastroenterology
WVE-006 for Alpha-1 antitrypsin deficiency (AATD) | Alpha-1 antitrypsin deficiency (Pi*ZZ)
Phase I/II trial of WVE-006 for Alpha-1 antitrypsin deficiency (AATD) | Alpha-1 antitrypsin deficiency (Pi*ZZ). open-label, adaptive. 22 participants.
Overview
- Trial Therapeutic Area
- Rare Disease|Respiratory|Gastroenterology
- Trial Disease
- Alpha-1 antitrypsin deficiency (AATD) | Alpha-1 antitrypsin deficiency (Pi*ZZ)
- Trial Stage
- Phase I/II
- Drug Modality
- Oligonucleotide
Key dates
- Initial CTIS Submission Date
- 04-09-2024
- First CTIS Authorization Date
- 03-12-2024
Trial design
open-label, adaptive Phase I/II trial across 2 sites in Finland, Germany.
- Open Label
- Yes
- Adaptive
- True, Dose-escalation elements: single ascending doses (SAD) and multiple ascending doses (MAD) design; escalation based on safety/tolerability (no further details provided).
- Biomarker Stratified
- True: Pi*ZZ genotype (SERPINA1 Pi*ZZ) required for eligibility
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 22
Eligibility
Recruits 22 adults.
Inclusion criteria
- {"criterion_text":"- Healthy as determined by the Investigator, based on a medical evaluation, or has mild to moderate AATD-induced lung disease (FEV1 ≥50%) and/or stable mild AATD-induced liver disease (≤F2 (≤10 kPa)) on FibroScan."}
- {"criterion_text":"- Genetic testing confirming Pi*ZZ."}
- {"criterion_text":"- Participant has been a non-smoker for at least 1 year prior to screening."}
Exclusion criteria
- {"criterion_text":"- Participant has a history of multiple drug allergies or of allergic reaction to an oligonucleotide or to N-acetylgalactosamine (GalNAc)."}
- {"criterion_text":"- Donation of blood or blood products in excess of 500 mL within 12 weeks prior to Screening Visit and/or unwilling to refrain from blood donation for the duration of the study."}
- {"criterion_text":"- Participant has received an investigational agent within 3 months of the Screening Visit."}
- {"criterion_text":"- Participant has a history of intolerance or any medical condition that might interfere with subcutaneous injections."}
- {"criterion_text":"- Any ongoing or recent infections."}
- {"criterion_text":"- Any recent or planned vaccinations during the study."}
- {"criterion_text":"- Participant has a history of regular alcohol consumption exceeding 14 standard drinks/week."}
- {"criterion_text":"- Unwilling to abstain from alcohol for 48 hours prior to dosing at each of the dosing visits."}
- {"criterion_text":"- Any recent or planned major surgery during the study."}
- {"criterion_text":"- Participant has any medical condition or social circumstance that, in the opinion of the Investigator, would make the participant unsuitable for participation in the study or for dosing on Day 1, or could interfere with the assessments of safety, pharmacodynamics, or pharmacokinetics, or completion of the study."}
- {"criterion_text":"- Participant currently on AAT augmentation therapy, planned to be on augmentation therapy anytime during the study, or has been on augmentation therapy within 30 days prior to Screening Visit."}
Endpoints
Primary endpoints
- {"endpoint_text":"- The proportion of participants with adverse events.","definition_or_measurement_approach":""}
Secondary endpoints
- {"endpoint_text":"- Single Ascending Dose - Change from baseline in levels of serum M-AAT protein.","definition_or_measurement_approach":"Change from baseline in serum M-AAT protein levels following single ascending doses."}
- {"endpoint_text":"- Multiple Ascending Dose - Change from baseline in levels of serum M-AAT protein","definition_or_measurement_approach":"Change from baseline in serum M-AAT protein levels following multiple ascending doses."}
- {"endpoint_text":"- Single Ascending Dose - Area under the plasma concentration time curve for WVE-006 from time of dosing to the last measurable concentration (AUClast)","definition_or_measurement_approach":"AUClast of WVE-006 following single ascending dose."}
- {"endpoint_text":"- Single Ascending Dose - Maximum concentration of WVE-006 in plasma","definition_or_measurement_approach":"Cmax of WVE-006 following single ascending dose."}
- {"endpoint_text":"- Multiple Ascending Doses - Area under the plasma concentration time curve for WVE-006 from time of dosing to the last measurable concentration (AUClast)","definition_or_measurement_approach":"AUClast of WVE-006 following multiple ascending doses."}
- {"endpoint_text":"- Multiple Ascending Doses - Maximum concentration of WVE-006 in plasma (Cmax)","definition_or_measurement_approach":"Cmax of WVE-006 following multiple ascending doses."}
Recruitment
- Digital Remote Recruitment
- True: Website package and pre-screener materials are included (digital pre-screening and web-based recruitment content), specific platforms not specified.
