Status:
COMPLETED
Valproic Acid and Carnitine in Patients With Spinal Muscular Atrophy
Lead Sponsor:
University of Utah
Collaborating Sponsors:
Families of Spinal Muscular Atrophy
Leadiant Biosciences, Inc.
Conditions:
Spinal Muscular Atrophy
Eligibility:
All Genders
2-17 years
Phase:
PHASE2
Brief Summary
This is a multi-center trial to assess safety and efficacy of a combined regimen of oral valproic acid (VPA) and carnitine in patients with Spinal Muscular Atrophy (SMA) 2 to 17 years of age. Cohort 1...
Detailed Description
This is a multi-center phase II trial of a combined regimen of oral valproic acid (VPA) and carnitine in patients with Spinal Muscular Atrophy (SMA) 2 to 17 years of age. Cohort 1 is a double-blind pl...
Eligibility Criteria
Inclusion
- Cohort 1
- Confirmed genetic diagnosis of 5q SMA
- SMA 2 or non-ambulatory SMA 3: all subjects must be able to sit independently for at least 3 seconds without support
- Age 2 to 8 years at time of enrollment
- Cohort 2
- Confirmed genetic diagnosis of 5q SMA
- SMA subjects (SMA types 2 or 3) who can stand independently without braces or other support for up to 2 seconds, or walk independently
- Age 3 to 17 years at time of study enrollment
Exclusion
- Cohort 1
- Need for BiPAP support \> 12 hours per day
- Spinal rod or fixation for scoliosis or anticipated need within six months of enrollment
- Inability to meet study visit requirements or cooperate reliably with functional testing
- Coexisting medical conditions that contraindicate travel, testing or study medications
- Use of medications or supplements which interfere with valproic acid or carnitine metabolism within 3 months of study enrollment.
- Current use of either VPA or carnitine. If study subject is taking VPA or carnitine then patient must go through a washout period of 12 weeks before enrollment into the study
- Body Mass Index \> 90th % for age
- Cohort 2
- Spinal rod or fixation for scoliosis or anticipated need within six months of enrollment
- Inability to meet study visit requirements or cooperate with functional testing
- Transaminases, amylase or lipase \> 3.0 x normal values, WBC \< 3.0 or neutropenia \< 1.0, platelets \< 100 K, or hematocrit \< 30 persisting over a 30 day period.
- Coexisting medical conditions that contraindicate travel, testing or study medications
- Use of medications or supplements which interfere with valproic acid or carnitine metabolism within 3 months of study enrollment.
- Current use of either VPA or carnitine. If study subject is taking VPA or carnitine then patient must be go through a washout period of 12 weeks before enrollment in the study.
- Body Mass Index \> 90th % for age
- Pregnant women/girls, or those intending to try to become pregnant during the course of the study.
Key Trial Info
Start Date :
September 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 1 2007
Estimated Enrollment :
94 Patients enrolled
Trial Details
Trial ID
NCT00227266
Start Date
September 1 2005
End Date
November 1 2007
Last Update
March 19 2025
Active Locations (6)
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1
Johns Hopkins University
Baltimore, Maryland, United States, 21287
2
Children's Hospital of Michigan
Detroit, Michigan, United States, 48201
3
Ohio State University
Columbus, Ohio, United States, 43210-1228
4
University of Utah/Primary Children's Medical Center
Salt Lake City, Utah, United States, 84132