This Phase 2 first-in-neonate EDI200 study will enroll treatment-naïve, XLHED-affected male newborns in the first two weeks of life. All subjects will meet entry criteria including documentation of an Ectodysplasin (EDA) mutation associated with XLHED. Following Baseline evaluations, EDI200 dosing will be initiated between day-of-life 2 and 14, with each study subject receiving 2 doses/week for a total of 5 doses. The study will enroll subjects in two cohorts with subjects in cohort 1 dosed at 3 mg/kg/dose, associated with partial efficacy, and cohort 2 dosed at 10 mg/kg/dose where enhanced efficacy was demonstrated in the most relevant preclinical model. Given the challenge of identifying families where the subject is yet to be born, it is expected that cohort size and time for recruitment will be variable.
This Phase 2 first-in-neonate EDI200 study will enroll treatment-naïve, XLHED-affected male newborns in the first two weeks of life. All subjects will meet entry criteria including documentation of an EDA mutation associated with XLHED. Following Baseline evaluations, EDI200 dosing will be initiated between day-of-life 2 and 14, with each study subject receiving 2 doses/week for a total of 5 doses. This dosing regimen mirrors that used to enhance efficacy in the dog XLHED model, considered to be most relevant to the clinical study design. The study will enroll subjects in two cohorts with subjects in cohort 1 dosed at 3 mg/kg/dose, associated with partial efficacy, and cohort 2 dosed at 10 mg/kg/dose where enhanced efficacy was demonstrated in the most relevant preclinical model. Given the challenge of identifying families where the subject is yet to be born, it is expected that cohort size and time for recruitment will be variable. The sponsor anticipates enrollment and dosing of 6-10 subjects over a 12-18 month period, 3-5 subjects per cohort.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
6
3 or 10 mg/kg of EDI200
University of California, San Francisco
San Francisco, California, United States
Children's National Medical Center
Washington D.C., District of Columbia, United States
Washington University School of Medicine
St Louis, Missouri, United States
Hôpital Necker-Enfants Malades
Paris, France
University Hospital Erlangen
Erlangen, Bavaria, Germany
Azienda Ospedaliera-Polo Universitario "Luigi Sacco"
Milan, Italy
University Hospital of Wales
Cardiff, United Kingdom
Incidence and severity of adverse events
Time frame: Up to 6 months after dosing
To assess the antibody response to EDI200
Time frame: Up to 6 months after dosing
Area under the concentration time curve to the end of the dosing period (AUC0-tau) of EDI200
Time frame: Pre-dose and 15 minutes and 3, 8, 24 and 48 hours post-dose 1 and pre-dose and 15 minutes and 3, 18, 48 and 168 hours post-dose 5
Peak plasma concentration (Cmax) of EDI200
Time frame: Pre-dose and 15 minutes and 3, 8, 24 and 48 hours post-dose 1 and pre-dose and 15 minutes and 3, 18, 48 and 168 hours post-dose 5
Time at which maximum concentration is observed (Tmax) of EDI200
Time frame: Pre-dose and 15 minutes and 3, 8, 24 and 48 hours post-dose 1 and pre-dose and 15 minutes and 3, 18, 48 and 168 hours post-dose 5
To assess the pharmacodynamics/efficacy (growth and development) of EDI200
Time frame: Baseline and 2, 4 and 6 months
To assess the pharmacodynamics/efficacy (dentition) of EDI200
Time frame: Baseline and post-six months (extension study)
To assess the pharmacodynamics/efficacy (craniofacial development) of EDI200
Time frame: Baseline and 6 months
To assess the pharmacodynamics/efficacy (sweat duct density) of EDI200
Time frame: Baseline and 2 and 6 months
To assess the pharmacodynamics/efficacy (sweat rate) of EDI200
Time frame: Baseline and 2 and 6 months
To assess the pharmacodynamics/efficacy (Dry eye signs and symptoms) of EDI200
Time frame: Baseline and 2 and 6 months
To assess the pharmacodynamics/efficacy (thermoregulation) of EDI200
Time frame: Baseline and study day 21
To assess the pharmacodynamics/efficacy (molecular expression profile of skin biopsy tissue) of EDI200
Time frame: Baseline, study days 1 and 15
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