- Planned Sample Size
- 22
- Recruitment Window Months
- 21
Methods
- Finland: Website Package (K2_Recruitment material_Website Package_FI) — web-based recruitment materials and online pre-screener package to identify eligible participants (associated documents listed for Finland).
- Finland: Pre-Screener Package (K2_Recruitment material_Pre-Screener Package) — pre-screening materials to evaluate potential participant eligibility prior to site contact.
- Finland: Brochure / Flyer / Participant Journey (K2_Recruitment material_Brochure / K2_Recruitment material_Participant Journey / K2_Recruitment material_ATD Flyer) — printed/digital flyers and brochures to inform and recruit people with AATD in Finland.
- Germany: AATD Flyer / Brochure / Participant Journey / K1_Recruitment arrangements_Germany — recruitment flyers/brochures and participant journey materials for Germany.
- Privacy Policy: Privacy Policy document in recruitment materials for Finland indicating handling of personal data during recruitment.
Geography
- Total Number Of Sites
- 2
- Total Number Of Participants
- 7
Finland
- Earliest CTIS Part Ii Submission Date
- 08-11-2024
- Latest Decision Or Authorization Date
- 12-02-2026
- Processing Time Days
- 461
- Number Of Sites
- 1
- Number Of Participants
- 2
Sites
- Site Name
- Turku University Hospital
- Department Name
- -
- Principal Investigator Name
- Heli Ylä-Outinen
- Principal Investigator Email
- heli.yla-outinen@varha.fi
- Contact Person Name
- Heli Ylä-Outinen
- Contact Person Email
- heli.yla-outinen@varha.fi
- Number Of Participants
- 2
Germany
- Earliest CTIS Part Ii Submission Date
- 31-01-2025
- Latest Decision Or Authorization Date
- 29-08-2025
- Processing Time Days
- 210
- Number Of Sites
- 1
- Number Of Participants
- 5
Sites
- Site Name
- Universitaetsklinikum Aachen AöR
- Department Name
- Department of Internal Medicine 3, RWTH University Aachen
- Principal Investigator Name
- Pavel Strnad
- Principal Investigator Email
- pstrnad@ukaachen
- Contact Person Name
- Pavel Strnad
- Contact Person Email
- pstrnad@ukaachen
- Number Of Participants
- 5
Sponsor
Primary sponsor
- Full Name
- Wave Life Sciences Ireland Limited
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Ireland
Contract research organisations
- Name
- PPD Development LP
- Responsibilities
- 4
- Name
- Pharmaceutical Product Development LLC
- Responsibilities
- 4
- Name
- Medpace Finland Oy
- Responsibilities
- 1; 12; 13; 2; 4; 5; 6
Third parties
- {"country":"United States","full_name":"Eclinical Solutions LLC","duties_or_roles":"6","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"EPL Pathology Archives LLC","duties_or_roles":"storage of biological material","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Packaging Coordinators LLC","duties_or_roles":"14","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"Charles River Laboratories Edinburgh Limited","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Charles River Laboratories Inc.","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Quest Diagnostics Inc.","duties_or_roles":"4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Cenetron Diagnostics Ltd.","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"Finland","full_name":"Medpace Finland Oy","duties_or_roles":"1; 12; 13; 2; 4; 5; 6","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Transperfect Translations International Inc.","duties_or_roles":"label translations","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Yprime LLC","duties_or_roles":"3","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Denmark","full_name":"Nordic Bioscience A/S","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"GSK PLC","duties_or_roles":"Proteomics","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"Illingworth Research Group Limited","duties_or_roles":"home nursing visits","organisation_type":"Hospital/Clinic/Other health care facility"}
Investigational products
- Investigational Product Name
- WVE-006
- Active Substance
- WVE-006
- Modality
- Oligonucleotide
- Routes Of Administration
- SUBCUTANEOUS INJECTION
- Route
- SUBCUTANEOUS INJECTION
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