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A Study to Assess the Efficacy and Safety of PXT3003 in Charcot-Marie-Tooth Type 1A

Primary Purpose

Charcot-Marie-Tooth Type 1A

Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
PXT3003
PXT3003 placebo
Sponsored by
Tasly GeneNet Pharmaceuticals Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Charcot-Marie-Tooth Type 1A

Eligibility Criteria

16 Years - 65 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients aged 16 to 65 years (included boundary value), of either sex;
  2. Patients with CMT1A (PMP22 duplication on chromosome 17p11.2) confirmed by gene diagnosis; 3.2 < CMTNS-v2 score ≤ 18;

4.Patients are dorsalis pedis flexor weakness at least (clinical evaluation); 5.Ulnar nerve motor nerve conductance velocity > 15 m/s; 6.Subjects participate in clinical trials and sign informed consent voluntarily , and they have the ability to understand as will as abide by research procedures.

Exclusion Criteria:

  1. Being allergic to RS-baclofen, naltrexone HCL, D-sorbitol or any component in pxt3003 excipients or having other serious prior allergic reaction;
  2. Existence contraindications of baclofen, naltrexone or sorbitol, such as porphyria;
  3. Any other associated cause of peripheral neuropathy such as diabetes mellitus (including diabetes history and glycosylated hemoglobin >6.5%)
  4. Subjects with other neurological diseases affecting the evaluation of study treatment;
  5. Patients with the score of ONLS score is 0;
  6. A history of unstable medical diseases with clinically significant unstable medical diseases (unstable angina pectoris, tumor, blood disease, hepatitis or liver failure, renal failure, etc.) that may cause harm to the subjects participating in this study in the past 1 year;
  7. Limb surgery had implemented within the first six months of randomization or will be planned before the completion of the clinical trial;
  8. Hepatic or renal dysfunction:

    1. TBIL>1.5×ULN,ALT>3×ULN,AST>3×ULN;
    2. Cr>1.5×ULN;
  9. Syphilis antibody and HIV antibody positive subjects;
  10. Subjects with tumors indicated by chest radiograph or B-ultrasound;
  11. Subjects with alcohol dependence in recent 3 months;
  12. Females that are of childbearing potential, pregnant, or are breast-feeding;Subjects who are unable to use appropriate contraceptives during the trial;
  13. Subjects with concomitant treatment 4 weeks before enrollment, including but not limited to baclofen, naltrexone, sorbitol, opioids, vitamin C, levothyroxine and potentially neurotoxic drugs (such as amiodarone and chloroquine);
  14. Subjects unable to complete the follow-up of study;
  15. Participated in another clinical trial and used the test drug within the last 30 days;
  16. Different subjects from the same family and living in the same residence can only include one subject, so as to avoid treatment confusion, affect blind treatment and affect the interpretation of the research results;
  17. Investigators affirm the compliance in a certain subject is poor or there are some other factors that are not suitable to participate in this clinical trial.

Sites / Locations

  • Peking University Third Hospital
  • Xuanwu Hospital Capital Medical University
  • The First Bethune Hospital of Jilin University
  • The Third Xiangya Hospital of Central South UniversityRecruiting
  • The First Affiliated Hospital of Fujian Medical University
  • Nanfang Hospital Southern Medical University
  • The First Affiliated Hospital,Sun Yat-sen University
  • The Affiliated Hospital of Guizhou Medical University
  • The Second Affiliated Hospital Zhejiang University School of Medicine
  • The First Affiliated Hospital of Harbin Medical University
  • The First Affiliated Hospital of Anhui Medical University
  • Inner Mongolia People's Hospital
  • Qilu Hospital of Shandong University
  • The Second Affiliated Hospital of Nanchang University
  • The Affiliated Hospital of Nanjing University Medical School
  • Zhongda Hospital Southeast University
  • Qilu Hospital of Shandong University(Qingdao)
  • Shanghai Jiaotong University School of Medicine Ruijin Hospital
  • The First Hospital of China Medical University
  • The Second Hospital of Hebei Medical University
  • The First Affiliated Hospital of Soochow University
  • Renmin Hospital of Wuhan University(Hubei General Hospital)
  • The First Affiliated Hospital of Xi'an Jiaotong University
  • Henan Provincial People's Hospital
  • The First Affiliated Hospital of Zhengzhou University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

PXT3003

PXT3003 Placebo

Arm Description

Liquid oral solution, 10 mL twice a day, morning and evening with food

Liquid oral solution, 10 mL twice a day, morning and evening with food

Outcomes

Primary Outcome Measures

Overall Neuropathy Limitation Scale (ONLS) score
The primary efficacy endpoint will be the main effect of the studied treatment on the improvement of disability measured by the Overall Neuropathy Limitation Scale (ONLS) score, summarized at 15 months defined by: the change of the ONLS from baseline to the 15 months.ONLS is a disability scale that was derived and improved from the Overall Disability Sum Score to measure limitations in the everyday activities of the upper limbs (rated in 5 points) and the lower limbs (rated on 7 points) . The total score goes from 0 ( no disability) to 12 (maximum disability).

