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A Study of RO6885247 in Adult and Pediatric Patients With Spinal Muscular Atrophy (MOONFISH)

Primary Purpose

Muscular Atrophy, Spinal

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
RO6885247
placebo
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Muscular Atrophy, Spinal

Eligibility Criteria

undefined - 55 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Males and females, aged 2 to 55 years inclusive or below 7 months inclusive
  • Confirmed diagnosis of 5q-autosomal recessive SMA (Types 1 to 3), for patients aged 7 months or below clinical symptoms attributable to type 1 SMA and 2 SMN2 copies
  • Able and willing to provide informed consent and to comply with the study protocol. Alternatively, a legally authorized representative must be able to consent for the patient and assent must be given by the subject wherever possible.
  • Female patients of childbearing potential and male patients with a female partner of childbearing potential must agree with the required contraceptive methods as defined per protocol.
  • For patients aged 7 months or below, Gestational age of 37 to 42 weeks and not considered small for gestational age at birth

Exclusion Criteria:

  • Concomitant or previous participation in any investigational drug or device study within 90 days prior to screening
  • Concomitant or previous participation in a SMN2-targeting antisense oligonucleotide study within 12 months prior to screening
  • Concomitant or previous participation at any time in a gene therapy study
  • For patients aged 2-55 years, hospitalization for pulmonary event within the last 2 months or planned at the time of screening
  • Surgery for scoliosis in the last 6 months from screening or planned within 6 months from screening
  • Unstable gastrointestinal, renal, hepatic, endocrine or cardiovascular system disease
  • Clinically relevant ECG abnormalities at screening or baseline; personal or family history (first degree relatives) of congenital long QT syndrome
  • Clinically significant abnormalities in laboratory test results at screening
  • Any concomitant disease or condition that could interfere with the conduct of the study, or pose an unacceptable risk to the subject in this study
  • Use of prohibited medications as per protocol within 90 days prior to randomization. Patients who are on inhaled corticosteroids, administered either through a nebulizer or an inhaler, are allowed.
  • Recently initiated treatment (within <6 months prior to randomization) with oral salbutamol or another beta2-adrenergic agonist taken orally is not allowed. Patients who have been on oral salbutamol (or another beta2-adrenergic agonist) for at least 6 months before randomization are allowed. Use of inhaled beta2-adrenergic agonists is allowed.
  • For patients aged 7 months or below, patients requiring invasive ventilation or tracheostomy, presence of non-SMA related morbidities

Sites / Locations

  • Ch Pitie Salpetriere; Institut de Myologie
  • Policlinico Agostino Gemelli; Dipartimento di Neuropsichiatria Infantile
  • Fondazione IRCCS Istituto Neurologico "Carlo Besta"; UO di Neurologia dello Sviluppo
  • UMC Utrecht; Polkliniek Neuromusculaire ziekten
  • Drottning Silvias Barn- och ungdomssjukhus; Kliniken för barnmedicin
  • Universitäts-Kinderspitalbeider Basel_Abteilung für Neuro- und Entwicklungspädiatrie
  • Hacettepe University, School of Medicine; Pediatrics Department; Pediatrics Child Neurology Unit
  • UCL; GAP Unit, Institute of Child Health, UCL
  • MRC Neuromuscular Centre - Institute of Genetic Medicine

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Part 1

Part 2

Part 3

Arm Description

Up to 2 cohorts of patients, within each cohort patients will receive either RO6885247 or placebo once daily for 12 weeks

1 cohort of patients, within each cohort patients will receive either RO6885247 or placebo once daily for 12 weeks

1 cohort of patients, within each cohort patients will receive RO6885247 once daily for 12 weeks or 20 weeks

Outcomes

Primary Outcome Measures

Safety: Incidence of adverse events (AEs)

