Assessing Long Term Safety and Tolerability of PXT3003 in Patients With Charcot-Marie-Tooth Disease Type 1A

Last updated: February 16, 2024
Sponsor: Pharnext S.C.A.
Overall Status: Active - Not Recruiting

Phase

3

Condition

Neuropathy

Peripheral Neuropathy

Treatment

PXT3003

Clinical Study ID

NCT03023540
CLN-PXT3003-03
2015-002379-81
  • Ages 17-67
  • All Genders

Study Summary

All randomised patients with Charcot-Marie-Tooth Type 1A (CMT1A) who completed the primary study CLN-PXT3003-02, i.e. treatment with PXT3003 or placebo, are eligible to continue in the extension study CLN-PXT3003-03.

Period 1: Patients randomised to PXT3003 dose 1 or placebo in the primary study (CLN-PXT3003-02) continued in the extension study on PXT3003 dose 1 (5 mL). Patients randomised to PXT3003 dose 2 (5 mL) in the primary study (CLN-PXT3003-02) continued in the extension study on PXT3003 dose 2 or PXT3003 twice dose 1 (2x5 mL).

Period 2: All patients continue on twice dose 1 (2X5mL).

Eligibility Criteria

Inclusion

Inclusion Criteria after September 18th 2017:

  • Patients previously randomized to study CLN-PXT3003-02 under placebo and dose 1 andhaving completed 15 months of double-blind treatment in that study, including allprocedures required at the Study Termination visit (V6) or
  • Patients previously randomized to the initial study CLN-PXT3003-02 under dose 2,prematurely discontinued following sponsor decision, and having performed allprocedures required at the Study Termination visit (V6)
  • Patients whose V6 was performed within 4 weeks before entering the extension study orif not done must have a new baseline visit (VB)
  • Female patients must agree to continue using an approved method of birth controlthroughout the extension study
  • Patients must sign a written informed consent, specific to the extension study, inorder to participate in this study. In case of minor children aged 16 to 18 years,both parent' and children's consents should be collected Inclusion Criteria until September 18th 2017:
  • Patients must have completed 15 months of double-blind treatment in the primary studyCLN-PXT3003-02, including all procedures required at the Study Termination visit (V6)
  • Female patients must agree to continue using an approved method of birth controlthroughout the extension study
  • Patients must sign a written informed consent, specific to the extension study, inorder to participate in this study. In case of minor children aged 16 to 18 years,both parent' and children's consents should be collected

Exclusion

Exclusion Criteria:

  • Any clinically significant change in health status that, in the opinion of theInvestigator, would prevent the subject from participating in this study orsuccessfully completing this study
  • Any unauthorized concomitant treatments, as study CLN-PXT3003-02 (e.g. including butnot limited to baclofen, naltrexone,sorbitol (pharmaceutical form), opioids,levothyroxin, and potentially neurotoxic drugs such as amiodarone, chloroquine, cancerdrugs susceptible to induce peripheral neuropathy)

Study Design

Total Participants: 187
Treatment Group(s): 1
Primary Treatment: PXT3003
Phase: 3
Study Start date:
March 07, 2017
Estimated Completion Date:
December 31, 2024

Study Description

PXT3003 is a rational design, fixed combination of low-dose (RS) baclofen, naltrexone hydrochloride and D-sorbitol. The use of PXT3003 in a multicenter, randomised, placebo controlled phase II study (CLN-PXT3003-01) was well-tolerated and safe in patients with CMT1A for the three dose-levels investigated (Attarian et al., 2014). The intermediate and high dose of PXT3003 demonstrated an improvement of disability in this patient population.

Subsequently a multicenter, randomised, placebo controlled phase III study (CLN-PXT3003-02) to assess the efficacy and safety of PXT3003 in the treatment of patients with CMT1A was initiated in December 2015. In March 2017 the first patients completed the 15-month treatment with PXT3003 and rolled over into the extension study CLN-PXT3003-03.

During Period 1 (9 months), patients that were randomised to PXT3003 dose 1 or placebo in the primary study (CLN-PXT3003-02) continued in the extension study on PXT3003 dose 1 (5 mL). Patients randomised to PXT3003 dose 2 (5 mL) in the primary study (CLN-PXT3003-02) continued in the extension study on on PXT3003 dose 2 or PXT3003 twice dose 1 (2x5 mL). During Period 2, all patients continue on twice dose 1 (2X5mL).

