An Exploratory Clinical Trial in Early Stage Huntington's Disease Patients With SEN0014196 (PADDINGTON)
Primary Purpose
Huntington Disease
Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
SEN0014196 (Low Dose)
SEN0014196 (High Dose)
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Huntington Disease focused on measuring Huntington Disease, Basal Ganglia Diseases, Brain Diseases, Central Nervous System Diseases, Nervous System Diseases, Dementia, Chorea, Dyskinesias, Movement Disorders, Heredodegenerative Disorders, Nervous System, Neurodegenerative Diseases, Genetic Diseases, Inborn, Cognition Disorders, Mental Disorders
Eligibility Criteria
Inclusion Criteria:
- Patients with early Huntington's Disease (age: 18 to 70 years), i.e. genetically confirmed (CAG repeat length ≥36) HD, motor signs of HD (motor score of the UHDRS > 5) and a TFC of ≥7.
- All patients will have a body weight greater than 50 kg.
- Female subjects must be surgically sterile or post-menopausal, no spontaneous menstruation for at least one year before the first dose, non-lactating and have a negative urine pregnancy test. Male subjects participating in the trial and their female contraception from the time of taking the first dose of the study drug until three months after taking the last dose. This must include a condom or other barrier method.
- All subjects must be capable of providing written informed consent.
- Subjects must have no clinically significant and relevant history that could affect the conduct of the study and evaluation of the data, as ascertained by the Investigator through detailed medical history and screening assessments.
Exclusion Criteria:
- Participation in a study of an investigational drug within 30 days of the baseline visit.
- Subjects with presence of psychosis and/or confusional states.
- Subjects with clinically significant laboratory or ECG abnormalities at Screening.
- Subjects with clinically relevant hematological, hepatic, cardiac or renal disease.
- A medical history of infection with human immunodeficiency virus, hepatitis C and/or hepatitis B.
- Any relevant condition, behaviour, laboratory value or concomitant medication which, in the opinion of the Investigator, makes the subject unsuitable for entry into the study.
- Subjects who have previously received histone deacetylase inhibitors e.g. vorinostat or have participated in a clinical trial using compound suspected of interfering with protein acetylation status.
- A history of malignancy of any type within 2 years prior to screening. A history of surgically excised nonmelanoma skin cancers is permitted.
- Subjects with a significant history of drug allergy as determined by the Investigator.
- Subjects who have a significant history of alcoholism or drug/chemical abuse as determined by the Investigator.
Sites / Locations
- Universitätsklinik Ulm, Neurologie
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
SEN0014196 (Low Dose)
SEN0014196 (High dose)
Placebo
Arm Description
10 mg, once daily administration (immediate release capsule)
100 mg, once daily administration (immediate release capsule)
Once daily (immediate release capsule)
Outcomes
Primary Outcome Measures
To determine the change from baseline of a series of pharmacodynamic markers in peripheral blood mononuclear cells
Collection of peripheral blood mononuclear cells for biomarker investigations, specifically acetylation status of mutant huntingtin, levels of circulating huntingtin, innate immune markers and transcriptional profiles
Secondary Outcome Measures
To determine the safety and tolerability following repeated doses of SEN0014196 over two weeks at two dose levels in patients with Huntington's disease
Safety assessments will include ECG, vital signs, laboratory safety tests, and physical and neurological examination. Tolerability will include type and frequency of adverse events.
To determine the pharmacokinetics of repeated doses of SEN0014196 at two dose levels when administered over two weeks in patients with Huntington's disease
The following parameters will be assessed: maximum observed plasma concentration (Cmax), time of maximum observed plasma concentration(tmax), AUC from time zero to the length of the dosing interval (tau) (AUC0-τ), AUC from time zero to the last quantifiable concentration (AUC0-last), AUC from time zero to infinity (AUC0-∞), terminal elimination half-life (t1/2), and terminal elimination rate constant (λz). Gender differences. Dose proportionality.
Full Information
NCT ID
NCT01485952
First Posted
November 29, 2011
Last Updated
November 24, 2015
Sponsor
Siena Biotech S.p.A.
Collaborators
Seventh Framework Programme, European Huntington's Disease Network
1. Study Identification
Unique Protocol Identification Number
NCT01485952
Brief Title
An Exploratory Clinical Trial in Early Stage Huntington's Disease Patients With SEN0014196
Acronym
PADDINGTON
Official Title
An Exploratory Clinical Trial in Early Stage Huntington's Disease Patients to Assess Pharmacokinetics, Candidate Pharmacodynamic Measures of Target Engagement and Disease Modulation as Well as Acute Phenotypical Effects Following Multiple Oral Doses of SEN0014196.
Study Type
Interventional
2. Study Status
Record Verification Date
November 2015
Overall Recruitment Status
Completed
Study Start Date
March 2011 (undefined)
Primary Completion Date
November 2011 (Actual)
Study Completion Date
November 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Siena Biotech S.p.A.
Collaborators
Seventh Framework Programme, European Huntington's Disease Network
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The primary objective of this study is to provide biological samples from patients with Huntington's disease to allow characterisation of the pharmacological mechanism of action of SEN0014196.
