Clinical trial • Phase IV • Neurology|Rare Disease
LEVODOPA for Neurodevelopmental disorder|CTNNB1|Rare disease
Phase IV trial of LEVODOPA for Neurodevelopmental disorder|CTNNB1|Rare disease. open-label, none/not specified-controlled. 7 participants.
Overview
- Trial Therapeutic Area
- Neurology|Rare Disease
- Trial Disease
- Neurodevelopmental disorder|CTNNB1|Rare disease
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 30-04-2025
- First CTIS Authorization Date
- 14-08-2025
Trial design
open-label, none/not specified-controlled Phase IV trial in France.
- Open Label
- Yes
- Comparator
- None/Not specified
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 7
- Trial Duration For Participant
- 365
Eligibility
Recruits 7 paediatric patients.
- Pregnancy Exclusion
- Person who is pregnant or who wishes to become pregnant within 12 months after inclusion.
- Vulnerable Population
- Trial population are children (ages 1 to 15). Consent must be signed by both parents or legal guardians; the child's assent must be obtained if possible. Age‑specific information sheets and assent/consent forms are provided (documents for ages 6-12, 13-15 and legal representatives).
Inclusion criteria
- {"criterion_text":"- Ages 1 to 15 inclusive"}
- {"criterion_text":"- Carrier of a pathogenic variant of CTNNB1."}
- {"criterion_text":"- Patient presenting with dystonia."}
- {"criterion_text":"- Patient willing to comply with the contraception requirements outlined in the protocol"}
Exclusion criteria
- {"criterion_text":"- Contraindication to treatment with L-dopa and carbidopa or one of its excipients"}
- {"criterion_text":"- Current treatment with L-dopa, dopamine agonist or dopamine blocker,"}
- {"criterion_text":"- Failure to obtain informed consent signed by both parents or legal guardians, and to obtain the child's assent if possible."}
- {"criterion_text":"- Patient not enrolled in or benefiting from a social security scheme"}
- {"criterion_text":"- Person participating in another research project with an exclusion period still in progress"}
- {"criterion_text":"- Patient presenting with a gastro-duodenal ulcer."}
- {"criterion_text":"- Patient presenting with open-angle glaucoma"}
- {"criterion_text":"- Patient presenting with orthostatic hypotension"}
- {"criterion_text":"- Person who is pregnant or who wishes to become pregnant within 12 months after inclusion."}
Endpoints
Primary endpoints
- {"endpoint_text":"- GMFM-88 motor score before treatment (Day 1) and at 6 months","definition_or_measurement_approach":"Assess motor skills using the 88-item Gross Motor Function Measure (GMFM-88) before treatment (Day 1) and at 6 months."}
Secondary endpoints
- {"endpoint_text":"- GMFM-88 motor score before treatment (Day 1) and at 12 months","definition_or_measurement_approach":"Assess motor skills using the GMFM-88 before treatment (Day 1) and at 12 months."}
- {"endpoint_text":"- Changes in language/development/cognition assessment scores (Bayley III, WPPSI, WISC, Vineland), before treatment and at 1 year after treatment","definition_or_measurement_approach":"Use age-appropriate developmental/cognitive scales (Bayley III, WPPSI, WISC, Vineland) to compare scores before treatment and at 1 year."}
- {"endpoint_text":"- Changes in quality-of-life scores (Caregiver Priorities & Child Health Index of Life with Disabilities (CP-CHILD), Clinical Global Impression of severity scale (CGI)) before treatment, at 6 months and at 1 year after initiation of treatment","definition_or_measurement_approach":"Measure quality of life with CP-CHILD and assess clinical global impression (CGI) at baseline, 6 months and 12 months."}
- {"endpoint_text":"- Tolerance assessment (number and severity of adverse events, clinical follow-up, clinical, neurological and osteoarticular examination, patient logbook).","definition_or_measurement_approach":"Safety/tolerance assessed by recording number and severity of adverse events, clinical follow-up examinations (clinical, neurological, osteoarticular) and patient/parent logbooks."}
- {"endpoint_text":"- GMFM-88 motor score between 6 and 12 months of treatment","definition_or_measurement_approach":"Compare GMFM-88 motor score changes between 6 months and 12 months of treatment."}
Recruitment
- Planned Sample Size
- 7
- Recruitment Window Months
- 24
- Consent Approach
- Informed consent must be signed by both parents or legal guardians. Child assent must be obtained if possible. Age-specific information sheets and consent/assent forms are provided (documents listed for children 6-12, teens 13-15, legal representative forms). Multiple versions of informed consent and information sheets are available.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 7
France
- Latest Decision Or Authorization Date
- 29-01-2026
- Number Of Sites
- 1
- Number Of Participants
- 7
Sites
- Site Name
- Centre Hospitalier Universitaire De Montpellier
- Department Name
- Neuropédiatrie
- Principal Investigator Name
- Agathe ROUBERTIE
- Principal Investigator Email
- a-roubertie@chu-montpellier.fr
- Contact Person Name
- Agathe ROUBERTIE
- Contact Person Email
- a-roubertie@chu-montpellier.fr
- Number Of Participants
- 7
Sponsor
Primary sponsor
- Full Name
- Centre Hospitalier Universitaire De Montpellier
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- France
Third parties
- {"country":"","full_name":"PTC Therapeutics","duties_or_roles":"Monetary support","organisation_type":""}
- {"country":"","full_name":"Montpellier University Hospital","duties_or_roles":"Monetary support","organisation_type":""}
Investigational products
- Investigational Product Name
- Lévodopa 3mg/kg/j
- Active Substance
- LEVODOPA
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Authorised
- Starting Dose
- 3 mg/kg per day
- Dose Levels
- 3 mg/kg per day
- Frequency
- daily
- Maximum Dose
- 3 mg/kg per day
- Investigational Product Name
- Carbidopa 0.3mg/Kg/j
- Active Substance
- CARBIDOPA
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Authorised
- Starting Dose
- 0.3 mg/kg per day
- Dose Levels
- 0.3 mg/kg per day
- Frequency
- daily
- Maximum Dose
- 0.3 mg/kg per day
- Investigational Product Name
- Carbidopa 0.75mg/Kg/j
- Active Substance
- CARBIDOPA
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Authorised
- Starting Dose
- 0.75 mg/kg per day
- Dose Levels
- 0.75 mg/kg per day
- Frequency
- daily
- Maximum Dose
- 0.75 mg/kg per day
- Combination Treatment
- Yes
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