Study of ACE-083 in Patients With Charcot-Marie-Tooth Disease
Charcot-Marie-Tooth Disease
About this trial
This is an interventional treatment trial for Charcot-Marie-Tooth Disease focused on measuring CMT1 / CMTX
Eligibility Criteria
Key Inclusion Criteria
- Age ≥ 18 years
Diagnosis of CMT1 or CMTX confirmed by:
- Clinical presentation and electrodiagnostics
- Genetically-confirmed CMT1 or CMTX for the patient or first-degree relative
Part 1:
- Six-minute walk distance (6MWD) of at least 150 meters (without a brace or walker)
- Independent ambulation for at least 10 meters, without a brace
- Left and right ankle plantar flexion MRC grade 4+ to 5, inclusive
Part 2:
- 6MWD ≥ 150 and ≤ 500 meters (without a brace or walker); a maximum of 20% of enrolled patients with 6MWD ≥ 450 meters will be included
- Left and right ankle plantar flexion MRC grade 4- to 5, inclusive
- Left and right ankle dorsiflexion Medical Research Council (MRC) manual muscle testing (MMT) grade 3 to 4+ inclusive. No more than 12 of the 40 subjects may have a grade of 3 or 3+ on one or both sides.
- Females of childbearing potential must have negative urine pregnancy test prior to enrollment and use highly effective birth control methods during study participation and for 8 weeks following the last dose of ACE-083. Males must agree to use a condom during any sexual contact with females of childbearing potential while participating in the study and for 8 weeks following the last dose of ACE-083, even if he has undergone a successful vasectomy.
- Ability to adhere to the study visit schedule/procedures, and to understand and comply with protocol requirements
- Signed written informed consent
Key Exclusion Criteria
- History of active malignancy, with the exception of fully excised or treated basal cell carcinoma, cervical carcinoma in-situ, or ≤ 2 squamous cell carcinomas of the skin
- Symptomatic cardiopulmonary disease, significant functional impairment, significant orthopedic or neuropathic pain, or other co morbidities that in the opinion of the investigator would limit a patient's ability to complete strength and/or functional assessments on study
- Type 1 or type 2 diabetes mellitus
- Thyroid disorder unless condition is stable with no change in treatment for at least 4 weeks before the first dose and no expected change for duration of study
- Renal impairment (serum creatinine ≥ 2 times the upper limit of normal (ULN])
- Aspartate transaminase (AST) and/or alanine transaminase (ALT) ≥ 3 times ULN
- Increased risk of bleeding (i.e., due to hemophilia, platelet disorders, or use of any anticoagulation/platelet modifying therapies up to 2 weeks prior to Study Day 1 and for duration of study; low dose aspirin [≤ 100 mg daily] is permitted)
- Severe deformity or ankle fixation that would sufficiently limit passive range of motion to affect assessment of dorsiflexion strength
- Major surgery within 4 weeks prior to Study Day 1
- Chronic pharmacologic doses of systemic corticosteroids (≥ 2 weeks) within 4 weeks before Study Day 1 and for duration of study; intra-articular/topical/inhaled/intranasal physiologic doses of systemic corticosteroids are permitted
- Androgens, growth hormone, insulin or oral hormone replacement therapy within 6 months before Study Day 1 and for duration of study; topical physiologic androgen replacement is permitted
- Any change in medications potentially affecting muscle strength or function within 4 weeks of Study Day 1 and for duration of study (e.g., creatinine, CoQ10, systemic beta-adrenergic agonists)
- Previous exposure to any investigational agent potentially affecting muscle volume, muscle strength, or muscle or nerve function within 5 half-lives of last dose plus an additional 8-week washout period (or 12 weeks prior to Study Day 1 if half-life is unknown)
- Any previous or current exposure to ACE-083
- Significant change in physical activity or exercise (e.g., significant increase or decrease in intensity or frequency) within 8 weeks before Study Day 1 or inability to maintain the baseline level of physical activity throughout the study
- Any condition that would prevent MRI scanning or compromise the ability to obtain a clear and interpretable scan of the lower leg, as applicable (e.g., knee/hip replacement metallic implants)
- Known active substance abuse, including alcohol
- History of sensitivity to protein pharmaceuticals
- Female that is lactating/breast-feeding
Sites / Locations
- University of California-Irvine
- University of Colorado
- University of Florida
- University of Iowa Hospitals and Clinics
- University of Kansas Medical Center - Neurology Department
- University of Minnesota, Neurology Department
- Washington University School of Medicine
- Hackensack University Medical Center
- Columbia University
- University of Rochester Medical Center, Neurology
- Carolinas Healthcare System Neurosciences Institute
- Oregon Health & Science University
- University of Pennsylvania
- University of Utah
- University of Vermont
- Virginia Commonwealth University
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Experimental
Experimental
Part 1 Cohort 1
Part 1 Cohort 2
Part 1 Cohort 3
Part 2 (double-blind placebo controlled)
Part 2 (open label)
ACE-083 150 mg intramuscular (IM) (tibialis anterior muscle), once every 3 weeks for up to 5 doses.
ACE-083 200 mg IM (tibialis anterior muscle), once every 3 weeks for up to 5 doses.
ACE-083 up to 250 mg IM (tibialis anterior muscle), once every 3 weeks for up to 5 doses.
ACE-083 up to 250 mg IM (tibialis anterior muscle) or placebo, once every 3 weeks for up to 9 doses
ACE-083 up to 250 mg IM (tibialis anterior muscle), once every 3 weeks for up to 8 doses