Study to Learn About the Safety of Fazirsiran and if it Can Help People With Alpha-1 Antitrypsin Liver Disease With Mild Liver Scarring (Fibrosis)

Part of paid clinical trials in Phoenix, Arizona.

Sponsor
Takeda
Study ID
NCT06165341
Phase
PHASE3
Status
Recruiting

Conditions

  • Alpha1-Antitrypsin Deficiency

Eligibility Criteria

Sex
ALL
Age
18 Years - 75 Years
Healthy Volunteers
Not accepted

Interventions

  • Fazirsiran Injection — DRUG
    Fazirsiran will be injected subcutaneously.
  • Placebo — DRUG
    Fazirsiran matching placebo.

Study Details

The liver produces a protein called alpha-1 antitrypsin (AAT). AAT is normally released into the bloodstream. In some people, the liver makes an abnormal version of the AAT protein, called Z-AAT. Making an abnormal version of the AAT protein can result in liver disease as Z-AAT builds up in liver cells, which leads to liver problems such as liver scarring (fibrosis), continuing liver damage (cirrhosis), and eventually end stage liver disease. Fazirsiran is a medicine that reduces the creation of the Z-AAT protein and thus the build-up of this abnormal protein in the liver. People with this type of liver disease who already have mild liver scarring will take part in the study. They will be treated with fazirsiran or a placebo for about 2 years. This study will check the long-term safety of fazirsiran, whether participants tolerate the treatment and if there are any effects on liver scarring. A liver biopsy, a way of collecting a small tissue sample from the liver, will be taken twice during the study.

Key Dates

Start date
Mar 1, 2024
Status verified
Mar 2026
Primary completion
Aug 26, 2028
Completion
Aug 26, 2028

Study Design

Enrollment
50 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Fazirsiran 200 mg
    Participants will receive fazirsiran 200 milligrams (mg), injection, subcutaneously on Day 1, at Week 4 and then every 12 weeks (Q12W) for up to Week 100.
  • Placebo Comparator: Placebo
    Participants will receive fazirsiran matching placebo injection, subcutaneously on Day 1, at Week 4 and Q12W for up to Week 100.

Primary Outcome Measure

Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs) [ Time Frame: From start of study drug administration up to End of study (EOS) (Week 124) ]

Central Contacts

Locations (20)

FacilityCityStateZIPSite coordinators
Mayo Clinic - PPDSPhoenixArizona85054-4502
Site Contact
480-301-6990
Hugo Vargas (PRINCIPAL_INVESTIGATOR)
St Joseph's Hospital and Medical CenterPhoenixArizona85013-4224
Site Contact
602-274-7195
Justin Reynolds (PRINCIPAL_INVESTIGATOR)
University of Arizona Thomas D. Boyer Liver InstituteTucsonArizona85724-0001
Site Contact
520-626-3005
Geoffrey Block (PRINCIPAL_INVESTIGATOR)
University of California San DiegoLa JollaCalifornia92037-1337
Site Contact
858-534-2555
Rohit Loomba (PRINCIPAL_INVESTIGATOR)
UCLA Pulmonary and Critical CareLos AngelesCalifornia90095-3075
Site Contact
310-825-8061
Igor Barjaktarevic (PRINCIPAL_INVESTIGATOR)
University of California Benioff Children's HospitalSan FranciscoCalifornia94143-2203
Site Contact
415-476-5892
Philip Rosenthal (PRINCIPAL_INVESTIGATOR)
Peak Gastroenterology AssociatesColorado SpringsColorado80907
Site Contact
719-636-1201
Bhaktasharan Patel (PRINCIPAL_INVESTIGATOR)
Schiff Center for Liver Diseases/University of MiamiMiamiFlorida33136
Site Contact
305-243-5185
Eugene Schiff (PRINCIPAL_INVESTIGATOR)
Indiana University School of Medicine-IndianapolisIndianapolisIndiana46202-2266
Site Contact
317-278-4607
Raj Vuppalanchi (PRINCIPAL_INVESTIGATOR)
University Of Iowa Hospitals And ClinicsIowa CityIowa52242-1009
Site Contact
319-356-2577
Tomohiro Tanaka (PRINCIPAL_INVESTIGATOR)
Boston Medical CenterBostonMassachusetts02118-2335
Site Contact
617-638-6525
Arpan Mohanty (PRINCIPAL_INVESTIGATOR)
University of Michigan Hospital - 1500 E Medical Center DrAnn ArborMichigan48109
Site Contact
734-232-3741
Robert Fontana (PRINCIPAL_INVESTIGATOR)
Henry Ford Health SystemNoviMichigan48377-3600
Site Contact
248-344-6688
Stuart Gordon (PRINCIPAL_INVESTIGATOR)
Mayo Clinic PPDSRochesterMinnesota55905
Site Contact
507-284-0141
Harmeet Malhi (PRINCIPAL_INVESTIGATOR)
Columbia University Irving Medical CenterNew YorkNew York10032-3722
Monica Goldklang (PRINCIPAL_INVESTIGATOR)
NYU Langone Medical CenterNew YorkNew York10016-6402
Site Contact
212-263-3643
Viviana Figueroa Diaz (PRINCIPAL_INVESTIGATOR)
University Hospitals Cleveland Medical CenterClevelandOhio44106-1716
Site Contact
216-983-0879
Seth Sclair (PRINCIPAL_INVESTIGATOR)
Penn State Health Milton S. Hershey Medical CenterHersheyPennsylvania17033-2360
Site Contact
717-531-7532
Timothy Craig (PRINCIPAL_INVESTIGATOR)
Texas Liver Institute American Research CorporationSan AntonioTexas78215
Site Contact
210-253-3426
Eric Lawitz (PRINCIPAL_INVESTIGATOR)
Bon Secours St. Mary's HospitalNewportVirginia23602-4414
Site Contact
804-977-8920
Mitchell Schiffman (PRINCIPAL_INVESTIGATOR)

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