This study was designed to evaluate the safety, tolerability, pharmacodynamics (PD) of DS-1211b, and pharmacokinetics (PK) in individuals with Pseudoxanthoma elasticum (PXE). PXE is a rare disease that is associated with significant risks of visual impairments and comorbidity from peripheral and cardiovascular diseases, and adversely impacts the quality of life in afflicted individuals.
DS-1211b, a potent small-molecule inhibitor of tissue-nonspecific alkaline phosphatase, is being developed for the treatment ectopic calcification diseases such as PXE. This study will assess DS-1211b (low-, middle-, and high-dose tablets) administered once daily for 12 weeks in individuals with PXE.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
65
Mid-Atlantic Epilepsy and Sleep Center
Bethesda, Maryland, United States
Boston Neuro Research Center
North Dartmouth, Massachusetts, United States
Infinity Medical Research Inc
North Dartmouth, Massachusetts, United States
Frontage Clinical Services, Inc.
Secaucus, New Jersey, United States
Number of Participants With Treatment-emergent Adverse Events (TEAEs) in Participants Receiving DS-1211b
TEAEs are defined as events that start on or after the first dose of study drug or start prior to but then worsen after the first dose of study drug. Adverse events are coded using MedDRA version 26.1.
Time frame: From the date of signing informed consent form up to Day 98 (14 days after last dose of study drug) post-dose of 12-week treatment period
Percent Change From Baseline in Pharmacodynamic Parameter Alkaline Phosphatase (ALP) Levels
ALP levels were assessed using the IFCC serum assay.
Time frame: Pre-dose on Days 15, 43, 84; Day 86-88 and Day 98 of 12-week treatment period
Percent Change From Baseline in Pharmacodynamic Parameter Inorganic Pyrophosphate (PPi) Levels
PPi levels were assessed from collected plasma.
Time frame: Pre-dose on Days 15, 43, and 84 of 12-week treatment period
Percent Change From Baseline in Pharmacodynamic Parameter Pyridoxal 5'-Phosphate (PLP) Levels
PLP levels were assessed from collected plasma.
Time frame: Pre-dose on Days 15, 43, 84; Day 86-88 and Day 98 of 12-week treatment period
Pharmacokinetic Parameter Maximum Concentration (Cmax)
Pharmacokinetic parameter Cmax was estimated using population PK modeling.
Time frame: Day1 and Day 84 post-dose of 12-week treatment period
Pharmacokinetic Parameter Time to Maximum Concentration (Tmax)
Pharmacokinetic parameter Tmax was assessed using population PK modeling.
Time frame: Day 1 and Day 84 post-dose of 12-week treatment period
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Clinilabs
New York, New York, United States
Clinical Research of Philadelphia, LLC
Philadelphia, Pennsylvania, United States
UMC Utrecht
Utrecht, Netherlands
Pharmacokinetic Parameter Trough Plasma Concentration (Ctrough)
Pharmacokinetic parameter Ctrough was assessed using observed concentrations at 10 hours post-dose.
Time frame: Day 1 and Day 84 post-dose of 12-week treatment period
Pharmacokinetic Parameter Area Under the Plasma Concentration-time Curve (AUC)
Pharmacokinetic parameter AUCtau was assessed using population PK modeling.
Time frame: Day 1 and Day 84 post-dose of 12-week treatment period