An Open-Label, Safety Study for Previously Treated Vatiquinone (PTC743) Subjects With Inherited Mitochondrial Disease
| Registry | NCT05218655 |
|---|---|
| Status | Completed |
| Phase | Phase 3 |
| Study type | Interventional; na, single group, masking: none, treatment |
| Enrollment | 101 (Actual) |
| Sponsor | PTC Therapeutics (Industry) |
| Conditions | Inherited Mitochondrial Disease |
| Interventions | Vatiquinone (Drug) |
| Dates | start 2022-06-22, primary completion 2025-04-15, completion 2025-04-15, first posted 2022-02-01, last updated 2025-12-22 |
| Locations | 26 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
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.
| Arm | Type | Interventions | Description |
|---|---|---|---|
| Vatiquinone | Experimental | Drug: Vatiquinone | Participants will receive vatiquinone oral solution (100 milligrams \[mg\]/milliliter \[mL\]), up to 400 mg, administered orally or via feeding tube 3 times daily (TID). |
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.
| Milestone | Vatiquinone |
|---|---|
| Started | 101 |
| Received at least 1 dose of study drug | 101 |
| Completed | 0 |
| Not completed | 101 |
Time frame: Baseline (Day 1) up to 30 days after last dose of study drug (956 days)
| Arm | Deaths | Serious adverse events | Other adverse events |
|---|---|---|---|
| Vatiquinone | 7/101 (6.9%) | 45/101 (44.6%) | 59/101 (58.4%) |
| Term | Organ system | Vatiquinone |
|---|---|---|
| Anaemia | Blood and lymphatic system disorders | 1/101 |
| Atrial fibrillation | Cardiac disorders | 1/101 |
| Cardiomyopathy | Cardiac disorders | 1/101 |
| Tachycardia | Cardiac disorders | 1/101 |
| Fanconi syndrome | Congenital, familial and genetic disorders | 1/101 |
| Adrenal insufficiency | Endocrine disorders | 1/101 |
| Abdominal pain | Gastrointestinal disorders | 1/101 |
| Constipation | Gastrointestinal disorders | 1/101 |
| Diarrhoea | Gastrointestinal disorders | 1/101 |
| Erosive oesophagitis | Gastrointestinal disorders | 1/101 |
| Gastrointestinal haemorrhage | Gastrointestinal disorders | 1/101 |
| Oesophagitis | Gastrointestinal disorders | 1/101 |
| Pancreatitis | Gastrointestinal disorders | 1/101 |
| Pancreatitis acute | Gastrointestinal disorders | 1/101 |
| Pneumoperitoneum | Gastrointestinal disorders | 1/101 |
| Vomiting | Gastrointestinal disorders | 4/101 |
| Death | General disorders | 1/101 |
| Hypothermia | General disorders | 1/101 |
| Generalised oedema | General disorders | 2/101 |
| Hepatic failure | Hepatobiliary disorders | 1/101 |
| Bronchitis | Infections and infestations | 2/101 |
| COVID-19 | Infections and infestations | 3/101 |
| Influenza | Infections and infestations | 2/101 |
| Lower respiratory tract infection | Infections and infestations | 2/101 |
| Pneumonia | Infections and infestations | 10/101 |
| Pneumonia aspiration | Infections and infestations | 1/101 |
| Pseudomonas infection | Infections and infestations | 1/101 |
| Respiratory tract infection | Infections and infestations | 2/101 |
| Rhinovirus infection | Infections and infestations | 2/101 |
| Sepsis | Infections and infestations | 2/101 |
| Streptococcal infection | Infections and infestations | 1/101 |
| Tracheitis | Infections and infestations | 1/101 |
| Urinary tract infection | Infections and infestations | 3/101 |
| Urosepsis | Infections and infestations | 1/101 |
| Fall | Injury, poisoning and procedural complications | 1/101 |
| Femur fracture | Injury, poisoning and procedural complications | 2/101 |
| Postoperative ileus | Injury, poisoning and procedural complications | 1/101 |
| SARS-CoV-2 test positive | Investigations | 1/101 |
| Hypercalcaemia | Metabolism and nutrition disorders | 1/101 |
| Hypokalaemia | Metabolism and nutrition disorders | 1/101 |
| Hyponatraemia | Metabolism and nutrition disorders | 1/101 |
| Mitochondrial cytopathy | Metabolism and nutrition disorders | 1/101 |
| Muscular weakness | Musculoskeletal and connective tissue disorders | 1/101 |
