Clinical trial • Phase IV • Neurology

RILUZOLE for Spinocerebellar ataxia type 7

Phase IV trial of RILUZOLE for Spinocerebellar ataxia type 7.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Spinocerebellar ataxia type 7
Trial Stage
Phase IV
Drug Modality
Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
15-10-2024
First CTIS Authorization Date
27-11-2024

Trial design

Randomised, placebo riluzole (hard gelatin capsule filled with microcrystalline cellulose (avicel® ph200)) given orally every 12 h for 6 months (comparison group).-controlled Phase IV trial in Italy.

Randomised
Yes
Comparator
Placebo Riluzole (hard gelatin capsule filled with microcrystalline cellulose (Avicel® PH200)) given orally every 12 h for 6 months (comparison group).
Target Sample Size
24
Trial Duration For Participant
548

Eligibility

Recruits 24 paediatric patients.

Pregnancy Exclusion
Female subjects: pregnant or lactating women cannot participate in the study. Women of childbearing potential cannot participate unless willing to use highly effective contraception methods as combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal or transdermal); progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable; intrauterine device (IUD); intrauterine hormone-releasing system (IUS); bilateral tubal occlusion; vasectomised partner; sexual abstinence. In case of use of oral contraception, women should have been stable on the same pill for a minimum of 3 months before taking study drug. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception.
Vulnerable Population
Minors are included (age > 6 years). The protocol requires signed informed consent; in case of minors, written informed consent must be obtained by parents or legal representative. Subject information and informed consent forms are available for adults, for parents, and age-specific forms for 7-13 years and 14-18 years (documents listed: L1_SIS and ICF parents_Redacted; L1_SIS and ICF 7-13 yr; L1_SIS and ICF 14-18 yr).

Inclusion criteria

  • {"criterion_text":"- Male and female of any race and > 6 years old"}
  • {"criterion_text":"- Positive genetic test for SCA7"}
  • {"criterion_text":"- Signed Informed Consent (in case of minors, written informed consent must be obtained by parents or legal representative)"}

Exclusion criteria

  • {"criterion_text":"- Female subjects: pregnant or lactating women cannot participate in the study. Women of childbearing potential cannot participate unless willing to use highly effective contraception methods as combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal or transdermal); progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable; intrauterine device (IUD); intrauterine hormone-releasing system (IUS); bilateral tubal occlusion; vasectomised partner; sexual abstinence. In case of use of oral contraception, women should have been stable on the same pill for a minimum of 3 months before taking study drug. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception."}
  • {"criterion_text":"- Subjects with a clinically significant or unstable medical or surgical condition that would preclude safe and complete study participation. Such conditions may include cardiovascular, pulmonary, hepatic, renal, severe systemic mycotic infections, metabolic diseases or malignancies"}
  • {"criterion_text":"- Hepatic diseases with serum values of alanine aminotransferase, aspartate aminotransferase or bilirubin > 1·5 times above normal limit"}
  • {"criterion_text":"- Any medical or psychiatric condition that may affect the subject ability to give informed consent, or to complete the study, or if the subject is considered by the treating neurologist to be, for any other reason, an unsuitable candidate for this study"}
  • {"criterion_text":"- Known hypersensitivity to any component of riluzole (Glentek)"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoints will be the proportion of patients with stable SARA score and visual acuity expressed as log MAR units at 18 months, in comparison with the same parameters as mean of t0-t3-t6 evaluations .","definition_or_measurement_approach":"Proportion of patients with stability on SARA score and visual acuity measured in logMAR at 18 months compared to the mean of baseline/run-in evaluations at t0, t3, and t6."}

Secondary endpoints

  • {"endpoint_text":"- The secondary endpoint will be quantitative ophthalmologic assessments (via a Farnsworth D15 Arrangement Test, Visual evoked, Electroretinography, Optical Coherence tomography, Computerized visual field examination) and SARA score as continuous values at 18 months, in comparison with the same parameters calculated for each patient as mean of t0-t3-t6 evaluations","definition_or_measurement_approach":"Quantitative ophthalmologic assessments including Farnsworth D15 Arrangement Test, Visual evoked potentials, Electroretinography, Optical Coherence Tomography (OCT), and computerized visual field; and SARA score treated as continuous variables at 18 months versus mean of t0, t3, t6."}
  • {"endpoint_text":"- The safety profile will be assessed through the recording, reporting and analyzing of baseline medical conditions, adverse events, physical examination findings including laboratory tests.","definition_or_measurement_approach":"Safety assessed by recording and analysis of baseline medical conditions, adverse events, physical exam findings and laboratory test results."}

