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    Summary
    EudraCT Number:2010-018412-32
    Sponsor's Protocol Code Number:DMD114117
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2010-12-01
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2010-018412-32
    A.3Full title of the trial
    Estudio clínico de fase II, doble ciego, explorador, de grupos paralelos y controlado con placebo para evaluar dos pautas posológicas de GSK2402968 para la eficacia, seguridad, tolerabilidad y farmacocinética en sujetos ambulatorios con distrofia muscular de Duchenne
    A.4.1Sponsor's protocol code numberDMD114117
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorGlaxoSmithKline Research and Development LTD
    B.1.3.4CountryUnited Kingdom
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community Yes
    D.2.5.1Orphan drug designation numberEU/3/08/599
    D.3 Description of the IMP
    D.3.2Product code GSK2402968
    D.3.4Pharmaceutical form Injection*
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.2Current sponsor codeGSK2402968
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number200
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for injection
    D.8.4Route of administration of the placeboSubcutaneous use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Distrofia muscular de Duchenne
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 12.1
    E.1.2Level LLT
    E.1.2Classification code 10013801
    E.1.2Term Duchenne muscular dystrophy
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    - Evaluar la eficacia de 2 pautas posológicas diferentes de GSK2402968 administrado por vía subcutánea durante 24 semanas en sujetos ambulatorios con DMD.
    E.2.2Secondary objectives of the trial
    - Evaluar la seguridad y la tolerabilidad de 2 pautas posológicas diferentes de GSK2402968 administrado por vía subcutánea durante 48 semanas en sujetos ambulatorios con DMD.

    ? Evaluar la FC de 2 pautas posológicas diferentes de GSK2402968 administrado por vía subcutánea durante 48 semanas en sujetos ambulatorios con DMD.

    ? Evaluar la eficacia a largo plazo de 2 pautas posológicas diferentes de GSK2402968 administrado por vía subcutánea durante 48 semanas en sujetos ambulatorios con DMD.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Sujetos ambulatorios con distrofia muscular de Duchenne debida a una mutación en el gen DMD, confirmada mediante una técnica de diagnóstico de ADN de última generación que abarca todos los exones del gen DMD, que incluye aunque no se restringe a MLPA (técnica de hibridación, ligación y amplificación múltiple), HGC (hibridación genómica comparada) o H-RMCA (análisis de la curva de fusión de alta resolución), y corregible mediante la omisión del exón 51 de DMD inducida por GSK2402968,
    2. Tener al menos 5 años,
    3. Varones,
    4. Esperanza de vida de al menos 1 año,
    5. Ser capaz de levantarse del suelo en ?7 segundos (sin ayuda/ortesis),
    6. Ser capaz de completar la prueba de 6MWD con una distancia de al menos 75 m,
    7. Los resultados de las pruebas de 6MWD y de levantarse del suelo deben ser reproducibles (variabilidad del 20% para cada prueba) entre las visitas de selección 1 y 2,
    8. Recibir glucocorticoesteroides durante un mínimo de 6 meses inmediatamente antes de la selección, sin cambios significativos en la dosificación total diaria o pauta posológica durante un mínimo de 3 meses inmediatamente antes de la selección y una expectativa razonable de que la dosificación total diaria y la pauta posológica no cambiarán de forma significativa durante todo el estudio,
    9. QTc <450 mseg (basado en un único valor de QTc o en la media de tres ECG realizados durante un periodo de registro breve). Nota: QTc puede ser QTcB o QTcF, y de lectura automática o de sobrelectura manual,
    10. Los sujetos deben estar dispuestos a utilizar un método anticonceptivo adecuado (preservativos o abstinencia) durante todo el estudio y durante al menos 5 meses después de la última dosis del medicamento del estudio,
    11. Dispuesto y capaz de cumplir con todos los requisitos y procedimientos del protocolo,
    12. Capaz de otorgar su asentimiento y/o consentimiento informado por escrito firmado por el sujeto y/o padre(s)/representante legal (conforme a la normativa local),
    13. En Francia, un sujeto será elegible para la inclusión en este estudio sólo si está afiliado o es beneficiario de la seguridad social.
    E.4Principal exclusion criteria
    Los sujetos que cumplan cualquiera de los criterios siguientes no deben ser incluidos en el estudio:
    1. Cualquier exón de DMD adicional ausente que no puede tratarse con GSK2402968,
    2. Enfermedad actual o historial de insuficiencia hepática o renal,
    3. Enfermedad aguda en las 4 semanas anteriores a la primera administración prevista de la medicación del estudio que pueda interferir con las evaluaciones del estudio,
    4. Uso de anticoagulantes, antitrombóticos o antiplaquetarios, tratamiento previo con medicamentos en fase de investigación, idebenona u otras formas de coenzima Q10, en los 6 meses anteriores a la primera administración de la medicación del estudio,
    5. Participación actual o prevista en cualquier estudio de investigación clínica,
    6. Dar positivo en la selección en las pruebas de antígeno de superficie de la hepatitis B, anticuerpos de la hepatitis C o virus de la inmunodeficiencia humana (VIH),
    7. Miocardiopatía sintomática,
    8. Niños tutelados. Niño tutelado se define como un niño que se encuentra bajo el control o la protección de una agencia, organización, institución o entidad, por decisión de los tribunales, el gobierno o un organismo gubernamental, actuando de conformidad con los poderes conferidos por la legislación o las normativas. La definición de un niño tutelado puede incluir a un niño cuidado por padres de acogida o que vive en una casa o centro de acogida, siempre y cuando las disposiciones cumplan con la definición anterior. La definición de un niño tutelado no incluye a un niño adoptado o con un tutor legal asignado.
    E.5 End points
    E.5.1Primary end point(s)
    Criterio principal de valoración de la eficacia:
    ? Función muscular utilizando la prueba de distancia caminada en 6 minutos (6MWD).
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response Yes
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans Information not present in EudraCT
    E.7.1.2Bioequivalence study Information not present in EudraCT
    E.7.1.3Other Information not present in EudraCT
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned2
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA8
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    E.8.7Trial 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
    El fin del estudio se define como la fecha de la última visita del último sujeto.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months2
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months2
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) Yes
    F.1.1.6Adolescents (12-17 years) Yes
    F.1.2Adults (18-64 years) No
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female No
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception No
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    Se deberá obtener asentimiento y consentimiento informado por escrito de cada sujeto y/o padre/tutor legal del sujeto, antes de su participación en el estudio, conforme a la legislación local vigente
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state10
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 44
    F.4.2.2In the whole clinical trial 54
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Al final del periodo de tratamiento, los sujetos que hayan completado el estudio podrán entrar en un estudio de extensión abierto después de discutirlo con le investigador y monitor médico. Los sujetos que abandonen el estudio por cualquier motivo no serán elegibles para el estudio de extensión.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2010-11-18
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2010-07-12
    P. End of Trial
    P.End of Trial StatusCompleted
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