A Study to Investigate the Effects and Safety of Codabakalner for the Treatment of FXS in Male Participants and Adult Participants With ADS

Trial statusNot yet recruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexMale
Age18-45
SponsorSpinogenix

About this trial

This is a Study to Investigate the Effects and Safety of Codabakalner for the Treatment of Fragile X Syndrome in Male Participants and Adult Participants with Autism Spectrum Disorders

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Phase 2b: Adult males aged 18 to 45 years, inclusive Phase 3: Males aged 13-45 years, inclusive Mental age >/= 36mon

Diagnosis of Fragile X as confirmed with genetic testing and Stanford Binet testing or

Confirmed diagnosis ASD per DSM5-TR and EEG criteria

Patient must have caregiver

Disqualifiers

Any physical or psychological condition that prohibits study completion

Uncontrolled seizures or history of epilepsy with a seizure in the past 6 months.

Auditory or visual impairments that cannot be corrected

History of suicidal behaviour or suicidal ideation

Trial design

Design model

Parallel

Treatments tested in this trial

  • Codabakalner

    Drug

    synthetic small molecule

  • Placebo

    Drug

    Placebo

Treatment groups

120 Participants
are divided into 4 treatment groups
Group A: Phase 2b: ActiveActive comparator 1 intervention
Group B: Phase 2b: PlaceboPlacebo comparator 1 intervention
Group C: Phase 3: ActiveActive comparator 1 intervention
Group D: Phase 3: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Phase 2b: FXS- Change from baseline in Total Cognition Composite Change Sensitive Score from the NIH-TCB

The NIH Toolbox (NIH-TCB) Total Cognition Composite Change-Sensitive Score (CSS) is used to measure cognitive change over time. Higher scores indicate higher level of functioning. The scores typically span across the developmental range, often extending well above and below the 500-point mark depending on the age and cognitive ability of the individual.

Time frame
28 days
2

Phase 2b: ASD - Change from Baseline at Day 28 on the Vineland Adaptive Behavior Scales in ASD(Vineland-III) Adaptive Behavior Composite Score

Vineland Adaptive Behavior Composite (ABC) have a mean of 100 and a standard deviation of 15, where scores from 85 to 115 reflect expected or average adaptive functioning

Time frame
28 days
3

Phase 3: FXS - Change from baseline in Total Cognition Composite score from the NIH-TCB

The NIH Toolbox (NIH-TCB) Total Cognition Composite Change-Sensitive Score (CSS) is used to measure cognitive change over time. It is calculated by combining the Crystallized Composite (reading/vocabulary) and Fluid Composite (memory/executive function/speed) scores. Higher scores indicate higher level of functioning.

Time frame
12 weeks

Secondary outcomes

1

Phase 2b: FXS- Change from baseline in Fluid Reasoning Composite Change Sensitive Scores from the NIH-TCB

The Fluid Cognition Composite (FCC) from the NIH Toolbox Cognition Battery (NIHTB-CB) is designed to measure changes to neurological functioning. It combines scores from five tests (Dimensional Change Card Sort, Flanker, List Sorting, Pattern Comparison, and Picture Sequence Memory) to provide a measure of executive function, memory, and processing speed. Higher scores indicate higher level of functioning. Superior ability is 130, average is approx. 100 and less than 70 is impairment.

Time frame
28 days
2

Phase 2b: FXS- Change from baseline in Flanker Scores from the NIH-TCB

The Flanker test measures executive attention, inhibitory control, and attention by having participants identify the direction of a central arrow (or fish for young children) while ignoring surrounding flanking stimuli. Yields a standardized score scaled with a mean of 100 and a standard deviation of 15 (up to a maximum score of 130)

Time frame
28 days
3

Phase 2b- FXS Change from Baseline at Day 28 on the Vineland Adaptive Behavior Scales (Vineland-III) Adaptive Behavior Composite Score

Vineland Adaptive Behavior Composite (ABC) have a mean of 100 and a standard deviation of 15, where scores from 85 to 115 reflect expected or average adaptive functioning

Time frame
28 days
4

Phase 2b: FXS and ASD: Change from baseline at Day 28 in Clinical global impression of severity (CGI-S) as assessed by the investigator

This is a 7-point clinician-rated tool used to measure how ill a patient is at the time of assessment

Time frame
28 days

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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