Secondary Outcome Measures

Pharmacokinetics: RO6885247 plasma concentrations
Pharmacokinetics: RO6885247 exposure, area under the concentration-time curve (AUC-tau, over the 24-hour dosing interval)
Pharmacodynamics: SMN protein levels in blood
Effect of RO6885247 on muscle electrophysiology, as assessed by Compound Muscle Action Potential (CMAP)
Effect of RO6885247 on Electrical Impedance Myography
Pharmacodynamics: In vivo splicing modification of SMN2 mRNA in blood

Full Information

First Posted
September 11, 2014
Last Updated
December 20, 2016
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT02240355
Brief Title
A Study of RO6885247 in Adult and Pediatric Patients With Spinal Muscular Atrophy (MOONFISH)
Official Title
A Multicenter, Randomized, Double Blind, Placebo Controlled, Multiple Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of RO6885247 Following 12 Weeks of Treatment in Adult and Pediatric Patients With Spinal Muscular Atrophy (MOONFISH).
Study Type
Interventional

2. Study Status

Record Verification Date
December 2016
Overall Recruitment Status
Terminated
Why Stopped
There was an unexpected toxicology finding observed in the 39 week monkey study. Dosing was suspended, the study was put on hold and eventually terminated.
Study Start Date
November 2014 (undefined)
Primary Completion Date
July 2015 (Actual)
Study Completion Date
July 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche

4. Oversight

5. Study Description

Brief Summary
This multicenter, randomized, double-blind, 12-week, placebo-controlled multiple dose study will investigate the safety and tolerability of RO6885247 in adult and pediatric patients with spinal muscular atrophy (SMA).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Muscular Atrophy, Spinal

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
9 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part 1
Arm Type
Experimental
Arm Description
Up to 2 cohorts of patients, within each cohort patients will receive either RO6885247 or placebo once daily for 12 weeks
Arm Title
Part 2
Arm Type
Experimental
Arm Description
1 cohort of patients, within each cohort patients will receive either RO6885247 or placebo once daily for 12 weeks
Arm Title
Part 3
Arm Type
Experimental
Arm Description
1 cohort of patients, within each cohort patients will receive RO6885247 once daily for 12 weeks or 20 weeks
Intervention Type
Drug
Intervention Name(s)
RO6885247
Intervention Description
oral solution
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
oral solution
Primary Outcome Measure Information:
Title
Safety: Incidence of adverse events (AEs)
Time Frame
Up to 20 weeks
Secondary Outcome Measure Information:
Title
Pharmacokinetics: RO6885247 plasma concentrations
Time Frame
Up to 16 weeks
Title
Pharmacokinetics: RO6885247 exposure, area under the concentration-time curve (AUC-tau, over the 24-hour dosing interval)
Time Frame
Up to 12 weeks
Title
Pharmacodynamics: SMN protein levels in blood
Time Frame
Up to 20 weeks
Title
Effect of RO6885247 on muscle electrophysiology, as assessed by Compound Muscle Action Potential (CMAP)
Time Frame
Up to 20 weeks
Title
Effect of RO6885247 on Electrical Impedance Myography
Time Frame
Up to 20 weeks
Title
Pharmacodynamics: In vivo splicing modification of SMN2 mRNA in blood
Time Frame
Up to 20 weeks

