EUCTR2015-005761-23-SE
Active, not recruiting
Phase 1
A Phase I/II study to evaluate the safety and pharmacokinetics of intravenous Trappsol Cyclo (HP-ß-CD) in patients with Niemann-Pick disease type C (NPC-1) and the pharmacodynamic effects of treatment upon markers of cholesterol metabolism and clinical outcomes
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- iemann-Pick disease type C
- Sponsor
- Cyclo Therapeutics, Inc.
- Enrollment
- 11
- Status
- Active, not recruiting
- Last Updated
- 4 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Confirmed diagnosis of NPC\-1 defined as one of the following:
- •a) Two NPC\-1 mutations on genotyping
- •b) One NPC\-1 mutation and positive filipin staining (current or prior)
- •c) Vertical supranuclear gaze palsy \[VSNGP] plus either \= one NPC\-1 mutation or positive filipin staining and no NPC\-2 mutations
- •2\. NIH NPC Severity Score \<30 and with no more than 4 individual domains with a score \= 3\.
- •3\. Age range: 2 years upwards
- •a) Inclusion of the first six patients will be restricted to individuals aged \= 5 years. In the event that three patients aged \>18 (i.e. adults) are recruited before the total recruitment has reached n\=6, no more adults will be randomised to treatment until the first cohort of 6 patients is complete. Once the first six are recruited and randomised, study entry will be open to all ages \=2 years as per the protocol.
- •4\. Negative pregnancy test for females of child bearing potential
- •5\. Written, informed consent
- •Are the trial subjects under 18? yes
Exclusion Criteria
- •1\. The presence of NPC\-2 mutations on genotyping
- •2\. Previous receipt of cyclodextrin therapy
- •3\. Lanksy score \< 50 if aged \=16 or Karnofsky score \< 40 if aged \> 16\.
- •4\. Inability to comply with the proposed protocol assessments
- •5\. Concurrent treatment with any type of cholesterol lowering agents such as statins, fibrates, ezetimibe
- •6\. Concurrent medical conditions representing a contraindication to any of the study medications
- •7\. Stage 3 chronic kidney disease (CKD) or worse as indicated by an eGFR \< 60 mL/min/1\.73 m2\. In patients aged \= 18 years, eGFR is calculated according to the Schwartz equation (ref: Schwartz GJ \& Work DF) and in patients aged \> 18 years eGFR is calculated using the MDRD equation.
- •8\. Clinical evidence of acute liver disease including symptoms of jaundice or right upper quadrant pain or international normalised ratio (INR) \>1\. 8
- •9\. Involvement in another interventional clinical trial within the previous 6 months from screening
- •10\. Weight \>100 kg
Outcomes
Primary Outcomes
Not specified
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