Recruitment

Planned Sample Size
24
Recruitment Window Months
44
Consent Approach
Written informed consent required. Adult participants sign their own consent. For minors, written informed consent must be obtained from parents or a legal representative. Age-specific subject information and informed consent forms are provided (documents: L1_SIS and ICF adults_Redacted; L1_SIS and ICF parents_Redacted; L1_SIS and ICF 7-13 yr; L1_SIS and ICF 14-18 yr). Documents exist in Italian (translations and Italian titles present) and English materials are available for public/protocol summaries.

Methods

  • Site-based recruitment through participating neurology and pediatric clinics at listed hospitals/universities in Italy (University Hospital Of Ferrara; Universita Degli Studi Di Roma La Sapienza; Azienda Ospedaliera Universitaria Gaetano Martino Messina; Azienda Unita Sanitaria Locale Di Bologna).
  • GP outreach: L2_1 RISCA7 GP Letter (document present) to inform general practitioners about the study (title indicates targeted recruitment via GPs).
  • Pediatrician outreach: L2_2 RISCA7 Letter for pediatrician (document present) to inform pediatricians about the study (targeted recruitment via pediatricians).

Geography

Total Number Of Sites
4
Total Number Of Participants
24

Italy

Earliest CTIS Part Ii Submission Date
22-10-2024
Latest Decision Or Authorization Date
27-10-2025
Processing Time Days
370
Number Of Sites
4
Number Of Participants
24

Sites

Site Name
University Hospital Of Ferrara
Department Name
Azienda Ospedaliera-Universitaria Sant’Anna - Clinica Pediatrica
Principal Investigator Name
Agnese Suppiej
Principal Investigator Email
agnese.suppiej@unife.it
Contact Person Name
Agnese Suppiej
Contact Person Email
agnese.suppiej@unife.it
Site Name
Universita Degli Studi Di Roma La Sapienza
Department Name
AO S. Andrea - UOC Neurologia
Principal Investigator Name
Giovanni Ristori
Principal Investigator Email
giovanni.ristori@uniroma1.it
Contact Person Name
Giovanni Ristori
Contact Person Email
giovanni.ristori@uniroma1.it
Site Name
Azienda Ospedaliera Universitaria Gaetano Martino Messina
Department Name
UOC Neurologia e malattie neuromuscolari
Principal Investigator Name
Olimpia Musumeci
Principal Investigator Email
musumeci@unime.it
Contact Person Name
Olimpia Musumeci
Contact Person Email
musumeci@unime.it
Site Name
Azienda Unita Sanitaria Locale Di Bologna
Department Name
IRCCS Istituto delle Scienze Neurologiche di Bologna - UOC Clinica Neurologica
Principal Investigator Name
Giovanni Rizzo
Principal Investigator Email
giovanni.rizzo@ausl.bologna.it
Contact Person Name
Giovanni Rizzo
Contact Person Email
giovanni.rizzo@ausl.bologna.it

Sponsor

Primary sponsor

Full Name
Universita Degli Studi Di Roma La Sapienza
Organisation Type
Educational Institution
Country Of Registered Address
Italy

Investigational products

Investigational Product Name
Glentek 50 mg filmtabletten
Active Substance
RILUZOLE
Modality
Small molecule
Routes Of Administration
ORAL
Route
Oral
Authorisation Status
Marketing authorisation information present (authorisationCountryCode: DE; mrpNumber: NL/H/4645/001; euMpNumber: PRD525388)
Starting Dose
50 mg
Dose Levels
50 mg (fixed dose)
Frequency
Every 12 h (twice daily)
Maximum Dose
100 mg/day
Investigational Product Name
Placebo Riluzole is a hard gelatin capsule filled with the inert excipient microcrystalline cellulose (Avicel® PH200).
Modality
Other
Frequency
Every 12 h for 6 months (as comparator schedule)

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