| Autonomic nervous system imbalance | Nervous system disorders | 1/101 |
| Change in seizure presentation | Nervous system disorders | 1/101 |
| Epilepsy | Nervous system disorders | 2/101 |
| Myoclonus | Nervous system disorders | 1/101 |
| Optic neuritis | Nervous system disorders | 1/101 |
| Seizure | Nervous system disorders | 2/101 |
| Status epilepticus | Nervous system disorders | 3/101 |
| Acute kidney injury | Renal and urinary disorders | 1/101 |
| Acute respiratory distress syndrome | Respiratory, thoracic and mediastinal disorders | 1/101 |
| Acute respiratory failure | Respiratory, thoracic and mediastinal disorders | 11/101 |
| Asthma | Respiratory, thoracic and mediastinal disorders | 1/101 |
| Cough | Respiratory, thoracic and mediastinal disorders | 1/101 |
| Hypercapnia | Respiratory, thoracic and mediastinal disorders | 1/101 |
| Hypoxia | Respiratory, thoracic and mediastinal disorders | 2/101 |
| Pulmonary amyloidosis | Respiratory, thoracic and mediastinal disorders | 1/101 |
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | 2/101 |
| Respiratory distress | Respiratory, thoracic and mediastinal disorders | 2/101 |
2 more terms not shown.
| Term | Organ system | Vatiquinone |
|---|---|---|
| Diarrhoea | Gastrointestinal disorders | 6/101 |
| Vomiting | Gastrointestinal disorders | 11/101 |
| Pyrexia | General disorders | 12/101 |
| COVID-19 | Infections and infestations | 13/101 |
| Nasopharyngitis | Infections and infestations | 7/101 |
| Pneumonia | Infections and infestations | 6/101 |
| Respiratory tract infection | Infections and infestations | 6/101 |
| Upper respiratory tract infection | Infections and infestations | 14/101 |
| Urinary tract infection | Infections and infestations | 9/101 |
| Gamma-glutamyltransferase increased | Investigations | 6/101 |
| Seizure | Nervous system disorders | 9/101 |
Limitations and caveats: The study was terminated early as PTC discontinued clinical development of vatiquinone for this indication based on prior clinical study results.
| Facility | City | Country | Status |
|---|---|---|---|
| University of California, San Diego Altman Clinical and Translational Research Institute | La Jolla, California | United States | |
| Stanford University | Stanford, California | United States | |
| Yale Medicine | New Haven, Connecticut | United States | |
| Children's National | Washington D.C., District of Columbia | United States | |
| Child Neurology Center of Northwest Florida | Gulf Breeze, Florida | United States | |
| The Johns Hopkins University | Baltimore, Maryland | United States | |
| Columbia University Medical Center - CUMC | New York, New York | United States | |
| Akron Children's Hospital | Akron, Ohio | United States | |
| Cleveland Clinic | Cleveland, Ohio | United States | |
| Children's Hospital of Philadelphia - CHOP | Philadelphia, Pennsylvania | United States | |
| Medical University of South Carolina - MUSC | Charleston, South Carolina | United States | |
| Baylor College of Medicine | Houston, Texas | United States | |
| UT Health The University of Texas | Houston, Texas | United States | |
| Seattle Children Hospital | Seattle, Washington | United States | |
| Chu Angers | Angers | France | |
| CHU Montpellier - Hopital Saint-Eloi | Montpellier | France | |
| Hopital Necker-Enfants Malades | Paris | France | |
| Hôpital de Hautepierre - Hôpitaux Universitaires de Strasbourg | Strasbourg | France | |
| Ospedale Pediatrico Bambino Gesù | Roma | Italy | |
| PTC Clinical Site | Japanese City | Japan | |
| Instytut Pomnik - Centrum Zdrowia Dziecka | Warsaw | Poland | |
| Hospital Sant Joan de Déu | Barcelona | Spain | |
| Hospital Universitario 12 de Octubre | Madrid | Spain | |
| Hospital Ruber Internacional | Madrid | Spain | |
| Great Ormond Street Hospital for Children NHS Foundation Trust | London | United Kingdom | |
| The Newcastle Upon Tyne Hospitals NHS Foundation Trust | Newcastle upon Tyne | United Kingdom |