Clinical trial • Phase III • Endocrinology|Rare Disease

AMBROXOL HYDROCHLORIDE, CLENBUTEROL HYDROCHLORIDE for Gaucher disease type 3

Phase III trial of AMBROXOL HYDROCHLORIDE, CLENBUTEROL HYDROCHLORIDE for Gaucher disease type 3.

Overview

Trial Therapeutic Area
Endocrinology|Rare Disease
Trial Disease
Gaucher disease type 3
Trial Stage
Phase III
Drug Modality
Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
15-10-2024
First CTIS Authorization Date
25-11-2024

Trial design

Randomised, arm 1: ambroxol hcl (investigational) vs arm 2: placebo (lactose monohydrate). (no dose or schedule specified in provided record.)-controlled, crossover Phase III trial across 1 site in Netherlands.

Randomised
Yes
Comparator
Arm 1: Ambroxol HCl (investigational) vs Arm 2: Placebo (lactose monohydrate). (No dose or schedule specified in provided record.)
Crossover
Yes
Target Sample Size
4

Eligibility

Recruits 4 paediatric patients.

Pregnancy Exclusion
Pregnancy, because there are no sufficient data for the use of ambroxol in pregnant women (see Summary of Product Characteristics (SPC))
Vulnerable Population
Vulnerable populations selected (isVulnerablePopulationSelected = true). The protocol requires written informed consent from the patient or the parent(s)/legal guardian(s) prior to study start. Subject information and informed consent documents exist for adults, for parents and for 12-16 year olds (documents: L1_SIS and ICF adults; L1_SIS and ICF parents; L1_SIS and ICF 12-16 yrs), indicating age-specific consent/assent handling.

Inclusion criteria

  • {"criterion_text":"- The patient or the parent(s) / legal guardian(s) must provide written informed consent before start of the study\n- Male and female patients with documented deficiency of GCase activity and GBA genotype fitting GD3\n- Male and female patients of all ages\n- Able to travel to the study site\n- Patients receive ERT with treatment ongoing at the time of enrollment"}

Exclusion criteria

  • {"criterion_text":"- The patient is transfusion dependent\n- The patient has received an investigational product within 30 days prior to enrollment\n- Known hypersensitivity reactions, intolerance or adverse reactions to ambroxol or to the inactive ingredients\n- Pregnancy, because there are no sufficient data for the use of ambroxol in pregnant women (see Summary of Product Characteristics (SPC))\n- The patient is lactating. Ambroxol crosses into the breast milk. As there is no adequate experience in humans to date, ambroxol should not be used in lactation in a study setting (see SPC)\n- The patient is unwilling or, in the investigator's opinion, unable to adhere to the requirements of the study\n- The patient is unable to swallow powder and has no other enteral access (e.g. gastrostomy)\n- Any condition or abnormality which may, in the opinion of the investigator, compromise the safety of patients"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change in cerebrospinal fluid (CSF) Lyso-GL1, from GD3 patients receiving ambroxol","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Change in plasma Lyso-GL1, GL-1, chitotriosidase and Lyso-GM3, from GD3 patients receiving ambroxol\n- Change in CSF GL-1 and Lyso-GM3, from GD3 patients receiving ambroxol\n- Change in GCase activity in leukocytes, from GD3 patients receiving ambroxol\n- Effect of ambroxol on functional/developmental outcomes using the Goal Attainment Scaling (GAS) in GD3 patients\n- Effect of ambroxol on quality of life using the Pediatric Quality of Life Inventory (PedsQL) in GD3 patients\n- Effect of ambroxol on ataxia using the Scale for the Assessment and Rating of Ataxia (SARA) in GD3 patients\n- Effect of ambroxol on neuropsychological outcomes using the Attention Network Task (ANT) and/or Wechsler scale in GD3 patients\n- If epilepsy: effect of ambroxol on seizure control using the Unified Myoclonus Rating Scale (UMRS) and a seizure log book in GD3 patients","definition_or_measurement_approach":"Biochemical endpoints: measurement of plasma Lyso-GL1, GL-1, chitotriosidase and Lyso-GM3; CSF measurements for GL-1 and Lyso-GM3. GCase activity measured in leukocytes. Functional/developmental outcome measured using Goal Attainment Scaling (GAS). Quality of life measured using the Pediatric Quality of Life Inventory (PedsQL). Ataxia measured using SARA. Neuropsychological outcomes measured using the Attention Network Task (ANT) and/or Wechsler scale. Seizure control measured using the Unified Myoclonus Rating Scale (UMRS) and a seizure log book (for patients with epilepsy)."}

Recruitment

Registry Or Advocacy Recruitment
True: OMON
Planned Sample Size
4
Recruitment Window Months
35
Consent Approach
Written informed consent is required from the patient or the parent(s)/legal guardian(s) before study start. Age-specific subject information and consent forms are provided (documents listed: L1_SIS and ICF adults; L1_SIS and ICF parents; L1_SIS and ICF 12-16 yrs). Document translations include Dutch versions of titles; languages available not explicitly stated beyond translations present.

Geography

Total Number Of Sites
1
Total Number Of Participants
4

Netherlands

Earliest CTIS Part Ii Submission Date
15-11-2024
Latest Decision Or Authorization Date
25-11-2024
Processing Time Days
10
Number Of Sites
1
Number Of Participants
4

Sites

Site Name
Amsterdam UMC Stichting
Department Name
Kindergeneeskunde
Principal Investigator Name
Marion Brands
Principal Investigator Email
m.m.brands@amsterdamumc.nl
Contact Person Name
Marion Brands
Contact Person Email
m.m.brands@amsterdamumc.nl
Number Of Participants
4

Sponsor

Primary sponsor

Full Name
Amsterdam UMC Stichting
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Third parties

  • {"country":"","full_name":"MetaKids","duties_or_roles":"Monetary support","organisation_type":""}
  • {"country":"","full_name":"Vriendenloterij","duties_or_roles":"Monetary support","organisation_type":""}

Investigational products

Investigational Product Name
AMBROXOL
Active Substance
AMBROXOL HYDROCHLORIDE, CLENBUTEROL HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Maximum Dose
1300 mg (max daily dose amount listed as 1300 mg)
Investigational Product Name
lactose monohydrate
Modality
Other

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