| CTRI Number |
CTRI/2024/04/065934 [Registered on: 18/04/2024] Trial Registered Prospectively |
| Last Modified On: |
16/04/2026 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Other |
|
Public Title of Study
|
Phase 1a study of VGA039 in healthy volunteers and patients with von Willebrand disease |
|
Scientific Title of Study
|
A Safety, Tolerability, Pharmacokinetic, and Pharmacodynamic Study of VGA039 Following Intravenous or Subcutaneous Administration of Single Ascending Doses in Healthy Adults and Adult Patients with von Willebrand Disease
|
| Trial Acronym |
VEGA |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| 2022-002504-20 |
EudraCT |
| NCT05776069 |
ClinicalTrials.gov |
| VGA039-CP001,Version 4.0, 05 April 2023 |
Protocol Number |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Shrinath Manikrao Kshirsagar |
| Designation |
Director-Clinical Trial Research Unit, Consultant Hematologist |
| Affiliation |
K J Somaiya Super Speciality Hospital & Research Centre |
| Address |
Advanced Centre for Oncology Haematology and Rare Diseases (ACOHRD) CTRU Third floor Super speciality (SS) building Somaiya Ayurvihar Complex, Eastern Express Highway, Sion (East),Mumbai
Mumbai MAHARASHTRA 400022 India |
| Phone |
9821556030 |
| Fax |
|
| Email |
shrinathk2000@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Sushma Srikanth |
| Designation |
Manager, Clinical Operations, Project Management Admin |
| Affiliation |
inVentiv International Pharma Services Private Limited |
| Address |
4th Floor, Block – 2, DLF Downtown, Commercial Site Block V,
DLF City Phase III, Sector 25A, Gurugram, Haryana 122002, India
Gurgaon HARYANA 12202 India |
| Phone |
9880665889 |
| Fax |
|
| Email |
sushma.srikanth@syneoshealth.com |
|
Details of Contact Person Public Query
|
| Name |
Ataur Rahman |
| Designation |
Mgr,Clinical Operations,Country SSU |
| Affiliation |
inVentiv International Pharma Services Private Limited |
| Address |
4th Floor, Block – 2, DLF Downtown, Commercial Site Block V,
DLF City Phase III, Sector 25A, Gurugram, Haryana 122002, India
Gurgaon HARYANA 122002 India |
| Phone |
8532011805 |
| Fax |
|
| Email |
ataur.rahman@syneoshealth.com |
|
|
Source of Monetary or Material Support
|
| Vega Therapeutics, Inc
201 Haskins Way, 5th Floor
South San Francisco, CA 94080
|
|
|
Primary Sponsor
|
| Name |
Vega Therapeutics, Inc |
| Address |
201 Haskins Way, 5th Floor
South San Francisco, CA 94080
|
| Type of Sponsor |
Pharmaceutical industry-Global |
|
|
Details of Secondary Sponsor
|
| Name |
Address |
| Ms Inventiv International Pharma Services Private Limited |
M/s Inventiv International Pharma Services Private Limited,
4th Floor, Block 2, DLF Downtown, Commercial Site Block V,
DLF City Phase III, Sector 25A, Gurugram, Haryana122002, India,
Haryana (India) – 122002
|
|
|
Countries of Recruitment
|
Australia Austria Brazil Canada India South Africa United Kingdom United States of America |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| DrShrinath Manikrao Kshirsagar |
K J Somaiya Super Speciality Hospital & Research Centre |
Advanced Centre for Oncology Haematology and Rare Diseases (ACOHRD) CTRU Third floor Super speciality (SS) building Somaiya Ayurvihar Complex, Eastern Express Highway, Sion (East), Mumbai- 400022, Maharashtra, India. Mumbai MAHARASHTRA |
09821556030
shrinathk2000@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| InstitutionalEthicsCommitteeClinicalTrialsKJSomaiyaMedicalCollegeHospitalandResearch Centre |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: D680||Von Willebrands disease, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
VGA039 |
part 2A Intravenous Administration, 106 days including End of study visit
part 2B Subcutaneous Administration, 57 days including End of study visit.
