E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Friedreich's Ataxia |
Atassia di Friedreich |
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E.1.1.1 | Medical condition in easily understood language |
Friedreich's Ataxia |
Atassia di Friedreich |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | SOC |
E.1.2 | Classification code | 10029205 |
E.1.2 | Term | Nervous system disorders |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
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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 |
The primary objective of this study is to investigate whether the treatment with IFN gamma can induce significant accumulation of frataxin in FRDA patients, a possibility suggested by pre-clinical evidence in an animal model of the disease. |
L’obiettivo primario di questo studio è di stabilire se un trattamento con IFN gamma possa indurre un accumulo significativo di frataxina in pazienti FRDA, possibilità suggerita dalle evidenze pre-cliniche in un modello animale della malattia. |
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E.2.2 | Secondary objectives of the trial |
Secondary objectives include the assessment of the safety and tolerability of IFN gamma in FRDA patients during the treatment period. |
Gli obiettivi secondari comprendono la valutazione della sicurezza e tollerabilità dell’IFN gamma in pazienti FRDA durante il periodo di trattamento. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Genetically confirmed diagnosis of Friederich’s Ataxia 2. Evidence of a personally signed and dated informed consent document indicating that the subject (or a legally acceptable representative) has been informed of all pertinent aspects of the study. 3. Subjects who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. 4. Male and/or female subjects >/=18 . |
1. Diagnosi di atassia di Friedreich geneticamente confermata. 2. Evidenza di un documento di consenso informato personalmente firmato e datato che indichi che il soggetto (o un rappresentante legale accettabile) è stato informato su tutti gli aspetti pertinenti dello studio. 3. Soggetti che siano consenzienti e capaci di completare le visite programmate, il piano di trattamento, i test di laboratorio e le altre procedure. 4. Soggetti di sesso maschile o femminile di età >/=18. |
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E.4 | Principal exclusion criteria |
Subjects presenting with any of the following will not be included in the study: Medical History 1. Pregnant or breastfeeding women. 2. Significant concurrent medical conditions at the time of screening or baseline visit, including, but not limited to, the following: • Any major illness/condition or evidence of an unstable clinical condition (eg, renal, hepatic, hematologic, GI, endocrine, pulmonary, immunologic, or local active infection/infectious illness) that, in the investigator’s judgment, will substantially increase the risk to the subject if he or she participates in the study. • Class III or IV congestive heart failure as defined by the New York Heart Association. • Acute coronary syndrome (eg, myocardial infarction, unstable angina pectoris) and any history of significant cerebrovascular disease within 24 weeks before screening. 3. Presence of a transplanted organ. 4. Previous assumption of IFN gamma 1b. |
1. Donne in stato di gravidanza o allattamento al seno. 2. Condizioni mediche concomitanti al momento dello screening o della visita basale, comprese, ma non solo: • Qualsiasi condizione maggiore o malattia o evidenza di una condizione clinica instabile (p.es renale, epatica, ematologica, gastrointestinale, endocrina, polmonare, immunologica, o malattia infettiva/infezione locale che, a giudizio dell’investigatore, possa sostanzialmente aumentare il rischio del soggetto alla partecipazione allo studio). • Insufficienza cardiaca congestizia di Classe III o IV secondo la New York Heart Association. • Sindrome coronarica acuta (p.es, infarto miocardico, angina pectoris instabile) o storia di malattia cerebrovascolare significativa entro 24 settimane dallo screening. 3. Presenza di organi trapiantati. 4. Precedente assunzione di IFN gamma 1b. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint is the increase of cellular frataxin after treatment with IFN gamma. |
L’endpoint primario è l’aumento della frataxina cellulare dopo trattamento con IFN gamma. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Blood sample for the quantitation of frataxin will include in total 9 blood samples. Blood samples will be taken at the beginning of the treatment, 0 timepoint, and at days 1-7-14-15-21-28-29-35. |
I pazienti saranno soggetti ad un totale di 9 prelievi di sangue. Tali analisi verranno eseguite all’inizio del trattamento, tempo 0, e nei giorni 1-7-14-15-21-28-29-35 |
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E.5.2 | Secondary end point(s) |
Secondary endpoints are the safety and tolerability of IFN gamma in FRDA patients. The on treatment adverse events and withdrawals due to adverse effects will be reported. Any subject who receives at least 1 dose of investigational product will be included in the evaluation for safety. |
Gli obiettivi secondari sono la sicurezza e tollerabilità di IFN gamma in pazienti FRDA. Saranno riportati gli eventi avversi durante il trattamento e i ritiri dovuti a effetti avversi. Ogni individuo che riceva almeno 1 dose del prodotto studiato sarà incluso nella valutazione della sicurezza. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Patients will be evaluated at the inclusion and after 14, 28 and 58 days. |
I pazienti verranno valutati all'inclusione e dopo 14, 28 e 58 giorni. |
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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 | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
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 | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
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 | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.2.4 | Number of treatment arms in the trial | 1 |
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.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | No |
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 | No |
E.8.7 | Trial has a data monitoring committee | No |
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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The study protocol will end when at least 10 patients or all the enrolled patients have ended the clinical protocol. |
Lo studio si può considerare concluso quando almeno 10 pazienti o tutti i pazienti arruolati hanno concluso lo studio. |
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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 | 0 |
E.8.9.1 | In the Member State concerned months | 10 |
E.8.9.1 | In the Member State concerned days | 0 |