Secondary Outcome Measures

Treatment responders rate of PXT3003;
Responders Rate to PXT3003 therapy defined as a patients improving on ONLS at end of treatment.
The sub-item of Arm and leg scores in Overall Neuropathy Limitation Scale (ONLS)
ONLS is a disability scale that was derived and improved from the Overall Disability Sum Score to measure limitations in the everyday activities of the upper limbs (rated in 5 points) and the lower limbs (rated on 7 points) . The total score goes from 0 ( no disability) to 12 (maximum disability).
Total and sub-item score of Charcot-Marie-Tooth neuropathy score second version (CMTNS-V2);
CMTNS is a specific scale designed to assess severity of impairment in CMT disease .Although not completely validated, it provides a single and reliable measure of CMT severity. It is a 36-point scale based on 9 items: 5 of them quantify impairment (sensory symptoms, pin sensibility, vibration, arm and leg strength).
10-Meter Walk Test (10MWT);
Record the time for walk 10 meters . 10m WT is simple to administer, standardized, reliable and valid evaluation of functional exercise capacity and gait that has been proven reliable in neurologic disorders and in CMT patients. Results recorded are the time to walk 10 meters and the number of steps performed.
Nine-hole peg test (9HPT) for non-dominant hand ;
The 9-HPT is a simple timed test of fine motor coordination of extremities in the upper limbs.
Quantified Muscular Testing (QMT) (grip strength and bilateral foot dorsiflexion dynamometry) ;
QMT is used to evaluate motor strength in CMT1A. The following muscles will be evaluated: hand grip (right and left).
Electrophysiological parameters Sensory responses measured at ulnar and radial nerves on the non-dominant side:
The assessment parameters including: Distal motor latency (DML) .
Electrophysiological parameters motor responses measured at ulnar and radial nerves on the non-dominant side
The assessment parameters including: Nerve conduction velocity (NCV) .

Full Information

First Posted
September 26, 2021
Last Updated
February 15, 2022
Sponsor
Tasly GeneNet Pharmaceuticals Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05092841
Brief Title
A Study to Assess the Efficacy and Safety of PXT3003 in Charcot-Marie-Tooth Type 1A
Official Title
A Multi-Center, Randomized, Double-Blind, Placebo-Controlled Phase III Study to Assess the Efficacy and Safety of PXT3003 in Charcot-Marie-Tooth Type 1A (CMT1A) Treated 15 Months
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Recruiting
Study Start Date
September 28, 2021 (Actual)
Primary Completion Date
December 30, 2023 (Anticipated)
Study Completion Date
December 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tasly GeneNet Pharmaceuticals Co., Ltd

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
This is a randomized, double-blind, placebo-controlled and multicenter 3 phase trial evaluating the therapeutic effect and safety of CMT1A by PXT3003. This double-blind study will assess in parallel groups 1 dose of PXT3003 compared to Placebo in CMT1A patients treated for 15 months.
Detailed Description
This multi-center, randomized, double-blind, placebo-controlled, Phase III clinical study is designed to evaluate PXT3003 versus placebo in subjects with genetically confirmed CMT1A of mild-to-moderate severity (CMTNS-V2 score >2 and ≤18) aged 16 to 65 years. Genetically confirmed CMT1A subjects will be screened and randomized in a 1:1 ratio to receive either oral PXT3003 daily or matching placebo for 15 months. A total of approximately 176 subjects will be enrolled. Visits will take place at Screening (up to -30 days), Baseline , and Months 3, 6, 9, 12, and 15.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Charcot-Marie-Tooth Type 1A

