Evaluation of the Efficacy of Stiripentol (Diacomit) as Monotherapy for the Treatment of Primary Hyperoxaluria
Primary Purpose
Primary Hyperoxaluria
Status
Completed
Phase
Phase 2
Locations
France
Study Type
Interventional
Intervention
stiripentol (Diacomit)
Sponsored by
About this trial
This is an interventional treatment trial for Primary Hyperoxaluria
Eligibility Criteria
Inclusion Criteria:
- Patient with primary hyperoxaluria type 1, 2 or 3, diagnosed according to standard methods
- Having at least one molar ratio [oxaluria / creatinuria] greater than 0.08 since diagnosis
- Having Glomerular Filtration Rate ≥ 45 mL / min / 1.73m2
- Age ≥ 6 months
- Having read, or whose parents have read, the information note and signed the consent form. For children, if their level of understanding allows, their assent will also be sought
- Proficient enough, or whose parents or legal representatives have sufficient mastery, the French language to read, understand and complete study documents
- Affiliate or beneficiary of a social security scheme
- Ability to respect the protocol, including treatment, and can be followed regularly in the study
- For pubertal patients, contraception deemed effective by the investigator or abstinence
Exclusion Criteria:
- Introduction, discontinuation or dose modification of vitamin B6 or potassium citrate treatment within 4 weeks prior to the inclusion visit
- Consumption of jelly candies and / or dark chocolate in the week preceding the study
- Patient having a kidney and / or liver transplant
- Presence of a clinically significant acute or chronic pathology, other than primary hyperoxaluria, that may interfere with the evaluation of the study results according to the investigator
- During biological or physical examinations, presence of significant anomaly (s) inconsistent with participation in the study according to the investigator
- History of severe allergy, asthma, skin rash or hypersensitivity to a drug
- Treatment affecting hepatic metabolism (cimetidine, ketoconazole, fluconazole, itraconazole, phenytoin, rifampicin, rifabutin) in progress or taken during the month preceding the start of the study
- Treatment affecting the renal tubule (probenecid, β-lactams, ...) in progress or taken during the last two weeks preceding the start of the study
- Presence of a pathology or treatment that, according to the investigator, renders the subject unfit
- Contraindications to stiripentol as defined in the current SmPC (hypersensitivity to the active substance or to any of the excipients listed in section 6.1 of the SmPC, history of psychosis in the form of delusional episodes)
- Pregnant or lactating woman
- Patient under guardianship
- Patient concurrently participating in another clinical trial or exclusion period following a previous trial
Sites / Locations
- Hôpital Necker
- Hôpital Robert Debré
- Hôpital Tenon
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
stiripentol (Diacomit)
Arm Description
Outcomes
Primary Outcome Measures
Relative variation (%) of the molar ratio [oxaluria / creatinuria] between baseline and after two weeks of treatment.
Relative variation (%) of the molar ratio [oxaluria / creatinuria] between baseline and after two weeks of treatment.
Relative variation (%) of the molar ratio [oxaluria / creatinuria] between baseline and after three weeks of treatment.
Relative variation (%) of the molar ratio [oxaluria / creatinuria] between baseline and after three weeks of treatment.
