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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