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Safety and Efficacy Study of Fx-1006A in Patients With Familial Amyloidosis
This study is ongoing, but not recruiting participants.
First Received: December 6, 2006   Last Updated: February 12, 2009   History of Changes
Sponsors and Collaborators: FoldRx Pharmaceuticals
FDA Office of Orphan Products Development
Information provided by: FoldRx Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00409175
  Purpose

This study will examine whether Fx-1006A is effective in halting the progression of Familial Amyloid Polyneuropathy (FAP).


Condition Intervention Phase
Familial Amyloid Polyneuropathy
Drug: Fx-1006A
Phase II
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment, Safety/Efficacy Study
Official Title: Safety and Efficacy of Orally Administered Fx-1006A in Patients With Familial Amyloid Polyneuropathy (FAP): A Randomized, Double-Blind, Placebo-Controlled Study

Resource links provided by NLM:


Further study details as provided by FoldRx Pharmaceuticals:

Primary Outcome Measures:
  • Response to treatment at Month 18 as measured by the Neurologic Impairment Score - Lower Limb (NIS-LL) [ Time Frame: 18 months ] [ Designated as safety issue: No ]
  • Change from Baseline to 18 months in the Total Quality of Life (TQOL) score, as measured by the Norfolk QOL-DN. [ Time Frame: 18 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Change from Baseline through Month 18 in "+7 composite score" as measured by nerve conduction studies (NCS), vibration detection threshold (VDT) and heart rate response to deep breathing (HRDB) [ Time Frame: 18 months ] [ Designated as safety issue: No ]
  • Change from Baseline through Month 18 in heat pain and cooling thresholds as measured by Quantitative Sensory Testing (QST) utilizing CASE IV [ Time Frame: 18 months ] [ Designated as safety issue: No ]
  • Change from Baseline through Month 18 in modified Body Mass Index (mBMI) [ Time Frame: 18 months ] [ Designated as safety issue: No ]
  • TTR stabilization through Month 18. [ Time Frame: 18 months ] [ Designated as safety issue: No ]

Enrollment: 127
Study Start Date: December 2006
Estimated Primary Completion Date: October 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Fx-1006A: Experimental
Fx-1006A
Drug: Fx-1006A
Fx-1006A 20mg or matched placebo once daily (at the same time each day) for a period of 18 Months
Placebo: Placebo Comparator
Placebo
Drug: Fx-1006A
Fx-1006A 20mg or matched placebo once daily (at the same time each day) for a period of 18 Months

Detailed Description:

Deposition of TTR amyloid is associated with a variety of human diseases. Deposition of amyloid fibrils of variant TTR (primarily V30M) in peripheral nerve tissue produces the condition called FAP.

The prevention of the formation of amyloid by stabilization of the TTR native state should constitute an effective therapy for amyloid diseases. Therapeutic intervention with a TTR stabilizer drug, such as Fx-1006A, is hypothesized to stop progression of the disease in FAP patients. FAP is a uniformly fatal disease and Fx-1006A is intended to halt the relentless neurological deterioration FAP patients experience.

This Phase 2/3 study will enroll early to mid-stage FAP patients in order to interrupt and stabilize the disease at a point in time where progression of motor and autonomic dysfunction can be maximally effected. Male and female patients with FAP with documented V30M TTR mutation will receive Fx-1006A or placebo once daily for a period of eighteen (18) months.

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Amyloid documented by biopsy.
  2. Documented V30M TTR mutation.
  3. Peripheral and/or autonomic neuropathy with a Karnofsky Performance Status ≥50.
  4. Patient is 18-75 years old.
  5. If female, patient is post-menopausal, surgically sterilized, or willing to use an acceptable method of birth control. If male with a female partner of childbearing potential, willing to use an acceptable method of birth control for the duration of the study. For both females and males, birth control must be used for at least 3 months after the last dose of study medication.
  6. Patient is, in the opinion of the investigator, willing and able to comply with the study medication regimen and all other study requirements.