Secondary Outcome Measures
Response to treatment defined by a decrease> 20% of the molar ratio [oxaluria / creatinuria]
Response to treatment defined by a decrease> 20% of the molar ratio [oxaluria / creatinuria]
Relative variation (%) of supersaturation of urine with calcium oxalate between the start and the end of treatment period
Relative variation (%) of supersaturation of urine with calcium oxalate between the start and the end of treatment period
Relative variation (%) in overall crystalline volume measured by crystalluria on fresh urine between the start and the end of treatment period
Relative variation (%) in overall crystalline volume measured by crystalluria on fresh urine between the start and the end of treatment period
Effect of stiripentol dose increase on absolute decrease of the molar ratio [oxaluria / creatinuria]
Effect of stiripentol dose increase on absolute decrease of the molar ratio [oxaluria / creatinuria]
Effect of stiripentol dose increase on relative decrease (%) of the molar ratio [oxaluria / creatinuria]
Effect of stiripentol dose increase on relative decrease (%) of the molar ratio [oxaluria / creatinuria]
Blood test results (hepatic assessment) at the start and at the end of the study
Blood test results (hepatic assessment) at the start and at the end of the study
Blood test results (blood cells count) at the start and at the end of the study
Blood test results (blood cells count) at the start and at the end of the study
Frequency and nature of the adverse events throughout the study
Frequency and nature of the adverse events throughout the study
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03819647
Brief Title
Evaluation of the Efficacy of Stiripentol (Diacomit) as Monotherapy for the Treatment of Primary Hyperoxaluria
Official Title
Evaluation of the Efficacy of Stiripentol (Diacomit) as Monotherapy for the Treatment of Primary Hyperoxaluria
Study Type
Interventional
2. Study Status
Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
May 21, 2019 (Actual)
Primary Completion Date
December 18, 2020 (Actual)
Study Completion Date
March 8, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biocodex
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Evaluation of the efficacy of stiripentol (Diacomit) as monotherapy for the treatment of primary hyperoxaluria.
Pilot clinical study, open, prospective and multicenter.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Primary Hyperoxaluria
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
15 (Actual)
8. Arms, Groups, and Interventions
Arm Title
stiripentol (Diacomit)
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
stiripentol (Diacomit)
Intervention Description
Administration of stiripentol per os
Primary Outcome Measure Information:
Title
Relative variation (%) of the molar ratio [oxaluria / creatinuria] between baseline and after two weeks of treatment.
Description
Relative variation (%) of the molar ratio [oxaluria / creatinuria] between baseline and after two weeks of treatment.
Time Frame
Change (%) of the molar ratio [oxaluria / creatinuria] between the baseline value (average of 3 measures done during pre-treatment period) and the value (average of 2 measures) after 2 weeks of treatment.
Title
Relative variation (%) of the molar ratio [oxaluria / creatinuria] between baseline and after three weeks of treatment.
Description
Relative variation (%) of the molar ratio [oxaluria / creatinuria] between baseline and after three weeks of treatment.
Time Frame
Change (%) of the molar ratio [oxaluria / creatinuria] between the baseline value (average of 3 measures done during pre-treatment period) and the value (average of 2 measures) after 3 weeks of treatment.
Secondary Outcome Measure Information:
Title
Response to treatment defined by a decrease> 20% of the molar ratio [oxaluria / creatinuria]
Description
Response to treatment defined by a decrease> 20% of the molar ratio [oxaluria / creatinuria]
Time Frame
3 measures from inclusion to first treatment intake (= baseline value), then 2 measures at Day 14 and Day 15 respectively (=value after 2 weeks of treatment), and 2 measures at Day 20 and Day 21 respectively (=value after 3 weeks of treatment)
Title
Relative variation (%) of supersaturation of urine with calcium oxalate between the start and the end of treatment period
Description
Relative variation (%) of supersaturation of urine with calcium oxalate between the start and the end of treatment period
Time Frame
3 measures from inclusion to first treatment intake (= baseline value), then 2 measures at Day 14 and Day 15 respectively (=value after 2 weeks of treatment), and 2 measures at Day 20 and Day 21 respectively (=value after 3 weeks of treatment)
Title
Relative variation (%) in overall crystalline volume measured by crystalluria on fresh urine between the start and the end of treatment period
Description