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
176 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
PXT3003
Arm Type
Experimental
Arm Description
Liquid oral solution, 10 mL twice a day, morning and evening with food
Arm Title
PXT3003 Placebo
Arm Type
Placebo Comparator
Arm Description
Liquid oral solution, 10 mL twice a day, morning and evening with food
Intervention Type
Drug
Intervention Name(s)
PXT3003
Other Intervention Name(s)
(RS)-baclofen, naltrexone hydrochloride and D-sorbitol oral fixed dose combination
Intervention Description
Patients will be administered PXT3003 twice daily (bid) at 10mL.
Intervention Type
Drug
Intervention Name(s)
PXT3003 placebo
Other Intervention Name(s)
liquid oral solution
Intervention Description
Patients will be administered PXT3003 placebo twice daily (bid) at 10mL.
Primary Outcome Measure Information:
Title
Overall Neuropathy Limitation Scale (ONLS) score
Description
The primary efficacy endpoint will be the main effect of the studied treatment on the improvement of disability measured by the Overall Neuropathy Limitation Scale (ONLS) score, summarized at 15 months defined by: the change of the ONLS from baseline to the 15 months.ONLS is a disability scale that was derived and improved from the Overall Disability Sum Score to measure limitations in the everyday activities of the upper limbs (rated in 5 points) and the lower limbs (rated on 7 points) . The total score goes from 0 ( no disability) to 12 (maximum disability).
Time Frame
15 months
Secondary Outcome Measure Information:
Title
Treatment responders rate of PXT3003;
Description
Responders Rate to PXT3003 therapy defined as a patients improving on ONLS at end of treatment.
Time Frame
15 months
Title
The sub-item of Arm and leg scores in Overall Neuropathy Limitation Scale (ONLS)
Description
ONLS is a disability scale that was derived and improved from the Overall Disability Sum Score to measure limitations in the everyday activities of the upper limbs (rated in 5 points) and the lower limbs (rated on 7 points) . The total score goes from 0 ( no disability) to 12 (maximum disability).
Time Frame
15 months
Title
Total and sub-item score of Charcot-Marie-Tooth neuropathy score second version (CMTNS-V2);
Description
CMTNS is a specific scale designed to assess severity of impairment in CMT disease .Although not completely validated, it provides a single and reliable measure of CMT severity. It is a 36-point scale based on 9 items: 5 of them quantify impairment (sensory symptoms, pin sensibility, vibration, arm and leg strength).
Time Frame
15 months
Title
10-Meter Walk Test (10MWT);
Description
Record the time for walk 10 meters . 10m WT is simple to administer, standardized, reliable and valid evaluation of functional exercise capacity and gait that has been proven reliable in neurologic disorders and in CMT patients. Results recorded are the time to walk 10 meters and the number of steps performed.
Time Frame
15 months
Title
Nine-hole peg test (9HPT) for non-dominant hand ;
Description
The 9-HPT is a simple timed test of fine motor coordination of extremities in the upper limbs.
Time Frame
15 months
Title
Quantified Muscular Testing (QMT) (grip strength and bilateral foot dorsiflexion dynamometry) ;
Description
QMT is used to evaluate motor strength in CMT1A. The following muscles will be evaluated: hand grip (right and left).
Time Frame
15 months
Title
Electrophysiological parameters Sensory responses measured at ulnar and radial nerves on the non-dominant side:
Description
The assessment parameters including: Distal motor latency (DML) .
Time Frame
15 months
Title
Electrophysiological parameters motor responses measured at ulnar and radial nerves on the non-dominant side
Description
The assessment parameters including: Nerve conduction velocity (NCV) .
Time Frame
15 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients aged 16 to 65 years (included boundary value), of either sex; Patients with CMT1A (PMP22 duplication on chromosome 17p11.2) confirmed by gene diagnosis; 3.2 < CMTNS-v2 score ≤ 18; 4.Patients are dorsalis pedis flexor weakness at least (clinical evaluation); 5.Ulnar nerve motor nerve conductance velocity > 15 m/s; 6.Subjects participate in clinical trials and sign informed consent voluntarily , and they have the ability to understand as will as abide by research procedures. Exclusion Criteria: Being allergic to RS-baclofen, naltrexone HCL, D-sorbitol or any component in pxt3003 excipients or having other serious prior allergic reaction; Existence contraindications of baclofen, naltrexone or sorbitol, such as porphyria; Any other associated cause of peripheral neuropathy such as diabetes mellitus (including diabetes history and glycosylated hemoglobin >6.5%) Subjects with other neurological diseases affecting the evaluation of study treatment; Patients with the score of ONLS score is 0; A history of unstable medical diseases with clinically significant unstable medical diseases (unstable angina pectoris, tumor, blood disease, hepatitis or liver failure, renal failure, etc.) that may cause harm to the subjects participating in this study in the past 1 year; Limb surgery had implemented within the first six months of randomization or will be planned before the completion of the clinical trial; Hepatic or renal dysfunction: TBIL>1.5×ULN,ALT>3×ULN,AST>3×ULN; Cr>1.5×ULN; Syphilis antibody and HIV antibody positive subjects; Subjects with tumors indicated by chest radiograph or B-ultrasound; Subjects with alcohol dependence in recent 3 months; Females that are of childbearing potential, pregnant, or are breast-feeding;Subjects who are unable to use appropriate contraceptives during the trial; Subjects with concomitant treatment 4 weeks before enrollment, including but not limited to baclofen, naltrexone, sorbitol, opioids, vitamin C, levothyroxine and potentially neurotoxic drugs (such as amiodarone and chloroquine); Subjects unable to complete the follow-up of study; Participated in another clinical trial and used the test drug within the last 30 days; Different subjects from the same family and living in the same residence can only include one subject, so as to avoid treatment confusion, affect blind treatment and affect the interpretation of the research results; Investigators affirm the compliance in a certain subject is poor or there are some other factors that are not suitable to participate in this clinical trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Rui Liu