Exclusion Criteria:

  1. Chronic use of non-steroidal anti-inflammatory drugs (NSAIDs).
  2. Primary amyloidosis.
  3. If female, patient is pregnant or breast feeding.
  4. Prior liver transplantation.
  5. No recordable sensory threshold for vibration perception in both feet, as measured by CASE IV.
  6. Positive results for hepatitis B surface antigen (HBsAg), anti-hepatitis C virus (HCV), and/or human immunodeficiency virus (HIV).
  7. Renal insufficiency or liver function test abnormalities.
  8. New York Heart Association (NYHA) Functional Classification ≥III.
  9. Other causes of sensorimotor neuropathy (B12 deficiency, Diabetes Mellitus, HIV treated with retroviral medications, thyroid disorders, alcohol abuse, and chronic inflammatory diseases).
  10. Co-morbidity anticipated to limit survival to less than 18 months.
  11. Patient received an investigational drug/device and/or participated in another clinical investigational study within 60 days before Baseline.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00409175

Locations
United States, Massachusetts
MGH Neuropathy Laboratory
Boston, Massachusetts, United States, 02114
Argentina, Buenos Aires Province
FLENI-Hepatology and Organ Transplant Dept.
Ciudad de Buenos Aires, Buenos Aires Province, Argentina, C1428AQK
Brazil, Southeast
Hospital Universitário Prof. Clementino Fraga Filho-UFRJ
Rio de Janeiro, Southeast, Brazil, Cep 21945-560
France, Ile de France
CHU de Bicetre
Le Kremlin Bicêtre, Ile de France, France, 94275
Germany, Nordrhein-Westfalen
Universitatsklinikum Munster, Transplant Hepatology
Munster, Nordrhein-Westfalen, Germany, 48149
Portugal, Lisbon
Serviço de Neurologia-Hospital de Santa Maria
Lisboa, Lisbon, Portugal, 1649-035
Portugal, Norte
Unidade Clinica de Paramiloidose-Hospital Santo Antonio
Porto, Norte, Portugal, 4099-001
Spain, Catalunya
Hospital Clinic de Barcelona
Barcelona, Catalunya, Spain, 08036
Sweden, Vasterbotten County
Umea University Hospital
Umea, Vasterbotten County, Sweden, SE-901 85
United Kingdom
Kings College Hospital
London, United Kingdom, SE5 9RS
Sponsors and Collaborators
FoldRx Pharmaceuticals
Investigators
Study Director: Jeff Packman FoldRx Pharmaceuticals, Inc.
  More Information

Additional Information:
No publications provided

Responsible Party: FoldRx Pharmaceuticals, Inc. ( Jeff Packman, Vice President, Drug Development Operations )
Study ID Numbers: Fx-005
Study First Received: December 6, 2006
Last Updated: February 12, 2009
ClinicalTrials.gov Identifier: NCT00409175     History of Changes
Health Authority: Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica;   Brazil: Ministry of Health;   France: Afssaps - French Health Products Safety Agency;   Germany: Federal Institute for Drugs and Medical Devices;   Portugal: National Pharmacy and Medicines Institute;   Spain: Spanish Agency of Medicines;   Sweden: Medical Products Agency;   United Kingdom: Medicines and Healthcare Products Regulatory Agency;   United States: Food and Drug Administration

Keywords provided by FoldRx Pharmaceuticals:
FAP
Fx-1006A
transthyretin
TTR
amyloid
polyneuropathy
V30M
familial
hereditary
amyloidosis
FoldRx

Study placed in the following topic categories:
Metabolic Diseases
Amyloidosis, Familial
Amyloid Neuropathies
Polyneuropathies
Neurodegenerative Diseases
Amyloid Neuropathies, Familial
Metabolism, Inborn Errors
Amyloidosis
Heredodegenerative Disorders, Nervous System
Neuromuscular Diseases
Genetic Diseases, Inborn
Peripheral Nervous System Diseases
Familial Amyloid Polyneuropathy
Metabolic Disorder

Additional relevant MeSH terms:
Metabolic Diseases
Amyloidosis, Familial
Amyloid Neuropathies
Nervous System Diseases
Polyneuropathies
Neurodegenerative Diseases
Amyloid Neuropathies, Familial
Metabolism, Inborn Errors
Amyloidosis
Heredodegenerative Disorders, Nervous System
Neuromuscular Diseases
Genetic Diseases, Inborn
Peripheral Nervous System Diseases

ClinicalTrials.gov processed this record on September 01, 2009