A Study Investigating the Safety and Tolerability of Deferiprone in Patients With Friedreich's Ataxia

This study has been completed.
Sponsor:
Information provided by:
ApoPharma
ClinicalTrials.gov Identifier:
NCT00530127
First received: September 13, 2007
Last updated: May 31, 2010
Last verified: May 2010
  Purpose

The primary objective of this study is to demonstrate the safety and tolerability of deferiprone in subjects with Friedreich's ataxia (FRDA).

The secondary objective is to evaluate the efficacy of deferiprone for the treatment of FRDA, as assessed by a 9-Hole Peg Test (9HPT), Timed 25-Foot Walk (T25FW), Low-Contrast Letter Acuity test (LCLA), International Cooperative Ataxia Rating Scale (ICARS), and Friedreich's Ataxia Rating Scale (FARS).

The tertiary objectives are to evaluate the effect of deferiprone on:

  1. cardiac function as measured by changes in Left Ventricular Shortening Fraction (LVSF), Left Ventricular Ejection Fraction (LVEF) and Left Ventricular (LV) mass using echocardiogram (ECHO),
  2. quality of life using quality-of-life surveys, and
  3. functional status using Activities of Daily Living (ADL).

Condition Intervention Phase
Friedreich's Ataxia
Drug: placebo
Drug: deferiprone
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: A Six-month Double-blind, Randomized, Placebo-controlled Study Investigating the Safety and Tolerability of Deferiprone in Patients With Friedreich's Ataxia

Resource links provided by NLM:


Further study details as provided by ApoPharma:

Primary Outcome Measures:
  • The patient's tolerance of treatment will be determined, as assessed by the occurrence of adverse events [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • The efficacy endpoints will be change in the score for 9-Hole Peg Test (9HPT), Timed 25-Foot Walk (T25FW), Low-Contrast Letter Acuity test (LCLA), International Cooperative Ataxia Rating Scale (ICARS), and Friedreich's Ataxia Rating Scale (FARS). [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 80
Study Start Date: April 2008
Study Completion Date: July 2009
Primary Completion Date: July 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Placebo Comparator: A
Placebo solution
Drug: placebo
Same dose and frequency as treatment
Experimental: B
Deferiprone oral solution 20 mg/kg/day
Drug: deferiprone
100 mg/mL
Experimental: C
Deferiprone oral solution 40 mg/kg/day
Drug: deferiprone
100 mg/mL
Placebo Comparator: D
Placebo solution
Drug: placebo
Same dosage and frequency as study drug
Experimental: E
deferiprone oral solution 60 mg/kg/day
Drug: deferiprone
100 mg/mL

Detailed Description:

This will be a multi-centre, double-blind, randomized, placebo-controlled clinical trial. A total of 80 patients with Friedreich's ataxia will be enrolled. Eligible patients will receive deferiprone oral solution or placebo at a total daily dose of 20 mg/kg/day, 40 mg/kg/day or 60 mg/kg/day, divided into two-daily doses for 6 months.

  Eligibility

Ages Eligible for Study:   7 Years to 35 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Diagnosis of FRDA, with confirmed mutation (excludes point mutation) in the frataxin (FXN) gene and GAA repeats ≥ 400 on the shorter allele.
  2. Males or females aged 7 to 35 years.
  3. No exposure to idebenone, coenzyme Q10, vitamin C, vitamin E or other antioxidants as a supplement or as a drug therapy for a period of at least one month prior to start of treatment and during the study.
  4. Neurological testing: A FARS score >20 and <85 at Screening and Baseline.
  5. Female subjects of childbearing potential must have a negative pregnancy test at Baseline.
  6. If the subject is a heterosexual, sexually-active male, he confirms that he and/or his female partner will use an effective method of contraception for the length of the trial and for 30 days following completion of the study or early termination.
  7. Signed and witnessed written informed consent/assent, obtained prior to the first study intervention, as well as the ability to adhere to study restrictions, appointments and evaluation schedule.

Exclusion Criteria:

  1. Iron deficiency defined as ferritin levels below the reference range for age- and sex-matched controls
  2. Unable to complete T25FW AND with score > 5 minutes in the 9HPT. (Subjects who can complete T25FW or with a score ≤ 5 minutes in the 9HPT will be allowed to enroll if the score has not doubled compared to screening).
  3. Abnormal ALT, greater than 2.0 times the upper limit of normal on two consecutive assessments.
  4. Serum creatinine outside the normal reference range.
  5. History or evidence of neutropenia defined by an absolute neutrophil count (ANC) < 1.5 x 109/L or thrombocytopenia defined by a platelet count <150 x 109/L.
  6. Refusal to participate in screening procedures or unable to participate in screening procedures or unable to comply with the requirements of the protocol.
  7. Receiving any investigational drug products or having received any investigational product within 30 days prior to enrollment into this study.
  8. Subjects who have previously taken deferiprone.
  9. Subjects who, in the opinion of the Investigator, represent poor medical, psychological or psychiatric risks, and for whom participation in an investigational trial would be unwise.
  10. Pregnant, breastfeeding or planning to become pregnant during the study period.
  11. History of malignancy.
  12. History of alcohol or drug abuse.
  13. Investigators, site personnel directly affiliated with this study and their immediate families. Immediate family is defined as a spouse, parent, child or sibling, whether biological or legally adopted.
  14. Hypersensitivity to the active substance (deferiprone) or any of the excipients in the oral solution.
  15. QT interval > 450 msec at Baseline.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00530127

Locations
Australia
Murdoch Children's Research Institute
Victoria, Australia, 3052
Belgium
Hospital Erasme
Brussels, Belgium, 1070
Canada, Ontario
McMaster University
Hamilton, Ontario, Canada, L8N 3Z5
France
Hospital Necker-Enfants Malades
Paris, France, 75743
Italy
Fondazione IRCCS Istituto Neurologico "C. Besta"
Milan, Italy, 20133
Spain
La Fundacion Para la Investigacion Biomedica
Madrid, Spain, 261
Sponsors and Collaborators
ApoPharma
Investigators
Principal Investigator: Massimo Pandolfo, M.D. Hospital Erasme, Brussels, Belgium
Principal Investigator: Arnold Munnich, M.D. Hospital Necker-Enfants Malades, Paris, France
Principal Investigator: Franco Taroni Fondazione IRCCS Istituto Neurologico "C. Besta"
Principal Investigator: Martin Delatycki Murdoch Children's Research Institute, Vicotria, Australia
Principal Investigator: Javier Arpa La Fundaction Para la Investigacion Biomedica, Madrid, Spain
Principal Investigator: Mark Tarnopolsky, MD McMaster University
  More Information

No publications provided

Responsible Party: Dian Shaw, ApoPharma Inc.
ClinicalTrials.gov Identifier: NCT00530127     History of Changes
Other Study ID Numbers: LA29-0207
Study First Received: September 13, 2007
Last Updated: May 31, 2010
Health Authority: United Kingdom: Medicines and Healthcare Products Regulatory Agency
Belgium: Federal Agency for Medicinal Products and Health Products
France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)
Italy: Ethics Committee
Canada: Health Canada
Spain: Spanish Agency of Medicines
Australia: Department of Health and Ageing Therapeutic Goods Administration

Keywords provided by ApoPharma:
Friedreich's ataxia

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
Deferiprone
Iron Chelating Agents
Chelating Agents
Sequestering Agents
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions

ClinicalTrials.gov processed this record on September 30, 2014