A Study to Evaluate the Pharmacokinetics of Afamelanotide in Patients with Erythropoietic Protoporphyria (EPP).

2023-507311-35-00 Protocol CUV052 Phase I and Phase II (Integrated) - Other Ended

Start 7 Mar 2024 · End 20 Jan 2025 · Status Ended · 2 EU/EEA countries · 2 sites · Protocol CUV052

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ended
Participants planned 34
Countries 2
Sites 2

Erythropoietic Protoporphyria (EPP)

To determine the pharmacokinetics of afamelanotide following administration of afamelanotide to adolescent and adult EPP patients. To determine the relative comparability of the PK profiles of afamelanotide in adolescent and adult EPP patients.

Key facts

Sponsor
Clinuvel Europe Limited
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16]
Trial duration
7 Mar 2024 → 20 Jan 2025
Decision date (initial)
2024-02-20
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
CLINUVEL EUROPE LIMITED

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Safety

To determine the pharmacokinetics of afamelanotide following administration of afamelanotide to adolescent and adult EPP patients.
To determine the relative comparability of the PK profiles of afamelanotide in adolescent and adult EPP patients.

Secondary objectives 1

  1. To determine the safety and tolerability of afamelanotide in adolescent and adult EPP patients.

Conditions and MedDRA coding

Erythropoietic Protoporphyria (EPP)

VersionLevelCodeTermSystem organ class
21.1 LLT 10015289 Erythropoietic protoporphyria 10010331

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Fourteen adult EPP adult patients aged between 18 and 70 years (inclusive) and fourteen EPP adolescents aged between 12 and 17 (inclusive).
  2. Agree not to use any medications
  3. Able to understand and sign the written Informed Consent Form ((and parents or legal representative in case of adolescent patients)
  4. Able and willing to follow the Protocol requirements

Exclusion criteria 16

  1. Any personal or direct family history of melanoma.
  2. Any significant history of allergy and/or sensitivity to any of the contents of study drug product.
  3. Any significant history of allergy and/or sensitivity to lignocaine or other local anaesthetics if used.
  4. Any significant illness during the four weeks before the study screening period.
  5. Any evidence of hepatic or renal impairment.
  6. Any contraindication to blood sampling.
  7. Female who is pregnant or lactating.
  8. Females of child-bearing potential not using adequate contraceptive measures or a life-style excluding pregnancy, for up to three months after the implant administration.
  9. Sexually active man with a partner of child-bearing potential who is not using adequate contraceptive measures.
  10. Any factor that may interfere with the skin reflectance measurements.
  11. Current cigarette smokers.
  12. History of drug abuse, licit or illicit.
  13. Regularly drinks more than four standard drinks of alcohol per day.
  14. Participation in any clinical trial during the 60 days before the study screening period.
  15. Has received afamelanotide in the last 60 days.
  16. Has donated 400 mL or more of blood or had significant blood loss during the eight weeks preceding screening.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Cmax
  2. AUC(0-t)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

SCENESSE 16 mg implant

PRD7367850 · Product

Active substance
Afamelanotide
Pharmaceutical form
IMPLANT
Route of administration
SUBCUTANEOUS
Authorisation status
Authorised
ATC code
D02BB02 — -
Marketing authorisation
EU/1/14/969/001
MA holder
CLINUVEL EUROPE LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/1/14/969/001
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Clinuvel Europe Limited

Sponsor organisation
Clinuvel Europe Limited
Address
Saint Kevins, 10 Earlsfort Terrace 10 Earlsfort Terrace
City
Dublin 2
Postcode
D02 T380
Country
Ireland

Scientific contact point

Organisation
Clinuvel Europe Limited
Contact name
Head of Clinical Operations

Public contact point

Organisation
Clinuvel Europe Limited
Contact name
Head of Clinical Operations

Locations

2 EU/EEA countries · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ended 14 1
Netherlands Ended 12 1
Rest of world
Switzerland
8

Investigational sites

Belgium

1 site · Ended
UZ Leuven
Department of Dermatology, Herestraat 49, 3000, Leuven

Netherlands

1 site · Ended
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Department of Internal Medicine, Dr. Molewaterplein 40, 3015 GD, Rotterdam

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2024-03-07 2025-01-20 2024-03-07
Netherlands 2024-05-22 2025-01-20 2024-05-22