Detailed Description
This study will establish the acute phenotypical and biological effects of repeated dose application of SEN0014196 in patients with Huntington's disease, providing biomaterials for biomarker studies (levels of circulating huntingtin, acetylation status of mutant huntingtin, innate immune markers, transcriptional profiles). Evaluation of phenotypic effects will include UHDRS scores, total functional capacity. Safety assessments will include ECG, vital signs, laboratory safety tests and physical examination.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Huntington Disease
Keywords
Huntington Disease, Basal Ganglia Diseases, Brain Diseases, Central Nervous System Diseases, Nervous System Diseases, Dementia, Chorea, Dyskinesias, Movement Disorders, Heredodegenerative Disorders, Nervous System, Neurodegenerative Diseases, Genetic Diseases, Inborn, Cognition Disorders, Mental Disorders
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
55 (Actual)
8. Arms, Groups, and Interventions
Arm Title
SEN0014196 (Low Dose)
Arm Type
Experimental
Arm Description
10 mg, once daily administration (immediate release capsule)
Arm Title
SEN0014196 (High dose)
Arm Type
Experimental
Arm Description
100 mg, once daily administration (immediate release capsule)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Once daily (immediate release capsule)
Intervention Type
Drug
Intervention Name(s)
SEN0014196 (Low Dose)
Intervention Description
10 mg once daily administration (immediate release capsule)
Intervention Type
Drug
Intervention Name(s)
SEN0014196 (High Dose)
Intervention Description
100 mg once daily administration (immediate release capsule)
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Once daily administration (immediate release capsule)
Primary Outcome Measure Information:
Title
To determine the change from baseline of a series of pharmacodynamic markers in peripheral blood mononuclear cells
Description
Collection of peripheral blood mononuclear cells for biomarker investigations, specifically acetylation status of mutant huntingtin, levels of circulating huntingtin, innate immune markers and transcriptional profiles
Time Frame
Baseline, Day 7, Day 14, Follow-Up
Secondary Outcome Measure Information:
Title
To determine the safety and tolerability following repeated doses of SEN0014196 over two weeks at two dose levels in patients with Huntington's disease
Description
Safety assessments will include ECG, vital signs, laboratory safety tests, and physical and neurological examination. Tolerability will include type and frequency of adverse events.
Time Frame
Baseline, Day 7, Day 14, Follow-up
Title
To determine the pharmacokinetics of repeated doses of SEN0014196 at two dose levels when administered over two weeks in patients with Huntington's disease
Description
The following parameters will be assessed: maximum observed plasma concentration (Cmax), time of maximum observed plasma concentration(tmax), AUC from time zero to the length of the dosing interval (tau) (AUC0-τ), AUC from time zero to the last quantifiable concentration (AUC0-last), AUC from time zero to infinity (AUC0-∞), terminal elimination half-life (t1/2), and terminal elimination rate constant (λz). Gender differences. Dose proportionality.
Time Frame
Baseline, Day 14
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients with early Huntington's Disease (age: 18 to 70 years), i.e. genetically confirmed (CAG repeat length ≥36) HD, motor signs of HD (motor score of the UHDRS > 5) and a TFC of ≥7.
All patients will have a body weight greater than 50 kg.
Female subjects must be surgically sterile or post-menopausal, no spontaneous menstruation for at least one year before the first dose, non-lactating and have a negative urine pregnancy test. Male subjects participating in the trial and their female contraception from the time of taking the first dose of the study drug until three months after taking the last dose. This must include a condom or other barrier method.
All subjects must be capable of providing written informed consent.
Subjects must have no clinically significant and relevant history that could affect the conduct of the study and evaluation of the data, as ascertained by the Investigator through detailed medical history and screening assessments.
Exclusion Criteria:
Participation in a study of an investigational drug within 30 days of the baseline visit.
Subjects with presence of psychosis and/or confusional states.
Subjects with clinically significant laboratory or ECG abnormalities at Screening.
Subjects with clinically relevant hematological, hepatic, cardiac or renal disease.
A medical history of infection with human immunodeficiency virus, hepatitis C and/or hepatitis B.
Any relevant condition, behaviour, laboratory value or concomitant medication which, in the opinion of the Investigator, makes the subject unsuitable for entry into the study.
Subjects who have previously received histone deacetylase inhibitors e.g. vorinostat or have participated in a clinical trial using compound suspected of interfering with protein acetylation status.
A history of malignancy of any type within 2 years prior to screening. A history of surgically excised nonmelanoma skin cancers is permitted.
Subjects with a significant history of drug allergy as determined by the Investigator.
Subjects who have a significant history of alcoholism or drug/chemical abuse as determined by the Investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bernhard G Landwehrmeyer, MD, PhD
Organizational Affiliation
European Huntington's Disease Network
Official's Role
Principal Investigator
Facility Information:
Facility Name
Universitätsklinik Ulm, Neurologie
City
Ulm
ZIP/Postal Code
89081
Country
Germany
12. IPD Sharing Statement
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An Exploratory Clinical Trial in Early Stage Huntington's Disease Patients With SEN0014196
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