Status:
ACTIVE_NOT_RECRUITING
Givinostat in Duchenne's Muscular Dystrophy Long-term Safety and Tolerability Study
Lead Sponsor:
Italfarmaco
Collaborating Sponsors:
Cromsource
Conditions:
Duchenne Muscular Dystrophy
Eligibility:
MALE
7+ years
Phase:
PHASE2
PHASE3
Brief Summary
This is an open label, long-term safety, tolerability, and efficacy study of GIVINOSTAT in all DMD (Duchenne's muscular dystrophy) patients who have been previously treated in one of the GIVINOSTAT st...
Detailed Description
GIVINOSTAT oral suspension (10 mg/mL) has to be administered orally as 2 oral doses daily while the subject is in a fed state. The starting dose of GIVINOSTAT in the present long term study will be th...
Eligibility Criteria
Inclusion
- Must have participated in one of the previous studies with GIVINOSTAT in DMD and have attended the End of Study Visit or must have been screened in study DSC/14/2357/48 and met:
- all the inclusion criteria and none of the exclusion criteria,
- had a baseline vastus lateralis muscle fat fraction (VL MFF) assessed by MRS in the range ≤5% or \>30%, i.e. included in"off-target" group,
- never been randomized because, the enrollment in the off target group was completed.
- Aged ≥6 years old;
- Are able to give informed assent and/or consent in writing signed by the subject and/or parent/legal guardian (according to localregulations);
- Subjects must be willing to use adequate contraception:
- Contraceptive methods must since the previous GIVINOSTAT study through 3 months after the last dose of study drug, and include the following:
- True abstinence (absence of any sexual intercourse), when in line with the preferred and usual lifestyle of the subject.
- Periodic abstinence (e.g. calendar, ovulation, symptothermal, postovulation methods) and withdrawal are not acceptable methods of contraception.
- Condom with spermicide and the female partner must use an acceptable method of contraception, such as an oral,
- transdermal, injectable or implanted steroid-basedcontraceptive, or a diaphragm or a barrier method of contraception in conjunction with spermicidal jelly such asfor example cervical cap with spermicide jelly.
Exclusion
- Use of any pharmacologic treatment, other than corticosteroids, that might have had an effect on muscle strength or function within 3 months prior to be enrolled in this study (e.g., growth hormone); Vitamin D, calcium, and any other supplements will be allowed;
- Use of any current investigational drug other than Givinostat;
- Have presence of other clinically significant disease, which, in the Investigator's opinion, could adversely affect the safety of the subject, making it unlikely that the course of treatment or follow-up would be completed, or could impair the assessment of study results;
- Have a diagnosis of other uncontrolled neurological diseases or presence of relevant uncontrolled somatic disorders that are not related to DMD;
- Have platelets count, White Blood Cell and Hemoglobin at screening \< Lower Limit of Normal (LLN)\* (for abnormal screening laboratory test results (\<LLN), the platelets count, White Blood Cell and Hemoglobin will be repeated once; if the repeat test result is still \<LLN, then exclusionary);
- Have Triglycerides \> 300 mg/dL (3.42 mmol/L) in fasting condition at screening visit\* (for abnormal screening laboratory test results (\>300 mg/dL), the triglycerides will be repeated once; if the repeat test result is still \>300 mg/dL, then exclusionary);
- Have inadequate renal function, as defined by serum Cystatin C \>2 x the upper limit of normal (ULN) at screening visit\*. If the value is \>2 x ULN, the serum Cystatin C will be repeated once; if the repeated test result is still \>2 x ULN, the subject should be excluded);
- Have heart failure (New York Heart Association Class III or IV)
- Have a current liver disease or impairment, including but not limited to an elevated total bilirubin\* (i.e. \> 1.5 x ULN), unless secondary to Gilbert disease or pattern consistent with Gilbert's;
- Have a baseline QTcF \>450 msec, (as the mean of 3 consecutive readings 5 minutes apart) or history of additional risk factors for torsades de pointes (e.g., heart failure, hypokalemia, or family history of long QT syndrome);
- Have a psychiatric illness/social situation rendering the potential subject unable to understand and comply with the muscle function tests and/or with the study protocol procedures.
- Have any hypersensitivity to the components of study medication;
- Have a sorbitol intolerance or sorbitol malabsorption or have the hereditary form of fructose intolerance.
- the Investigators to evaluate these exclusion criteria can use the laboratory results obtained within 5 months from V1, to allow the continuity of the treatment. It is worth noting, as soon as the site will receive the laboratory results done in screening/baseline (Visit 1) visit they will check the GIVINOSTAT dose and modify it as per protocol safety rules and/or dosage modifications rules.
Key Trial Info
Start Date :
October 24 2017
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 1 2029
Estimated Enrollment :
206 Patients enrolled
Trial Details
Trial ID
NCT03373968
Start Date
October 24 2017
End Date
December 1 2029
Last Update
April 30 2025
Active Locations (39)
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1
University of California - Davis Medical Center - Devis Physical Medicine & Rehabilitation
Sacramento, California, United States, 95817
2
Rady Children's Hospital center - UCSD Department of Neuroscience
San Diego, California, United States, 92123
3
Connecticut Children's Medical Center, Neurology Division
Hartford, Connecticut, United States, 06106
4
Child Health Research Institute
Gainesville, Florida, United States, 32610