A Study Investigating the Safety and Tolerability of Deferiprone in Patients With Friedreich's Ataxia
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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:
- 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),
- quality of life using quality-of-life surveys, and
- 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 |
- 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 ]
- 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 |
Inclusion Criteria:
- Diagnosis of FRDA, with confirmed mutation (excludes point mutation) in the frataxin (FXN) gene and GAA repeats ≥ 400 on the shorter allele.
- Males or females aged 7 to 35 years.
- 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.
- Neurological testing: A FARS score >20 and <85 at Screening and Baseline.
- Female subjects of childbearing potential must have a negative pregnancy test at Baseline.
- 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.
- 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:
- Iron deficiency defined as ferritin levels below the reference range for age- and sex-matched controls
- 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).
- Abnormal ALT, greater than 2.0 times the upper limit of normal on two consecutive assessments.
- Serum creatinine outside the normal reference range.
- 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.
- Refusal to participate in screening procedures or unable to participate in screening procedures or unable to comply with the requirements of the protocol.
- Receiving any investigational drug products or having received any investigational product within 30 days prior to enrollment into this study.
- Subjects who have previously taken deferiprone.
- 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.
- Pregnant, breastfeeding or planning to become pregnant during the study period.
- History of malignancy.
- History of alcohol or drug abuse.
- 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.
- Hypersensitivity to the active substance (deferiprone) or any of the excipients in the oral solution.
- QT interval > 450 msec at Baseline.
Contacts and 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 | |
| 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 Molecular Mechanisms of Pharmacological Action Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 18, 2013