search
Back to results

A Phase 1b Study of SMT C1100 in Subjects With Duchenne Muscular Dystrophy (DMD)

Primary Purpose

Duchenne Muscular Dystrophy

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
SMT C1100
Sponsored by
Summit Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Duchenne Muscular Dystrophy

Eligibility Criteria

5 Years - 11 Years (Child)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients will be males of any ethnic origin with a genetic diagnosis of DMD.
  • Children between 5 and 11 years of age.
  • A parent/legal guardian must date and sign a written consent on behalf of the patient, according to International Conference on Harmonisation (ICH) and local regulations. This person must understand the contents of the consent, requirements of the study and have had an opportunity to review questions with a medically trained member of the site study team.
  • The patient is willing to give verbal or written age appropriate assent to participate.
  • For safety reasons, the patient's parent/legal guardian must have a good understanding of the English language, as this is the only language the consent/assent forms are written in, and understand the requirements for reporting of any adverse event to the Investigator.

Exclusion Criteria:

  • Enrollment or participation in any therapeutic clinical trial within the prior 3 months or 5 times the half-life (whichever is longer).
  • Initiation or change (other than dose modifications for body weight) of systemic corticosteroid therapy within 2 months prior to the start of dose administration or discontinuation of corticosteroids within 30 days prior to the start of dose administration.
  • Known hypersensitivity to the excipients of the study drug or a previous history of drug allergy.
  • Use of the following therapies is prohibited during the study and for at least 5 half-lives prior to the start of dose administration: Inducers of cytochrome P450 CYP1A2 (eg, carbamazepine, phenytoin, primidone, rifampin, omeprazole, and barbiturates), and moderate and strong inhibitors of CYP1A2 (e.g., fluvoxamine, ciprofloxacin, enoxacin, mexiletine; propafenone, zileuton). Substrates of CYP1A2 with narrow therapeutic windows (e.g., tacrine, theophylline, methadone, mexiletine). Nicotine, including exposure to daily passive smoking to minimize cytochrome P450 CYP 1A induction. Chargrilled food, cruciferous vegetables, caffeine, tea, and any xanthine containing foods, and drinks are prohibited from 36 hours prior to check-in until final discharge from study. Herbal supplements and homeopathic preparations (unless approved by medical monitor).
  • Need for mechanical ventilation.
  • Non ambulatory.
  • Any clinically significant acute illness within 4 weeks of the start of dose administration.
  • Any co-morbidity that, in the opinion of the Investigator, increases the risk of participating in the study.
  • Symptomatic cardiomyopathy that in the opinion of the Investigator prohibits participation in this study.
  • Abnormality in the 12-lead ECG that, in the opinion of the Investigator, increases the risk of participating in the study.
  • Any clinically significant medical condition, other than DMD that in the opinion of the Investigator may increase the risk of participating in the study or interfere with the interpretation of safety or efficacy evaluations (e.g., concomitant illness, psychiatric condition or behavioral disorder).
  • Exposure to daily passive smoking (including parent/legal guardian, siblings) so as to minimize environmental factors causing cytochrome P450 CYP 1A induction. For information SMT C1100 is metabolized by cytochrome P450 CYP 1A.
  • Excessive exercise (Investigator opinion).

Sites / Locations

  • Heart of England NHS Foundation Trust - Heart Lands Hospital
  • Alder Hey Children's NHS Foundation Trust
  • Great Ormond Street for Children NHS Foundation Trust
  • Central Manchester University Hospitals NHS Foundation Trust- Royal Manchester Children's Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

SMT C1100

Arm Description

Patients will be studied in 3 groups (Groups A to C), with each group consisting of 4 patients aged between 5 to 11 years. It is planned that doses for Groups A to C will be administered in an escalating manner after safety review for each dose group.

Outcomes

Primary Outcome Measures

Safety and tolerability
To determine the safety and tolerability of single and multiple oral doses of SMT C1100 in patients with Duchenne Muscular Dystrophy (DMD) by assessing the participants adverse events, ECG results, vital signs and laboratory tests.

Secondary Outcome Measures

Pharmacokinetic parameters at different dose levels
Plasma concentration of SMT C1100 calculated at each time point for each subject (sample size (n), mean, standard deviation (SD), percentage of coefficient of variation (%CV), geometric mean, median, minimum, and maximum for the parent and the major metabolites.

Full Information

First Posted
November 21, 2013
Last Updated
August 26, 2014
Sponsor
Summit Therapeutics
search

1. Study Identification

Unique Protocol Identification Number
NCT02056808
Brief Title
A Phase 1b Study of SMT C1100 in Subjects With Duchenne Muscular Dystrophy (DMD)
Official Title
SMT C1100 - A Phase 1b, Open-label, Single and Multiple Oral Dose, Safety, Tolerability and Pharmacokinetic Study in Paediatric Patients With Duchenne Muscular Dystrophy
Study Type
Interventional

2. Study Status

Record Verification Date
August 2014
Overall Recruitment Status
Completed
Study Start Date
November 2013 (undefined)
Primary Completion Date
May 2014 (Actual)
Study Completion Date
July 2014 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine whether increasing doses of SMT C1100 are safe, well tolerated and achieve appropriate blood levels in patients with Duchenne Muscular Dystrophy (DMD).
Detailed Description
Primary Objective: To determine the safety and tolerability of single and multiple oral doses of SMT C1100 in patients with Duchenne Muscular Dystrophy (DMD). Secondary Objectives: To determine the single and multiple oral dose pharmacokinetics of SMT C1100 and its metabolites in patients with DMD.

