Iron-Chelating Therapy and Friedreich Ataxia
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Purpose
Friedreich ataxia, an autosomal recessive condition, ascribed to frataxin gene expansion, has been shown to result from an iron- induced injury to the mitochondrial respiratory chain. Buffering free radicals with short-chain quinones (Idebenone) protects the patients against cardiomyopathy but not CNS involvement. Removing CNS iron should limit the impact of the neurological symptoms of the disease.
| Condition | Intervention | Phase |
|---|---|---|
|
Friedreich Ataxia |
Drug: Iron chelating intervention |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Effect of Iron-Chelating Therapy in Friedreich Ataxia. Study Phase I/II |
- assessment of iron overload at TO and month2 by imagery [ Time Frame: at months :0, 1 ,2 ,4 ,6 ] [ Designated as safety issue: No ]
- Clinical (monthly) and biological parameter follow- up ( blood count, [ Time Frame: weekly ] [ Designated as safety issue: No ]
- plasma iron, ferritin, transferrin and liver enzymes) [ Time Frame: every months ] [ Designated as safety issue: Yes ]
| Enrollment: | 15 |
| Study Start Date: | March 2005 |
| Study Completion Date: | March 2008 |
| Primary Completion Date: | March 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Iron chelating intervention
|
Drug: Iron chelating intervention
Iron chelating intervention
Other Name: Iron chelating intervention
|
Detailed Description:
The current clinical trial is a monocentric open phase1-2 trial in the context of rare diseases framework, aimed to the goal of defining the tolerance/efficacy of the treatment.
Inclusion criteria: minimum age: 13 years Follow up in the Dept of Genetics, Hospital Necker-Enfants Malades, Paris, France
Eligibility| Ages Eligible for Study: | 13 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Minimum age: 13 years
- Molecular confirmation of frataxin gene mutation
- Iron overload evaluation
- Presence of lactate
- Echography response to Idebenone treatment
- Urinary test of pregnancy for girls
- Sexual abstinence for men
- Information consent
Exclusion Criteria:
- No disturbance of iron metabolism
- No response to Idebenone
- Friedreich not confirmed
- Polynuclear neutrophils <2 x 109/L or hemoglobin < 8g/dL
- No participation to other trial
- Doubt regarding the compliance of the patient to protocol
- Impossibility to undergo X-ray examination or presence of iron material in the backbone
- Pregnant women
- Absence of social insurance.
Contacts and Locations| France | |
| Necker Hospital | |
| Paris, France, 75015 | |
| Principal Investigator: | Arnold MUNNICH, Pr,MD,PhD | Assistance Publique - Hôpitaux de Paris |
More Information
No publications provided
| Responsible Party: | Amel Ouslimany, Department Clinical Research of Developpement |
| ClinicalTrials.gov Identifier: | NCT00224640 History of Changes |
| Other Study ID Numbers: | P041201, PCR 05001 |
| Study First Received: | September 16, 2005 |
| Last Updated: | March 3, 2009 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
Iron-chelating treatment |
Additional relevant MeSH terms:
|
Ataxia Friedreich Ataxia Dyskinesias Neurologic Manifestations Nervous System Diseases Signs and Symptoms Spinocerebellar Degenerations Cerebellar Diseases Brain Diseases Central Nervous System Diseases Spinal Cord Diseases Heredodegenerative Disorders, Nervous System Neurodegenerative Diseases |
Genetic Diseases, Inborn Mitochondrial Diseases Metabolic Diseases Iron Chelating Agents Iron Chelating Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Trace Elements Micronutrients Growth Substances Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on June 18, 2013