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临床试验/NCT05819866
NCT05819866进行中(未招募)3 期

A Clinical Study to Assess the Efficacy and Safety of Leriglitazone in Adult Male Subjects With Cerebral Adrenoleukodystrophy

Minoryx Therapeutics, S.L.21 个研究点 分布在 8 个国家目标入组 40 人开始时间: 2023年7月12日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
进行中(未招募)
发起方
入组人数
40
试验地点
21
主要终点
The primary endpoint will be the time to death or the subject becoming bedridden with a requirement for permanent ventilatory support, wichever comes earlier, in subjects treated with leriglitazone compared to placebo.

研究概览

简要总结

A Clinical Study to Assess the Efficacy and Safety of Leriglitazone in Adults Male Subjects with Cerebral Adrenoleukodystrophy.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Triple (Participant, Care Provider, Investigator)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Male
接受健康志愿者
否

入选标准

  • •Subject is male and aged ≥18 years.
  • •Subject has progressive cALD, defined as GdE+ brain lesions.
  • •Subjects for whom HSCT is not recommended by the investigator or subject is not willing to undergo HSCT.
  • •Subject has a Loes score ≥0.5 and ≤12 at Screening.
  • •Subject does not have major functional disability in the Major Functional Disabilities-Neurological Function Score (MFD-NFS), except for "wheelchair bound" or "total incontinence", which will be allowed as these are considered expected symptoms of AMN in the time course of the disease
  • •Subject does not have major cognitive impairment which would impair his ability to take part in the study as determined by the investigator at screening.

排除标准

  • •Subject who had previous bone marrow transplantation (HSCT) or treatment with ex-vivo gene therapy (eli-Cel).
  • •Subject has known type 1 or type 2 diabetes.
  • •Subject has known hypersensitivity or intolerance to pioglitazone or any other thiazolidinedione.
  • •Subject is taking or has taken honokiol, pioglitazone, or other thiazolidinediones within 3 months prior to Screening.
  • •Subject with current participation in another interventional clinical study or within 1 month prior to Screening.
  • •Subject with other medical, neuropsychiatric or social conditions that, in the opinion of the investigator, are likely to adversely affect the risk-benefit of study participation, interfere with study compliance, or confound the study results.

研究组 & 干预措施

Placebo

Placebo Comparator

Placebo

干预措施: Placebo (Drug)

Leriglitazone

Active Comparator

Leriglitazone Treatment

干预措施: Leriglitazone (Drug)

结局指标

主要结局

The primary endpoint will be the time to death or the subject becoming bedridden with a requirement for permanent ventilatory support, wichever comes earlier, in subjects treated with leriglitazone compared to placebo.

时间窗: Interim analysis 1 (at 18 months of treatment)

The primary endpoint will be the time to death or the subject becoming bedridden with a requirement for permanent ventilatory support, wichever comes earlier, in subjects treated with leriglitazone compared to placebo.

The primary endpoint will be the time to death or the subject becoming bedridden with a requirement for permanent ventilatory support, wichever comes earlier, in subjects treated with leriglitazone compared to placebo.

时间窗: Interim analysis 2 (at 27 months of treatment)

The primary endpoint will be the time to death or the subject becoming bedridden with a requirement for permanent ventilatory support, wichever comes earlier, in subjects treated with leriglitazone compared to placebo.

The primary endpoint will be the time to death or the subject becoming bedridden with a requirement for permanent ventilatory support, wichever comes earlier, in subjects treated with leriglitazone compared to placebo.

时间窗: Final analysis (at 36 months of treatment)

The primary endpoint will be the time to death or the subject becoming bedridden with a requirement for permanent ventilatory support, wichever comes earlier, in subjects treated with leriglitazone compared to placebo.

次要结局

  • Change from Baseline in Loes Score(Interim analysis 2 (at 27 months of treatment))
  • Change from Baseline in Loes Score(Final analysis (at 36 months of treatment))
  • Change from Baseline in Loes Score.(Interim analysis 1 (at 18 months of treatment))

研究者

发起方
Minoryx Therapeutics, S.L.
申办方类型
Industry
责任方
Sponsor

研究点 (21)

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相关资讯

European Commission Approves NEZGLYAL (leriglitazone), First Pharmacological Treatment for Cerebral Adrenoleukodystrophy- The European Commission granted marketing authorisation under exceptional circumstances for NEZGLYAL (leriglitazone) on 21 September 2026, making it the first approved pharmacological treatment for cALD in the EU. - The oral, brain-penetrant selective PPAR gamma agonist is indicated for male cALD patients aged 2 to 12 years with Gd-negative brain lesions and a Neurological Functional Score of 0 or 1. - Approval rests on the Phase 2/3 NEXUS study plus real-world compassionate use evidence, with NEXUS showing paediatric patients clinically and radiologically stable beyond 96 weeks of treatment. - Neuraxpharm expects a first European launch in Germany by the end of the year, while Minoryx continues the CALYX Phase 3 and TREE Phase 2a trials in adult cALD and Rett syndrome.yesterdayCHMP Recommends Minoryx's NEZGLYAL as First Pharmacological Treatment for Pediatric Cerebral Adrenoleukodystrophy- The EMA's CHMP has recommended marketing authorization under exceptional circumstances for NEZGLYAL (leriglitazone) in boys aged 2–12 with early-stage, non-gadolinium-enhancing cALD brain lesions. - The positive opinion follows a previous 2024 rejection and is supported by the Phase 2/3 NEXUS study, where 35% of evaluable patients showed arrested disease over 96 weeks. - Six of nine boys with non-gadolinium-enhancing lesions stabilized, compared to only one of eleven with gadolinium-enhancing lesions, leading to a narrowly defined indication. - European Commission final approval is expected by end of September 2026, with Neuraxpharm holding European commercialization rights under a license agreement with Minoryx.2 months ago
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