Trial record 1 of 3 for:
"Pantothenate kinase-associated neurodegeneration"
A Two-arm Efficacy and Safety Study of Deferiprone in Patients With Pantothenate Kinase-associated Neurodegeneration (PKAN)
This study is currently recruiting participants.
Verified February 2013 by ApoPharma
Sponsor:
ApoPharma
Information provided by (Responsible Party):
ApoPharma
ClinicalTrials.gov Identifier:
NCT01741532
First received: December 3, 2012
Last updated: April 10, 2013
Last verified: February 2013
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Purpose
A multi-center, placebo controlled, double-blind trial comparing the efficacy and safety of 18 months of treatment with deferiprone versus placebo in patients with PKAN.
Dr. Elliott Vichinsky is receiving funding from FDA OOPD to conduct this study.
The investigators are receiving funding from the European Union Commission to conduct this study.
| Condition | Intervention | Phase |
|---|---|---|
|
Pantothenate Kinase-Associated Neurodegeneration |
Drug: Deferiprone oral solution Drug: Placebo oral solution |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Randomized, Double-blind, Placebo-controlled Trial of Deferiprone in Patients With Pantothenate Kinase-associated Neurodegeneration (PKAN) |
Resource links provided by NLM:
Further study details as provided by ApoPharma:
Primary Outcome Measures:
- Change in severity of dystonia (using BAD scale) in patients with PKAN treated with deferiprone in comparison to placebo. [ Time Frame: Baseline to 18 Months ] [ Designated as safety issue: No ]The Barry-Albright Dystonia Scale (BAD) will be completed at baseline, months 6, 12 and 18 visits and will be assessed by central raters.
- Change in patient's global impression of condition's improvement (using PGI-I) in patients with PKAN treated with deferiprone in comparison to placebo. [ Time Frame: Baseline to 18 months ] [ Designated as safety issue: No ]Patient Global Impression of Improvement (PGI-I) will be completed at months 6, 12 and 18 visits.
Secondary Outcome Measures:
- Change in globus pallidus iron levels (using MRI T2*) in patients with PKAN treated with deferiprone in comparison to placebo. [ Time Frame: Baseline to 18 months ] [ Designated as safety issue: No ]MRI T2* assessments will be completed at the baseline and month 18 visits.
- Change in motor symptoms (using UPDRS) in patients with PKAN treated with deferiprone in comparison to placebo. [ Time Frame: Baseline to 18 months ] [ Designated as safety issue: No ]Unified Parkinson's Disease Rating Scale (UPDRS) will be completed at the baseline, months 6, 12, and 18 visits.
- Change in quality of life (PedsQL) in patients with PKAN treated with deferiprone in comparison to placebo. [ Time Frame: Baseline to 18 months ] [ Designated as safety issue: No ]Pediatric Quality of Life Inventory (PedsQL) will be completed at the baseline, months 6, 12 and 18 visits.
- Change in patient's quality of sleep (using PSQI) in patients with PKAN treated with deferiprone in comparison to placebo. [ Time Frame: Baseline to 18 months ] [ Designated as safety issue: No ]Pittsburgh Sleep Quality Index (PSQI) will be completed at the baseline, months 6, 12 and 18 visits.
- Change in the measure of functional independence (using WeeFIM or FIM) in patients with PKAN treated with deferiprone in comparison to placebo. [ Time Frame: Baseline to 18 months ] [ Designated as safety issue: No ]WeeFIM or FIM will be completed at the baseline, months 6, 12 and 18 visits.
- Safety and tolerability of deferiprone in patients with PKAN. [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]Safety and tolerability will be assessed based on changes in: frequency of adverse events (AEs), frequency of serious adverse events (SAEs), discontinuation due to AEs, clinical laboratory tests (including hematology and biochemistry)and ECG from baseline to month 18.
- Steady state pharmacokinetics (PK) of deferiprone and its 3-O-glucuronide metabolite. [ Time Frame: 12 hours at month 6 visit ] [ Designated as safety issue: No ]Pharmacokinetics steady state standard parameters will be assessed in a subset of up to 24 patients over a 12 hour dosing interval using individual serum concentration-time profiles of deferiprone and its 3-O-glucuronide metabolite.
| Estimated Enrollment: | 90 |
| Study Start Date: | December 2012 |
| Estimated Study Completion Date: | August 2015 |
| Estimated Primary Completion Date: | May 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Deferiprone
Deferiprone 80 mg/mL oral solution will be administered twice daily for 18 months. An initial dose 5 mg/kg/day will be administered for 6 weeks. Dose will then be escalated to 10mg/kg BID and finally to 15 mg/kg BID.
|
Drug: Deferiprone oral solution
Deferiprone oral solution will be given twice daily for 18 months. Dose will be escalated every 6 weeks starting at 5mg/kg, and increasing to 10mg/kg and finally 15 mg/kg.
