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RP103

Phase 3

Cystinosis | Small molecule | Rare Disease |Amgen Inc.|Last Updated: Dec 27, 2024

Success Probability

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Trial Design

UNCONTROLLED
Total Trials2
Total Enrollment58

FDA Designations

No designations recorded

Clinical trial landscape

RP103 · 2 trials · 1 indication

Phase 3 2
NCT01733316Open-Label, Safety and Superior Effectiveness Study of Cysteamine Bitartrate Delayed-Release Capsules (RP103) in CystinosisCystinosis
COMPLETED41 Analytics
NCT01744782Safety/Effectiveness Study of Cysteamine Bitartrate Delayed-release Capsules (RP103) in Cysteamine Treatment Naive Patients With CystinosisCystinosis
COMPLETED17 Analytics
PHASE3COMPLETED
Open-Label, Safety and Superior Effectiveness Study of Cysteamine Bitartrate Delayed-Release Capsules (RP103) in Cystinosis
CystinosisUnlock trial analytics
PHASE3COMPLETED
Safety/Effectiveness Study of Cysteamine Bitartrate Delayed-release Capsules (RP103) in Cysteamine Treatment Naive Patients With Cystinosis
CystinosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Average Difference Between Morning and Non-Morning Log White Blood Cell (WBC) Cystine Values
While taking Cystagon® (Months 1, 2, 3): within 15 minutes pre-morning (AM) and pre-non AM dose. During 3 months of RP103 (Months 5, 6, 7): 30 minutes post-AM and post-evening (PM) dose.

The primary analysis of WBC cystine was performed using the natural log transformed WBC cystine level; the log transformation is a normalizing transformation. For each participant, the difference between the morning and corresponding non-morning log WBC cystine value (non-morning minus morning) at each monthly visit during the Cystagon® phase (Months 1, 2, and 3) was computed and these differences were averaged. The average difference between morning and non-morning log WBC cystine value was similarly computed for each participant during the RP103 phase (Months 5, 6, and 7). The primary analysis compared within-subject pairs (Cystagon® phase paired with RP103 phase) of non-morning minus morning average differences of log WBC cystine level.

Mean White Blood Cell (WBC) Cystine Concentration at Each Visit
Day 1, Week 2, Week 4, Week 6, Week 8, Week 10, Week 12, Month 6, Month 9, Month 12, Month 15, Month 18, Study Exit

Blood samples were taken 30 minutes after the morning RP103 dose at each study visit to determine White Blood Cell (WBC) cystine concentration. WBC cystine concentrations were determined using liquid chromatography.

Secondary Endpoints

Number of Participants With Treatment-Emergent Adverse Events (AEs), Serious Adverse Events (SAEs), and Discontinuations Due to AEs
From first dose of study drug to 7 days after last dose. Median duration of exposure was 91 days (range 82-108) for Cystagon® phase, 119 days (range 98-137) for the RP103 phase, and 861 days (range 30 - 1350) during the long-term RP-103 phase.
Halitosis Substudy: Maximum Plasma Concentration (Cmax) for Plasma Cysteamine
While taking Cystagon® (Month 1, 2 or 3): Within 15 minutes prior to morning dose, 30 minutes post-dose, 1, 2, 4 and 6 hours post-dose. While taking RP103 (Month 5, 6, or 7): 30 minutes after morning dose and 1, 2, 3, 4, 6, 8, 10, 12 hours post-dose
Halitosis Substudy: Time to Cmax (Tmax) for Plasma Cysteamine
While taking Cystagon® (Month 1, 2 or 3): Within 15 minutes prior to morning dose, 30 minutes post-dose, 1, 2, 4 and 6 hours post-dose. While taking RP103 (Month 5, 6, or 7): 30 minutes after morning dose and 1, 2, 3, 4, 6, 8, 10, 12 hours post-dose
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
All ParticipantsEXPERIMENTALCystagon® Phase: From Screening and during Months 1, 2, 3 participants receive their usual dose of Cystagon® every 6 hours (Q6H). RP103 Phase: During Months 3.5, 4, 5, 6, 7 participants receive RP103 every 12 hours (Q12H). Long Term Phase: On or after Month 7, for the remainder of study participants receive RP103 Q12H.
RP103EXPERIMENTALFrom Day 1 and throughout the duration of participation, RP103 (Cysteamine Bitartrate Delayed-release Capsules) was administered every 12 hours (Q12H), supplied as 75 mg and 25 mg capsules.

Interventions

NameTypeDescription
RP103DRUG -
Cystagon®DRUG -
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Eligibility Criteria

Age Range12 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites14

INCLUSION CRITERIA: * Male or female with a documented diagnosis of cystinosis * On a stable dose of Cystagon® at least 21 days prior to Screening * WBC cystine level \> 1 nmol 1/2 cystine/mg of protein, on average over at least 2 measurements collected during the 2 years prior to Screening * No cl...

Countries:United StatesBelgiumFranceItalyNetherlandsUnited KingdomBrazil
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Frequently asked questions about RP103

What is RP103 used for in cystinosis?

RP103 is an investigational small molecule being developed for cystinosis, a rare disease. It is formulated as cysteamine bitartrate delayed-release capsules and is intended to treat the condition. The drug is currently in Phase 3 clinical development, though it is not yet approved.

What does RP103 target?

RP103 is a cysteamine bitartrate formulation. Cysteamine works by depleting cystine within cells, which is the underlying metabolic defect in cystinosis. This mechanism addresses the accumulation of cystine crystals that cause tissue damage in patients with the disease.

Who makes RP103?

RP103 is being developed by Amgen Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol AMGN. Amgen is conducting the clinical development program for this cysteamine bitartrate delayed-release capsule.

What phase is RP103 in?

RP103 is in Phase 3 clinical development. Two Phase 3 trials have been completed, with a total of 58 patients enrolled. The drug is still investigational and has not been approved by regulatory authorities.

What clinical trials is RP103 in?

RP103 has been studied in two completed Phase 3 trials. NCT01733316 evaluated safety and effectiveness in 41 patients with cystinosis across the US, Belgium, France, Italy, Netherlands, and UK. NCT01744782 studied 17 cysteamine treatment-naive patients in the US and Brazil.

Is RP103 the same as cysteamine bitartrate?

RP103 is a specific delayed-release capsule formulation of cysteamine bitartrate. The drug name RP103 refers to this particular product being developed by Amgen. Cysteamine bitartrate is the active pharmaceutical ingredient, and RP103 is the branded investigational formulation.