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A Phase II Safety and Tolerability Study With SEN0014196

Primary Purpose

Huntington's Disease

Status
Completed
Phase
Phase 2
Locations
Germany
Study Type
Interventional
Intervention
SEN0014196
SEN0014196
Placebo
Sponsored by
Siena Biotech S.p.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Huntington's Disease

Eligibility Criteria

30 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Genetically confirmed, manifest HD (CAG repeat length ≥ 36) and motor signs of HD (including motor score of the UHDRS ≥ 5).
  • Clinical Stages I to III (Total Functional Capacity Subscale Score [TFC] of ≥ 3).
  • Patients must be anticipated to be ambulatory and able to attend outpatient visits for the duration of the study.
  • Patients must be aged ≥ 30 years and ≤ 70 years.
  • Body mass index between 18 and 31 kg/m2 inclusive, and a body weight greater than 50 kg.
  • Patients must be able to give informed consent or have a legal representative who can consent on their behalf. Patients must be able to comply with trial procedures.
  • Patients must have no clinically significant and relevant medical or psychiatric history that could affect the conduct of the study and evaluation of the data, as ascertained by the Investigator through detailed medical history and screening assessments.
  • Male patients must agree to use condoms during the entire duration of the study and for 3 months following the last dose of study drug.
  • Females of childbearing potential (last menses less than 1 year prior to enrolment).

Exclusion Criteria:

  • Participation in a study with an investigational drug within 30 days of the Baseline Visit.
  • Any prior or concomitant use of Class I or Class II histone deacetylase (HDAC) inhibitors such as Zolinza®/vorinostat or belinostat.
  • Clinical evidence of significant or unstable medical illness in the Investigator's judgement, including screening transaminases (AST or ALT) ≥ 3 times the upper limit of normal (ULN), or an estimated GFR < 60 mL/min, or unexplained proteinuria or microscopic haematuria in an uncontaminated sample obtained at Screening and confirmed on repeat testing.
  • QTcF interval >450 ms in men and >470 ms in women or PR >220 ms, or other clinically relevant abnormal ECG findings
  • Women who are pregnant or breastfeeding.
  • Clinically significant abnormalities in the screening laboratory studies which, in the opinion of the Investigator, would interfere with participation in the study.
  • Current evidence or history (within 1 year of baseline) of psychosis, hallucinations or delusions, including major depression with psychotic features, as defined in the DSM-IV-TR. Patients currently experiencing mild depression, or moderate depression which is adequately and appropriately treated in the judgment of the Investigator, can participate if depression is not expected to interfere with study participation.
  • Suicide risk, as determined by meeting any of the following criteria:

    • A suicide attempt within the past year or suicidal ideation within 60 days of the Baseline Visit (Day 1).
    • Significant risk of suicide, as judged by the Principal Investigator, based on the psychiatric interview or information collected in the C-SSRS.
  • Current diagnosis or history (within 1 year of baseline) of any alcohol or substance abuse (except nicotine and caffeine-related disorders) as defined in the DSM-IV-TR.
  • Known allergy to any ingredient in the study drug (active and/or placebo).
  • A history of malignancy of any type within 2 years prior to screening. A history of surgically excised non-melanoma skin cancers is permitted.
  • Any relevant condition, behaviour, laboratory value, or concomitant medication which, in the opinion of the Investigator, makes the patient unsuitable for entry into the study.

Sites / Locations

  • Dept. of Neurology, University of Münster

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

SEN0014196 50 mg oral tablet

SEN0014196 200 mg oral tablet

Placebo tablet

Arm Description

Outcomes

Primary Outcome Measures

Safety and tolerability
Adverse event (AE) reporting, 12-lead electrocardiogram (ECG), vital signs, physical examination findings, and laboratory safety tests. Suicide risk (Columbia Suicide Severity Rating Scale,C-SSRS).

Secondary Outcome Measures

Short-term clinical effects
Global Clinical Impression (GCI, patient and clinician-based), UHDRS, Total Motor Scale (UHDRS-TMS), Functional Assessment, Independence Scale Assessment, Problem Behaviours Assessment, Cognitive Battery (Symbol Digit Modalities Test, Stroop Word Test, Verbal fluency, Mini-Mental State Examination [MMSE]).
Modulation of candidate pharmacodynamic markers
Acetylation status of mutant huntingtin, levels of soluble huntingtin.
Pharmacokinetic profile

Full Information

First Posted
January 26, 2012
Last Updated
November 24, 2015
Sponsor
Siena Biotech S.p.A.
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1. Study Identification

Unique Protocol Identification Number
NCT01521585
Brief Title
A Phase II Safety and Tolerability Study With SEN0014196
Official Title
A Double-blind, Placebo-controlled Study in Huntington's Disease Patients to Determine the Safety and Tolerability of SEN0014196
Study Type
Interventional