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
CUV052_Summary of results_EU_18Jul2025
SUM-91216
2025-07-18T16:52:35 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
CUV052_Laypersons Summary of results_EU_18Jul2025 2025-07-18T16:53:13 Submitted Laypersons Summary of Results

Documents 29 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) CUV052_Laypersons Summary of results_EU_18Jul2025 1
Recruitment arrangements (for publication) K1_Template recruitment arrangements Belgium_for public 1
Recruitment arrangements (for publication) K1_Template recruitment arrangements Netherlands_for public 2.0
Recruitment arrangements (for publication) K2_Recruitment material Advertising Poster EN_for public 2.1
Recruitment arrangements (for publication) K2_Recruitment material Advertising Poster EN_for public 2.1
Recruitment arrangements (for publication) K2_Recruitment material Advertising Poster NL_for public 2.1
Recruitment arrangements (for publication) K2_Recruitment material Advertising Poster NL_for public 2.1
Subject information and informed consent form (for publication) Coverletter for nSA01_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF Adult and Parent Netherlands EN International Participant_for public 1.2.7
Subject information and informed consent form (for publication) L1_SIS and ICF Adult and Parent Netherlands EN_for public 1.2.6
Subject information and informed consent form (for publication) L1_SIS and ICF Adult and Parent Netherlands NL_for public 1.2.6
Subject information and informed consent form (for publication) L1_SIS and ICF Adult and Parents Belgium NL_for public 1.2.3
Subject information and informed consent form (for publication) L1_SIS and ICF Adult and Parents Belgium NL_for public TC TC
Subject information and informed consent form (for publication) L1_SIS and ICF Adults and Parents Belgium EN_for public 1.2.3
Subject information and informed consent form (for publication) L1_SIS and ICF Adults and Parents Belgium EN_for public TC TC
Subject information and informed consent form (for publication) L1_SIS and ICF Adults and Parents International Participants Belgium EN_for public 1.2.1
Subject information and informed consent form (for publication) L1_SIS and ICF Belgium Pregnancy and Pregnant Partner EN_Redacted 1.2.1
Subject information and informed consent form (for publication) L1_SIS and ICF Paediatric 12-16 Netherlands EN International Participant_for public 1.2.7
Subject information and informed consent form (for publication) L1_SIS and ICF Paediatric 12-16 Netherlands EN_for public 1.2.6
Subject information and informed consent form (for publication) L1_SIS and ICF Paediatric 12-16 Netherlands NL_for public 1.2.6
Subject information and informed consent form (for publication) L1_SIS and ICF Paediatric Assent Belgium EN_for public 1.2.3
Subject information and informed consent form (for publication) L1_SIS and ICF Paediatric Assent Belgium EN_for public TC TC
Subject information and informed consent form (for publication) L1_SIS and ICF Paediatric Assent Belgium NL_for public 1.2.3
Subject information and informed consent form (for publication) L1_SIS and ICF Paediatric Assent Belgium NL_for public TC TC
Subject information and informed consent form (for publication) L1_SIS and ICF Paediatric Assent International Participant Belgium EN_for public 1.2.1
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant and Pregnant Partner Belgium NL_for public 1.2.1
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant and Pregnant Partners Netherlands EN_for public 1.2.4
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant and Pregnant Partners Netherlands NL_for public 1.2.4
Summary of results (for publication) CUV052_Summary of results_EU_18Jul2025 1

Application history

7 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-10-16 Netherlands Acceptable with conditions
2024-02-19
2024-02-20
2 NON SUBSTANTIAL MODIFICATION NSM-4 2024-02-29 Netherlands Acceptable with conditions
2024-02-19
2024-02-29
3 NON SUBSTANTIAL MODIFICATION NSM-5 2024-04-22 Netherlands Acceptable with conditions
2024-02-19
2024-04-22
4 NON SUBSTANTIAL MODIFICATION NSM-6 2024-04-26 Netherlands Acceptable with conditions
2024-02-19
2024-04-26
5 NON SUBSTANTIAL MODIFICATION NSM-7 2024-05-21 Acceptable with conditions
2024-02-19
2024-05-21
6 NON SUBSTANTIAL MODIFICATION NSM-8 2024-07-17 Netherlands Acceptable with conditions
2024-02-19
2024-07-17
7 NON SUBSTANTIAL MODIFICATION NSM-9 2024-11-04 Netherlands Acceptable with conditions
2024-02-19
2024-11-04