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A Study of RG1662 in Adults and Adolescents With Down Syndrome (CLEMATIS)

Phase 2
Completed
Conditions
Down Syndrome
Interventions
Drug: Placebo
Drug: RG1662
Registration Number
NCT02024789
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This multi-center, randomized, double-blind, 3-arm, parallel-group, placebo-controlled study will evaluate the efficacy and safety of RG1662 in adults and adolescents with Down syndrome. Subjects will be randomized to receive RG1662 either at low or high dose or placebo orally twice daily for 26 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
173
Inclusion Criteria
  • Individuals aged 12-30 years of age inclusive
  • Clinical diagnosis of Down syndrome (trisomy 21) confirmed by chromosomal analysis (karyotyping)
  • Males, or non-pregnant, non-lactating females. For females of childbearing potential, strict contraceptive prevention is required.
  • Body-mass Index (BMI) 18-42 and 15-30 kg/m2 inclusive for adults and adolescents respectively
  • Ability to complete the Clinical Evaluation of Language Fundamentals (CELF)-preschool 2 word classes task
  • Subjects must have a parent, or other reliable caregiver who agrees to accompany the subject to all clinic visits, provide information about the subject as required by the protocol, and ensure compliance with the medication schedule
  • Study participants must have sufficient language, vision and hearing to participate in study evaluations, as judged clinically by investigator
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Exclusion Criteria
  • Subjects with a current DSM 5 diagnosis of any primary psychiatric diagnosis (including ASD or MDD)
  • Subjects with a history of infantile spasms, of West syndrome, Lennox-Gastaut syndrome, Early Infantile Epileptic Encephalopathy or any treatment-refractory epilepsy associated with cognitive or developmental regression, of severe head trauma or CNS infections (e.g. meningitis)
  • Subjects with a known or suspected clinical seizure event of any type within 24 months prior to screening
  • Clinically relevant ECG abnormalities at screening or baseline; QTcF above 450 ms; personal or family history (first degree relatives) of congenital long QT syndrome
  • Inadequate renal or hepatic function
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo-
RG1662 120 mg bidRG1662-
RG1662 240 mg bidRG1662-
Primary Outcome Measures
NameTimeMethod
Cognition as assessed by the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) sub-tests26 weeks
Adaptive behavior as assessed by the Vineland Adaptive Behavior Scales-II (VABS-II) standard scores26 weeks
Clinical global impression as assessed by Clinician Rated Global Improvement (CGI-I) scale26 weeks
Secondary Outcome Measures
NameTimeMethod
Abnormal ECG changes in adolescents as compared to baselinefrom baseline to Week 26
Safety: Incidence of adverse eventsapproximately 32 weeks
RG1662 plasma concentrations26 weeks
Incidence of abnormal blood pressure26 weeks
Incidence of abnormal ECG changes26 weeks

Trial Locations

Locations (37)

Policlinico Universitario "Agostino Gemelli";Dip. Tutela Salute Donna Bambino Adolescente

🇮🇹

Roma, Lazio, Italy

Clínica Para la Atención del Neurodesarrollo

🇲🇽

Aguascalientes, Mexico

Hospital Universitario Dr. Jose Eleuterio Gonzalez; Pediatria

🇲🇽

Monterrey, Mexico

KK Women's and Children's Hospital; Department of Neonatology

🇸🇬

Singapore, Singapore

Hospital Médica Tec 100

🇲🇽

Queretaro, Mexico

Instituto Neurologia Bs As

🇦🇷

Ciudad Autonoma de Bs As, Argentina

University of California DAVIS Medical Center; M.I.N.D. Institute, Section of Developmental Behavior

🇺🇸

Sacramento, California, United States

CHU de Saint Etienne; Service de Génétique

🇫🇷

St Etienne, France

Groupement Hospitalier Est-Hopital Femme Mere enfant/Hospice civils de lyon

🇫🇷

Bron, France

Hospital Universitario de la Princesa; Medicina Interna

🇪🇸

Madrid, Spain

Auckland Clinical Studies

🇳🇿

Auckland, New Zealand

University of Otago; Psychological Medicine Department

🇳🇿

Dunedin, New Zealand

Fundación Síndrome de Down; Fundación Síndrome de Down

🇪🇸

Madrid, Spain

UVaMID Hospital Santa Caterina;; Servicio de Neurología

🇪🇸

Salt, Girona, Spain

Hospital Infantil Universitario Niño Jesus; Pediatria Social

🇪🇸

Madrid, Spain

FLENI

🇦🇷

Caba, Argentina

University of Wisconsin Madison, Waisman Center

🇺🇸

Madison, Wisconsin, United States

Ospedale Pediatrico Bambino Gesù

🇮🇹

Roma, Lazio, Italy

IMIM, Human Pharmacology and Clinical Neurosciences,

🇪🇸

Barcelona, Spain

Ospedale Microcitemico; Clinica Pediatrica

🇮🇹

Cagliari, Sardegna, Italy

Cornwall Partnership NHS Foundation Trust

🇬🇧

Redruth, United Kingdom

Mental Health of Learning Disability, Kent & Medway NHS and Social Care Partnership Trust

🇬🇧

Dartford, Kent, United Kingdom

Complejo Hospitalario Universitario de Santiago (CHUS); Area Asistencial Integrada de Pediatría

🇪🇸

Santiago de Compostela, La Coruña, Spain

Blackpool Teaching Hospitals NHS Foundation Trust; Child Development and Family Support Centre

🇬🇧

Blackpool, United Kingdom

Doncaster and Bassetlaw Hospitals NHS Foundation Trust; Doncaster Royal Infirmary

🇬🇧

Doncaster, United Kingdom

Wellington Hospital Research Office

🇳🇿

Wellington, New Zealand

Emory University School of Medicine; Department of Human Genetics & Pediatrics

🇺🇸

Decatur, Georgia, United States

University of Utah School of Medicine; Department of Pediatrics

🇺🇸

Salt Lake City, Utah, United States

Johns Hopkins Hospital.

🇺🇸

Baltimore, Maryland, United States

Massachusette General Hospital; Medical Genetics

🇺🇸

Boston, Massachusetts, United States

Duke Clin Rsch Institute

🇺🇸

Durham, North Carolina, United States

Univ of CA San Diego; Neurosciences Comp.Alzheimer's

🇺🇸

La Jolla, California, United States

CHU de Montpellier Hopital Arnaud de Villeneuve; de Génétique

🇫🇷

Montpellier, France

Hospital Dr. Angel Leaño; Pediatria

🇲🇽

Guadalajara, Jalisco, Mexico

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

True North Clinical Research Kentville

🇨🇦

Kentville, Nova Scotia, Canada

Institut Jérôme Lejeune; Neuropsychology

🇫🇷

Paris, France

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