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Efficacy and Safety on SOM3355 in Huntington's Disease Chorea

Primary Purpose

Huntington Chorea

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
SOM3355 capsules
Placebo capsules
Sponsored by
SOM Innovation Biotech SA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria:

  1. Males or females ≥21 years old.
  2. Patients with a diagnosis of Huntington's Disease determined by a movement disorders expert and confirmed by a number of HTT gene CAG repeats ≥36.
  3. UHDRS® Total maximal chorea (TMC) score ≥10.
  4. UHDRS® Total Functional Capacity (TFC) ≥7.
  5. Able to walk independently or with minimal assistance.
  6. Females of child-bearing potential must use a medically accepted effective method of birth control and should not be breast-feeding.
  7. In the opinion of the Investigator, the patient must have adequate support to comply with the entire study requirements.
  8. Able and willing to provide written informed consent.

Exclusion Criteria:

  1. Onset of HD symptoms prior to age of 21 years (juvenile forms of HD).
  2. HD patients presenting rigid akinesia.
  3. Use of other VMAT2 inhibitors such as tetrabenazine, deutetrabenazine, or valbenazine; and use of other antichoreic treatment such as any neuroleptic, or amantadine, memantine, riluzole.
  4. Patients who experienced severe depression or suicide attempt in the last 5 years.
  5. Severe untreated or under-treated psychiatric illness such as active suicidal ideation or behavior or depression.
  6. Patients with a history of, or current, hypotension, bradycardia, or orthostatic hypotension.
  7. Patients with hypertension already treated with more than 2 antihypertensive drugs.
  8. Other active clinically significant illness, which could interfere with the study conduct, counter-indicate the study treatment, place the patient at risk during the trial, or compromise their study participation.
  9. Any significant serious abnormality in the electrocardiogram (ECG), or a known history of long QTc syndrome.
  10. Patients with severe hepatic impairment, or with severe renal impairment, or with any other significant abnormality in the physical examination or clinical laboratory results that, in the Investigator's opinion, would not be compatible with study participation or represent a risk for the patient while in the study.
  11. Females who are pregnant or lactating, or who intend to become pregnant during the study period.
  12. Patients with allergy under desensitization, with known psoriasis, or a known allergy/hypersensitivity to any ingredients of the trial medication or placebo.
  13. History of alcohol or substance abuse in the previous 12 months.
  14. Patients participating in any other study, and the use of any investigational therapy.

Sites / Locations

  • Centre Hospitalier Universitaire AngersRecruiting
  • CHU Hôpital Henri Mondor (APHP)Recruiting
  • Hôpital Roger Salengro - CHU LilleRecruiting
  • Hopital de HautepierreRecruiting
  • Hôpital Purpan - CHU ToulouseRecruiting
  • Charité - Universitätsmedizin BerlinRecruiting
  • George Huntington InstitutRecruiting
  • Hospital of University of UlmRecruiting
  • IRCCS Istituto delle Scienze Neurologiche di BolognaRecruiting
  • Azienda Ospedaliera Universitaria Federico IIRecruiting
  • IRCCS Casa Sollievo della SofferenzaRecruiting
  • Sant'Andrea University HospitalRecruiting
  • Krakowska Akademia Neurologii Sp. z o.o.Recruiting
  • Indywidualna Praktyka Lekarska Daniel ZielonkaRecruiting
  • Hospital de la Santa Creu i Sant PauRecruiting
  • Hospital Universitario de CrucesRecruiting
  • Hospital Universitario de BurgosRecruiting
  • Hospital Ramón y CajalRecruiting
  • Universitaetsspital Bern - InselspitalRecruiting
  • Cambridge University Hospitals NHS Foundation Trust Addenbrooke's HospitalRecruiting
  • NIHR Wellcome Trust Manchester Clinical Research FacilityRecruiting
  • Oxford University Hospitals NHS Foundation TrustRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

SOM3355 300 mg BID

SOM3355 200 mg BID

Placebo BID

Arm Description

Administration of SOM3355 in up-titration for 3 weeks up to the maintenance dose of 300 mg BID (twice daily) administered for 7 additional weeks, and down-titration for 2 weeks.

Administration of SOM3355 in up-titration for 2 weeks up to the maintenance dose of 200 mg BID (twice daily) administered for 8 additional weeks, and down-titration for 2 weeks.

Administration of matching Placebo BID (twice daily) for 12 weeks.