10. Eligibility

Sex
All
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and females, aged 2 to 55 years inclusive or below 7 months inclusive Confirmed diagnosis of 5q-autosomal recessive SMA (Types 1 to 3), for patients aged 7 months or below clinical symptoms attributable to type 1 SMA and 2 SMN2 copies Able and willing to provide informed consent and to comply with the study protocol. Alternatively, a legally authorized representative must be able to consent for the patient and assent must be given by the subject wherever possible. Female patients of childbearing potential and male patients with a female partner of childbearing potential must agree with the required contraceptive methods as defined per protocol. For patients aged 7 months or below, Gestational age of 37 to 42 weeks and not considered small for gestational age at birth Exclusion Criteria: Concomitant or previous participation in any investigational drug or device study within 90 days prior to screening Concomitant or previous participation in a SMN2-targeting antisense oligonucleotide study within 12 months prior to screening Concomitant or previous participation at any time in a gene therapy study For patients aged 2-55 years, hospitalization for pulmonary event within the last 2 months or planned at the time of screening Surgery for scoliosis in the last 6 months from screening or planned within 6 months from screening Unstable gastrointestinal, renal, hepatic, endocrine or cardiovascular system disease Clinically relevant ECG abnormalities at screening or baseline; personal or family history (first degree relatives) of congenital long QT syndrome Clinically significant abnormalities in laboratory test results at screening Any concomitant disease or condition that could interfere with the conduct of the study, or pose an unacceptable risk to the subject in this study Use of prohibited medications as per protocol within 90 days prior to randomization. Patients who are on inhaled corticosteroids, administered either through a nebulizer or an inhaler, are allowed. Recently initiated treatment (within <6 months prior to randomization) with oral salbutamol or another beta2-adrenergic agonist taken orally is not allowed. Patients who have been on oral salbutamol (or another beta2-adrenergic agonist) for at least 6 months before randomization are allowed. Use of inhaled beta2-adrenergic agonists is allowed. For patients aged 7 months or below, patients requiring invasive ventilation or tracheostomy, presence of non-SMA related morbidities
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
City
Orlando
State/Province
Florida
ZIP/Postal Code
32827
Country
United States
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611-2605
Country
United States
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 1X8
Country
Canada
City
Montreal
State/Province
Quebec
Country
Canada
Facility Name
Ch Pitie Salpetriere; Institut de Myologie
City
Paris
ZIP/Postal Code
75013
Country
France
City
Paris
ZIP/Postal Code
75013
Country
France
Facility Name
Policlinico Agostino Gemelli; Dipartimento di Neuropsichiatria Infantile
City
Roma
State/Province
Lazio
ZIP/Postal Code
00168
Country
Italy
City
Roma
State/Province
Lazio
ZIP/Postal Code
00168
Country
Italy
Facility Name
Fondazione IRCCS Istituto Neurologico "Carlo Besta"; UO di Neurologia dello Sviluppo
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20133
Country
Italy
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20133
Country
Italy
Facility Name
UMC Utrecht; Polkliniek Neuromusculaire ziekten
City
Utrecht
ZIP/Postal Code
3584 CX
Country
Netherlands
City
Utrecht
ZIP/Postal Code
3584 CX
Country
Netherlands
Facility Name
Drottning Silvias Barn- och ungdomssjukhus; Kliniken för barnmedicin
City
Goeteborg
ZIP/Postal Code
41685
Country
Sweden
City
Goeteborg
ZIP/Postal Code
41685
Country
Sweden
Facility Name
Universitäts-Kinderspitalbeider Basel_Abteilung für Neuro- und Entwicklungspädiatrie
City
Basel
ZIP/Postal Code
4005
Country
Switzerland
City
Basel
ZIP/Postal Code
4005
Country
Switzerland
Facility Name
Hacettepe University, School of Medicine; Pediatrics Department; Pediatrics Child Neurology Unit
City
Ankara
ZIP/Postal Code
06100
Country
Turkey
City
Ankara
ZIP/Postal Code
06100
Country
Turkey
Facility Name
UCL; GAP Unit, Institute of Child Health, UCL
City
London
ZIP/Postal Code
WC1N 1EH
Country
United Kingdom
City
London
ZIP/Postal Code
WC1N 1EH
Country
United Kingdom
Facility Name
MRC Neuromuscular Centre - Institute of Genetic Medicine
City
Newcastle upon Tyne
ZIP/Postal Code
NE1 3BZ
Country
United Kingdom
City
Newcastle upon Tyne
ZIP/Postal Code
NE1 3BZ
Country
United Kingdom

12. IPD Sharing Statement

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A Study of RO6885247 in Adult and Pediatric Patients With Spinal Muscular Atrophy (MOONFISH)

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