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临床试验/EUCTR2017-004554-42-GB
EUCTR2017-004554-42-GB进行中(未招募)1 期

Tamoxifen in Duchenne muscular dystrophy - TAMDMDA multicentre, randomised, double-blind, placebo-controlled, phase 3 safety and efficacy 48-week trialTamoxifen in Duchenne muscular dystrophy: A 48-week open labelextension of a multicentre, randomised, double-blind, placebo-controlled,phase 3 safety and efficacy trial

niversity of Basel Children's Hospital, Division of Neuropediatrics0 个研究点目标入组 100 人开始时间: 2018年8月3日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
100

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
Male

入选标准

  • A (ambulant patients)
  • - Documented diagnosis of DMD by mutation analysis in the
  • dystrophin gene or by substantially reduced levels of dystrophin
  • protein (i.e. absent or <5% of normal) on Western blot or
  • immunostaining
  • - Stable treatment with glucocorticoids >6 months (no significant
  • change in dosage (>0.2mg/kg)) at screening; dosing adaptations
  • according to weight change are allowed
  • - Male gender
  • - 6.5 to 12 years of age at time of screening
  • - weight >20kg
  • - ambulant patients
  • - able to walk at least 350 meters in 6 minute walking distance test
  • without assistance at screening
  • - MFM D1 subdomain of the MFM scale >40% at screening
  • - Ability to provide informed consent and to comply with study
  • requirements
  • - Patients harbouring a nonsense mutation treatable with the
  • approved drug ataluren should be under stable ataluren treatment
  • for at least 3 months or in case of nontolerance being off ataluren
  • treatment for at least 3 months before screening
  • Group B (non-ambulant patients)
  • - Documented diagnosis of DMD by mutation analysis in the
  • dystrophin gene or by substantially reduced levels of dystrophin
  • protein (i.e. absent or <5% of normal) on Western blot or
  • immunostaining
  • - Not using glucocorticoids for >6 months
  • - Male gender
  • - Non-ambulant patients (walking distance less than 10 meters)
  • - 10 to 16 years of age at time of screening
  • - Ability to provide informed consent and to comply with study
  • requirements
  • Open label extension
  • - Recent participation and completion of TAMDMD study
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 100
  • F.1.2 Adults (18-64 years) no
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Known individual hypersensitivity or allergy to tamoxifen or other
  • ingredients/excipients of IMP
  • - Female gender
  • - Use of tamoxifen or testosterone within the last 3 months
  • - Known or suspected malignancy
  • - Other chronic disease or clinically relevant limitation of renal, liver
  • or heart function
  • - Known or suspected non-compliance
  • - Any injury which may impact functional testing, e.g. upper or lower
  • limb fracture
  • - Planned or expected spinal fusion surgery during the study period
  • (as judged by the Investigator; i.e. due to rapid progressing
  • scoliosis), previous spinal fusion surgery is allowed if it took place
  • more than 6 months prior to screening.
  • - Inability to follow the procedures of the study, e.g. due to language
  • problems, psychological disorders of the participant/parents (as
  • judged by the investigator)
  • - Concomitant participation in any other interventional trial (and up
  • to 3 months prior to screening)
  • - Use of CYP2D6 inhibitors or of CYP3A4 inducers (apart from
  • glucocorticoids), platelet aggregation inhibitors and coumarin-type
  • anti-coagulants
  • - Use of drugs metabolized by CYP2C9, such as phenprocoumon,
  • phenytoin, warfarin, celecoxib, fluvastatin, ginko biloba, St. John’s
  • wort and sulfamethoxazol
  • - Galactosemia (lack of galactose-1-phosphat-uridylyltransferase or
  • UDP-galactose-4-epimerase or galactokinase; Fanconi-Bickelsyndrome);
  • congenital lack of lactase; glucose-galactose
  • malabsorption
  • - Presence of one or more of the following eye disorders: cataract,
  • retinopathia, optic neuropathy, alteration of the cornea
  • - Presence of one or more of the following laboratory abnormalities:
  • anaemia, thrombocytopenia, leukopenia, neutropenia or
  • agranulocytosis
  • - Glucocorticoid naïve patients
  • - Start of glucocorticoid treatment or change in dosage <6 month
  • prior to screening (dosing adaptations according to weight change
  • are allowed)
  • - Glucocorticoid treated patients or patients that stopped
  • glucocorticoid treatment <6 month prior to screening
  • - Assisted ventilation of any kind necessary

研究者

发起方
niversity of Basel Children's Hospital, Division of Neuropediatrics

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