E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
ESCLEROSIS LATERAL AMIOTRÓFICA.
ALS is a fatal neuromuscular disorder causing progressive loss of nervous control of voluntary muscles due to destruction of motor neurons in the brain and spinal cord.Riluzole is the only approved drug that has been shown to prolong survival of ALS patients but its efficacy is limited.Consequently, there is a strong medical need to identify other compounds and to evaluate in clinical studies their potential to become a treatment of this devastating disease. |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10002026 |
E.1.2 | Term | Amyotrophic lateral sclerosis |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Evaluation of the efficacy of TRO19622 330 mg QD as add-on therapy to riluzole 50 mg bid in the treatment of patients suffering from ALS, as compared to placebo, assessed by the 18-month survival rate. |
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Patients with sporadic or familial Amyotrophic Lateral Sclerosis 2. Patients with a clinical diagnosis of laboratory-supported probable, probable, or definite ALS according to the modified El Escorial criteria . 3. Have signed an Informed Consent to participate to the trial before any study related procedure has taken place. 4. Be of age >18 and < 80 years. 5. If a female, not lactating, has a negative pregnancy test and agrees to use an effective method of birth control. 6. Onset of ALS Symptoms (weakness) for more than 6 months and less than 36 months. 7. Slow vital capacity (SVC), concordant after 3 measures, ≥70% of that predicted. 8. Treated with riluzole at the stable dose of 50 mg bid for at least 30 days before enrolment |
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E.4 | Principal exclusion criteria |
1. Tracheostomy, invasive ventilation, or non invasive positive pressure ventilation (NIPPV). 2. Gastrostomy. 3. Evidence of major psychiatric disorder or clinically evident dementia. 4. Diagnosis of a neurodegenerative disease in addition to ALS. 5. Have a current medication that could interfere with TRO19622 pharmacokinetics: tamoxifene 6. Have current medications that could interfere with TRO19622 absorption such as ezetimibe,bile salts chelators, fibrates, phytosterols, fish oils. Have a current medication of lipid lowering agents other than statins. 7. Known hypersensitivity to any component of the study drug. 8. Patients with known intolerance or contra-indication to riluzole. 9. Have a recent history (within the previous 6 months) or current evidence of alcohol or drug abuse. 10. Have concurrent unstable disease involving any system eg, carcinoma other than basal cell carcinoma, any cardiac dysrhythmia, myocardial infarction, clinical or ECG signs of myocardial ischemia, cardiac insufficiency, angina symptoms, current symptoms of Coronary Artery Disease, or any other condition that in the opinion of the Investigator would make the patient unsuitable for study participation. 11. Having a baseline QTc (Bazett) > 450 msec. 12. Patients with known hepatitis B/C or HIV positive serology. 13. Be pregnant female or lactating. 14. Have renal impairment defined as blood creatinine > 1,5 x upper limit of normal. 15. Have hepatic impairment and/or liver enzymes (ALT or AST) > 3x ULN. 16. Hemostasis disorders or current treatment with oral anticoagulants. 17. Be possibly dependent on the Investigator or the Sponsor (eg, including, but not limited to, affiliated employee). 18. Participated in any other investigational drug or therapy study with a non approved medication, within the previous 3 months. 19. Patients without Social Security Insurance (France). |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary outcome measure will be the overall 18-month survival rate. Survival will be calculated from the date of randomization until the date of death or last follow-up censored at 18 months |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 14 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Last patient last visit If the expected number of events is not met , trial duration may be prolonged for 3 months. Patients will have the opportunity to be enrolled in an open-label safety study at the end of the double-blind period. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |