Randomised, double-blind, placebo-controlled, multicentre study to evaluate the efficacy, safety and tolerability of givinostat in non-ambulant patients with Duchenne Muscular Dystrophy
- Conditions
- Duchenne muscular dystrophy (DMD)Therapeutic area: Diseases [C] - Musculoskeletal Diseases [C05]
- Registration Number
- CTIS2023-503521-19-00
- Lead Sponsor
- Italfarmaco S.p.A.
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Male
- Target Recruitment
- 138
Children and adolescent males aged = 9 to <18 years at screening (patients = 18 years of age at screening will not be enrolled into the study), Are able to give informed assent and/or consent in writing signed by the patient and/or parent/legal guardian (according to local regulations), A genetic diagnosis of DMD, Non-ambulant defined as being wheelchair bound and: a. Unable to perform the 10-meter walk/run test (10MWT), or b. Unable to complete the 10MWT in 30 seconds or less, without any support or devices, Performance of the Upper Limb test (PUL version 2.0) entry item scores 3 to 6, If on medication for DMD-associated cardiomyopathy, stable for =1 month immediately prior to start of study treatment, Stable corticosteroids, defined as: a. Receiving systemic corticosteroids for a minimum of 6 months immediately prior to start of study treatment b. No significant change in dose or dosing regimen (except for adjustments due to body weight change) for a minimum of 6 months immediately prior to start of study treatment, Willing to use adequate contraception. Contraceptive methods must be used from randomisation visit through 3 months after the last dose of study drug.
Exposure to another investigational drug within 3 months prior to start of study treatment, Episode of respiratory failure within the 8 weeks prior to screening, Symptomatic cardiomyopathy or heart failure and/or left ventricular ejection fraction <45%, Baseline corrected QT interval using Fredericia’s formula (QTcF) >450 msec (as the mean of 3 consecutive readings 5 minutes apart) or history of additional risk factors for torsades de pointes (eg, heart failure, hypokalaemia, or family history of long QT syndrome), Major surgical procedure (including scoliosis surgery) planned within 1 year of the start of study treatment, Poorly controlled asthma or underlying lung disease such as bronchitis, bronchiectasis, emphysema, recurrent pneumonia that in the opinion of the Investigator might impact respiratory function, Platelets, white blood cells and/or haemoglobin < lower limit of normal (LLN) at screening, Fasting triglycerides >300 mg/dL (3.42 mmol/L) at screening, Current or history of liver disease or impairment, including but not limited to a baseline elevated total bilirubin (ie, >1.5 × upper limit of normal [ULN]), unless secondary to Gilbert disease or pattern consistent with Gilbert disease, Inadequate renal function, as defined by serum Cystatin C result >2 × ULN, Positive test for hepatitis B surface antigen, hepatitis C antibody, or human immunodeficiency virus at screening, Have exposure to any dystrophin restoration product within 6 months prior to the start of study treatment, Hypersensitivity to any component of study medication, Sorbitol intolerance or malabsorption, or the hereditary form of fructose intolerance, Diagnosis of other uncontrolled neurological diseases or presence of relevant uncontrolled somatic disorders that are not related to DMD, based on Investigator judgement, Psychiatric illness or social situations rendering the potential patient unable to understand and comply with the muscle function tests and/or with the study protocol procedures, based on Investigator judgement, Have contraindications to Magnetic Resonance Imaging (MRI) scan (eg, claustrophobia, metal implants, or uncontrolled seizure disorder), based on Investigator’s judgement, Having received any gene therapy prior to start of study treatment, Use of any pharmacologic treatment or supplement, (other than corticosteroids), other than corticosteroids, that might have had an effect on muscle strength or function within 3 months prior to the start of study treatment (eg, growth hormone); vitamin D, calcium and any other supplements will be allowed., Use of testosterone, unless used as a replacement therapy for the treatment of delayed puberty. The testosterone dose and regimen should be stable within 6 months prior to the start of study treatment., Elbow-flexion contractures >30° in the dominant arm, Inability to perform consistent PUL 2.0 measurement within ±2 points without shoulder domain or within ±3 points with shoulder domain during paired testing at screening, Forced Vital Capacity % of predicted <40%, Requirement for daytime ventilator assistance
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method