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Open-Label, Safety and Tolerability Extension Study of KNS-760704 in Amyotrophic Lateral Sclerosis (ALS) (CL211)

Phase 2
Completed
Conditions
Amyotrophic Lateral Sclerosis
Interventions
Registration Number
NCT00931944
Lead Sponsor
Knopp Biosciences
Brief Summary

This is an open-label, multi-center study designed to extend the evaluation of the safety, tolerability, and clinical effects of oral administration of KNS-760704 in patients with ALS.

Detailed Description

Patients who complete the Part 2 Week 28 visit in study KNS-760704-CL201 and patients with ALS who were actively receiving RTPB \[(6R)-4,5,6,7-tetrahydro-N6-propyl-2,6-benzothiazolediamine dihydro-chloride monohydrate\] under Research IND #60,948 were eligible to participate in this study.

Eligible patients received 1 tablet of KNS-760704 (150 mg) every 12 hours (Q12H) (300 mg total daily dose) for up to 180 weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
74
Inclusion Criteria
  1. Patient has provided signed informed consent for this trial before the commencement of any study-related procedure
  2. Patient is actively participating in Knopp Protocol KNS-760704-CL201 and has completed the Part 2 Week 28 visit in that study or patient is actively receiving RTPB under Research IND #60,948
Exclusion Criteria
  1. Patient did not participate in Knopp Protocol KNS-760704-CL201 or patient did not receive RTPB under Research IND #60,948.
  2. Patient discontinued from KNS-760704-CL201 for any reason other than enrollment into this study (applies to patients enrolled in KNS-760704-CL201 only)
  3. Patient was not taking RTPB under Research IND #60,948 prior to April 30, 2009 (applies to patients enrolled under Research IND #60,948 only)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
KNS-760704 300 mg/dayKNS-760704Open-label KNS-760704 (150 mg Q12H)
Primary Outcome Measures
NameTimeMethod
Number of Participants With Potentially Clinically Significant Hematology Results180 weeks

Number of Participants with Potentially Clinically Significant Hematology Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.

Number of Participants With Potentially Clinically Significant Liver Enzyme Abnormalities180 weeks

Number of participants with potentially clinically significant liver enzyme abnormalities for the safety population are presented. Percentages are based on the number of patients with at least one non-missing, post-baseline value for each parameter.

Number of Participants With Potentially Clinically ECG Abnormalities180 weeks

Number of participants with potentially clinically significant ECG abnormalities for the safety population are presented. Percentages are based on the number of patients in the safety population who had at least one non-missing, post-baseline value.

Number of Participants With Potentially Clinically Significant Vital Sign Abnormalities180 weeks

Number of participants with potentially clinically significant vital sign abnormalities for the safety population are presented. Percentages are based on the number of patients with at least one non-missing, post-baseline value for each parameter.

Secondary Outcome Measures
NameTimeMethod
Change in ALSFRS-R (ALS Functional Rating Scale With Respiratory Component) Total Score From Baseline to Week 1212 weeks

The ALSFRS-R (ALS functional rating scale with respiratory component) is a validated scale which measures 4 functional domains, comprising respiratory function, bulbar function, gross motor skills, and fine motor skills. There are a total of 12 questions, each scored from 0 to 4 for a total possible score of 48. Therefore, the score ranges from 0 to 48 with higher scores representing better function.

Change in ALSFRS-R (ALS Functional Rating Scale With Respiratory Component) Total Score From Baseline to Week 2424 weeks

The ALSFRS-R (ALS functional rating scale with respiratory component) is a validated scale which measures 4 functional domains, comprising respiratory function, bulbar function, gross motor skills, and fine motor skills. There are a total of 12 questions, each scored from 0 to 4 for a total possible score of 48. Therefore, the score ranges from 0 to 48 with higher scores representing better function.

Change in ALSFRS-R (ALS Functional Rating Scale With Respiratory Component) Total Score From Baseline to Week 4848 weeks

The ALSFRS-R (ALS functional rating scale with respiratory component) is a validated scale which measures 4 functional domains, comprising respiratory function, bulbar function, gross motor skills, and fine motor skills. There are a total of 12 questions, each scored from 0 to 4 for a total possible score of 48. Therefore, the score ranges from 0 to 48 with higher scores representing better function.

Change in Upright Vital Capacity From Baseline to Week 1212 weeks

Change in Percent Predicted Upright Vital Capacity from Baseline to Week 12. A negative change indicates clinical worsening.

Change in Upright Vital Capacity From Baseline to Week 2424 weeks

Change in Percent Predicted Upright Vital Capacity from Baseline to Week 24. A negative change indicates clinical worsening.

Change in Upright Vital Capacity From Baseline to Week 4848 weeks

Change in Percent Predicted Upright Vital Capacity from Baseline to Week 48. A negative change indicates clinical worsening.

Change in McGill Single-Item Scale (SIS) From Baseline to Week 1212 weeks

The McGill SIS consists of a single question designed to assess the improvement of or the rate of deterioration of the subject's quality-of-life. Subjects rated their quality of life over the prior 2 days on a scale of 0 (very bad) to 10 (excellent). Decreases from Baseline indicate deterioration of a subject's quality of life.

Change in McGill Single-Item Scale (SIS) From Baseline to Week 2424 weeks

The McGill SIS consists of a single question designed to assess the improvement of or the rate of deterioration of the subject's quality-of-life. Subjects rated their quality of life over the prior 2 days on a scale of 0 (very bad) to 10 (excellent). Decreases from Baseline indicate deterioration of a subject's quality of life.

Change in McGill Single-Item Scale (SIS) From Baseline to Week 4848 weeks

The McGill SIS consists of a single question designed to assess the improvement of or the rate of deterioration of the subject's quality-of-life. Subjects rated their quality of life over the prior 2 days on a scale of 0 (very bad) to 10 (excellent). Decreases from Baseline indicate deterioration of a subject's quality of life.

Number of Subjects With Feeding Tube Placed During the Study.144 weeks

Number of participants who had a feeding tube placed during the study.

Trial Locations

Locations (19)

SUNY Upstate Medical University

🇺🇸

Syracuse, New York, United States

Penn State Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Columbia University, Lou Gehrig MDA/ALS Research Center

🇺🇸

New York, New York, United States

Johns Hopkins University School of Medicine

🇺🇸

Baltimore, Maryland, United States

Massachusettes General Hospital

🇺🇸

Boston, Massachusetts, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

The Forbes Norris MDA/ALS Research Center

🇺🇸

San Francisco, California, United States

University of Miami Miller School of Medicine

🇺🇸

Miami, Florida, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

University of Texas Health Sciences Center of San Antonio

🇺🇸

San Antonio, Texas, United States

University of Utah

🇺🇸

Salt Lake City, Utah, United States

UCLA, Dept. of Neurology - Neuromuscular/ALS Research Center

🇺🇸

Los Angeles, California, United States

University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

Bryan LGH Medical Center East

🇺🇸

Lincoln, Nebraska, United States

University of Pittsburgh School of Medicine

🇺🇸

Pittsburgh, Pennsylvania, United States

Drexel University College Of Medicine

🇺🇸

Philadelphia, Pennsylvania, United States

University of Washington

🇺🇸

Seattle, Washington, United States

University of Virginia Health System

🇺🇸

Charlottesville, Virginia, United States

University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

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