This is a Phase 1/2, prospective, adaptive design trial of TGD001 in participants with suspicion or clinical diagnosis of acute immune thrombotic thrombocytopenic purpura (iTTP) episodes and participants with suspicion or clinical diagnosis of an acute Thrombotic Microangiopathy (TMA) episode. The trial is an open-label, dose escalation and expansion basket trial.
In Part A, dose escalation of TGD001 is conducted in participants with suspicion or clinical diagnosis of immune thrombotic thrombocytopenic purpura (iTTP) in conjunction with their respective standard of care to identify a tolerated dose(s) with a pharmacological/clinical response to be evaluated in Part B. Once a recommended dose of TGD001 is established in Part A, the dose expansion/basket part of the trial will commence. In Part B, "basket" cohorts of participants with iTTP and other Thrombotic Microangiopathies (TMAs) will receive single or repeat doses of TGD001 in conjunction with their respective standard of care to determine the TGD001 dose and treatment regimen with clinical effect in reducing the initial thrombus burden. Baskets will include up to 20 participants each and may be combined based on emerging safety and efficacy findings. Baskets may be further expanded with the TGD001 dose(s) and regimen(s) that displayed the best clinical response as assessed by the Data Safety Management Committee up to a total of approximately 60 participants in Part B.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
70
IV bolus administration
Incidence of treatment emergent adverse events (safety and tolerability of TGD001)
Measurement of treatment emergent adverse events using the Common Terminology Criteria for Adverse Events (CTCAE) criteria
Time frame: 90 days
Change from baseline in lactate dehydrogenase (LDH) and other tissue damage markers
Measurement of LDH and other tissue damage markers
Time frame: 90 days
Change from baseline in platelet count
Measurements of platelet count from baseline
Time frame: 90 days
Time to resolution of the thrombotic episode
Measurement of platelet count and LDH levels
Time frame: 90 days
Change from baseline of disease-related signs and symptoms using CTCAE v5.0 criteria
Assessment or improvement of disease related signs and symptoms
Time frame: 90 days
Duration of ICU stay and hospitalization
Number of days in the ICU and the number of days hospitalized
Time frame: 90 days
Occurrence of all-cause and disease-specific mortality
All-cause and disease-specific mortality post-intervention
Time frame: 90 days
Peak plasma concentration (Cmax) of TGD001
Plasma concentrations and Cmax of TGD001
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Time frame: 90 days
Area under the plasma concentration versus time curve (AUC) of TGD001
Plasma concentrations of and AUC of TGD001
Time frame: 90 days
Time to maximum TGD001 plasma concentration
Plasma concentrations and Tmax of TGD001
Time frame: 90 days
Plasma half-life (t1/2) of TGD001
Plasma concentrations and t1/2 of TGD001
Time frame: 90 days
Number of participants with ADA
Development of ADA
Time frame: 90 days