Total duration will be 24 weeks. Part2A 16weeks and Part2B--8weeks
|
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
Subjects are eligible for the study only if all the following criteria are met, as applicable:
1. Adult male and female subjects, 18 to 60 years of age, inclusive.
2. Female subjects of childbearing potential must have a negative serum pregnancy test during Screening, a negative urine pregnancy test pre-dose on Day 1, and be willing to use a highly effective method of contraception or 2 other methods of contraception, excluding hormonal contraceptives, unless where abstaining from sexual intercourse is in line with the preferred and usual lifestyle of the subject, from the time of administration of the study drug until 3 months post-dose. Note: for the purposes of this study, a female subject of non-childbearing potential is defined as the subject being amenorrhoeic for at least 12 consecutive months or at least 4 months post-surgical sterilization (including bilateral fallopian tube ligation or bilateral oophorectomy with or without hysterectomy) confirmed by follicle-stimulating hormone (FSH) level > 40 mIU/mL at Screening.
3. Male subjects (and partners of childbearing potential) must be willing to use a highly effective method of contraception or 2 other effective methods of contraception, unless anatomically sterile or where abstaining from sexual intercourse is in line with the preferred and usual lifestyle of the subject, from the time of administration of the study drug until 3 months post-dose.
4. No clinically significant history of previous allergy / sensitivity to VGA039 or any of the excipients contained within the investigational medicinal product (IMP).
5. Subjects with negative human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), and hepatitis C virus antibody (HCV Ab) test results at Screening. Subjects who are HCV Ab-positive with a HCV RNA test result that is negative/below the limit of detection will be eligible.
6. No clinically significant abnormalities in 12-lead ECG determined at Screening.
7. No clinically significant abnormalities in vital signs (blood pressure, pulse rate,
respiration rate, oral temperature) determined at Screening.
8. Subjects must be available to complete the study (including all follow-up visits).
9. Subjects must provide written informed consent to participate in the study.
10. Subjects must have been vaccinated for COVID-19 (as defined by being at least 2 weeks after receiving a second dose of a COVID-19 vaccine requiring 2 doses for initial immunization, or at least 2 weeks after receiving the only dose of a COVID-19 vaccine requiring a single dose for initial immunization), or have documentation in their medical record of prior COVID-19 infection that started at least 2 weeks prior to Screening and now confers natural immunity.
11. Subjects must have a negative COVID-19 test result within 24 hours before
administration of the study drug.
Additional Inclusion Criteria (for Subjects in Part 1 Only)
12. Healthy volunteers with a body mass index (BMI) of 18-32 kg/m2, inclusive.
13. Hemoglobin level ≥ 12 g/dL and platelet count ≥ 150 × 109/L at Screening.
14. No clinically significant abnormal test results for serum biochemistry, hematology (except hemoglobin level, as above), coagulation, and/or urine analyses at Screening.
15. Subjects with negative urinary drugs of abuse (DOA) screen test results, determined at Screening. A positive test result may be repeated at the Investigator’s discretion.
Additional Inclusion Criteria (for Subjects in Part 2 Only)
16. Documented diagnosis of VWD. Only participants with VWD who are symptomatic, as defined by having a history of bleeding or bruising, are eligible.
17. Hemoglobin level ≥ 8 g/dL and platelet count ≥ 150 × 109/L at Screening.
|
|
| ExclusionCriteria |
| Details |
Subjects meeting ANY of the following exclusion criteria are NOT eligible to be enrolled into the study:
1. Use of prescription or non-prescription drugs, vitamins, herbal and dietary supplements within 28 days or 5 half-lives (whichever is longer) prior to administration of the study drug, that, in the opinion of the Investigator and Sponsor Medical Monitor, will interfere with the study procedures, affect platelet or coagulation function, or compromise subject safety.
2. Use of hormonal contraceptives within 56 days or 5 half-lives (whichever is longer) prior to administration of the study drug.