Relative variation (%) in overall crystalline volume measured by crystalluria on fresh urine between the start and the end of treatment period
Time Frame
3 measures from inclusion to first treatment intake (= baseline value), then 2 measures at Day 14 and Day 15 respectively (=value after 2 weeks of treatment), and 2 measures at Day 20 and Day 21 respectively (=value after 3 weeks of treatment)
Title
Effect of stiripentol dose increase on absolute decrease of the molar ratio [oxaluria / creatinuria]
Description
Effect of stiripentol dose increase on absolute decrease of the molar ratio [oxaluria / creatinuria]
Time Frame
3 measures from inclusion to first treatment intake (= baseline value), then 2 measures at Day 14 and Day 15 respectively (=value after 2 weeks of treatment), and 2 measures at Day 20 and Day 21 respectively (=value after 3 weeks of treatment)
Title
Effect of stiripentol dose increase on relative decrease (%) of the molar ratio [oxaluria / creatinuria]
Description
Effect of stiripentol dose increase on relative decrease (%) of the molar ratio [oxaluria / creatinuria]
Time Frame
3 measures from inclusion to first treatment intake (= baseline value), then 2 measures at Day 14 and Day 15 respectively (=value after 2 weeks of treatment), and 2 measures at Day 20 and Day 21 respectively (=value after 3 weeks of treatment)
Title
Blood test results (hepatic assessment) at the start and at the end of the study
Description
Blood test results (hepatic assessment) at the start and at the end of the study
Time Frame
From start of participation of the patient to end of the treatment period (up to 8 weeks)
Title
Blood test results (blood cells count) at the start and at the end of the study
Description
Blood test results (blood cells count) at the start and at the end of the study
Time Frame
From start of participation of the patient to end of the treatment period (up to 8 weeks)
Title
Frequency and nature of the adverse events throughout the study
Description
Frequency and nature of the adverse events throughout the study
Time Frame
From start of participation of the patient to end of the treatment period (up to 8 weeks)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
6 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patient with primary hyperoxaluria type 1, 2 or 3, diagnosed according to standard methods
Having at least one molar ratio [oxaluria / creatinuria] greater than 0.08 since diagnosis
Having Glomerular Filtration Rate ≥ 45 mL / min / 1.73m2
Age ≥ 6 months
Having read, or whose parents have read, the information note and signed the consent form. For children, if their level of understanding allows, their assent will also be sought
Proficient enough, or whose parents or legal representatives have sufficient mastery, the French language to read, understand and complete study documents
Affiliate or beneficiary of a social security scheme
Ability to respect the protocol, including treatment, and can be followed regularly in the study
For pubertal patients, contraception deemed effective by the investigator or abstinence
Exclusion Criteria:
Introduction, discontinuation or dose modification of vitamin B6 or potassium citrate treatment within 4 weeks prior to the inclusion visit
Consumption of jelly candies and / or dark chocolate in the week preceding the study
Patient having a kidney and / or liver transplant
Presence of a clinically significant acute or chronic pathology, other than primary hyperoxaluria, that may interfere with the evaluation of the study results according to the investigator
During biological or physical examinations, presence of significant anomaly (s) inconsistent with participation in the study according to the investigator
History of severe allergy, asthma, skin rash or hypersensitivity to a drug
Treatment affecting hepatic metabolism (cimetidine, ketoconazole, fluconazole, itraconazole, phenytoin, rifampicin, rifabutin) in progress or taken during the month preceding the start of the study
Treatment affecting the renal tubule (probenecid, β-lactams, ...) in progress or taken during the last two weeks preceding the start of the study
Presence of a pathology or treatment that, according to the investigator, renders the subject unfit
Contraindications to stiripentol as defined in the current SmPC (hypersensitivity to the active substance or to any of the excipients listed in section 6.1 of the SmPC, history of psychosis in the form of delusional episodes)
Pregnant or lactating woman
Patient under guardianship
Patient concurrently participating in another clinical trial or exclusion period following a previous trial
Facility Information:
Facility Name
Hôpital Necker
City
Paris
Country
France
Facility Name
Hôpital Robert Debré
City
Paris
Country
France
Facility Name
Hôpital Tenon
City
Paris
Country
France
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Evaluation of the Efficacy of Stiripentol (Diacomit) as Monotherapy for the Treatment of Primary Hyperoxaluria
We'll reach out to this number within 24 hrs