search
Back to results

A Study of Deflazacort (Emflaza®) in Participants With Duchenne Muscular Dystrophy (DMD) (PTCEMF)

Primary Purpose

Duchenne Muscular Dystrophy

Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Deflazacort
Sponsored by
PTC Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Duchenne Muscular Dystrophy

Eligibility Criteria

2 Years - 4 Years (Child)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • In the opinion of the Investigator, the participant and parent(s)/caregiver are capable of complying with protocol requirements.
  • The participant's legally acceptable representative signs and dates a written informed consent form and any required privacy authorization prior to the initiation of any study procedures.
  • The participant must have a diagnosis of DMD defined by genetic or biopsy confirmation of DMD or have documented, increased serum creatine kinase more than 40 times the upper limit of normal (ULN) and shown phenotypic signs of DMD.
  • The participant weighs between 11 kilograms (kg) and 50 kg at screening visit.
  • Ability to comply with scheduled visits, oral drug administration, and study procedures.
  • The participant is current on childhood vaccinations according to the Center for Disease Control (CDC) recommended immunizations for children from birth through 6 years old. Note: The investigator should discuss timing of receipt of the varicella vaccine with the caregiver prior to initiation of chronic steroid treatment. Administration of live or live attenuated vaccines is not recommended in participants receiving immunosuppressive doses of corticosteroids. Participants whose caregivers decline vaccinations as a matter of personal belief may be included.
  • Baseline health is judged to be stable based on medical history, physical examination, laboratory profiles, and vital signs at screening, as deemed by the Investigator.
  • The participant is able to ingest the oral tablets either whole or crushed.

Exclusion Criteria:

  • The participant has received 4 weeks or more of continuous corticosteroid therapy within 3 months of study screening visit.
  • The participant has, in the judgment of the Investigator, clinically significant abnormal clinical laboratory parameters at screening or baseline that may affect safety.
  • The participant has, in the judgment of the Investigator, a history or current medical condition that could affect safety including, but not limited to:

    1. Major renal or hepatic impairment
    2. Immunosuppression or other contraindications for corticosteroid treatment
    3. History of chronic systemic fungal or viral infections
    4. Diabetes mellitus or significant glucose intolerance
    5. Idiopathic hypercalciuria
    6. Symptomatic cardiomyopathy Note: Elective surgeries can be discussed with medical monitor.
  • The participant has a history of hypersensitivity or allergic reaction to steroids or their formulations including, but not limited to lactose, sucrose, etc.
  • The participant has received any drug, including prescription and non-prescription medications, and herbal remedies known to be significant inhibitors and/or inducers of cytochrome P3A4 (CYP3A4) enzymes and/or P glycoprotein (P-gp) 14 days prior to the first dose of study drug.
  • The participant has an indication that requires long-term use of strong CYP3A4 inhibitors and/or inducers that would interfere with the pharmacokinetics of deflazacort.
  • The participant has received any investigational compound and/or has participated in another clinical study within 30 days prior to study treatment with the exception of observational cohort studies or non-interventional studies.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    No Intervention

    Arm Label

    Arm A: Deflazacort 0.9 mg/kg

    Arm B: Deflazacort 0.45 mg/kg

    Natural History Control Group

    Arm Description

    Participants will receive approximately 0.9 mg/kg deflazacort once daily orally for 52 weeks in Period 1 and for 52 weeks in Period 2. The target dose could be varied +/- 20 percent (%) depending upon the available tablet strengths and change in participant's weight.

    Participants will receive approximately 0.45 mg/kg deflazacort once daily orally for 52 weeks in Period 1. Participants will either continue to receive 0.45 mg/kg deflazacort or escalated dose of deflazacort (0.9 mg/kg) once daily orally in Period 2 at the investigator's discretion and in consultation with the caregiver. The target dose could be varied +/- 20% depending upon the available tablet strengths and change in participant's weight.

    Control participants matching to the study population as closely as possible, will be used as a comparator to characterize the safety and tolerability of deflazacort.

