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    Clinical Trial Results:
    An Open-label Study to Evaluate Pharmacokinetics, Safety, and Efficacy of Vatiquinone in Children With Friedreich Ataxia Younger Than 7 Years

    Summary
    EudraCT number
    2022-003265-38
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    29 Aug 2024

    Results information
    Results version number
    v1(current)
    This version publication date
    30 Jan 2026
    First version publication date
    30 Jan 2026
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    PTC743-NEU-005-FA
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT05485987
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    PTC Therapeutics, Inc.
    Sponsor organisation address
    500 Warren Corp Centre Dr, Warren, United States, NJ 07059
    Public contact
    Medical Information, PTC Therapeutics, Inc., +011 44 1-866-562-4620, medinfo@ptcbio.com
    Scientific contact
    Medical Information, PTC Therapeutics International Limited, +353 19068700, medinfo@ptcbio.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-001238-PIP03-21
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    25 Oct 2024
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    29 Aug 2024
    Global end of trial reached?
    Yes
    Global end of trial date
    29 Aug 2024
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of the study was to assess the pharmacokinetics (PK) and safety of vatiquinone administered in participants with Friedreich ataxia (FA) younger than 7 years.
    Protection of trial subjects
    This study was designed and monitored in accordance with Sponsor procedures, which comply with the ethical principles of Good Clinical Practice (GCP) as required by the major regulatory authorities, and in accordance with the Declaration of Helsinki.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    13 Oct 2022
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United States: 5
    Worldwide total number of subjects
    5
    EEA total number of subjects
    0
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    5
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Five participants were enrolled and completed the study.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Vatiquinone
    Arm description
    Participants received an oral solution (100 milligrams [mg]/milliliter [mL]) of vatiquinone (15 mg/kilogram [kg] if body weight <13 kg and 200 mg if body weight ≥13 kg) 3 times a day (TID) for 72 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Vatiquinone
    Investigational medicinal product code
    PTC743, EPI-743
    Other name
    Pharmaceutical forms
    Oral solution
    Routes of administration
    Oral use
    Dosage and administration details
    Vatiquinone was administered per dose and schedule specified in the arm description.

    Number of subjects in period 1
    Vatiquinone
    Started
    5
    Received at Least 1 Dose of Study Drug
    5
    Completed
    5

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Vatiquinone
    Reporting group description
    Participants received an oral solution (100 milligrams [mg]/milliliter [mL]) of vatiquinone (15 mg/kilogram [kg] if body weight <13 kg and 200 mg if body weight ≥13 kg) 3 times a day (TID) for 72 weeks.

    Reporting group values
    Vatiquinone Total
    Number of subjects
    5 5
    Age Categorical
    Units: Subjects
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    5.2 ( 1.79 ) -
    Gender Categorical
    Units: Subjects
        Female
    2 2
        Male
    3 3
    Race
    Units: Subjects
        White
    5 5
    Ethnicity
    Units: Subjects
        Not Hispanic or Latino
    5 5

    End points

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    End points reporting groups
    Reporting group title
    Vatiquinone
    Reporting group description
    Participants received an oral solution (100 milligrams [mg]/milliliter [mL]) of vatiquinone (15 mg/kilogram [kg] if body weight <13 kg and 200 mg if body weight ≥13 kg) 3 times a day (TID) for 72 weeks.

    Primary: Plasma Concentration of Vatiquinone

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    End point title
    Plasma Concentration of Vatiquinone [1]
    End point description
    PK analysis set included all participants who received at least 1 dose of vatiquinone and had evaluable PK data. 'n' signifies participants evaluable at specified timepoint.
    End point type
    Primary
    End point timeframe
    Pre-morning dose (0 hour) at Week 4; 1 to 3 hours and 3 to 6 hours post-morning dose at Weeks 4, 12, and 24
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The endpoint was descriptive in nature.
    End point values
    Vatiquinone
    Number of subjects analysed
    5
    Units: nanograms (ng)/mL
    geometric mean (geometric coefficient of variation)
        Week 4 - Pre-dose (n = 5)
    173.33 ( 38.37 )
        Week 4 - 1-3 Hours Post-dose (n = 4)
    347.16 ( 194.95 )
        Week 4 - 3-6 Hours Post-dose (n = 5)
    417.99 ( 157.26 )
        Week 12 - 1-3 Hours Post-dose (n = 5)
    674.39 ( 58.77 )
        Week 12 - 3-6 Hours Post-dose (n = 5)
    1070.60 ( 292.99 )
        Week 24 - 1-3 Hours Post-dose (n = 5)
    547.63 ( 183.56 )
        Week 24 - 3-6 Hours Post-dose (n = 5)
    815.52 ( 215.64 )
    No statistical analyses for this end point

