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Completed

NCT Number: NCT02655614

A Study of GDC-0134 to Determine Initial Safety, Tolerability, and Pharmacokinetic Parameters in Participants With Amyotrophic Lateral Sclerosis

This first-in-human, double-blind, placebo-controlled Phase I study will be conducted in participants with amyotrophic lateral sclerosis (ALS) to explore safety, tolerability, and pharmacokinetic (PK) properties of GDC-0134. It will include three components: a Single-Ascending-Dose (SAD) stage, a Multiple-Ascending-Dose (MAD) stage, and an Open-Label Safety Expansion (OSE) stage.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

MUCH - Montreal Neurological Institute & Hospital, Montreal, Quebec, Canada

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female participants with a diagnosis of possible, laboratory-supported probable, probable, or definite ALS according to modified El Escorial criteria
  • Upright forced vital capacity of at least 50 percent (%)
  • Ability to fast from food for 8 hours prior to dosing and 2 hours after dosing

Exclusion criteria

  • Currently taking riluzole unless on a stable dose for the 3 months prior to Day -1 and without current liver enzyme or liver function abnormalities
  • Currently taking edaravone unless after completion of at least the second 14-day drug-treatment period, as long as Day 1 occurs during a drug-free period at least 24 hours after the last edaravone dose and at least 5 days prior to the first dose of the next cycle
  • Positive for hepatitis C antibody, hepatitis B surface antigen, or human immunodeficiency virus (HIV) antibody
  • Clinically significant thrombocytopenia
  • Currently taking nutritional/herbal supplements, except for over-the-counter vitamins that are within Recommended Dietary Allowance (RDA), unless discontinued at least 7 days prior to Day -1, except upon approval of both the investigator and Sponsor
  • For participants participating in a designated drug-drug interaction (DDI) cohort in the MAD stage of the study, who require midazolam/caffeine administration: known allergy, religious prohibition, or other condition limiting midazolam or caffeine administration

Treatment and study plan

GDC-0134

Drug

GDC-0134 capsule will be administered orally at various doses, depending on the cohort and treatment period.

Placebo

Drug

Placebo matching to GDC-0134

rabeprazole

Drug

Rabeprazole 20 mg twice daily orally

midazolam

Drug

2mg of liquid formulation of midazolam orally

Caffeine

Drug

100 mg tablet or solution of caffeine orally

Primary outcomes

  1. Percentage of Participants With Adverse Events (AEs)

    Time frame: From randomization up to approximately 48 months

  2. Percentage of Participants With Clinically Significant Laboratory Abnormalities

    Time frame: From randomization up to approximately 48 months

  3. Percentage of Participants With Clinically Significant Vital Signs Abnormalities

    Time frame: From randomization up to approximately 48 months

  4. Percentage of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities

    Time frame: From randomization up to approximately 48 months

  5. Percentage of Participants With Clinically Significant Abnormalities in Physical Examination Findings

    Time frame: From randomization up to approximately 48 months

Secondary outcomes

  1. Maximum Plasma Concentration (Cmax) of GDC-0134

    Time frame: From Day 1 up to 28 days after last dose

  2. Time to Maximum Plasma Concentration (tmax) of GDC-0134

    Time frame: From Day 1 up to 28 days after last dose

  3. Area Under the Plasma Concentration Versus Time Curve (AUC) of GDC-0134

    Time frame: From Day 1 up to 28 days after last dose

  4. Apparent Clearance (CL/F) of GDC-0134

    Time frame: From Day 1 up to 28 days after last dose

  5. Apparent Terminal Volume of Distribution (Vz/F) of GDC-0134

    Time frame: From Day 1 up to 28 days after last dose

  6. Apparent Terminal Half-Life (t1/2) of GDC-0134

    Time frame: From Day 1 up to 28 days after last dose

  7. PK-Dose Proportionality of GDC-0134 as Assessed With Cmax and AUC

    Time frame: From Day 1 up to 28 days after last dose

  8. Accumulation Ratio of GDC-0134

    Time frame: From Day 1 up to 28 days after last dose

  9. Dose Normalized Cmax (Cmax/Dose) of GDC-0134

    Time frame: From Day 1 up to 28 days after last dose

  10. Dose Normalized AUC (AUC/Dose) of GDC-0134

    Time frame: From Day 1 up to 28 days after last dose

  11. t1/2 of Midazolam

    Time frame: From Day -1 up to 28 days after last dose

  12. t1/2 of 1-Hydroxymidazolam (Metabolite of Midazolam)

    Time frame: From Day -1 up to 28 days after last dose

  13. t1/2 of Caffeine

    Time frame: From Day -1 up to 28 days after last dose

  14. t1/2 of Paraxanthine (Metabolite of Caffeine)

    Time frame: From Day -1 up to 28 days after last dose

Sponsors and collaborators

Lead sponsor

Genentech, Inc.

Industry

Registry information

Official study title

A Phase I, Double-Blind, Randomized, Placebo-Controlled, Multicenter, Single- and Multiple-Ascending-Dose Study to Determine Initial Safety, Tolerability, and Pharmacokinetics of GDC-0134 in Patients With Amyotrophic Lateral Sclerosis

Important dates

Study start
2016
Primary completion
2020
Study completion
2020
First posted
Jan 14, 2016
Registry last updated
Aug 6, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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