3. Detection of FV Leiden or Prothrombin G20210A mutation, or laboratory results consistent with protein C or S deficiency, antithrombin deficiency, or antiphospholipid antibody syndrome at Screening.
4. Subjects with other known pro-thrombotic disorders or abnormal findings in any prior laboratory thrombophilia evaluation.
5. History of arterial or venous thrombosis, including superficial thrombophlebitis, or embolism.
6. Evidence of renal, hepatic, central nervous system, respiratory, cardiovascular disease, cerebrovascular disease, peripheral vascular disease, or metabolic dysfunction.
7. A clinically significant history of drug or alcohol abuse (defined as the consumption of more than 14 units for male and female subjects of alcohol a week) within the past 2 years.
8. Current tobacco smoker and/or nicotine user, given that these are independent risk factors for thromboembolism.
9. Inability to communicate well with the Investigators (i.e., language problem, poor mental development, or impaired cerebral function).
10. Participation in a new chemical or biological entity clinical study within the previous 3 months or a marketed drug clinical study within the 30 days before the administration of the study drug. (Washout period between studies is defined as the period of time elapsed between the last dose of study drug in the previous study and the first dose of study drug in the next study).
11. Subjects who have received investigational vaccines (except for COVID-19 vaccines only approved for emergency use) or vaccines contraindicated in the
immunocompromised within 28 days before administration of the study drug.
12. Donation of 450 mL or more blood within the month before the administration of the study drug.
13. Any condition in the opinion of the Investigator that may preclude full trial participation and/or completion of assessments for safety, PK, or clinical effect.
14. Subjects with presence or history of malignant tumors within the last 3 years, within the exception of basal cell carcinoma of the skin, if medically controlled.
Additional Exclusion Criteron (Subjects in Part 1 Only)
15. Baseline FVIII activity > 150 IU/dL.
Additional Exclusion Criteria (Subjects in Part 2 Only)
16. Baseline FVIII activity > 50 IU/dL.
17. Any acute, clinically significant bleeding event requiring surgical or procedural
intervention within 7 days prior to receiving study drug.
18. Refusal to receive blood products if clinically indicated. |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Centralized |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
Incidence of Treatment-Emergent Adverse Events [Safety & tolerability]
Incidence, nature & severity of adverse events (AEs) and serious adverse events (SAEs), including dose-limiting toxicities (DLTs)
|
From start of study drug administration until 15 or 8 weeks after IV or SC study drug administration, respectively |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Plasma Concentrations of single IV & SC doses of VGA039 |
From baseline until 15 or 8 weeks after IV or SC study drug administration, respectively |
| Pharmacodynamics of single IV & SC doses of VGA039 |
From baseline until 15 or 8 weeks after IV or SC study drug administration, respectively |
| Incidence of Anti-drug antibodies to VGA039 |
From baseline until 15 or 8 weeks after IV or SC study drug administration, respectively |
|
|
Target Sample Size
|
Total Sample Size="64" Sample Size from India="10"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 1 |
|
Date of First Enrollment (India)
|
15/05/2024 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
01/04/2024 |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0" Months="6" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Open to Recruitment |
| Recruitment Status of Trial (India) |
Open to Recruitment |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
This is a multi-center, Phase 1a study to assess the safety,
tolerability, PK, and PD of VGA039 following single IV or SC dose
administration in healthy subjects and Von Willebrand disease patients.
This study consists of 2 parts based on the subject population: Part 1
and Part 2.
Part 1 is a randomized, double-blind, placebo-controlled, single
ascending dose (SAD) evaluation of IV or SC VGA039 or placebo in up to 8
cohorts in normal healthy volunteers. This part of the study will not be
conducted in India.
Part 2 is an open-label, SAD of
SC and IV VGA039 in up to 8 cohorts of von Willebrand patients. All
participants will be enrolled, treated, and followed up for 15 weeks (IV SAD)
or 8 weeks(SC SAD).
In total,
approximately 64 subjects are planned for Parts 1 and 2. |