Osteogenesis Imperfecta Trial of AGA2115 for ADUlts With COL1A1 and/or COL1A2 GeNetic Variations (IDUN)

Purpose

This study will determine the effect of treatment of AGA2115 in adults with Type I, III, or IV osteogenesis imperfecta versus placebo.

Condition

  • Osteogenesis Imperfecta (OI)

Eligibility

Eligible Ages
Between 18 Years and 75 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Male or female adults (aged 18 to 75 years inclusive) with a clinical diagnosis of osteogenesis imperfecta Type I, III, or IV with documented genetic testing confirmation of genetic variations in the COL1A1 or COL1A2 genes - Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol - BMD T-score of ≤ -1.0 at the lumbar spine, total hip, or femoral neck

Exclusion Criteria

  • Vitamin D deficiency - Concomitant uncontrolled diseases or conditions that could affect bone metabolism such as hypo-/hyperparathyroidism, hypo-/hyperthyroidism, abnormal thyroid function or thyroid disease, or other endocrine disorders - Current hyper- or hypocalcemia - History of rickets or osteomalacia or any skeletal condition (other than OI) leading to long-bone deformities and/or increased risk of fractures - Treatment with bisphosphonates within the past 6 months - Treatment with teriparatide, abaloparatide, strontium ranelate, or hormone replacement therapy within the past 12 months - Treatment with denosumab (or denosumab biosimilars) within the past 2 years - Treatment with anti-sclerostin antibody medications (romosozumab, setrusumab, blosozumab) at any time - History of myocardial infarction or stroke (or other cardiovascular associated event deemed significant) within the past 12 months - Malignancy within the last 5 years - Pregnant or breastfeeding women, or women planning to become pregnant during the study - Participation in any clinical study within the past 12 months during which the participant was administered any IP (participant must also agree not to enroll in any other clinical study concurrently in which IP is administered)

Study Design

Phase
Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
AGA2115 Dose Regimen 1
Participants that complete the double-blind period receiving AGA2115 Dose 1 from study start to Month 12 will continue to a 12-month open-label period. Participants will then receive AGA2115 Dose 2 for Months 12 to 24.
  • Drug: AGA2115
    Subcutaneous injection
Experimental
AGA2115 Dose Regimen 2
Participants that complete the double-blind period receiving AGA2115 Dose 2 from study start to Month 12 will continue to a 12-month open-label period. Participants will be kept on the same AGA2115 dose for Months 12 to 24.
  • Drug: AGA2115
    Subcutaneous injection
Experimental
AGA2115 Dose Regimen 3
Participants that complete the double-blind period receiving AGA2115 Dose 3 from study start to Month 12 will continue to a 12-month open-label period. Participants will receive the same AGA2115 dose for Months 12 to 24.
  • Drug: AGA2115
    Subcutaneous injection
Placebo Comparator
Placebo
Participants that complete the double-blind period receiving placebo from study start to Month 12 will continue to a 12-month open-label period. Participants will receive AGA2115 Dose 3 for Months 12 to 24.
  • Other: Placebo
    Subcutaneous injection

Recruiting Locations

Phoenix Children's
Phoenix, Arizona 85016

Yale University School of Medicine
New Haven, Connecticut 06510

Indiana University School of Medicine, Department of Medicine and Pediatrics Division of Endocrinology
Indianapolis, Indiana 46202

New Mexico Clinical Research & Osteoporosis Center, Inc. (NMCROC)
Albuquerque, New Mexico 87160

More Details

Status
Recruiting
Sponsor
Angitia Incorporated Limited

Study Contact

Kimberly Brown
818-862-2068
clinicaltrials@angitiabio.com

Detailed Description

This Phase 2 dose-ranging study will evaluate the safety and efficacy of AGA2115 at a range of doses in adults with Type I, III, or IV osteogenesis imperfecta. The study will last 27 months with a 24-month treatment period and a 3-month follow-up period. During the first 12 months of the study, participants will be randomized 1:1:1:1 to receive either placebo or one of three dose levels of AGA2115 doses; treatment assignment will be double-blind. Months 12 to 24 will be open-label, and all participants will receive AGA2115. Participants will attend visits where safety and efficacy parameters will be evaluated.