2. Study Status

Record Verification Date
November 2015
Overall Recruitment Status
Completed
Study Start Date
November 2011 (undefined)
Primary Completion Date
October 2012 (Actual)
Study Completion Date
October 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Siena Biotech S.p.A.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The principal aim of this study is to obtain safety and tolerability data when SEN0014196 is administered orally over 12 weeks to male and female patients with Huntington's Disease.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Huntington's Disease

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
SEN0014196 50 mg oral tablet
Arm Type
Experimental
Arm Title
SEN0014196 200 mg oral tablet
Arm Type
Experimental
Arm Title
Placebo tablet
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
SEN0014196
Intervention Description
50 mg oral once daily tablet
Intervention Type
Drug
Intervention Name(s)
SEN0014196
Intervention Description
200 mg oral once daily tablet
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
oral once daily tablet
Primary Outcome Measure Information:
Title
Safety and tolerability
Description
Adverse event (AE) reporting, 12-lead electrocardiogram (ECG), vital signs, physical examination findings, and laboratory safety tests. Suicide risk (Columbia Suicide Severity Rating Scale,C-SSRS).
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Short-term clinical effects
Description
Global Clinical Impression (GCI, patient and clinician-based), UHDRS, Total Motor Scale (UHDRS-TMS), Functional Assessment, Independence Scale Assessment, Problem Behaviours Assessment, Cognitive Battery (Symbol Digit Modalities Test, Stroop Word Test, Verbal fluency, Mini-Mental State Examination [MMSE]).
Time Frame
12 weeks
Title
Modulation of candidate pharmacodynamic markers
Description
Acetylation status of mutant huntingtin, levels of soluble huntingtin.
Time Frame
12 weeks
Title
Pharmacokinetic profile
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Genetically confirmed, manifest HD (CAG repeat length ≥ 36) and motor signs of HD (including motor score of the UHDRS ≥ 5). Clinical Stages I to III (Total Functional Capacity Subscale Score [TFC] of ≥ 3). Patients must be anticipated to be ambulatory and able to attend outpatient visits for the duration of the study. Patients must be aged ≥ 30 years and ≤ 70 years. Body mass index between 18 and 31 kg/m2 inclusive, and a body weight greater than 50 kg. Patients must be able to give informed consent or have a legal representative who can consent on their behalf. Patients must be able to comply with trial procedures. Patients must have no clinically significant and relevant medical or psychiatric history that could affect the conduct of the study and evaluation of the data, as ascertained by the Investigator through detailed medical history and screening assessments. Male patients must agree to use condoms during the entire duration of the study and for 3 months following the last dose of study drug. Females of childbearing potential (last menses less than 1 year prior to enrolment). Exclusion Criteria: Participation in a study with an investigational drug within 30 days of the Baseline Visit. Any prior or concomitant use of Class I or Class II histone deacetylase (HDAC) inhibitors such as Zolinza®/vorinostat or belinostat. Clinical evidence of significant or unstable medical illness in the Investigator's judgement, including screening transaminases (AST or ALT) ≥ 3 times the upper limit of normal (ULN), or an estimated GFR < 60 mL/min, or unexplained proteinuria or microscopic haematuria in an uncontaminated sample obtained at Screening and confirmed on repeat testing. QTcF interval >450 ms in men and >470 ms in women or PR >220 ms, or other clinically relevant abnormal ECG findings Women who are pregnant or breastfeeding. Clinically significant abnormalities in the screening laboratory studies which, in the opinion of the Investigator, would interfere with participation in the study. Current evidence or history (within 1 year of baseline) of psychosis, hallucinations or delusions, including major depression with psychotic features, as defined in the DSM-IV-TR. Patients currently experiencing mild depression, or moderate depression which is adequately and appropriately treated in the judgment of the Investigator, can participate if depression is not expected to interfere with study participation. Suicide risk, as determined by meeting any of the following criteria: A suicide attempt within the past year or suicidal ideation within 60 days of the Baseline Visit (Day 1). Significant risk of suicide, as judged by the Principal Investigator, based on the psychiatric interview or information collected in the C-SSRS. Current diagnosis or history (within 1 year of baseline) of any alcohol or substance abuse (except nicotine and caffeine-related disorders) as defined in the DSM-IV-TR. Known allergy to any ingredient in the study drug (active and/or placebo). A history of malignancy of any type within 2 years prior to screening. A history of surgically excised non-melanoma skin cancers is permitted. Any relevant condition, behaviour, laboratory value, or concomitant medication which, in the opinion of the Investigator, makes the patient unsuitable for entry into the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ralf Reilmann, MD
Organizational Affiliation
Dept. of Neurology, University of Münster - Germany
Official's Role
Principal Investigator
Facility Information:
Facility Name
Dept. of Neurology, University of Münster
City
Münster
ZIP/Postal Code
48149
Country
Germany

12. IPD Sharing Statement

Links:
URL
http://www.euro-hd.net/html/network
Description
The European Huntington's Disease Network

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A Phase II Safety and Tolerability Study With SEN0014196

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