Outcomes

Primary Outcome Measures

Change in Total Maximal Chorea (TMC) score of the UHDRS®
Total Maximal Chorea score of the Unified Huntington Disease Rating Scale is 0-28 and decrease means improvement.

Secondary Outcome Measures

Change in the Clinical Global Impression (CGI)
Change in the Patient Global Impression (PGI)
TMC-response defined as improvement ≥2 in TMC score
Percentage of change in TMC score
Change in the Total Motor Score (TMS) of the UHDRS®
Total Motor Score is 0-124 and decrease means improvement.
Change in the Gait sub-score of the UHDRS®
Change in the Dystonia sub-score of the UHDRS®
Change in the European Quality of Life scale (EQ-5D-5L)

Full Information

First Posted
July 22, 2022
Last Updated
April 17, 2023
Sponsor
SOM Innovation Biotech SA
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1. Study Identification

Unique Protocol Identification Number
NCT05475483
Brief Title
Efficacy and Safety on SOM3355 in Huntington's Disease Chorea
Official Title
Phase IIb, Randomized, Double-blind, Placebo-controlled Study in Parallel Groups Assessing the Efficacy and Safety of Two Doses of SOM3355 in Patients Suffering From Huntington's Disease With Choreic Movements
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 2, 2022 (Actual)
Primary Completion Date
August 2023 (Anticipated)
Study Completion Date
September 2023 (Anticipated)

