A Safety Study for Previously Treated Vatiquinone (PTC743) Participants With Inherited Mitochondrial Disease

NCT05218655 — Phase 3, Completed, 101 participants, PTC Therapeutics

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An Open-Label, Safety Study for Previously Treated Vatiquinone (PTC743) Subjects With Inherited Mitochondrial Disease

RegistryNCT05218655
StatusCompleted
PhasePhase 3
Study typeInterventional; na, single group, masking: none, treatment
Enrollment101 (Actual)
SponsorPTC Therapeutics (Industry)
ConditionsInherited Mitochondrial Disease
InterventionsVatiquinone (Drug)
Datesstart 2022-06-22, primary completion 2025-04-15, completion 2025-04-15, first posted 2022-02-01, last updated 2025-12-22
Locations26 sites in United States, France, Italy, Japan, Poland, Spain, United Kingdom

Related Papers Related Patents Related Grants Related Experts
All trials for Inherited Mitochondrial Disease All trials of Vatiquinone

-Summary

The primary objective of this study is to assess the safety of vatiquinone in participants with inherited mitochondrial disease who had prior exposure to vatiquinone in a PTC/BioElectron sponsored (previously Edison) clinical study or treatment plan.

The study will continue until vatiquinone becomes commercially available or the program is terminated.

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+Arms and interventions

ArmTypeInterventionsDescription
VatiquinoneExperimentalDrug: VatiquinoneParticipants will receive vatiquinone oral solution (100 milligrams \[mg\]/milliliter \[mL\]), up to 400 mg, administered orally or via feeding tube 3 times daily (TID).
  • Vatiquinone (Drug), also known as PTC743: Vatiquinone will be administered per dose and schedule specified in the arm description.

+Outcome measures

Primary outcomes

  • Number of Participants With Treatment-emergent Adverse Events (TEAEs) [Baseline (Day 1) up to 30 days after last dose of study drug (956 days)]: An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. AEs included both serious adverse events (SAEs) and non-serious AEs. A TEAE was defined as an AE that had an onset date or date of worsening on or after the first dose of study drug and within 30 days of the date of the last dose of treatment. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'.

+Eligibility

Sex: All

Inclusion Criteria:

* Participants with inherited mitochondrial disease including Leigh syndrome, Alpers syndrome, mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS), myoclonic epilepsy with ragged-red fibers (MERRF), pontocerebellar hypoplasia type 6 (PCH6), or other mitochondrial disease who participated in a previous vatiquinone clinical study or treatment plan.
* Women of childbearing potential must have a negative pregnancy test at screening/baseline and agree to abstinence or the use of at least 1 of the highly effective forms of contraception as specified in the protocol (with a failure rate of <1% per year when used consistently and correctly). Highly effective contraception or abstinence must be continued for the duration of the study, and for up to 30 days after the last dose of study drug.
* Fertile men who are sexually active with women of childbearing potential and who have not had a vasectomy, must agree to use a barrier method of birth control during the study and for up to 30 days after the last dose of study drug.

Exclusion Criteria:

* Current participation in any other interventional study.
* Pregnancy or breast feeding.

+Posted results

Participant flow

MilestoneVatiquinone
Started101
Received at least 1 dose of study drug101
Completed0
Not completed101

Outcome results

  • Number of Participants With Treatment-emergent Adverse Events (TEAEs) (Primary), Count of participants, Participants: Vatiquinone 91

Adverse events

Time frame: Baseline (Day 1) up to 30 days after last dose of study drug (956 days)

ArmDeathsSerious adverse eventsOther adverse events
Vatiquinone7/101 (6.9%)45/101 (44.6%)59/101 (58.4%)