    Outcomes

    Primary Outcome Measures

    Period 1 and 2: Number of Participants With Treatment Emergent Adverse Events (TEAEs)
    Period 1 and 2: Change From Baseline in Vital Signs and Electrocardiogram (ECG) at Week 52
    Period 1 and 2: Change From Baseline in the Child Behavior Checklist Score at Week 52
    Period 1 and 2: Change From Baseline in the Normalized Measure of Bone Density Change (Z-score) for the Dual Energy X-ray Absorptiometry (DEXA) at Week 52
    Period 1 and 2: Mean Change From Baseline in Height at Week 52
    Period 1 and 2: Mean Change From Baseline in Body Weight at Week 52
    Period 1 and 2: Mean Change From Baseline in Height Percentile for Age at Week 52
    Period 1 and 2: Number of Participants With Clinically Significant Laboratory Tests

    Secondary Outcome Measures

    Period 1: Peak Plasma Concentration (Cmax) of Deflazacort
    Period 1: Area Under the Curve (AUC) of Deflazacort
    Period 1: Volume of Distribution (Vd) of Deflazacort
    Period 1: Clearance (CL) of Deflazacort

    Full Information

    First Posted
    July 10, 2018
    Last Updated
    June 20, 2019
    Sponsor
    PTC Therapeutics
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT03642145
    Brief Title
    A Study of Deflazacort (Emflaza®) in Participants With Duchenne Muscular Dystrophy (DMD)
    Acronym
    PTCEMF
    Official Title
    A 52-Week Phase 3B Randomized Open-Label Study Evaluating the Safety and Pharmacokinetics of Emflaza® (Deflazacort) Compared to a Comparable Natural History Control Group in Males Aged ≥2 to <5 Years With Duchenne Muscular Dystrophy (DMD) Followed by a 52-Week Extension Period
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2019
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Study is no longer necessary given the safety and efficacy of emflaza in this age range has already been established after review of already available data.
    Study Start Date
    October 31, 2018 (Actual)
    Primary Completion Date
    July 31, 2021 (Anticipated)
    Study Completion Date
    July 31, 2021 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    PTC Therapeutics

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The primary objective of this study is to evaluate the safety of a 0.9 milligrams per kilogram (mg/kg) and 0.45 mg/kg daily dose of deflazacort with a comparable natural history control group after 52 weeks of treatment in males with DMD aged greater than or equal to (>=) 2 to lesser than (<) 5 years. The study will comprise of 2 periods (Period 1: 52-week safety and pharmacokinetics [PK], and Period 2: 52-week extension). Participants will be randomized in a 1:1 ratio to one of 2 treatment arms: 0.9 mg/kg deflazacort, and 0.45 mg/kg of deflazacort. A historic control group (which should match the study population as closely as possible) will be used as a comparator to characterize the safety and tolerability of deflazacort.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Duchenne Muscular Dystrophy

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Arm A: Deflazacort 0.9 mg/kg
    Arm Type
    Experimental
    Arm Description
    Participants will receive approximately 0.9 mg/kg deflazacort once daily orally for 52 weeks in Period 1 and for 52 weeks in Period 2. The target dose could be varied +/- 20 percent (%) depending upon the available tablet strengths and change in participant's weight.
    Arm Title
    Arm B: Deflazacort 0.45 mg/kg
    Arm Type
    Experimental
    Arm Description
    Participants will receive approximately 0.45 mg/kg deflazacort once daily orally for 52 weeks in Period 1. Participants will either continue to receive 0.45 mg/kg deflazacort or escalated dose of deflazacort (0.9 mg/kg) once daily orally in Period 2 at the investigator's discretion and in consultation with the caregiver. The target dose could be varied +/- 20% depending upon the available tablet strengths and change in participant's weight.
    Arm Title
    Natural History Control Group
    Arm Type
    No Intervention
    Arm Description
    Control participants matching to the study population as closely as possible, will be used as a comparator to characterize the safety and tolerability of deflazacort.
    Intervention Type
    Drug
    Intervention Name(s)
    Deflazacort
    Other Intervention Name(s)
    Emflaza®
    Intervention Description
    Deflazacort tablets will be administered as per schedule and dose specified in respective arms.
    Primary Outcome Measure Information:
    Title
    Period 1 and 2: Number of Participants With Treatment Emergent Adverse Events (TEAEs)
    Time Frame
    52 weeks
    Title
    Period 1 and 2: Change From Baseline in Vital Signs and Electrocardiogram (ECG) at Week 52
    Time Frame
    Baseline, Week 52
    Title
    Period 1 and 2: Change From Baseline in the Child Behavior Checklist Score at Week 52
    Time Frame
    Baseline, Week 52
    Title
    Period 1 and 2: Change From Baseline in the Normalized Measure of Bone Density Change (Z-score) for the Dual Energy X-ray Absorptiometry (DEXA) at Week 52
    Time Frame
    Baseline, Week 52
    Title
    Period 1 and 2: Mean Change From Baseline in Height at Week 52
    Time Frame
    Baseline, Week 52
    Title
    Period 1 and 2: Mean Change From Baseline in Body Weight at Week 52
    Time Frame
    Baseline, Week 52
    Title
    Period 1 and 2: Mean Change From Baseline in Height Percentile for Age at Week 52
    Time Frame
    Baseline, Week 52
    Title
    Period 1 and 2: Number of Participants With Clinically Significant Laboratory Tests
    Time Frame
    52 weeks
    Secondary Outcome Measure Information:
    Title
    Period 1: Peak Plasma Concentration (Cmax) of Deflazacort
    Time Frame
    Pre-dose, 0.25, 2, 4, and 6 hours post-dose at Baseline (Week 1) and Week 13
    Title
    Period 1: Area Under the Curve (AUC) of Deflazacort
    Time Frame
    Pre-dose, 0.25, 2, 4, and 6 hours post-dose at Baseline (Week 1) and Week 13
    Title
    Period 1: Volume of Distribution (Vd) of Deflazacort
    Time Frame
    Pre-dose, 0.25, 2, 4, and 6 hours post-dose at Baseline (Week 1) and Week 13
    Title
    Period 1: Clearance (CL) of Deflazacort
    Time Frame
    Pre-dose, 0.25, 2, 4, and 6 hours post-dose at Baseline (Week 1) and Week 13

