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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