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Phase 2 Study of EPI-743 for Treatment of Rett Syndrome

Phase 2
Completed
Conditions
Rett Syndrome
Interventions
Drug: Placebo
Registration Number
NCT01822249
Lead Sponsor
Edison Pharmaceuticals Inc
Brief Summary

Rett syndrome is a severe neurodevelopmental disorder that primarily affects female children. Rett syndrome is characterized by significant elevation in blood markers of oxidative stress. EPI-743 is a novel therapeutic with demonstrated efficacy and safety in the treatment of disorders characterized by oxidative stress. The purpose of this study is to examine the safety and efficacy of EPI-743 in a population of children with Rett syndrome.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
24
Inclusion Criteria
  • Diagnosis of Rett syndrome with disease stage 1-2
  • Abnormality of at least two disease biomarker levels
  • Confirmed MeCP2 mutation
  • Patient or patient's guardian able to consent and comply with protocol requirements
  • Abstention from use of Coenzyme Q10, vitamin E and Idebenone two weeks prior to enrollment into the study
Exclusion Criteria
  • Any condition, which in the opinion of the investigator could compromise the subject's safety or adherence to treatment with EPI-743.
  • Clinically significant allergy or hypersensitivity to EPI-743 or to any of the excipients of with EPI-743 (eg., sesame oil).
  • Clinically significant allergy or hypersensitivity to Vitamin E
  • Lack of confirmation of MeCP2 mutation
  • Clinical history of bleeding or abnormal baseline PT/PTT
  • Diagnosis of any other concurrent inborn error of metabolism
  • Hepatic insufficiency with LFTs greater than 3 times upper limit of normal
  • Renal insufficiency requiring dialysis
  • End stage cardiac failure
  • Fat malabsorption syndromes precluding drug absorption

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboSubjects in this arm will receive placebo at a volume equivalent to the volume of EPI-743 they would receive if in active group based on their weight
EPI-743 15 mg/kgEPI-743Subjects in this arm will receive EPI-743 at a dose of 15 mg/kg three times daily
Primary Outcome Measures
NameTimeMethod
Rett Syndrome Clinical Severity SoreChange at six months from baseline

Measure of disease progression

Secondary Outcome Measures
NameTimeMethod
Head circumferenceChange at six months from baseline
Oxidative Stress BiomarkersChange at six months from baseline
Rett syndrome behavioral questionnaireChange at six months from baseline
PedsQLChange at six months from baseline
Number of Drug-related adverse and serious adverse eventsSix months
Respiratory Disturbance Index (RDI)Change at six months from baseline

RDI will be determined on polysomnography study

Trial Locations

Locations (1)

University of Siena

🇮🇹

Siena, Italy

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