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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