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Efficacy and Safety of SOM3355 in Huntington's Disease Chorea

Primary Purpose

Huntington's Chorea

Status
Completed
Phase
Phase 2
Locations
Spain
Study Type
Interventional
Intervention
SOM3355 100mg BID
SOM3355 200mg BID
Placebo BID
Sponsored by
SOM Innovation Biotech SA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Huntington's Chorea focused on measuring Huntington, Chorea, SOM3355

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject is at least 18 years of age at time of consent.
  • Diagnosis of HD definite by a movement disorders expert and confirmed by a number of HTT gene CAG repeats equal or greater than 36.
  • Female of child bearing potential (FCBP) and non-vasectomized male agree to practice appropriate methods of birth control.
  • Ability to walk independently or with minimal assistance.
  • UHDRS TMC score equal or greater than 8.
  • UHDRS TFC equal or greater than 4.
  • Subject has provided written informed consent or through his/her legally authorized representative.

Exclusion Criteria:

  • Onset of HD symptoms prior to age 18 (Juvenile forms of HD).
  • Non-ambulatory patients.
  • A past medical history of clinically significant ECG abnormalities or a family history (grandparents, parents and siblings) of a prolonged QT-interval syndrome.
  • Pregnant or breastfeeding female patients, including those planning to conceive during the period of the trial.
  • Patients with psychiatric symptoms, or other impairments, that would interfere with their full compliance with the Investigator instructions and testing, unless there is an identified caregiver to support the patient.
  • Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of drugs, or which may jeopardize the subject in case of participation in the study. The Investigator should make this determination in consideration of the subject's medical history and/or clinical laboratory test results at screening and baseline.
  • Known allergy/sensitivity/intolerance to the study drugs or their excipients.
  • Any significant laboratory results which, in the Investigator's opinion, would not be compatible with study participation or represent a risk for the subject while in the study.
  • Prescribed anti-hypertensive medication, tetrabenazine, deutetrabenazine or valbenazine within 15 days prior starting the investigational treatment.
  • Excluded concomitant medications: any anti-hypertensive medication, tetrabenazine, deutetrabenazine or valbenazine, all typical neuroleptics and all MAO inhibitors
  • Subject has a history of alcohol or substance abuse in the previous 12 months.
  • Patients with diabetic ketoacidosis or metabolic acidosis.
  • Patients with cardiogenic shock, congestive heart failure, pulmonary hypertension due to right-sided heart failure, severe sinus bradycardia, atrioventricular block (grades II and III) or sinoatrial block.
  • Subject has participated in an investigational drug or device trial within 30 days prior starting the investigational treatment.

Sites / Locations

  • Hospital Clínic de Barcelona
  • Hospital de la Santa Creu i Sant Pau
  • Hospital Universitari Vall d'Hebron
  • Hospital Universitari de Bellvitge

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Group A

Group B

Arm Description

Administration of SOM3355 100mg BID for 6 weeks, SOM3355 200mg BID for 6 weeks, SOM3355 100mg BID for 6 weeks and placebo BID for 6 weeks.

Administration of placebo BID for 6 weeks, SOM3355 100mg BID for 6 weeks, SOM3355 200mg BID for 6 weeks and SOM3355 100mg BID for 6 weeks.

Outcomes

Primary Outcome Measures

UHDRS (Unified Huntington's Disease Rating Scale) Total Maximal Chorea (TMC) score
UHDRS subscore used to measure the effectiveness of SOM3355 on HD chorea.

Secondary Outcome Measures

Clinical Global Impression of Change (CGIC) scale
PGIC reflects clinician's belief about the efficacy of treatment.
Patient Global Impression of Change (PGIC) scale
PGIC reflects a patient's belief about the efficacy of treatment.
UHDRS Total Functional Capacity (TFC)
A standardized rating scale used to assess capacity to work, handle finances, perform domestic chores and self-care tasks.
UHDRS Functional Assessment
Functional Assessment should be judged according to the investigator's opinion of capacity to perform the activity rather than the actual performance of this activity.
UHDRS Gait score
UHDRS subscore used to assess patient's gait.
UHDRS Total Motor Score (TMS)
Categoric clinical rating scale assessing multiple domains of motor disability in HD.
Columbia Suicide Severity Rating Scale (C-SSRS)
International validated questionnaire used for suicide assessment.
Safety (number of participants with adverse events)
The maximum grade for each type of AE will be recorded for each subject, and frequency tables will be presented and reviewed to determine patterns. The relationship of the AE to the study treatment will be taken into consideration. Hypotension and cardiovascular events will be specifically analyzed.

