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An Open-Label, Long-Term Extension Study to Evaluate the Safety and Tolerability Deflazacort

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ClinicalTrials.gov Identifier: NCT02295748
Recruitment Status : Completed
First Posted : November 20, 2014
Last Update Posted : December 8, 2017
Sponsor:
Information provided by (Responsible Party):
PTC Therapeutics

Brief Summary:
This is an open label, long-term extension study in approximately 24 male DMD subjects consisting of children (ages 4-12, inclusive) and adolescents (ages 13-16, inclusive) who participated in the MP-104-CL-005 PK study.

Condition or disease Intervention/treatment Phase
Duchenne Muscular Dystrophy Drug: Deflazacort Phase 1

Detailed Description:

This is an open label, long-term extension study in approximately 24 male DMD subjects consisting of children (ages 4-12, inclusive) and adolescents (ages 13-16, inclusive) who participated in the MP-104-CL-005 PK study.

Subjects may have received up to 8 (+2 days) doses of deflazacort during the MP-104-CL-005 PK study, at which point treatment will be continued at the same dose and frequency until such time that deflazacort becomes commercially available or the study is terminated. Concomitant corticosteroid therapy will be prohibited during the study while the subject is taking deflazacort.

Subjects will be given medication to take at home for once-daily, morning dosing following the 8 hour PK sample on Day 8 (+2 days) of the MP-104-CL-005 PK study. Subjects will begin dosing at home the day following Day 8 (+2 days) of the MP-104-CL-005 PK study.

Safety will be monitored throughout the study by repeated clinical and laboratory evaluations every 3 months for the first year, and then every 3 or 6 months, depending on subjects' disease status.

Subjects will be contacted via telephone between study visits to determine if any adverse events (AE) have occurred since the last study visit. Subjects who terminate the study early will be contacted if the Principal Investigator (PI) deems necessary.

Treatment will be continued for a maximum of three years or until such time that deflazacort becomes commercially available or the study is terminated.


Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 24 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: An Open-Label, Multi-Center, Long-Term Extension Study to Evaluate the Safety and Tolerability of Orally Administrated Deflazacort in Children and Adolescent Subjects With Duchenne Muscular Dystrophy
Actual Study Start Date : December 2014
Actual Primary Completion Date : August 24, 2017
Actual Study Completion Date : August 24, 2017


Arm Intervention/treatment
Experimental: Deflazacort
0.9 mg/kg oral deflazacort (between 2 to 12 x 6mg tablets based on body weight) will be administered daily.
Drug: Deflazacort
Deflazacort, a glucocorticoid with anti-inflammatory and immunosuppressive effects, is used in treating a variety of diseases. Pharmacologically it is an inactive pro-drug which is metabolized rapidly to the active drug 21-desacetyldeflazacort.
Other Name: DFZ




Primary Outcome Measures :
  1. Number, frequency, and severity of adverse events [ Time Frame: 3 years ]
    Long-term safety and tolerability will be characterized by the number, frequency, and severity of adverse events from Day 1 through End of Study or Early Termination.



Information from the National Library of Medicine

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Ages Eligible for Study:   4 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Subject is capable of understanding and complying with protocol requirements.
  • Subject or, when applicable, the subject's legally acceptable representative signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.
  • If above the age of 7, the subject signs and dates a written, informed assent form (IAF) and any required privacy authorization prior to the initiation of any study procedures. Subjects under age 7 at the time of study entry who turn age 7 will sign and date a written informed assent form (IAF) at the visit following their 7th birthday, if required by the site's IRB.
  • Subject participated in and received at least one dose of study medication in the MP-104-CL-005 protocol.
  • The subject must have confirmed diagnosis of Duchenne Muscular Dystrophy defined as:

    1. onset of weakness before 5 years of age;
    2. proximal muscle weakness;
    3. increased serum creatine kinase more than 10 times the upper limit of normal (ULN);
    4. muscle biopsy and dystrophin analyses consistent with DMD or DNA mutation and analysis by PCR or Southern blot techniques to detect gene deletions.
  • The subject weighs at least 13 kg and has a body mass index (BMI) of ≤ 40 kg/m2.
  • Willingness and ability to comply with scheduled visits, oral drug administration, and study procedures including blood sample draws for safety labs.
  • Up to date on all childhood vaccinations, including varicella vaccine (chicken pox).
  • Baseline health is judged to be stable based on medical history, physical examination, laboratory profiles, vital signs, or ECGs at screening, as deemed by the Investigator.
  • Continuous non smoker who has not used nicotine containing products for at least 3 months prior to the first dose.
  • The subject is able to take tablets.

Exclusion Criteria:

  • The subject has received any investigational compound and/or has participated in another clinical study within 90 days prior to study treatment with the exception of MP-104-CL-005, observational cohort studies or non-interventional studies.
  • The subject is an immediate family member, study site employee, or is in a dependent relationship with a study site employee who is involved in the conduct of this study (e.g. spouse, parent, child, sibling) or may consent under duress.
  • Any significant finding on the Columbia suicide severity rating scale (C SSRS) for subjects (ages 12-16, inclusive), in the opinion of the PI, warrants exclusion from this study.
  • The subject has, in the judgment of the, clinically significant abnormal clinical chemistry laboratory parameters that may affect safety at Day 0.
  • The subject has, in the judgment of the Investigator, a history or current medical condition that could affect safety including, but not limited to:

    1. Major renal or hepatic impairment
    2. Immunosuppression or other contraindications for corticosteroid treatment
    3. History of chronic systemic fungal or viral infections
    4. Diabetes mellitus
    5. Idiopathic hypocalciuria
    6. Symptomatic cardiomyopathy at Day 0
  • The subject has a history of hypersensitivity or allergic reaction to steroids or their formulations including, but not limited to lactose, sucrose, etc.
  • Inability to take tablets as assessed by site investigator.
  • Subject is mentally or legally incapacitated or has significant emotional problems at the time of screening visit or expected during the conduct of the study.
  • History of any illness that, in the opinion of the PI, might confound the results of the study or poses an additional risk to the subject by their participation in the study.
  • Positive urine drug or alcohol results at Day 0.
  • Hemoglobin level below the lower limit of normal at Day 0.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02295748


Locations
United States, California
UCLA
Los Angeles, California, United States, 90095
United States, Illinois
Lurie Children's Hospital
Chicago, Illinois, United States, 60611
United States, New York
University of Rochester
Rochester, New York, United States, 14642
United States, Utah
University of Utah
Salt Lake City, Utah, United States, 84112
Sponsors and Collaborators
PTC Therapeutics
Investigators
Study Director: Marathon Bioscience Center Marathon Pharmaceuticals

Responsible Party: PTC Therapeutics
ClinicalTrials.gov Identifier: NCT02295748     History of Changes
Other Study ID Numbers: MP-104-CL-022OLE
First Posted: November 20, 2014    Key Record Dates
Last Update Posted: December 8, 2017
Last Verified: January 2017

Additional relevant MeSH terms:
Deflazacort
Muscular Dystrophies
Muscular Dystrophy, Duchenne
Muscular Disorders, Atrophic
Muscular Diseases
Musculoskeletal Diseases
Neuromuscular Diseases
Nervous System Diseases
Genetic Diseases, Inborn
Genetic Diseases, X-Linked
Anti-Inflammatory Agents
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs