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The goal of this clinical trial is to assess the safety and tolerability of a single oral dose of BMN 349 in participants with PiZZ or PiMZ/MASH.
Primary outcome measures include incidence of any adverse events (including serious adverse events, dose limit toxicities, and adverse events of special interest), incidence of any laboratory test abnormalities, incidence of lung function test abnormalities and 12-lead ECG parameters.
Participants will receive a single dose of either BMN 349 or placebo and then monitored for safety and tolerability.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A (PiZZ) | Other | 5:1 (349:Placebo) |
|
| Group B (PiMZ) | Other | 5:1 (349:Placebo) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BMN 349 | Drug | 250mg oral tablet |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Participant Adverse Events, Serious Adverse Events, Dose Limit Toxicities, Adverse Event of Special Interests, abnormal laboratory tests, abnormal pulmonary function tests, and 12-lead ECG parameters | Number of participant AEs, SAEs, DLTs, AESIs per physician's assessment, abnormal laboratory tests through whole blood samples, abnormal pulmonary function spirometry tests, and 12-lead ECG parameters changes from baseline following a single oral dose of BMN 349 | 78 days |
| Measure | Description | Time Frame |
|---|---|---|
| C max | Maximum observed plasma concentration | 78 days |
| AUC 0-t | Area under the concentration-time curve from time 0 to the last measurable concentration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director, MD | BioMarin Pharmaceutical | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California, San Diego | San Diego | California | 92037 | United States | ||
| Saint Louis University |
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| ID | Term |
|---|---|
| D019896 | alpha 1-Antitrypsin Deficiency |
| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| Placebo |
| Drug |
250mg oral tablet |
|
| 78 days |
| AUC 0-inf | Area under the concentration-time curve from time 0 to infinity | 78 days |
| CL/F | Apparent total body clearance after oral dosing | 78 days |
| T max | Time to reach maximum concentration | 78 days |
| t 1/2 | Terminal half-life in plasma | 78 days |
| Vz/F | Apparent volume of distribution during terminal phase | 78 days |
| Assess functional activity of circulating Alpha1 AntiTrypsin in participants | Changes in participant circulating AAT through whole blood samples following a single dose of BMN 349 | 78 days |
| St Louis |
| Missouri |
| 63110 |
| United States |
| Medpace Clinical Pharmacology Unit | Cincinnati | Ohio | 45227 | United States |
| The Medical University of South Carolina | Charleston | South Carolina | 29425 | United States |
| NHS Lothian | Edinburgh | UK | United Kingdom |
| Royal Free London NHS Foundation Trust | London | UK | United Kingdom |
| University Hospital Southampton NHS Foundation Trust | Southampton | UK | United Kingdom |
| D030342 |
| Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D013352 | Subcutaneous Emphysema |
| D004646 | Emphysema |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |