The primary objective is to evaluate the safety and tolerability of repeated doses of intravenously administered ARCT-810.
This study is a Phase 2, randomized, placebo-controlled study of ARCT-810 in people living with OTC deficiency 12 years of age and older. After an at least 4 week screening and diet stabilization period, participants will be randomized 3:1 to receive ARCT-810 or placebo. Following the first dose and safety evaluation, participants will receive up to an additional 5 doses of ARCT-810 or placebo, each separated by 14 days. The treatment period is followed by a 12-week observation period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
8
Cliniques Universitaires Saint Luc
Brussels, Belgium
Hôpitaux Universitaires de Marseille - Hôpital de la Timone
Marseille, France
Incidence, severity and dose-relationship of adverse events (AEs)
Safety and tolerability of ARCT-810 assessed by determining the number and severity of AEs by dose level
Time frame: Week 23
Plasma concentration area under the curve after first and last doses of ARCT-810
Area under the plasma concentration versus time curve (AUC) from time zero to the last quantifiable time point
Time frame: Up to 17 Weeks
Maximum observed plasma concentration (Cmax) after first and last doses of ARCT-810
The maximum observed plasma concentration (Cmax)
Time frame: Up to 17 Weeks
Time at which Cmax occurred after first and last doses of ARCT-810
The time at which Cmax occurred (Tmax)
Time frame: Up to 17 Weeks
AUC0-inf after first and last doses of ARCT-810
Plasma AUC from time zero extrapolated to infinity
Time frame: Up to 17 Weeks
AUCExtrap after first and last doses of ARCT-810
The relative portion of AUC0-inf extrapolated beyond AUC0-t
Time frame: Up to 17 Weeks
T1/2 after first and last doses of ARCT-810
Terminal half-life
Time frame: Up to 17 Weeks
MRT0-inf after first and last doses of ARCT-810
The mean residence time extrapolated to infinity
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Assistance Publique - Hôpitaux de Paris (AP-HP) - Hôpital Necker-Enfants Malades
Paris, France
Azienda Ospedaliera di Padova
Padua, Italy
IRCCS Ospedale Pediatrico Bambino Gesu
Rome, Italy
Hospital Clínic de Barcelona
Barcelona, Spain
Hospital Sant Joan de Déu
Barcelona, Spain
Hospital Universitario 12 de Octubre
Madrid, Spain
Complejo Hospitalario Universitario de Santiago (CHUS) - Hospital Clínico Universitario
Santiago de Compostela, Spain
Karolinska Universitetssjukhuset - Astrid Lindgrens Barnsjukhus
Stockholm, Sweden
...and 4 more locations
Time frame: Up to 17 Weeks
CL after first and last doses of ARCT-810
Total body clearance, calculated as dose divided by AUC0-inf
Time frame: Up to 17 Weeks
Vss after first and last doses of ARCT-810
Volume of distribution
Time frame: Up to 17 Weeks
Urea Cycle Function
Change from baseline in urea cycle function as measured by 13C-urea assay
Time frame: Week 12
Plasma Ammonia
Change from baseline in urea cycle function as measured by 24-hour plasma ammonia profile
Time frame: Week 11