This is an open-label, multiple dosing study in asymptomatic GRN-FTD carriers to investigate the safety, tolerability, PK, and PD of VES001. The study follows a MAD design within a single cohort, investigating 2 distinct dose levels (Dose 1: 360 mg and Dose 2: 900 mg), consecutively over a 3-month period. A total of 6 participants will be recruited over a fixed enrolment period of 6 months.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
6
VES001 is an oral, blood brain barrier ligand of sortilin. VES001 will be administered orally as a solid within a gelatine capsule without excipients; the capsule strength will be 180 mg.
Erasmus University Medical Center
Rotterdam, Netherlands
Leonard Wolfson Experimental Neurology Centre CRF National Hospital for Neurology and Neurosurgery
London, United Kingdom
Change in PGRN levels in CSF at Day 28 and Day 84 compared to baseline
Three (3) CSF samples will be obtained The total amount of CSF collected from each participant over the duration of the study, will not exceed 55 mL.
Time frame: 16 weeks
Change in PGRN levels in plasma at Day 28 and Day 84 compared to baseline
PD samples will be obtained 32 times
Time frame: 16 weeks
To evaluate the CSF PK profile of VES001 following multiple oral doses in asymptomatic GRN-FTD carriers
Two (2) CSF PK parameters: Cmax will be obtained
Time frame: 16 weeks
To evaluate the CSF PK profile of VES001 following multiple oral doses in asymptomatic GRN-FTD carriers
Two (2) CSF PK parameters: tmax will be obtained
Time frame: 16 weeks
To evaluate the CSF PK profile of VES001 following multiple oral doses in asymptomatic GRN-FTD carriers
Two (2) CSF PK parameters: t1/2, will be obtained
Time frame: 16 weeks
To evaluate the CSF PK profile of VES001 following multiple oral doses in asymptomatic GRN-FTD carriers
Two (2) CSF PK parameters: Vz/F will be obtained
Time frame: 16 weeks
To evaluate the CSF PK profile of VES001 following multiple oral doses in asymptomatic GRN-FTD carriers
Two (2) CSF PK parameters: CL/F will be obtained
Time frame: 16 weeks
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To evaluate the concentration of VES001 in CSF in all participants compared to baseline
Three (3) CSF samples will be obtained and analysis will be performed at D28 and Day 84 compared to baseline
Time frame: 16 weeks
To evaluate the concentration of VES001 in plasma/CSF ratio in all participants compared to baseline
Three (3) CSF samples will be obtained and analysis will be performed at D28 and Day 84 compared to baseline
Time frame: 16 weeks
All participants with treatment-related adverse events as assesed by CTCAE v 4.0 will be evaluated
Safety and tolerability including the severity and incidence of TEAEs, SAEs, and SUSARs of all participants will be assessed by the following endpoints: Monitoring and recording of AEs, SAEs, and SUSARs. For all safety assessments, the investigator will determine whether the results are clinically significant, which is defined as any variation in a result that has medical relevance and may result in an alteration in medical care (e.g., active observation, diagnostic measures, or therapeutic measures). If clinical significance is noted, the result and reason for significance will be documented and an AE reported on the AE page of the participant's eCRF. The investigator will monitor the participant until the result has reached the reference range or the result at Screening, or until the investigator determines that FU is no longer medically necessary.
Time frame: 16 weeks
To evaluate the safety and tolerability of clinical laboratory test results following multiple oral doses of VES001 in asymptomatic GRN-FTD carriers
All participants will be assessed by following endpoint; Severity and incidence of clinical laboratory test results. Clinical laboratory tests will be performed by the local site laboratories at UCL and Erasmus Medical Center. Blood and urine samples will be collected under fasting conditions (not eat or drink anything other than water for at least 4 hours before sample collections) and will be prepared using standard procedures. Measurements will be completed before VES001 dosing at all onsite visit with a total of eight (8) examinations. Repeat clinical laboratory tests may be performed at the discretion of the investigator, if necessary, to evaluate inclusion and exclusion criteria or clinical laboratory abnormalities. The clinical laboratory that will perform the tests will provide the reference ranges for all clinical laboratory parameters.
Time frame: 16 weeks
Evaluation of safety and tolerability of 12-lead ECG results & vital signs measurements following multiple oral doses of VES001 in asymptomatic GRN-FTD carriers
All participants will be assesed by following endpoints; changes in vital sign measurements and 12-lead ECG results; Vital signs will be measured within 15 minutes before and after VES001 dosing and will include SBP and DBP, heart rate, respiratory rate, and body temperature. Single 12-lead ECG will be performed within 15 minutes before and after VES001 dosing (assessments will include comments on whether the tracings are normal or abnormal, rhythm, presence of arrhythmia or conduction defects, morphology, any evidence of myocardial infarction, or ST-segment, T-wave, and U-wave abnormalities. In addition, measurements of the following intervals will be measured and reported: RR interval, PR interval, QRS width, QT interval, and QTcB and QTcF intervals).
Time frame: 16 weeks
Evaluation of safety and tolerability of physical/neurological examination findings and C-SSRS questionnaire findings following multiple oral doses of VES001 in asymptomatic GRN-FTD carriers
All participants will be assessed by following endpoints: A full physical and neurological examination will be performed at Screening (at minimum, assessment of the skin, head, ears, eyes, nose, throat, neck, thyroid, lungs, heart, abdomen, lymph nodes, cardiovascular and musculoskeletal system/extremities). Only targeted physical and neurological examination will be performed after Screening visit. Height and weight will be measured, and BMI calculated at Screening only. Only weight will be measured, and BMI calculated at the FU/EOS visit. The C-SSRS is a series of questions to assess suicidal ideation and behavior. Because the effect of VES001 occurs within the CNS, participants will be needed to complete a paper-based C-SSRS to collect data and monitor suicidal ideation and intent at the specified twelve (12) time points. Unscheduled assessments may be performed if any relevant AE is reported.
Time frame: 16 weeks