RecruitingPhase 3NCT05199688

A Study To Evaluate Pharmacokinetics, Efficacy, Safety, Tolerability, And Pharmacodynamics Of Satralizumab In Pediatric Patients With Aquaporin-4 Antibody Positive Neuromyelitis Optica Spectrum Disorder (NMOSD)

A Phase III, Multicenter, Open-Label, Uncontrolled Study To Evaluate Pharmacokinetics, Efficacy, Safety, Tolerability, And Pharmacodynamics Of Satralizumab In Pediatric Patients With AQP4 Antibody Positive Neuromyelitis Optica Spectrum Disorder (NMOSD)


Sponsor

Hoffmann-La Roche

Enrollment

8 participants

Start Date

Mar 31, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

This study will primarily evaluate the pharmacokinetics of satralizumab in pediatric patients aged 2-11 years with anti-aquaporin-4 (AQP4) antibody seropositive neuromyelitis optica spectrum disorder (NMOSD). Efficacy, safety, tolerability, and pharmacodynamics will be evaluated in a descriptive manner, given the small number of patients who will be enrolled in this study.


Eligibility

Min Age: 2 YearsMax Age: 11 Years

Inclusion Criteria7

  • Age at screening 2-11 years, inclusive
  • Body weight at screening \>=10 kg
  • For female patients of childbearing potential (postmenarchal): agreement to either remain completely abstinent (refrain from heterosexual intercourse) or to use a reliable means of contraception
  • Diagnosed as having NMOSD with AQP4 antibody seropositive status as defined by the Wingerchuk 2015 criteria Clinical evidence of at least one documented attack (including first attack) in the last year prior to screening
  • Neurological stability for \>=30 days prior to both screening and baseline
  • Expanded Disability Status Scale (EDSS) 0 to 6.5
  • For patients receiving a baseline immunosuppressant treatment and planning to continue on these therapies, treatment must be at stable dose for 4 weeks prior to baseline

Exclusion Criteria7

  • Pregnancy or lactation
  • Evidence of other demyelinating disease mimicking NMOSD
  • Active or presence of recurrent bacterial, viral, fungal, mycobacterial infection, or other infection at baseline
  • Evidence of chronic active hepatitis B or C
  • Evidence of untreated latent or active tuberculosis (TB)
  • Receipt of a live or live-attenuated vaccine within 6 weeks prior to baseline
  • History of severe allergic reaction to a biologic agent

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Interventions

DRUGSatralizumab

Participants will receive satralizumab treatment for a minimum of 48 weeks and then will have the opportunity to enter an optional satralizumab extension (OSE) period.


Locations(12)

Children's Hospital Colorado.

Denver, Colorado, United States

Hospital de Pediatría S.A.M.I.C.- Prof. Dr. Juan P. Garrahan

Ciudad Autonoma Buenos Aires, Argentina

Clinica Universitaria Reina Fabiola

Córdoba, Argentina

Children's Hospital of Fudan University

Shanghai, Shanghai Municipality, China

Centre Hospitalier Universitaire de Bicêtre

Le Kremlin-Bicêtre, France

IRCCS Ospedale Pediatrico Bambino Gesù - INCIPIT - PIN

Rome, Lazio, Italy

Fondazione Istituto Neurologico Mondino IRCCS

Pavia, Lombardy, Italy

Grupo Medico Camino

DF, Mexico CITY (federal District), Mexico

Uniwersyteckie Centrum Kliniczne

Gdansk, Poland

Instytut "Pomnik - Centrum Zdrowia Dziecka"

Warsaw, Poland

Kocaeli University Research and Application Hospit

Kocaeli, Turkey (Türkiye)

Great Ormond Street Hospital for Children

London, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT05199688


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