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
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Phase IIb, randomized, double-blind, placebo-controlled study in parallel groups assessing the efficacy and safety of two doses of SOM3355 in patients suffering from Huntington's Disease with choreic movements.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
129 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
SOM3355 300 mg BID
Arm Type
Experimental
Arm Description
Administration of SOM3355 in up-titration for 3 weeks up to the maintenance dose of 300 mg BID (twice daily) administered for 7 additional weeks, and down-titration for 2 weeks.
Arm Title
SOM3355 200 mg BID
Arm Type
Experimental
Arm Description
Administration of SOM3355 in up-titration for 2 weeks up to the maintenance dose of 200 mg BID (twice daily) administered for 8 additional weeks, and down-titration for 2 weeks.
Arm Title
Placebo BID
Arm Type
Placebo Comparator
Arm Description
Administration of matching Placebo BID (twice daily) for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
SOM3355 capsules
Other Intervention Name(s)
Bevantolol hydrochloride
Intervention Description
Treatment will be blind for the whole duration of the study.
Intervention Type
Drug
Intervention Name(s)
Placebo capsules
Intervention Description
Treatment will be blind for the whole duration of the study.
Primary Outcome Measure Information:
Title
Change in Total Maximal Chorea (TMC) score of the UHDRS®
Description
Total Maximal Chorea score of the Unified Huntington Disease Rating Scale is 0-28 and decrease means improvement.
Time Frame
Between baseline and end of maintenance dose (after 10 weeks of treatment)
Secondary Outcome Measure Information:
Title
Change in the Clinical Global Impression (CGI)
Time Frame
Between baseline and end of maintenance dose (after 10 weeks of treatment)
Title
Change in the Patient Global Impression (PGI)
Time Frame
Between baseline and end of maintenance dose (after 10 weeks of treatment)
Title
TMC-response defined as improvement ≥2 in TMC score
Time Frame
Between baseline and end of maintenance dose (after 10 weeks of treatment)
Title
Percentage of change in TMC score
Time Frame
Between baseline and end of maintenance dose (after 10 weeks of treatment)
Title
Change in the Total Motor Score (TMS) of the UHDRS®
Description
Total Motor Score is 0-124 and decrease means improvement.
Time Frame
Between baseline and end of maintenance dose (after 10 weeks of treatment)
Title
Change in the Gait sub-score of the UHDRS®
Time Frame
Between baseline and end of maintenance dose (after 10 weeks of treatment)
Title
Change in the Dystonia sub-score of the UHDRS®
Time Frame
Between baseline and end of maintenance dose (after 10 weeks of treatment)
Title
Change in the European Quality of Life scale (EQ-5D-5L)
Time Frame
Between baseline and end of maintenance dose (after 10 weeks of treatment)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males or females ≥21 years old. Patients with a diagnosis of Huntington's Disease determined by a movement disorders expert and confirmed by a number of HTT gene CAG repeats ≥36. UHDRS® Total maximal chorea (TMC) score ≥10. UHDRS® Total Functional Capacity (TFC) ≥7. Able to walk independently or with minimal assistance. Females of child-bearing potential must use a medically accepted effective method of birth control and should not be breast-feeding. In the opinion of the Investigator, the patient must have adequate support to comply with the entire study requirements. Able and willing to provide written informed consent. Exclusion Criteria: Onset of HD symptoms prior to age of 21 years (juvenile forms of HD). HD patients presenting rigid akinesia. Use of other VMAT2 inhibitors such as tetrabenazine, deutetrabenazine, or valbenazine; and use of other antichoreic treatment such as any neuroleptic, or amantadine, memantine, riluzole. Patients who experienced severe depression or suicide attempt in the last 5 years. Severe untreated or under-treated psychiatric illness such as active suicidal ideation or behavior or depression. Patients with a history of, or current, hypotension, bradycardia, or orthostatic hypotension. Patients with hypertension already treated with more than 2 antihypertensive drugs. Other active clinically significant illness, which could interfere with the study conduct, counter-indicate the study treatment, place the patient at risk during the trial, or compromise their study participation. Any significant serious abnormality in the electrocardiogram (ECG), or a known history of long QTc syndrome. Patients with severe hepatic impairment, or with severe renal impairment, or with any other significant abnormality in the physical examination or clinical laboratory results that, in the Investigator's opinion, would not be compatible with study participation or represent a risk for the patient while in the study. Females who are pregnant or lactating, or who intend to become pregnant during the study period. Patients with allergy under desensitization, with known psoriasis, or a known allergy/hypersensitivity to any ingredients of the trial medication or placebo. History of alcohol or substance abuse in the previous 12 months. Patients participating in any other study, and the use of any investigational therapy.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Aileen Ferré
Phone
934020150
Email
ferre@sombiotech.com
Facility Information:
Facility Name
Centre Hospitalier Universitaire Angers
City
Angers
Country
France
Individual Site Status
Recruiting
Facility Name
CHU Hôpital Henri Mondor (APHP)
City
Créteil
Country
France
Individual Site Status
Recruiting
Facility Name
Hôpital Roger Salengro - CHU Lille
City
Lille
Country
France
Individual Site Status
Recruiting
Facility Name
Hopital de Hautepierre
City
Strasbourg
Country
France
Individual Site Status
Recruiting
Facility Name
Hôpital Purpan - CHU Toulouse
City
Toulouse
Country
France
Individual Site Status
Recruiting
Facility Name
Charité - Universitätsmedizin Berlin
City
Berlin
Country
Germany
Individual Site Status
Recruiting
Facility Name
George Huntington Institut
City
Münster
Country
Germany
Individual Site Status
Recruiting
Facility Name
Hospital of University of Ulm
City
Ulm
Country
Germany
Individual Site Status
Recruiting
Facility Name
IRCCS Istituto delle Scienze Neurologiche di Bologna
City
Bologna
Country
Italy
Individual Site Status
Recruiting
Facility Name
Azienda Ospedaliera Universitaria Federico II
City
Napoli
Country
Italy
Individual Site Status
Recruiting
Facility Name
IRCCS Casa Sollievo della Sofferenza
City
Roma
Country
Italy
Individual Site Status
Recruiting
Facility Name
Sant'Andrea University Hospital
City
Roma
Country
Italy
Individual Site Status
Recruiting
Facility Name
Krakowska Akademia Neurologii Sp. z o.o.
City
Kraków
Country
Poland
Individual Site Status
Recruiting
Facility Name
Indywidualna Praktyka Lekarska Daniel Zielonka
City
Poznań
Country
Poland
Individual Site Status
Recruiting
Facility Name
Hospital de la Santa Creu i Sant Pau
City
Barcelona
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario de Cruces
City
Bilbao
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario de Burgos
City
Burgos
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Ramón y Cajal
City
Madrid
Country
Spain
Individual Site Status
Recruiting
Facility Name
Universitaetsspital Bern - Inselspital
City
Bern
Country
Switzerland
Individual Site Status
Recruiting
Facility Name
Cambridge University Hospitals NHS Foundation Trust Addenbrooke's Hospital
City
Cambridge
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
NIHR Wellcome Trust Manchester Clinical Research Facility
City
Manchester
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Oxford University Hospitals NHS Foundation Trust
City
Oxford
Country
United Kingdom
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Links:
URL
http://www.sombiotech.com
Description
SOM Biotech website

Learn more about this trial

Efficacy and Safety on SOM3355 in Huntington's Disease Chorea

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