The purpose of this study is to: * evaluate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of single ascending doses of ALN-6400 in healthy volunteers * evaluate the efficacy, safety, tolerability and PD of multiple doses of ALN-6400 in adult patients with HHT
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
120
Clinical Trial Site
Cypress, California, United States
RECRUITINGClinical Trial Site
Boston, Massachusetts, United States
RECRUITINGClinical Trial Site
Mount Royal, Canada
Part A: Frequency of Adverse Events
Time frame: Up to Week 36
Part B: Frequency of Adverse Events
Time frame: Up to Week 96
Part A: Concentrations of ALN-6400 in Plasma
Time frame: Predose and up to 2 days postdose
Part A: Change from Baseline in Plasminogen (PLG) in Plasma Protein Levels
Time frame: Predose and up to Week 36 postdose
Part B: Change from Baseline in Plasminogen (PLG) in Plasma Protein Levels
Time frame: Screening and up to Week 96 postdose
Part A: Change from Baseline in Plasminogen (PLG) in Plasma Activity Levels
Time frame: Predose and up to Week 36 postdose
Part B: Change from Baseline in Plasminogen (PLG) in Plasma Activity Levels
Time frame: Part B: Screening and up to Week 96 postdose
Part B: Change from Baseline in Intensity-adjusted Epistaxis Duration
Intensity-adjusted epistaxis duration will be assessed using a daily patient epistaxis diary.
Time frame: Baseline up to Week 96
Part B: Change from Baseline in Epistaxis Severity Score (ESS) Scale
Validated bleeding scale in HHT scored between 0-10, higher scores indicate worse bleeding.
Time frame: Baseline up to Week 96
Part B: Change from Baseline in Epistaxis Duration
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Clinical Trial Site
Toronto, Canada
RECRUITINGClinical Trial Site
Bordeaux, France
RECRUITINGClinical Trial Site
Bron, France
RECRUITINGClinical Trial Site
Homburg, Germany
RECRUITINGClinical Trial Site
L'Hospitalet de Llobregat, Spain
RECRUITINGEpistaxis duration will be assessed using a daily patient epistaxis diary.
Time frame: Baseline up to Week 96
Part B: Change from Baseline in Epistaxis Frequency
Epistaxis frequency will be assessed using a daily patient epistaxis diary.
Time frame: Baseline up to Week 96
Part B: Change from Baseline in Epistaxis Intensity
Epistaxis intensity will be assessed using a daily patient epistaxis diary.
Time frame: Baseline up to Week 96
Part B: Change from Baseline in Epistaxis-free Days per Month
Epistaxis-free days per month will be assessed using a daily patient epistaxis diary.
Time frame: Baseline up to Week 96
Part B: Change from Baseline in Hematologic Support Score (HSS)
The HSS is a quantitative tool designed to longitudinally assess the red blood cells (RBC) and iron supplementation needs of patients with HHT and other chronic bleeding disorders.
Time frame: Baseline up to Week 96
Part B: Change from Baseline in Iron Infusions
Time frame: Baseline up to Week 96
Part B: Change from Baseline in Red Blood Cell (RBC) Infusions
Time frame: Baseline up to Week 96
Part B: Change from Baseline in Hemoglobin
Time frame: Baseline up to Week 96
Part B: Change from Baseline in Quality of Life Patient-reported Outcomes (QoL/PRO) assessed by Nasal Outcome Score for Epistaxis in Hereditary Hemorrhagic Telangiectasia (NOSE HHT) Score
HHT-specific QoL/PRO will be assessed using the NOSE HHT score. The NOSE HHT is a 29-item patient-reported, clinically validated outcome measure, with total scores ranging continuously from 0 to 4 with higher scores indicating worse scores.
Time frame: Baseline up to Week 84
Part B: Change from Baseline in QoL/PRO assessed by Modified Patient Global Impression of Severity (mPGI-S) Score
HHT-specific QoL/PRO will be assessed using the mPGI-S. The patient will respond to a single question, providing their global impression of change in their overall status and epistaxis experience.
Time frame: Baseline up to Week 84