Serious adverse events by term

TermOrgan systemVatiquinone
AnaemiaBlood and lymphatic system disorders1/101
Atrial fibrillationCardiac disorders1/101
CardiomyopathyCardiac disorders1/101
TachycardiaCardiac disorders1/101
Fanconi syndromeCongenital, familial and genetic disorders1/101
Adrenal insufficiencyEndocrine disorders1/101
Abdominal painGastrointestinal disorders1/101
ConstipationGastrointestinal disorders1/101
DiarrhoeaGastrointestinal disorders1/101
Erosive oesophagitisGastrointestinal disorders1/101
Gastrointestinal haemorrhageGastrointestinal disorders1/101
OesophagitisGastrointestinal disorders1/101
PancreatitisGastrointestinal disorders1/101
Pancreatitis acuteGastrointestinal disorders1/101
PneumoperitoneumGastrointestinal disorders1/101
VomitingGastrointestinal disorders4/101
DeathGeneral disorders1/101
HypothermiaGeneral disorders1/101
Generalised oedemaGeneral disorders2/101
Hepatic failureHepatobiliary disorders1/101
BronchitisInfections and infestations2/101
COVID-19Infections and infestations3/101
InfluenzaInfections and infestations2/101
Lower respiratory tract infectionInfections and infestations2/101
PneumoniaInfections and infestations10/101
Pneumonia aspirationInfections and infestations1/101
Pseudomonas infectionInfections and infestations1/101
Respiratory tract infectionInfections and infestations2/101
Rhinovirus infectionInfections and infestations2/101
SepsisInfections and infestations2/101
Streptococcal infectionInfections and infestations1/101
TracheitisInfections and infestations1/101
Urinary tract infectionInfections and infestations3/101
UrosepsisInfections and infestations1/101
FallInjury, poisoning and procedural complications1/101
Femur fractureInjury, poisoning and procedural complications2/101
Postoperative ileusInjury, poisoning and procedural complications1/101
SARS-CoV-2 test positiveInvestigations1/101
HypercalcaemiaMetabolism and nutrition disorders1/101
HypokalaemiaMetabolism and nutrition disorders1/101
HyponatraemiaMetabolism and nutrition disorders1/101
Mitochondrial cytopathyMetabolism and nutrition disorders1/101
Muscular weaknessMusculoskeletal and connective tissue disorders1/101
Autonomic nervous system imbalanceNervous system disorders1/101
Change in seizure presentationNervous system disorders1/101
EpilepsyNervous system disorders2/101
MyoclonusNervous system disorders1/101
Optic neuritisNervous system disorders1/101
SeizureNervous system disorders2/101
Status epilepticusNervous system disorders3/101
Acute kidney injuryRenal and urinary disorders1/101
Acute respiratory distress syndromeRespiratory, thoracic and mediastinal disorders1/101
Acute respiratory failureRespiratory, thoracic and mediastinal disorders11/101
AsthmaRespiratory, thoracic and mediastinal disorders1/101
CoughRespiratory, thoracic and mediastinal disorders1/101
HypercapniaRespiratory, thoracic and mediastinal disorders1/101
HypoxiaRespiratory, thoracic and mediastinal disorders2/101
Pulmonary amyloidosisRespiratory, thoracic and mediastinal disorders1/101
Respiratory failureRespiratory, thoracic and mediastinal disorders2/101
Respiratory distressRespiratory, thoracic and mediastinal disorders2/101

2 more terms not shown.

Other adverse events by term

TermOrgan systemVatiquinone
DiarrhoeaGastrointestinal disorders6/101
VomitingGastrointestinal disorders11/101
PyrexiaGeneral disorders12/101
COVID-19Infections and infestations13/101
NasopharyngitisInfections and infestations7/101
PneumoniaInfections and infestations6/101
Respiratory tract infectionInfections and infestations6/101
Upper respiratory tract infectionInfections and infestations14/101
Urinary tract infectionInfections and infestations9/101
Gamma-glutamyltransferase increasedInvestigations6/101
SeizureNervous system disorders9/101

Limitations and caveats: The study was terminated early as PTC discontinued clinical development of vatiquinone for this indication based on prior clinical study results.

+Locations (26)

FacilityCityCountryStatus
University of California, San Diego Altman Clinical and Translational Research InstituteLa Jolla, CaliforniaUnited States
Stanford UniversityStanford, CaliforniaUnited States
Yale MedicineNew Haven, ConnecticutUnited States
Children's NationalWashington D.C., District of ColumbiaUnited States
Child Neurology Center of Northwest FloridaGulf Breeze, FloridaUnited States
The Johns Hopkins UniversityBaltimore, MarylandUnited States
Columbia University Medical Center - CUMCNew York, New YorkUnited States
Akron Children's HospitalAkron, OhioUnited States
Cleveland ClinicCleveland, OhioUnited States
Children's Hospital of Philadelphia - CHOPPhiladelphia, PennsylvaniaUnited States
Medical University of South Carolina - MUSCCharleston, South CarolinaUnited States
Baylor College of MedicineHouston, TexasUnited States
UT Health The University of TexasHouston, TexasUnited States
Seattle Children HospitalSeattle, WashingtonUnited States
Chu AngersAngersFrance
CHU Montpellier - Hopital Saint-EloiMontpellierFrance
Hopital Necker-Enfants MaladesParisFrance
Hôpital de Hautepierre - Hôpitaux Universitaires de StrasbourgStrasbourgFrance
Ospedale Pediatrico Bambino GesùRomaItaly
PTC Clinical SiteJapanese CityJapan
Instytut Pomnik - Centrum Zdrowia DzieckaWarsawPoland
Hospital Sant Joan de DéuBarcelonaSpain
Hospital Universitario 12 de OctubreMadridSpain
Hospital Ruber InternacionalMadridSpain
Great Ormond Street Hospital for Children NHS Foundation TrustLondonUnited Kingdom
The Newcastle Upon Tyne Hospitals NHS Foundation TrustNewcastle upon TyneUnited Kingdom

+Study documents

+Investigators