Connect with a study center

  • Departement of Neurology, UZ Leuven

    Leuven,
    Belgium

    Site Not Available

  • University Hospital of Quebec

    Quebec, G1J 1Z4
    Canada

    Site Not Available

  • Cntre de Reference des Maladies Neuromusculaires, Hopital Swynghedauwl, CHU Lille

    Lille,
    France

    Site Not Available

  • Centre de Reference des Neuropathies Peripheriques Rare, Hopital Dupuytren, CHU Limoges

    Limoges,
    France

    Site Not Available

  • Service de Neurologie et du Sommeil, CHU Lyon Sud

    Lyon,
    France

    Site Not Available

  • Centre de Reference des Maladie Neuromusculaires, CHU la Timone

    Marseille,
    France

    Site Not Available

  • Centre de Reference des Maladie Neuromusculaires, Hotel Dieu, CHU de Nantes

    Nantes,
    France

    Site Not Available

  • Service de Neurologie, Hopital Kremlin Bicetre

    Paris,
    France

    Site Not Available

  • Department of Neurology and Institute for Neuropathology, University Hospital RWTH Aachen

    Aachen,
    Germany

    Site Not Available

  • Department of Clinical Neurophysiology, University Medical Center Göttingen

    Gottingen,
    Germany

    Site Not Available

  • Department of Neurology, Ludwig-Maximillian University, Munich

    Munich,
    Germany

    Site Not Available

  • Department for Sleep Medicine and Neuromuscular disease, University Hospital Münster

    Munster,
    Germany

    Site Not Available

  • Departement of Neurology, Academic Medical Center

    Amsterdam,
    Netherlands

    Site Not Available

  • Department of neurology, Hospital Univesitario de Bellvitge

    Barcelona,
    Spain

    Site Not Available

  • Servicio de Neurologia, Hospital Universitario La Paz

    Madrid,
    Spain

    Site Not Available

  • Centro de Diagnostico y Tratamiento, Hospital Universitario Virgen del Rocio

    Sevilla,
    Spain

    Site Not Available

  • Servicio de Neurologia, Hospital Universitario i Politécnic La Fe

    Valencia,
    Spain

    Site Not Available

  • Department of Neurology, Salford Royal NHS Foundation Trust

    Salford, Manchester M6 8HD
    United Kingdom

    Site Not Available

  • Department of Neurology, Cedars-Sinai Medical Center

    Los Angeles, California 90048
    United States

    Site Not Available

  • Hospital for Special Care, New Britain

    New Britain, Connecticut 06053
    United States

    Site Not Available

  • Department of Neurology, McKnight Brain Institute

    Gainesville, Florida 32610
    United States

    Site Not Available

  • Department of Neurology, McKnight Brain Institute

    Gainsville, Florida 32610
    United States

    Site Not Available

  • University of Kansas Medical Center

    Kansas City, Kansas 66160
    United States

    Site Not Available

  • Brigham and Women's Hospital

    Boston, Massachusetts 02115
    United States

    Site Not Available

  • University of Michigan Health System

    Ann Arbor, Michigan 48109-5322
    United States

    Site Not Available

  • University of Michigan Health System

    Ann Harbor, Michigan 48109-5322
    United States

    Site Not Available

  • Department of Neurology, University of Minnesota

    Minneapolis, Minnesota 55455
    United States

    Site Not Available

  • Department of Neurology and Psichiatry, Saint Louis University

    Saint Louis, Missouri 63104-1027
    United States

    Site Not Available

  • Department of Neurology and Psichiatry, Saint Louis University

    St Louis, Missouri 63104-1027
    United States

    Site Not Available

  • Peripheral Neuropathy Center, Neurological Institue Building, Columbia University Medical Center

    New York, New York 10032
    United States

    Site Not Available

  • Peripheral Neuropathy Center, Neurological Institue Building, Columbia University Medical Center

    New-York, New York 10032
    United States

    Site Not Available

  • Ohio State University

    Columbus, Ohio 43210
    United States

    Site Not Available

  • Saint Luke's Rehabilitation Institute

    Spokane, Washington 99202-1330
    United States

    Site Not Available

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