STRIDES - a Clinical Research Study of an Investigational New Drug to Treat Spinocerebellar Ataxia (STRIDES)
Spinocerebellar Ataxia Type 3
About this trial
This is an interventional treatment trial for Spinocerebellar Ataxia Type 3
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent.
- Men and women, 18 to 75 years (inclusive) of age.
- Clinical diagnosis of SCA3 with documented genetic confirmation.
- m-SARA total score ≥ 4 at the screening visit.
- m-SARA gait component score ≥ 1 at the screening visit.
- Body Mass Index (BMI) between 18 kg/m2 and 35 kg/m2 (inclusive).
- Stable doses of all concomitant medications for at least 30 days prior to the screening visit.
- Negative serum beta-human chorionic gonadotropin (ß-hCG) pregnancy result at the screening visit for female participants of childbearing potential.
- Willingness to comply with sexual abstinence or contraception guidelines of this study.
Exclusion Criteria:
- Any hereditary ataxia that is not genetically confirmed to be SCA type 3, or any type of ataxia that is acquired or secondary to another medical condition including but not limited to, alcoholism, head injury, multiple sclerosis, olivopontocerebellar atrophy, multiple system atrophy, or stroke.
- A score of 4 on any 1 of the 4 items that comprise the m-SARA.
- Current participation in another clinical trial or completed participation in an interventional trial less than 30 days prior to the screening visit (90 days for a biological treatment).
- Current diagnosis and/or healthcare professional-recommended treatment (medication and/or diet) of diabetes mellitus type 1 or type 2.
- Hemoglobin A1c (HbA1c) ≥ 6.5% at the screening visit
- Prior treatment with SLS-005, any other IV trehalose formulation, or known hypersensitivity to trehalose.
- Pregnant or breastfeeding.
- History of alcohol or drug abuse within the last 2 years.
- Chronic liver disease including Hepatitis B; Hepatitis C unless successful curative treatment is documented; human immunodeficiency virus (HIV) infection.
- Prior history of drug-induced liver injury (DILI) and/or laboratory results at screening that indicate inadequate liver function (e.g., alanine aminotransferase [ALT], aspartate aminotransferase [AST], gamma-glutamyl transferase [GGT] > 2 times the upper limit of normal [x ULN] and/or total bilirubin level > 2 x ULN).
- Laboratory results at screening that indicate inadequate renal function (e.g., estimated creatinine clearance of < 60 mL/min calculated by the Cockcroft and Gault formula).
- Any current cardiovascular disease or abnormality on 12-lead ECG at screening that, in the investigator's opinion, is clinically significant and could be a potential safety risk to the participant.
- Any current psychiatric, neurological, or cognitive disorder that, in the investigator's opinion, may interfere with the participant's ability to provide informed consent or appropriately complete the study's safety or efficacy assessments.
- Significant suicide risk as indicated by a "yes" response to question #4 or #5 under Suicidal Ideation in the past 6 months or any "yes" response under Suicidal Behavior in the past 3 years on the Columbia Suicide Severity Rating Scale (C-SSRS) during the screening visit.
- Any other medical condition or abnormal finding during screening that, in the investigator's opinion, could confound collection or interpretation of safety or efficacy data or be a potential safety risk to the participant
Sites / Locations
- UCLA
- UCHealth Neurosciences Center - Anschutz Medical Campus
- University of South Florida
- Harvard Medical School - Beth Israel Deaconess Medical Center (BIDMC)
- Columbia University Medical Center
- UT Southwestern Medical Center
- Swedish Neuroscience Specialists - Movement Disorders
- The Alfred Hospital
- Hospital de Clinicas de Porto Alegre UFRGs
- Policlinica - Universidade Estadual de Campinas UNICAMP
- University of Sao Paulo
- University Hospital of Leipzig
- Department of Neurology and Hertie Institute for Clinical Brain Research
- Seoul National University Hospital
- Samsung Medical Center/Sungkyunwhan Universtiy School of Medicine
- Korea University Guro Hospital
- Centro Hospitalar e Universitrio de Coimbra
- Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Neurologia
- Hospital de Santo António, Centro Hospitalar Universitário do Porto
- Hospital Clinic de Barcelona
- Hospital Universitario Ramon y Cajal
- Hospital Universitario La Fe
- University College London
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Placebo Comparator
Placebo Comparator
SLS-005 0.75 g/kg Dose
SLS-005 0.50 g/kg Dose
Placebo volume equivalent to a SLS-005 0.75 g/kg dose calculation
Placebo volume equivalent to a SLS-005 0.50 g/kg dose calculation
SLS-005 (trehalose injection, 90.5 mg/mL for intravenous infusion). SLS-005 will be administered as a weight-based dose of 0.75 g/kg by IV infusion once a week. For 52 weeks
SLS-005 (trehalose injection, 90.5 mg/mL for intravenous infusion). SLS-005 will be administered as a weight-based dose of 0.50 g/kg by IV infusion once a week. For 52 weeks
Placebo (sodium chloride injection, 0.9, USP) will be administered by IV infusion once a week as a weight-based volume equivalent to a SLS-005 0.75 g/kg dose. For 52 weeks
Placebo (sodium chloride injection, 0.9, USP) will be administered by IV infusion once a week as a weight-based volume equivalent to a SLS-005 0.50 g/kg dose. For 52 weeks