Clinical trial • Phase II • Musculoskeletal | Neurology
DOXRIBTIMINE; DOXECITINE for Thymidine kinase 2 deficiency | Mitochondrial myopathy
Phase II trial of DOXRIBTIMINE; DOXECITINE for Thymidine kinase 2 deficiency | Mitochondrial myopathy. open-label. 15 participants.
Overview
- Trial Therapeutic Area
- Musculoskeletal | Neurology
- Trial Disease
- Thymidine kinase 2 deficiency | Mitochondrial myopathy
- Trial Stage
- Phase II
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 09-04-2024
- First CTIS Authorization Date
- 09-07-2024
Trial design
open-label Phase II trial across 1 site in Spain.
- Open Label
- Yes
- Target Sample Size
- 15
- Trial Duration For Participant
- 730
Eligibility
Recruits 15 No vulnerable population selected; subjects must provide signed informed consent (Signed informed consent by the subject). Minimum age requirement: >18 years at time of consent. Subject information and informed consent form documents are available (including Spanish translation)..
- Pregnancy Exclusion
- Pregnant (females ≥10.0 years old will have a pregnancy test at screening), or breastfeeding.
- Vulnerable Population
- No vulnerable population selected; subjects must provide signed informed consent (Signed informed consent by the subject). Minimum age requirement: >18 years at time of consent. Subject information and informed consent form documents are available (including Spanish translation).
Inclusion criteria
- {"criterion_text":"- Signed informed consent by the subject.\n- Subject must be greater than 18 years of age at time of consent.\n- Genetic diagnosis of TK2 deficiency\n- Subject should have evidence of a moderate to severe disease, with motor and or respiratory involvement, shown by one of the following: a. North Star Ambulatory Assessment Scale (NSAA) < 30 b. 6-minute walking test < 450 meters c. Force Vital Capacity in the sitting position < 70% or a drop in the decubitus position > 10% or need for mechanical ventilation. d. Disabling symptoms and evidence of motor and/or respiratory function progressive decline\n- Female subjects must have no intention to become pregnant during the study. Female subjects who are of childbearing potential (ie, following menarche until ≥1 year post-menopausal if not anatomically and physiologically incapable of becoming pregnant) must agree and commit to the use of highly effective methods of birth control for the duration of the study and for 30 days after the end of the study, and be willing to have additional pregnancy tests conducted during the study. Acceptable methods are defined as those that result, alone or in combination, in a low failure rate (ie, <1% per year) when used consistently and correctly, such as surgical sterilization, an intrauterine device, or hormonal contraception in combination with a barrier method.\n- Male subjects with partners of childbearing potential must agree to use effective contraception methods during the study and for at least 90 days after the last dose of the study medication. Acceptable methods include the use of condoms combined with spermicidal foam/gel/film/cream/suppository\n- Willingness to comply with the study protocol, including but not limited to, all study procedures, study visits, and study drug compliance."}
Exclusion criteria
- {"criterion_text":"- History of liver disease, or liver function test results (alanine aminotransferase [ALT], aspartate transaminase [AST], or total bilirubin) ≥ 2X ~ upper limit of normal. Patients with transaminases > 2X can participate with the approval and monitoring of a doctor specializing in liver toxicity.\n- Participation in a previous trial of any investigational agent for primary mitochondrial disease within 1 year prior to informed consent, or use of any other investigational therapy within 30 days (or 3 half-lives, whichever is longer) prior to informed consent, or participation in other clinical studies, within 30 days prior to informed consent, which in the opinion of the study Sponsor, may potentially confound results from this study.\n- Pregnant (females ≥10.0 years old will have a pregnancy test at screening), or breastfeeding."}
Endpoints
Primary endpoints
- {"endpoint_text":"- To evaluate the efficacy of dT+dC in adults with TK2d.","definition_or_measurement_approach":""}
Secondary endpoints
- {"endpoint_text":"- To evaluate the safety of dT+dC in adults with TK2d.","definition_or_measurement_approach":""}
Recruitment
- Planned Sample Size
- 15
- Recruitment Window Months
- 24
- Consent Approach
- Signed informed consent required from each subject (Signed informed consent by the subject). Study is for adults (>18 years). Subject information and informed consent form documents (L1_SIS and ICF) are available for the trial; translations into Spanish are present.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 15
Spain
- Earliest CTIS Part Ii Submission Date
- 21-05-2024
- Latest Decision Or Authorization Date
- 04-06-2025
- Processing Time Days
- 379
- Number Of Sites
- 1
- Number Of Participants
- 15
Sites
- Site Name
- Hospital Universitario 12 De Octubre
- Department Name
- Neurología
- Principal Investigator Name
- Cristina Domínguez González
- Principal Investigator Email
- cdgonzalez@salud.madrid.org
- Contact Person Name
- Cristina Domínguez González
- Contact Person Email
- cdgonzalez@salud.madrid.org
- Number Of Participants
- 15
Sponsor
Primary sponsor
- Full Name
- Hospital Universitario 12 De Octubre
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Spain
Contract research organisations
- Name
- Start From Scracth S.L.
- Responsibilities
- sponsorDuties codes: 1, 12, 5, 6, 8; contact: jarenas@sfscro.com, +34627513359
Third parties
- {"country":"Spain","full_name":"Start From Scracth S.L.","duties_or_roles":"sponsorDuties codes: 1, 12, 5, 6, 8","organisation_type":"Industry"}
Investigational products
- Investigational Product Name
- doxecitine and doxribtimine
- Active Substance
- DOXRIBTIMINE; DOXECITINE
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- ORAL USE
- Maximum Dose
- 800 mg/Kg (max daily dose amount)
- Combination Treatment
- Yes
Related trials
Other published trials that may interest you.