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A Phase IIa Trial to Test Safety and Efficacy Interferon Gamma Treatment in Elevating Frataxin Levels in FRDA Patients

Primary Purpose

Friedreich Ataxia

Status
Completed
Phase
Phase 2
Locations
Italy
Study Type
Interventional
Intervention
gamma interferon
Sponsored by
Azienda Policlinico Umberto I
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Friedreich Ataxia focused on measuring frataxin, gamma interferon, Friedreich ataxia

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. FRDA patients should have their diagnosis genetically confirmed.
  2. Evidence of a personally signed and dated informed consent document indicating that the subject (or a legally acceptable representative) has been informed of all pertinent aspects of the study.
  3. Subjects who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
  4. Male and/or female subjects between the ages of > 18 and < 45 years

    -

Exclusion Criteria:

  1. Pregnant or breastfeeding women.
  2. Significant concurrent medical conditions at the time of screening or baseline visit, including, but not limited to, the following:

    • Any major illness/condition or evidence of an unstable clinical condition (eg, renal, hepatic, hematologic, GI, endocrine, pulmonary, immunologic, or local active infection/infectious illness) that, in the investigator's judgment, will substantially increase the risk to the subject if he or she participates in the study.
    • Class III or IV congestive heart failure as defined by the New York Heart Association.
    • Acute coronary syndrome (eg, myocardial infarction, unstable angina pectoris) and any history of significant cerebrovascular disease within 24 weeks before screening.
  3. Presence of a transplanted organ.
  4. Previous assumption of IFN gamma 1b.
  5. Abnormality in any of the below hematology or chemistry profile values at screening:

    • Positive hepatitis B surface antigen (HBsAg), Total hepatitis B core antibody (HBcAb; also called anti HBc), and/or hepatitis C antibody (HCVAb) with confirmation by hepatitis C virus ribonucleic acid (HCV RNA).
    • ALT/AST levels > or = 1.5X ULN.
    • Total bilirubin level > or = 1.5 times the ULN.
    • Hemoglobin level < or = 80 gL (8.0 g/dL).
    • Platelet count < or = 100 x 109/L (100,000 cells/mm³) or > or = 1000 x 109/L (1,000,000 cells/mm³).
    • White blood cell count < or = 3.5 x 109/L (3500 cells/mm³).
    • Absolute neutrophil count (ANC) <2000 cells/mm³.
    • Serum creatinine level > or = 177 μmol/ L (2 mg/dL).
    • Glycosylated hemoglobin (HbA1c >10%).
  6. Current or history of serious psychiatric disorder or alcohol or drug abuse.
  7. Participation in other studies within 30 days before screening and/or during study participation.
  8. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or ability to comply with study procedures, investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study.

    -

Sites / Locations

  • Policlinico Umberto I°

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Gamma interferon

Arm Description

IFN gamma 1b (Immukin ®) will be administered by subcutaneous route at day 0, 14 and 28 at a dose of 100, 150 and 200 ug respectively.

Outcomes

Primary Outcome Measures

Change in cellular frataxin
The primary endpoint is to test the increase of cellular frataxin after treatment with IFN gamma. Quantitation of cellular frataxin will be performed after 24 hours and 7 days from each study drug administration

Secondary Outcome Measures

Safety Blood sample
Secondary endpoint is the safety and tolerability of IFN gamma in FRDA patients. The on treatment adverse events and withdrawals due to adverse effects will be reported. Any subject who receives at least 1 dose of investigational product will be included in the evaluation for safety

Full Information

First Posted
January 12, 2014
Last Updated
April 20, 2017
Sponsor
Azienda Policlinico Umberto I
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1. Study Identification

Unique Protocol Identification Number
NCT02035020
Brief Title
A Phase IIa Trial to Test Safety and Efficacy Interferon Gamma Treatment in Elevating Frataxin Levels in FRDA Patients
Official Title
A Phase IIa Clinical Trial to Test the Safety and Efficacy of Interferon Gamma Treatment in Elevating Frataxin Levels in Friedreich's Ataxia (FRDA) Patients
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
May 2013 (undefined)
Primary Completion Date
July 30, 2014 (Actual)
Study Completion Date
July 30, 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Azienda Policlinico Umberto I