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 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SMT C1100
Arm Type
Experimental
Arm Description
Patients will be studied in 3 groups (Groups A to C), with each group consisting of 4 patients aged between 5 to 11 years. It is planned that doses for Groups A to C will be administered in an escalating manner after safety review for each dose group.
Intervention Type
Drug
Intervention Name(s)
SMT C1100
Intervention Description
Comparison of safety and pharmacokinetic of different dosages of drug
Primary Outcome Measure Information:
Title
Safety and tolerability
Description
To determine the safety and tolerability of single and multiple oral doses of SMT C1100 in patients with Duchenne Muscular Dystrophy (DMD) by assessing the participants adverse events, ECG results, vital signs and laboratory tests.
Time Frame
After 10 days of treatment phase
Secondary Outcome Measure Information:
Title
Pharmacokinetic parameters at different dose levels
Description
Plasma concentration of SMT C1100 calculated at each time point for each subject (sample size (n), mean, standard deviation (SD), percentage of coefficient of variation (%CV), geometric mean, median, minimum, and maximum for the parent and the major metabolites.
Time Frame
After single oral dose and after 10 days of treatment phase

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
5 Years
Maximum Age & Unit of Time
11 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients will be males of any ethnic origin with a genetic diagnosis of DMD. Children between 5 and 11 years of age. A parent/legal guardian must date and sign a written consent on behalf of the patient, according to International Conference on Harmonisation (ICH) and local regulations. This person must understand the contents of the consent, requirements of the study and have had an opportunity to review questions with a medically trained member of the site study team. The patient is willing to give verbal or written age appropriate assent to participate. For safety reasons, the patient's parent/legal guardian must have a good understanding of the English language, as this is the only language the consent/assent forms are written in, and understand the requirements for reporting of any adverse event to the Investigator. Exclusion Criteria: Enrollment or participation in any therapeutic clinical trial within the prior 3 months or 5 times the half-life (whichever is longer). Initiation or change (other than dose modifications for body weight) of systemic corticosteroid therapy within 2 months prior to the start of dose administration or discontinuation of corticosteroids within 30 days prior to the start of dose administration. Known hypersensitivity to the excipients of the study drug or a previous history of drug allergy. Use of the following therapies is prohibited during the study and for at least 5 half-lives prior to the start of dose administration: Inducers of cytochrome P450 CYP1A2 (eg, carbamazepine, phenytoin, primidone, rifampin, omeprazole, and barbiturates), and moderate and strong inhibitors of CYP1A2 (e.g., fluvoxamine, ciprofloxacin, enoxacin, mexiletine; propafenone, zileuton). Substrates of CYP1A2 with narrow therapeutic windows (e.g., tacrine, theophylline, methadone, mexiletine). Nicotine, including exposure to daily passive smoking to minimize cytochrome P450 CYP 1A induction. Chargrilled food, cruciferous vegetables, caffeine, tea, and any xanthine containing foods, and drinks are prohibited from 36 hours prior to check-in until final discharge from study. Herbal supplements and homeopathic preparations (unless approved by medical monitor). Need for mechanical ventilation. Non ambulatory. Any clinically significant acute illness within 4 weeks of the start of dose administration. Any co-morbidity that, in the opinion of the Investigator, increases the risk of participating in the study. Symptomatic cardiomyopathy that in the opinion of the Investigator prohibits participation in this study. Abnormality in the 12-lead ECG that, in the opinion of the Investigator, increases the risk of participating in the study. Any clinically significant medical condition, other than DMD that in the opinion of the Investigator may increase the risk of participating in the study or interfere with the interpretation of safety or efficacy evaluations (e.g., concomitant illness, psychiatric condition or behavioral disorder). Exposure to daily passive smoking (including parent/legal guardian, siblings) so as to minimize environmental factors causing cytochrome P450 CYP 1A induction. For information SMT C1100 is metabolized by cytochrome P450 CYP 1A. Excessive exercise (Investigator opinion).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stefan Spinty, MD
Organizational Affiliation
Alder Hey Children's NHS Foundation Trust
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Helen Roper, MD
Organizational Affiliation
Heart of England NHS Foundation Trust - Heartlands Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Imelda Hughes, MD
Organizational Affiliation
Central Manchester University Hospitals NHS Foundation Trust - Royal Manchester Childrens Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Franceso Muntoni, MD
Organizational Affiliation
Great Ormond Street Hospital for Children NHS Foundation Trust
Official's Role
Principal Investigator
Facility Information:
Facility Name
Heart of England NHS Foundation Trust - Heart Lands Hospital
City
Birmingham
ZIP/Postal Code
B9 5SS
Country
United Kingdom
Facility Name
Alder Hey Children's NHS Foundation Trust
City
Liverpool
ZIP/Postal Code
L12 2AP
Country
United Kingdom
Facility Name
Great Ormond Street for Children NHS Foundation Trust
City
London
Country
United Kingdom
Facility Name
Central Manchester University Hospitals NHS Foundation Trust- Royal Manchester Children's Hospital
City
Manchester
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Phase 1b Study of SMT C1100 in Subjects With Duchenne Muscular Dystrophy (DMD)

We'll reach out to this number within 24 hrs