Phone
022-86343626
Email
liurui2@tasly.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rui Liu
Organizational Affiliation
Tasly Group,Co.Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Peking University Third Hospital
City
Beijing
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dongsheng Fan
Phone
13701023871
Email
dsfan@sina.com
Facility Name
Xuanwu Hospital Capital Medical University
City
Beijing
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yuwei Da
Phone
18811182130
Email
dayuwei100@hormail.com
Facility Name
The First Bethune Hospital of Jilin University
City
Changchun
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xin Sun
Phone
13596116866
Email
sjnksunxin@163.com
Facility Name
The Third Xiangya Hospital of Central South University
City
Changsha
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ruxu Zhang
Phone
18975172668
Email
zhangruxu@vip.163.com
Facility Name
The First Affiliated Hospital of Fujian Medical University
City
Fuzhou
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ning Wang
Phone
13805015340
Email
26354378@qq.com
Facility Name
Nanfang Hospital Southern Medical University
City
Guangzhou
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Haishan Jiang
Phone
18665604153
Email
jianghs@smu.edu.cn
Facility Name
The First Affiliated Hospital,Sun Yat-sen University
City
Guangzhou
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xiaoli Yao
Phone
18902233583
Email
yeyaoxiaoli@sohu.com
Facility Name
The Affiliated Hospital of Guizhou Medical University
City
Guiyang
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shan Wu
Phone
13312231575
Email
wuwushan@163.com
Facility Name
The Second Affiliated Hospital Zhejiang University School of Medicine
City
Hangzhou
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhiying Wu
Phone
13646715353
Email
zhiyingwu@zju.edu.cn
Facility Name
The First Affiliated Hospital of Harbin Medical University
City
Harbin
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Guozhong Li
Phone
13804606966
Email
hydlgz1962@163.com
Facility Name
The First Affiliated Hospital of Anhui Medical University
City
Hefei
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kai Wang
Phone
13805512494
Email
wangkai1964@126.com
Facility Name
Inner Mongolia People's Hospital
City
Hohhot
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Runxiu Zhu
Phone
13337101828
Email
zhurunxiu@163.com
Facility Name
Qilu Hospital of Shandong University
City
Jinan
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yiming Liu
Phone
18560085383
Email
Liuym@sdu.edu.cn
Facility Name
The Second Affiliated Hospital of Nanchang University
City
Nanchang
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Longjiang Tu
Phone
13755697779
Email
tujianglong85@126.com
Facility Name
The Affiliated Hospital of Nanjing University Medical School
City
Nanjing
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yun Xu
Phone
13914764479
Email
xuyun20042001@aliyun.com
Facility Name
Zhongda Hospital Southeast University
City
Nanjing
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Baoyu Yuan
Phone
15850557266
Email
Yuanby1978@163.com
Facility Name
Qilu Hospital of Shandong University(Qingdao)
City
Qingdao
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chuanzhu Yan
Phone
18560089977
Email
czyan@sdu.edu.cn
Facility Name
Shanghai Jiaotong University School of Medicine Ruijin Hospital
City
Shanghai
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jun Liu
Phone
15221303819
Email
jly0520@hotmail.com
Facility Name
The First Hospital of China Medical University
City
Shenyang
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhiyi He
Phone
13504903529
Email
hezhiyi0301@sina.com
Facility Name
The Second Hospital of Hebei Medical University
City
Shijiazhuang
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yaling Liu
Phone
15803210553
Email
lyldoctor@163.com
Facility Name
The First Affiliated Hospital of Soochow University
City
Suzhou
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Qi Fang
Phone
13606213892
Email
Larryfisher6@126.com
Facility Name
Renmin Hospital of Wuhan University(Hubei General Hospital)
City
Wuhan
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zuneng Lu
Phone
13995672166
Email
lzn196480@126.com
Facility Name
The First Affiliated Hospital of Xi'an Jiaotong University
City
Xi'an
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jingxia Dang
Phone
13379262486
Email
Jxdang2000@126.com
Facility Name
Henan Provincial People's Hospital
City
Zhengzhou
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mingming Ma
Phone
13526436608
Email
Macklon12@163.com
Facility Name
The First Affiliated Hospital of Zhengzhou University
City
Zhengzhou
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yuming Xu
Phone
13903711125
Email
13903711125@126.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Assess the Efficacy and Safety of PXT3003 in Charcot-Marie-Tooth Type 1A

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