Other Names:
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Placebo Comparator: Deferiprone matching placebo
A deferiprone matching placebo oral solution will be given twice daily for 18 months.
|
Drug: Placebo oral solution
Placebo oral solution will be given twice daily for 18 months. Dose will be escalated every 6 weeks starting at 5mg/kg, and increasing to 10mg/kg and finally 15 mg/kg.
|
Eligibility| Ages Eligible for Study: | 4 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Main Inclusion Criteria:
- Males or females 4 years of age and older at screening visit;
- Have PKAN, confirmed by genetic testing (supporting evidence required);
- BAD total score ≥ 3 at the screening visit;
- Patients who have Deep Brain Stimulation (DBS) systems or baclofen pumps in place will be eligible for the study, but they must have had a stable setting for at least two months prior to the screening visit and stimulation parameters / pump settings must remain stable for the duration of the trial:
Main Exclusion Criteria:
- Evidence of iron deficiency defined by Fe:TIBC ratio <15%, or serum ferritin <12 ng/mL;
- Treatment with deferiprone in the past 12 months;
- Previous failure of treatment with deferiprone, or previous discontinuation of treatment with deferiprone due to adverse events;
- Conditions known to contraindicate the use of deferiprone (history of agranulocytosis or recurrent episodes of neutropenia);
- A serious, unstable chronic illness not related to PKAN condition during the past 3 months before screening visit including but not limited to: hepatic, renal, gastro-enterologic, respiratory, cardiovascular, endocrinologic, neurologic or immunologic disease;
- Evidence of abnormal liver or renal function (serum liver enzyme level(s) > 3 times upper limit of normal at screening) or abnormal creatinine levels at screening visit;
- Disorders associated with neutropenia (ANC < 1.5 x 10E9/L) or thrombocytopenia (platelet count < 50 x 10E9/L) in the 12 months preceding the initiation of the study medication. Exception: for patients whose neutropenia was attributed by the treating physician to episodes of infection or to drugs associated with a decline in the neutrophil count and in whom the ANC has fully recovered at the screening visit;
- History of malignancy;
Other protocol inclusion or exclusion criteria may apply.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01741532
Locations
| United States, California | |
| Children's Hospital & Research Center at Oakland | Recruiting |
| Oakland, California, United States, 94609 | |
| Contact: Elliott Vichinsky, MD 510-428-3651 EVichinsky@mail.cho.org | |
| Principal Investigator: Elliott Vichinsky, MD | |
| Germany | |
| Klinikum der Universität München | Recruiting |
| Munich, Germany, 80336 | |
| Contact: Thomas Klopstock, MD 49-89-5160-7474 thomas.klopstock@med.uni-muenchen.de | |
| Principal Investigator: Thomas Klopstock, MD | |
| Italy | |
| Foundation Neurological Institute C. Besta | Not yet recruiting |
| Milan, Italy, 20133 | |
| Contact: Nardo Nardocci, MD 39-02-23-941 nnardocci@istituto-besta.it | |
| Principal Investigator: Nardo Nardocci, MD | |
| Poland | |
| Children's Memorial Health Institute | Not yet recruiting |
| Warsaw, Poland, 04-730 | |
| Contact: Tomasz Kmiec, MD 48-22-815-7404 t.kmiec@czd.pl | |
| Principal Investigator: Tomasz Kmiec, MD | |
| United Kingdom | |
| Newcastle University Institute of Human Genetics | Not yet recruiting |
| Newcastle Upon Tyne, United Kingdom, NE1 3BZ | |
| Contact: Patrick Chinnery, MD 44 (0) 191 241 8611 patrick.chinnery@ncl.ac.uk | |
| Principal Investigator: Patrick Chinnery, MD | |
Sponsors and Collaborators
ApoPharma
Investigators
| Study Chair: | Fernando Tricta, MD | ApoPharma Inc. |
| Principal Investigator: | Thomas Klopstock, MD | Friedrich-Baur-Institute, Department of Neurology, University of Munich Ziemssenstr |
| Principal Investigator: | Elliott Vichinsky, MD | Children's Hospital & Research Center at Oakland Haematology/ Oncology, Peadiatric Rehabilitation |
More Information
No publications provided
| Responsible Party: | ApoPharma |
| ClinicalTrials.gov Identifier: | NCT01741532 History of Changes |
| Other Study ID Numbers: | TIRCON2012V1, 1R01FD004103-01 |
| Study First Received: | December 3, 2012 |
| Last Updated: | April 10, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by ApoPharma:
|
Pantothenate Kinase-associated Neurodegeneration PKAN NBIA Deferiprone Ferriprox |
Additional relevant MeSH terms:
|
Pantothenate Kinase-Associated Neurodegeneration Nerve Degeneration Basal Ganglia Diseases Brain Diseases Central Nervous System Diseases Nervous System Diseases Neuroaxonal Dystrophies Movement Disorders Heredodegenerative Disorders, Nervous System Neurodegenerative Diseases Genetic Diseases, Inborn |
Pathologic Processes Deferiprone Vitamin B Complex Iron Chelating Agents Chelating Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Vitamins Micronutrients Growth Substances Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 19, 2013