Pilot Study of Safety and Efficacy of Sodium Phenylbutyrate in Spinocerebellar Ataxia Type 3

NCT01096095 — Phase 2, Withdrawn, Hospital de Clinicas de Porto Alegre

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Phenylbutyrate in SCA3: a Double-blind, Placebo-controlled Study to Determine Safety and Efficacy of Sodium Phenylbutyrate in Patients With SCA3

RegistryNCT01096095
StatusWithdrawn - Regulatory authorities did not allow the entrance of the study drug in the country
PhasePhase 2
Study typeInterventional; randomized, parallel, masking: quadruple, treatment
SponsorHospital de Clinicas de Porto Alegre (Other); collaborators: Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul, Brazil
ConditionsSpinocerebellar Ataxia Type 3
InterventionsPlacebo, Sodium Phenylbutyrate (Drug)
Datesstart 2010-06-01, primary completion 2010-12-01 (estimated), completion 2011-07-01 (estimated), first posted 2010-03-30, last updated 2012-08-17
Locations1 site in Brazil

Related Papers Related Patents Related Grants Related Experts
All trials for Spinocerebellar Ataxia Type 3 All trials of Placebo All trials of Sodium Phenylbutyrate

-Summary

DESIGN: Pilot, Phase II, double-blind, placebo-controlled study

JUSTIFICATION: In the literature one does not find a pharmacological treatment that changes the natural history of Spinocerebellar ataxtia type 3 (SCA3). Patients with this disease invariably become dependent.

OBJECTIVES I. To determine safety and tolerability of phenylbutyrate in patients with SCA3.

II. To provide early subsidies on the efficacy of phenylbutyrate in SCA3.

DURATION: 12 months of a double-blind study.

PLACE OF REALIZATION: Hospital de Clínicas de Porto Alegre, Brazil.

NUMBER OF PATIENTS: 20 patients.

CONCOMITANT MEDICATIONS: There are no concomitant medications that are prohibited unless they affect safety parameters of this study (hemogram and platelets; fasting serum glucose, AST, ALT, Gamma-GT, Bilirubins, Prothrombin time, Creatinine, Urea, Na, K, chlorides and arterial gasometry; electrocardiogram and echocardiogram).

MEDICATIONS UNDER INVESTIGATION: Powdered sodium phenylbutyrate in sachets containing each 3g. At the start of the study, the dose will be 15g/day (five sachets) and may be reduced in case of mild adverse events.

OUTCOMES Primary safety outcome: The number of adverse events, interruptions and dose reductions in the two groups (cases and controls).

Efficacy outcomes: Efficacy outcomes are the following scores in both groups: NESSCA, SARA, Barthel, BDI, and WHOQol.

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+Arms and interventions

ArmTypeInterventionsDescription
PlaceboPlacebo comparatorDrug: PlaceboPlacebo
Sodium phenylbutyrateExperimentalDrug: Sodium PhenylbutyrateActive drug
  • Placebo (Drug): Powdered placebo in sachets containing each 3g. At the start of the study, the dose will be 15g/day (five sachets).
  • Sodium Phenylbutyrate (Drug): Powdered sodium phenylbutyrate in sachets containing each 3g. At the start of the study, the dose will be 15g/day (five sachets) and may be reduced in case of mild adverse events.

+Outcome measures

Primary outcomes

  • Safety and tolerability of phenylbutyrate in patients with SCA3 [6 months - 12 months]: The number of adverse events, interruptions and dose reductions in the two groups (cases and controls).

Secondary outcomes

  • Efficacy of phenylbutyrate in SCA3 on neurological dysfunction and quality of life [6 months - 12 months]: Efficacy outcomes are the following scores in both groups: NESSCA, SARA, 9-hole peg board test, BDI, and WHOQol.

+Eligibility

Sex: All, ages: 16 Years to 80 Years

Inclusion Criteria:

1. All patients shall have their molecular diagnosis confirmed and expanded polyglutamine tract (CAG) measures already determined.
2. Patients still able to walk with until 8 years of disease duration, and
3. Patients aged 16 years or over will be invited to participate in the study.

Exclusion Criteria:

1. they show electrocardiogram ou echocardiographic alterations suggestive of heart insufficiency at baseline;
2. their serum creatinine levels are higher than 1.2 mg/dL, with the confirmation of renal insufficiency due to the rate of glomerular filtration;
3. they show a history of hypersensibility to sodium phenylbutyrate, and if
4. they (men and women) do not agree to use a reliable contraceptive method during the entire study period and for three months after its end.

+Locations (1)

FacilityCityCountryStatus
Hospital de Clínicas de Porto AlegrePorto Alegre, Rio Grande do SulBrazil

+Investigators

  • Laura B Jardim, PhD, Principal investigator, Medical Genetics Service of Hospital de Clínicas de Porto Alegre