This is a phase 2 study, designed as a European multicentre 6-month double blind random-ized controlled trial (RCT) of AZD0530 versus matched placebo, followed by a 12 month trial comparing open-label extended AZD0530 treatment with historical control data. Study population: Male and female adult patients aged 18 years and older with a diagnosis of FOP who meet the inclusion (active disease) and exclusion criteria will be eligible for participation in this study. The total number of enrolled patients will be 20. Intervention: Patients will be randomized to receive either AZD0530 100mg once daily or matched placebo, taken orally for the first 6 months, immediately followed by an open-label extension in which all patients will receive AZD0530 100mg once daily oral dose for a further 12 months. Endpoints: Endpoints include objective change in heterotopic bone volume measured by low-dose whole-body computer tomography (CT) , \[18F\] NaF Positron Emission Tomography (PET) activity and patient reported outcome measures.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
20
AZD0530 for the duration of the trial
Matching placebo during 6 month RCT, AZD0530 thereafter
Klinikum Garmish-Partenkirchen
Garmisch-Partenkirchen, Germany
RECRUITINGAmsterdam University Medical Center
Amsterdam, Netherlands
RECRUITINGRoyal National Orthopaedic Hospital
London, United Kingdom
NOT_YET_RECRUITINGThe objective change between the two arms measured in heterotopic bone volume measured by low-dose whole body CT over the initial 6 month RCT
Time frame: Baseline, month 6
Safety and tolerability assessments are the incidence and severity of adverse events (AE) during the RCT at the end of week 28.
Time frame: Baseline, month 6 (+overall duration study)
The change in heterotopic bone volume measured by low-dose whole body CT over six-months treatment during open-label extension of AZD0530 compared to the previous placebo arm of the RCT
Time frame: Baseline, month 6, month 12
The change in heterotopic bone volume measured by low-dose whole body CT over twelve-months treatment during open-label extension of AZD0530 compared to the historical data of Clementia (NCT02322255)
Time frame: Baseline, month 6, month 12, month 18
Change in the volume of individual HO lesions
measured by low-dose whole body CT over the initial 6 month RCT and the change over twelve-months therapy during open-label extension of AZD0530 compared to the historical data of Clementia and compared to the 6 months placebo-arm.
Time frame: Baseline, month 6, month 12, month 18
Change in number of HO lesions measured by CT over the initial 6 month RCT and in addition the change over twelve-months during open-label extension of AZD0530 compared to the historical data of Clementia and compared to the 6 months placebo-arm.
Time frame: Baseline, month 6, month 12, month 18
In patients with at least 1 active lesion at baseline: Change (and Area Under the Curve (AUC) analysis) of lesion activity
by 18F-NaF PET over the initial 6 month RCT and over months 6-12 compared to the 6 months RCT of the placebo arm, including change from baseline in 18F-NaF Standard Uptake Volume (SUVmean or peak) of individual active HO site
Time frame: Baseline, month 6, month 12
In patients with at least 1 active lesion at baseline: Change in number of active lesion on 18F-NaF PET from baseline to 6 and 12months
Time frame: Baseline, month 6, month 12
Change and percent change from baseline in biomarkers of bone formation levels in serum over time.
Including Total Procollagen Type 1 N-Terminal Propeptide (P1NP), Alkaline Phosphatase (AP) fasting cross-linked C-terminal telopeptide of type I colla-gen (βCTX). Selected genetic markers for FOP activity
Time frame: Baseline, week 3 through month 18
Joint function assessment by physician at baseline and week 3, month 3,6,9,12,and18 by the cumulative analog joint involvement scale (CAJIS) and the quantitative detailed multi-joint assessment at baseline and month 6, 12 and 18
Time frame: baseline, week 3, month 3,6,9,12,and 18
Patient-reported global health status the 36-item Short Form Health Survey (SF-36) at baseline and week 3, month 3,6,9,12,and 18
Time frame: baseline, week 3, month 3,6,9,12,and 18
FOP disease activity assessed by movement disabilities and quality of life using FOP Independent Activity of Daily Living (FOP I-ADL)
Time frame: baseline, week 3, month 3,6,9,12,and 18
Number of reported flare-ups by the patient
Time frame: Each day (day 0-month18)
Pharmacokinetic measurements: blood for determination of plasma concentrations of AZD0530 (pre-dose)on the day of the study visits at 6, 12 and 18months
Time frame: 6,12 and 18months
Elisabeth MW Eekhoff, MD, PhD
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