Safety and Efficacy of Tideglusib in Congenital or Childhood Onset Myotonic Dystrophy

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age6-45
SponsorAMO Pharma Limited

About this trial

This is an open-label phase 2/3 study for individuals with Congenital Myotonic Dystrophy (Congenital DM1) who participated in the preceding AMO-02-MD-2-003 study or individuals with either Congenital or Childhood Onset DM1 who are treatment naïve.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Subjects under study must be individuals with a diagnosis of Congenital or Childhood Onset DM1.

Diagnosis must be genetically confirmed

Subjects must be male or female aged ≥6 years to ≤45 years at Screening

Subjects must have a Clinical Global Impression - Severity (CGI-S) score of 3 or greater at Screening (V-1)

Disqualifiers

Body mass index (BMI) less than 13.5 kg/m² or greater than 40 kg/m²

New or change in medications/therapies within 4 weeks prior to Eligibility/Baseline Visit

Use within 4 weeks prior to Eligibility/Baseline Visit of strong CYP3A4 inhibitors (eg.clarithromycin, telithromycin, ketoconazole, itraconazole, posaconazole, nefazodone, idinavir and ritonavir)

Concurrent use of drugs metabolized by CYP3A4 with a narrow therapeutic window (e.g. warfarin and digitoxin)

Trial design

Design model

Single group

Treatments tested in this trial

  • Tideglusib

    Drug

    Tideglusib dosing will be weight-adjusted at 400 mg, 600 mg, or 1000 mg dose levels, or weight banded fixed doses of 400 mg, 600 mg, 800 mg or 1000 mg, with each subject starting at a weight-adjusted 400 mg dose level for 2 weeks, then up titrating to a weight-adjusted 600 mg dose level for the next 2 weeks.

Treatment groups

76 Participants
are divided into 1 treatment group
Group A: TideglusibExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Safety (Adverse Events)

The incidence of AEs, including SAEs, and abnormal findings in objective assessments (e.g. laboratory values, ECGs and vital signs) from Screening to Enrolment (where applicable), from Enrolment to End of Treatment (52 Weeks), and End of Treatment to the End of Follow-up period.

Time frame
52 Weeks
2

Safety (Adverse Events) - With Optional Expanded Access

The incidence of AEs, including SAEs, and abnormal findings in objective assessments (e.g. laboratory values, ECGs and vital signs) from End of Treatment to End of Optional Extended Access, and End of Optional Extended Access to the End of Follow-up period.

Time frame
Week 60 and every 8 weeks thereafter up until discontinuation or study closure, assessed up to Week 132
3

Clinician-Completed Congenital DM1 Rating Scale (CDM1-RS)

The Clinician-completed Congenital DM1 Rating Scale is an 11-item rating scale completed by the clinician to score the symptom severity of domains that are clinically relevant in Congenital DM1.

Time frame
52 Weeks

Secondary outcomes

1

Clinician-Completed Congenital DM1 Rating Scale (CDM1-RS) - With Optional Expanded Access

The Clinician-completed Congenital DM1 Rating Scale is an 11-item rating scale completed by the clinician to score the symptom severity of domains that are clinically relevant in Congenital DM1.

Time frame
Week 68 and every 16 weeks thereafter up until discontinuation or study closure, assessed up to Week 132
2

Clinical Global Impressions Improvement Scale (CGI-I)

The CGI-I requires the clinician to rate how much the subject's illness has changed (improved, worsened or stayed the same) relative to a baseline state.

Time frame
54 Weeks
3

Clinical Global Impressions Improvement Scale (CGI-I) - With Optional Expanded Access

The CGI-I requires the clinician to rate how much the subject's illness has changed (improved, worsened or stayed the same) relative to a baseline state.

Time frame
Week 68 and every 16 weeks thereafter up until discontinuation or study closure, assessed up to Week 132
4

Top 3 Caregiver Concerns Visual Analogue Scale (VAS) score

The Top 3 concerns VAS allows caregivers to identify their main three causes of concern, related to the subject's myotonic dystrophy, rather than these being pre-specified within a scale and then rating how these concerns have changed at specific time-points during the study.

Time frame
54 weeks

Other outcomes

Sponsors and contacts

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