Full Information

First Posted
June 11, 2018
Last Updated
September 13, 2019
Sponsor
SOM Innovation Biotech SA
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1. Study Identification

Unique Protocol Identification Number
NCT03575676
Brief Title
Efficacy and Safety of SOM3355 in Huntington's Disease Chorea
Official Title
Phase IIa, Double-blind, Randomized, Placebo-controlled Study of the Efficacy and Safety of SOM3355 in Huntington's Disease (HD) Patients With Chorea Movements.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2019
Overall Recruitment Status
Completed
Study Start Date
August 8, 2018 (Actual)
Primary Completion Date
August 22, 2019 (Actual)
Study Completion Date
August 22, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
SOM Innovation Biotech SA

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Phase IIa study to evaluate the efficacy and safety of SOM3355 in chorea movements associated with Huntington's disease

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Huntington's Chorea
Keywords
Huntington, Chorea, SOM3355

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Experimental
Arm Description
Administration of SOM3355 100mg BID for 6 weeks, SOM3355 200mg BID for 6 weeks, SOM3355 100mg BID for 6 weeks and placebo BID for 6 weeks.
Arm Title
Group B
Arm Type
Experimental
Arm Description
Administration of placebo BID for 6 weeks, SOM3355 100mg BID for 6 weeks, SOM3355 200mg BID for 6 weeks and SOM3355 100mg BID for 6 weeks.
Intervention Type
Drug
Intervention Name(s)
SOM3355 100mg BID
Intervention Description
Oral
Intervention Type
Drug
Intervention Name(s)
SOM3355 200mg BID
Intervention Description
Oral
Intervention Type
Drug
Intervention Name(s)
Placebo BID
Intervention Description
Oral
Primary Outcome Measure Information:
Title
UHDRS (Unified Huntington's Disease Rating Scale) Total Maximal Chorea (TMC) score
Description
UHDRS subscore used to measure the effectiveness of SOM3355 on HD chorea.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Clinical Global Impression of Change (CGIC) scale
Description
PGIC reflects clinician's belief about the efficacy of treatment.
Time Frame
6 months
Title
Patient Global Impression of Change (PGIC) scale
Description
PGIC reflects a patient's belief about the efficacy of treatment.
Time Frame
6 months
Title
UHDRS Total Functional Capacity (TFC)
Description
A standardized rating scale used to assess capacity to work, handle finances, perform domestic chores and self-care tasks.
Time Frame
6 months
Title
UHDRS Functional Assessment
Description
Functional Assessment should be judged according to the investigator's opinion of capacity to perform the activity rather than the actual performance of this activity.
Time Frame
6 months
Title
UHDRS Gait score
Description
UHDRS subscore used to assess patient's gait.
Time Frame
6 months
Title
UHDRS Total Motor Score (TMS)
Description
Categoric clinical rating scale assessing multiple domains of motor disability in HD.
Time Frame
6 months
Title
Columbia Suicide Severity Rating Scale (C-SSRS)
Description
International validated questionnaire used for suicide assessment.
Time Frame
6 months
Title
Safety (number of participants with adverse events)
Description
The maximum grade for each type of AE will be recorded for each subject, and frequency tables will be presented and reviewed to determine patterns. The relationship of the AE to the study treatment will be taken into consideration. Hypotension and cardiovascular events will be specifically analyzed.
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is at least 18 years of age at time of consent. Diagnosis of HD definite by a movement disorders expert and confirmed by a number of HTT gene CAG repeats equal or greater than 36. Female of child bearing potential (FCBP) and non-vasectomized male agree to practice appropriate methods of birth control. Ability to walk independently or with minimal assistance. UHDRS TMC score equal or greater than 8. UHDRS TFC equal or greater than 4. Subject has provided written informed consent or through his/her legally authorized representative. Exclusion Criteria: Onset of HD symptoms prior to age 18 (Juvenile forms of HD). Non-ambulatory patients. A past medical history of clinically significant ECG abnormalities or a family history (grandparents, parents and siblings) of a prolonged QT-interval syndrome. Pregnant or breastfeeding female patients, including those planning to conceive during the period of the trial. Patients with psychiatric symptoms, or other impairments, that would interfere with their full compliance with the Investigator instructions and testing, unless there is an identified caregiver to support the patient. Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of drugs, or which may jeopardize the subject in case of participation in the study. The Investigator should make this determination in consideration of the subject's medical history and/or clinical laboratory test results at screening and baseline. Known allergy/sensitivity/intolerance to the study drugs or their excipients. Any significant laboratory results which, in the Investigator's opinion, would not be compatible with study participation or represent a risk for the subject while in the study. Prescribed anti-hypertensive medication, tetrabenazine, deutetrabenazine or valbenazine within 15 days prior starting the investigational treatment. Excluded concomitant medications: any anti-hypertensive medication, tetrabenazine, deutetrabenazine or valbenazine, all typical neuroleptics and all MAO inhibitors Subject has a history of alcohol or substance abuse in the previous 12 months. Patients with diabetic ketoacidosis or metabolic acidosis. Patients with cardiogenic shock, congestive heart failure, pulmonary hypertension due to right-sided heart failure, severe sinus bradycardia, atrioventricular block (grades II and III) or sinoatrial block. Subject has participated in an investigational drug or device trial within 30 days prior starting the investigational treatment.
Facility Information:
Facility Name
Hospital Clínic de Barcelona
City
Barcelona
Country
Spain
Facility Name
Hospital de la Santa Creu i Sant Pau
City
Barcelona
Country
Spain
Facility Name
Hospital Universitari Vall d'Hebron
City
Barcelona
Country
Spain
Facility Name
Hospital Universitari de Bellvitge
City
L'Hospitalet de Llobregat
Country
Spain

12. IPD Sharing Statement

Links:
URL
http://www.sombiotech.com
Description
SOM Biotech website

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Efficacy and Safety of SOM3355 in Huntington's Disease Chorea

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