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Clinical Trials/NCT06413537
NCT06413537
Completed
Phase 2

A Phase 2a, Randomized, Double-Blinded, Study Evaluating the Neurophysiologic vs Clinical Effects of Single-Dose SPG601 and Placebo in Adult Men With Fragile X Syndrome

Spinogenix1 site in 1 country10 target enrollmentJuly 5, 2024

Overview

Phase
Phase 2
Intervention
SPG601
Conditions
Fragile X Syndrome
Sponsor
Spinogenix
Enrollment
10
Locations
1
Primary Endpoint
Change in auditory response to chirp stimulus
Status
Completed
Last Updated
last year

Overview

Brief Summary

This Phase 2 study described herein will evaluate the safety, efficacy, tolerability, pharmacokinetics and pharmacodynamics of SPG601 in adult men with Fragile X syndrome.

Detailed Description

This study is a Phase 2 randomized, double blind, placebo-controlled, cross over, single dose of SPG601 and matching Placebo in patients with Fragile X syndrome. This study will entail 2 in person clinic visits to administer oral doses of SPG601 or matching placebo. Participants will receive a dose of either SPG601 or placebo at first visit, and will cross over to receive the other product at the second visit.

Registry
clinicaltrials.gov
Start Date
July 5, 2024
End Date
December 31, 2024
Last Updated
last year
Study Type
Interventional
Study Design
Crossover
Sex
Male

Investigators

Sponsor
Spinogenix
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Adult males aged 18 to 45 years
  • Diagnosis of Fragile X as confirmed with genetic testing
  • Patient must have caregiver
  • Must be in good health with no significant medical history
  • Clinical laboratory values within normal range or \< 1.2 times ULN
  • Contraceptive use by men or women consistent with local regulations
  • Able and willing to provide written informed consent
  • Stable dosing of psychotropic drugs for at least 4 weeks

Exclusion Criteria

  • Any physical or psychological condition that prohibits study completion
  • Uncontrolled seizures or history of epilepsy with a seizure in the past 6 months.
  • Auditory or visual impairments that can not be corrected
  • History of suicidal behavior or suicidal ideation
  • Screening vital signs that are abnormal per protocol specification
  • ECG that are clinically significant abnormal
  • History of substance abuse or dependence within 6 months
  • Other investigational products within 30 days

Arms & Interventions

Experimental: Active SPG601 to be administered to participants with Fragile X Syndrome

Participants with Fragile X Syndrome will be randomized to receive SPG601 or placebo (8 capsules of 100 mg) one time on days 1 and 8 of the study.

Intervention: SPG601

Placebo Comparator: Placebo comparator to be administered to participants with Fragile X Syndrome

Participants with Fragile X Syndrome will be randomized to receive SPG601 or placebo (8 capsules of 100 mg) one time on days 1 and 8 of the study.

Intervention: Placebo

Outcomes

Primary Outcomes

Change in auditory response to chirp stimulus

Time Frame: 15 days

Auditory test will be evaluated for difference in responses to stimuli.

Clinical Global Impressions Improvement scale as determined by the treating clinician

Time Frame: 15 days

Change in clinician rated measures on scale of 1 to 7, higher value indicates more severe symptom presentation

Clinical Global Impressions Improvement scale as determined by the caregiver

Time Frame: 15 days

Change in caregiver rated measures on scale of 1 to 7, higher value indicates more severe symptom presentation

Visual Analog scale as determined by the patient caregiver

Time Frame: 15 days

Change in notation on Visual Analog scale as determined by the patient caregiver. Rater will indicate on linear measurement scale of 1 to 100 centimeters, with higher score indicating more severe symptoms

Secondary Outcomes

  • Change in memory and cognitive assessment with RBANS list learning.(15 days)
  • Change in attention and inhibition symptoms(15 days)
  • Change in cognitive outcomes measured by NIH Cognitive Toolbox(15 days)
  • Change in eye tracking for social gaze(15 days)
  • Change in auditory response to steady state auditory stimuli(15 days)
  • Change in eye tracking measured by electroretinography(15 days)
  • Safety and tolerability of SPG601 in patients with Fragile X Syndrome(15 days)

Study Sites (1)

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