    10. Eligibility

    Sex
    Male
    Gender Based
    Yes
    Minimum Age & Unit of Time
    2 Years
    Maximum Age & Unit of Time
    4 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: In the opinion of the Investigator, the participant and parent(s)/caregiver are capable of complying with protocol requirements. The participant's legally acceptable representative signs and dates a written informed consent form and any required privacy authorization prior to the initiation of any study procedures. The participant must have a diagnosis of DMD defined by genetic or biopsy confirmation of DMD or have documented, increased serum creatine kinase more than 40 times the upper limit of normal (ULN) and shown phenotypic signs of DMD. The participant weighs between 11 kilograms (kg) and 50 kg at screening visit. Ability to comply with scheduled visits, oral drug administration, and study procedures. The participant is current on childhood vaccinations according to the Center for Disease Control (CDC) recommended immunizations for children from birth through 6 years old. Note: The investigator should discuss timing of receipt of the varicella vaccine with the caregiver prior to initiation of chronic steroid treatment. Administration of live or live attenuated vaccines is not recommended in participants receiving immunosuppressive doses of corticosteroids. Participants whose caregivers decline vaccinations as a matter of personal belief may be included. Baseline health is judged to be stable based on medical history, physical examination, laboratory profiles, and vital signs at screening, as deemed by the Investigator. The participant is able to ingest the oral tablets either whole or crushed. Exclusion Criteria: The participant has received 4 weeks or more of continuous corticosteroid therapy within 3 months of study screening visit. The participant has, in the judgment of the Investigator, clinically significant abnormal clinical laboratory parameters at screening or baseline that may affect safety. The participant has, in the judgment of the Investigator, a history or current medical condition that could affect safety including, but not limited to: Major renal or hepatic impairment Immunosuppression or other contraindications for corticosteroid treatment History of chronic systemic fungal or viral infections Diabetes mellitus or significant glucose intolerance Idiopathic hypercalciuria Symptomatic cardiomyopathy Note: Elective surgeries can be discussed with medical monitor. The participant has a history of hypersensitivity or allergic reaction to steroids or their formulations including, but not limited to lactose, sucrose, etc. The participant has received any drug, including prescription and non-prescription medications, and herbal remedies known to be significant inhibitors and/or inducers of cytochrome P3A4 (CYP3A4) enzymes and/or P glycoprotein (P-gp) 14 days prior to the first dose of study drug. The participant has an indication that requires long-term use of strong CYP3A4 inhibitors and/or inducers that would interfere with the pharmacokinetics of deflazacort. The participant has received any investigational compound and/or has participated in another clinical study within 30 days prior to study treatment with the exception of observational cohort studies or non-interventional studies.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Francesco Bibbiani, MD
    Organizational Affiliation
    PTC Therapeutics
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Study of Deflazacort (Emflaza®) in Participants With Duchenne Muscular Dystrophy (DMD)

    We'll reach out to this number within 24 hrs