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

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