    Primary: Number of Participants With Treatment-emergent Adverse Events (TEAEs)

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    End point title
    Number of Participants With Treatment-emergent Adverse Events (TEAEs) [2]
    End point description
    An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious AEs. A TEAE was defined as an AE that had an onset date on or after the first dose of study drug until 30 days after last dose or occurred prior to first dose of study drug and worsened in severity after first dose of study drug. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'. Safety analysis set included all participants who received at least 1 dose of vatiquinone.
    End point type
    Primary
    End point timeframe
    Baseline up to Week 76
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The endpoint was descriptive in nature.
    End point values
    Vatiquinone
    Number of subjects analysed
    5
    Units: participants
    5
    No statistical analyses for this end point

    Primary: Area Under the Curve From 0 to 24 Hours Postdose at Steady State (AUC0-24h,ss) of Vatiquinone

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    End point title
    Area Under the Curve From 0 to 24 Hours Postdose at Steady State (AUC0-24h,ss) of Vatiquinone [3]
    End point description
    PK analysis set included all participants who received at least 1 dose of vatiquinone and had evaluable PK data.
    End point type
    Primary
    End point timeframe
    Up to 6 hours postdose on Day 28
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The endpoint was descriptive in nature.
    End point values
    Vatiquinone
    Number of subjects analysed
    5
    Units: ng*hours/mL
        arithmetic mean (confidence interval 90%)
    7067.08 (6993.61 to 7140.55)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Baseline up to Week 76
    Adverse event reporting additional description
    Safety analysis set included all participants who received at least 1 dose of vatiquinone.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    26.0
    Reporting groups
    Reporting group title
    Vatiquinone
    Reporting group description
    Participants received an oral solution (100 milligrams [mg]/milliliter [mL]) of vatiquinone (15 mg/kilogram [kg] if body weight <13 kg and 200 mg if body weight ≥13 kg) 3 times a day (TID) for 72 weeks.

    Serious adverse events
    Vatiquinone
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 5 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Vatiquinone
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    5 / 5 (100.00%)
    Nervous system disorders
    Tremor
         subjects affected / exposed
    1 / 5 (20.00%)
         occurrences all number
    1
    Headache
         subjects affected / exposed
    1 / 5 (20.00%)
         occurrences all number
    1
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    2 / 5 (40.00%)
         occurrences all number
    2
    Gastrointestinal disorders
    Vomiting
         subjects affected / exposed
    2 / 5 (40.00%)
         occurrences all number
    2
    Abdominal pain
         subjects affected / exposed
    1 / 5 (20.00%)
         occurrences all number
    1
    Skin and subcutaneous tissue disorders
    Eczema
         subjects affected / exposed
    1 / 5 (20.00%)
         occurrences all number
    1
    Psychiatric disorders
    Sleep terror
         subjects affected / exposed
    1 / 5 (20.00%)
         occurrences all number
    1
    Infections and infestations
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 5 (20.00%)
         occurrences all number
    1
    Streptococcal infection
         subjects affected / exposed
    1 / 5 (20.00%)
         occurrences all number
    1
    Otitis media acute
         subjects affected / exposed
    1 / 5 (20.00%)
         occurrences all number
    1
    Conjunctivitis
         subjects affected / exposed
    2 / 5 (40.00%)
         occurrences all number
    4
    Ear infection
         subjects affected / exposed
    2 / 5 (40.00%)
         occurrences all number
    2
    Gastroenteritis
         subjects affected / exposed
    2 / 5 (40.00%)
         occurrences all number
    3
    Gastroenteritis viral
         subjects affected / exposed
    2 / 5 (40.00%)
         occurrences all number
    4
    Viral rhinitis
         subjects affected / exposed
    2 / 5 (40.00%)
         occurrences all number
    2
    COVID-19
         subjects affected / exposed
    1 / 5 (20.00%)
         occurrences all number
    1
    Herpes zoster
         subjects affected / exposed
    1 / 5 (20.00%)
         occurrences all number
    1
    Influenza
         subjects affected / exposed
    1 / 5 (20.00%)
         occurrences all number
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    No conclusions could be made with regards to efficacy due to the limited sample size of the study population (n=5).
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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