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临床试验/NCT03714373
NCT03714373已完成3 期

An Open-Label, Long-Term Safety and Efficacy Evaluation of Diazoxide Choline Extended-Release Tablets in Participants With Prader-Willi Syndrome With a Double-Blind, Placebo-Controlled, Randomized Withdrawal Period

Soleno Therapeutics, Inc.28 个研究点 分布在 2 个国家目标入组 115 人开始时间: 2018年10月1日最近更新:
适应症
干预措施

试验速览

阶段
3 期
状态
已完成
入组人数
115
试验地点
28
主要终点
Assess the safety of DCCR by evaluating the incidence and severity of adverse events reported

研究概览

简要总结

This is a multi-center, multi-period study with an open-label period followed by a double-blind, placebo-controlled, randomized withdrawal period evaluating the safety and efficacy of DCCR treatment.

详细描述

115 PWS participants who completed clinical study C601 will be enrolled into the OLE Period. All participants in the Open Label Extension (OLE) Period will receive open-label DCCR. The actual number of participants eligible to enroll in the double-blind, placebo-controlled, randomized withdrawal (RW) period will be limited to those participants taking DCCR in the OLE Period at the time of the RW Period Visit 1 (Baseline/Randomization Visit).The treatment groups in the C602 RW Period are those participants randomized to receive DCCR and those participants randomized to receive Placebo. Participants will be randomized in a 1:1 ratio (DCCR:Placebo).

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
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
4 Years 至 —(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Successful completion of clinical study C601
  • Provide voluntary, written informed consent (parent(s) / legal guardian(s) of patient); provide voluntary, written assent (subjects, as appropriate)
  • OLE Period Key

排除标准

  • Positive urine pregnancy test (in females of child-bearing potential) or females who are pregnant or breastfeeding, and/or plan to become pregnant or to breast-feed during or within 90 days after study participation
  • Any new disease, condition, or circumstance which would prevent, in the opinion of the Investigator, the patient from completing all study visits and assessments required by the protocol (e.g., an anticipated change of care setting)
  • RW Period Key Inclusion Criteria:
  • Provide voluntary, written informed consent (parent[s] / legal guardian[s] of participant); provide voluntary, written assent (participants, as appropriate); this includes consent for randomization and potential treatment with placebo for up to 16 weeks
  • Currently participating in clinical study C602 and complete the OLE End of Treatment Visit procedures
  • RW Period Key Exclusion Criteria:
  • Positive urine pregnancy test (in females of child-bearing potential)
  • Females who are pregnant or breastfeeding, and/or plan to become pregnant or to breast-feed during or within 30 days after study participation

研究组 & 干预措施

OLE DCCR

Experimental

75 - 525 mg DCCR

干预措施: DCCR (Drug)

RW DCCR

Experimental

75 - 525 mg DCCR

干预措施: DCCR (Drug)

RW Placebo

Placebo Comparator

75 - 525 mg Placebo for DCCR

干预措施: Placebo for DCCR (Drug)

结局指标

主要结局

Assess the safety of DCCR by evaluating the incidence and severity of adverse events reported

时间窗: Baseline to end of OLE (up to 4 years)

Safety analyses will be conducted in all participants who receive at least one dose of DCCR. Adverse events will be described by type and level of severity.

Change from RW Period Baseline in HQ-CT Total Score

时间窗: RW Period Baseline to Week 16

Hyperphagia-related behaviors will be assessed by the hyperphagia questionnaire for clinical trials (HQ-CT), an instrument designed to measure symptoms of food related preoccupations and behaviors. The HQ-CT consists of nine items with responses ranging from 0-4 (best to worst). Scores from 9 items will be summed for a possible total score range of 0-36.

次要结局

  • Change in Body Fat Mass(Baseline to end of OLE (up to 4 years))
  • Clinical Global Impression of Improvement (CGI-I)(RW Period Week 16)
  • Clinical Global Impression of Severity (CGI-S)(RW Period Week 16)
  • Assess the safety of DCCR by evaluating the incidence and severity of adverse events reported(through the end of the RW Period, 16 weeks)
  • Change from Baseline in HQ-CT Total Score(Baseline to end of OLE (up to 4 years))

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (28)

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相关资讯

FDA Extends Review of Soleno Therapeutics' DCCR for Prader-Willi Syndrome- The FDA extended the review period for Soleno Therapeutics' DCCR (diazoxide choline) for Prader-Willi syndrome, setting a new PDUFA date of March 27, 2025. - The extension was prompted by the FDA classifying recent information from Soleno as a major amendment to the New Drug Application (NDA). - The FDA has not raised any concerns regarding the safety, efficacy, or manufacturing of DCCR during the review process. - DCCR has been granted Priority Review, Breakthrough Therapy, Fast Track, and Orphan Drug designations, highlighting its potential to address unmet needs in PWS.last yearFDA Foregoes Advisory Committee Meeting for Soleno's DCCR in Prader-Willi Syndrome- The FDA will continue its review of Soleno Therapeutics' DCCR for Prader-Willi syndrome (PWS) without an advisory committee meeting. - DCCR, a diazoxide choline extended-release tablet, aims to be the first approved therapy for hyperphagia in PWS patients. - Phase 3 trial data suggested DCCR may alleviate hyperphagia and aggressive behaviors, though the primary endpoint was not met. - A final decision on DCCR approval is expected by December 27, with priority review and orphan drug status already granted.last yearFDA Grants Priority Review to Soleno's DCCR for Prader-Willi Syndrome- The FDA has accepted Soleno Therapeutics' NDA for DCCR, granting Priority Review for treating hyperphagia in Prader-Willi Syndrome (PWS) patients aged four and older. - A PDUFA target action date is set for December 27, 2024, with the FDA planning an advisory committee meeting to discuss DCCR's application. - DCCR, an extended-release formulation of diazoxide choline, has shown promise in addressing hyperphagia and other PWS-related symptoms in clinical trials. - The FDA's decision is supported by data from Phase 3 trials and an extension study, highlighting DCCR's potential to improve the lives of PWS patients and their families.2 years ago