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this study is to investigate whether the treatment with IFN gamma can induce significant accumulation of frataxin in FRDA patients, a possibility suggested by pre-clinical evidence in an animal model of the disease.
Detailed Description
This is a Phase 2 clinical trial. A total of 10 FRDA patients will be recruited All subjects will be treated with a dose of 100-150-200-micrograms of IFN gamma 1b (Imukin®) subcutaneously, with an interval of 14 days, for a total of 3 injections.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Friedreich Ataxia
Keywords
frataxin, gamma interferon, Friedreich ataxia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Gamma interferon
Arm Type
Experimental
Arm Description
IFN gamma 1b (Immukin ®) will be administered by subcutaneous route at day 0, 14 and 28 at a dose of 100, 150 and 200 ug respectively.
Intervention Type
Drug
Intervention Name(s)
gamma interferon
Other Intervention Name(s)
Imukin
Intervention Description
IFN gamma 1b (Immukin ®) will be administered by subcutaneous route at day 0, 14 and 28 at a dose of 100, 150 and 200 ug respectively.
Primary Outcome Measure Information:
Title
Change in cellular frataxin
Description
The primary endpoint is to test the increase of cellular frataxin after treatment with IFN gamma. Quantitation of cellular frataxin will be performed after 24 hours and 7 days from each study drug administration
Time Frame
24 hours and 7 days from each study drug administration
Secondary Outcome Measure Information:
Title
Safety Blood sample
Description
Secondary endpoint is the safety and tolerability of IFN gamma in FRDA patients. The on treatment adverse events and withdrawals due to adverse effects will be reported. Any subject who receives at least 1 dose of investigational product will be included in the evaluation for safety
Time Frame
day 0-14-28-35

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: FRDA patients should have their diagnosis genetically confirmed. Evidence of a personally signed and dated informed consent document indicating that the subject (or a legally acceptable representative) has been informed of all pertinent aspects of the study. Subjects who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. Male and/or female subjects between the ages of > 18 and < 45 years - Exclusion Criteria: Pregnant or breastfeeding women. Significant concurrent medical conditions at the time of screening or baseline visit, including, but not limited to, the following: Any major illness/condition or evidence of an unstable clinical condition (eg, renal, hepatic, hematologic, GI, endocrine, pulmonary, immunologic, or local active infection/infectious illness) that, in the investigator's judgment, will substantially increase the risk to the subject if he or she participates in the study. Class III or IV congestive heart failure as defined by the New York Heart Association. Acute coronary syndrome (eg, myocardial infarction, unstable angina pectoris) and any history of significant cerebrovascular disease within 24 weeks before screening. Presence of a transplanted organ. Previous assumption of IFN gamma 1b. Abnormality in any of the below hematology or chemistry profile values at screening: Positive hepatitis B surface antigen (HBsAg), Total hepatitis B core antibody (HBcAb; also called anti HBc), and/or hepatitis C antibody (HCVAb) with confirmation by hepatitis C virus ribonucleic acid (HCV RNA). ALT/AST levels > or = 1.5X ULN. Total bilirubin level > or = 1.5 times the ULN. Hemoglobin level < or = 80 gL (8.0 g/dL). Platelet count < or = 100 x 109/L (100,000 cells/mm³) or > or = 1000 x 109/L (1,000,000 cells/mm³). White blood cell count < or = 3.5 x 109/L (3500 cells/mm³). Absolute neutrophil count (ANC) <2000 cells/mm³. Serum creatinine level > or = 177 μmol/ L (2 mg/dL). Glycosylated hemoglobin (HbA1c >10%). Current or history of serious psychiatric disorder or alcohol or drug abuse. Participation in other studies within 30 days before screening and/or during study participation. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or ability to comply with study procedures, investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study. -
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Carlo Casali, MD
Organizational Affiliation
Policlinico Umberto I°
Official's Role
Principal Investigator
Facility Information:
Facility Name
Policlinico Umberto I°
City
Rome
State/Province
Italy/Rome
ZIP/Postal Code
00161
Country
Italy

12. IPD Sharing Statement

Citations:
PubMed Identifier
22447512
Citation
Tomassini B, Arcuri G, Fortuni S, Sandi C, Ezzatizadeh V, Casali C, Condo I, Malisan F, Al-Mahdawi S, Pook M, Testi R. Interferon gamma upregulates frataxin and corrects the functional deficits in a Friedreich ataxia model. Hum Mol Genet. 2012 Jul 1;21(13):2855-61. doi: 10.1093/hmg/dds110. Epub 2012 Mar 23.
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A Phase IIa Trial to Test Safety and Efficacy Interferon Gamma Treatment in Elevating Frataxin Levels in FRDA Patients

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