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Muscular Dystrophy, DuchennePhase 3NCT02090959

An Extension Study of Ataluren (PTC124) in Participants With Nonsense Mutation Dystrophinopathy

A Phase 3 study testing Ataluren in people with Muscular Dystrophy, Duchenne and Muscular Dystrophies, run by PTC Therapeutics at 58 sites in 19 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The primary objective of this study is to obtain long term safety data of ataluren in male participants with nonsense mutation dystrophinopathy (who participated and completed a previous Phase 3 study of ataluren [PTC124-GD-020-DMD {NCT01826487}]) to augment the overall safety database. Read more about this study

Who is it for?
Ages 7 to 15 years, men only
What is being tested?
Ataluren
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
219 participants
Where
58 sitesin 19 countries
Study dates
20 Mar 2014to 12 Jun 2018
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 7 to 15 years
  • Men only
  • No healthy volunteers
  • Child

Who may be able to join

  • Completion of study treatment in the previous Phase 3, double-blind study (PTC124-GD-020-DMD).
  • Evidence of signed and dated informed consent/assent document(s) indicating that the participant (and/or his parent/legal guardian) has been informed of all pertinent aspects of the trial. Note: If the study candidate is considered a child under local regulation, a parent or legal guardian must provide written consent prior to initiation of study screening procedures and the study candidate may be required to provide written assent. The rules of the responsible Institutional Review Board/Independent Ethic Committee (IRB/IEC) regarding whether 1 or both parents must provide consent and the appropriate ages for obtaining consent and assent from the participant should be followed.
  • In participants who are sexually active, willingness to abstain from sexual intercourse or employ a barrier or medical method of contraception during the period of study drug administration and 6-week follow-up period.
  • Willingness and ability to comply with scheduled visits, ataluren administration plan, study procedures, laboratory tests, and study restrictions.

Who cannot join

  • Known hypersensitivity to any of the ingredients or excipients of the study drug (Litesse® UltraTM [refined polydextrose], polyethylene glycol 3350, Lutrol® micro F127 [poloxamer 407], mannitol 25C, crospovidone XL10, hydroxyethyl cellulose, vanilla, Cab-O-Sil® M5P [colloidal silica], and magnesium stearate).
  • Ongoing participation in any other therapeutic clinical trial.
  • Prior or ongoing medical condition (for example, concomitant illness, psychiatric condition, behavioral disorder, alcoholism, drug abuse), medical history, physical findings, electrocardiogram (ECG) findings, or laboratory abnormality that, in the investigator's opinion, could adversely affect the safety of the participant, makes it unlikely that the course of treatment or follow-up would be completed, or could impair the assessment of study results.

Trial locations and contacts

58 sites in 19 countries.

58 sites in 19 countries

United States21 sites
  • Children's Hospital Colorado - Center for Cancer and Blood Disorders

    Aurora, Colorado, 80045

  • Children's Hospital Boston

    Boston, Massachusetts, 02115

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • Children's Hospital Cincinnati

    Cincinnati, Ohio, 45229

  • Nationwide Children's Hospital

    Columbus, Ohio, 43209

  • Childrens Medical Center Dallas, Texas

    Dallas, Texas, 75207

  • Child Neurology Center of Northwest Florida

    Gulf Breeze, Florida, 32561

  • Texas Children's Hospital

    Houston, Texas, 77030

  • University of Iowa

    Iowa City, Iowa, 52242

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • University of California, Los Angeles

    Los Angeles, California, 90095

  • University of Minnesota

    Minneapolis, Minnesota, 55455

  • Columbia University College of Physicians & Surgeons

    New York, New York, 10032

  • The Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Children's Hospital of Pittsburgh

    Pittsburgh, Pennsylvania, 15224

  • Oregon Health & Science University

    Portland, Oregon, 97239

  • UC Davis Medical Center

    Sacramento, California, 95817

  • University of Utah

    Salt Lake City, Utah, 84112

  • Seattle Children's Hospital - Childhood Cancer and Blood Disorders

    Seattle, Washington, 98105

  • Washington University School of Medicine, Division of Endocrinology, Metabolism and Lipid Research

    St Louis, Missouri, 63110

  • Stanford University Medical Center

    Stanford, California, 94305

Other trials in United States

France4 sites
  • Hospital de la Timone

    Marseille, 13385

  • CHU de Nantes

    Nantes, 44093

  • Hopital Necker - Enfants Malades

    Paris, 75015

  • Groupe Hospitalier Pitie-Salpetriere

    Paris, 75651

Other trials in France

Italy4 sites
  • Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico di Milano

    Milan, 20122

  • Bambino Gesu Hospital

    Rome, 00165

  • U.O. Complessa di Neuropsichiatria Infantile

    Rome, 00168

  • Policlinico Universitario G. Martino

    Sicily, 98125

Other trials in Italy

Canada3 sites
  • Alberta Children's Hospital

    Calgary, Alberta, T3B 6A8

  • Children's Hospital of Western Ontario

    London, Ontario, N6C 2RC

  • British Columbia Children's Hospital

    Vancouver, British Columbia, V6H 3V4

Other trials in Canada

Germany3 sites
  • Universitaetsklinikum Essen

    Essen, 45122

  • University Medical Center Freiburg

    Freiburg im Breisgau, 79106

  • Universitat Munchen - von Haunersche Kinder Clinic

    München, 80337

Other trials in Germany

United Kingdom3 sites
  • University College London Institute of Child Health

    London, WC1N 3JH

  • Royal Manchester Children's Hospital

    Manchester, M13 9WL

  • The Newcastle upon Tyne Hospitals, NHS Foundation Trust

    Newcastle upon Tyne, NE1 3BZ

Other trials in United Kingdom

Australia2 sites
  • The Royal Children's Hospital

    Parkville, Victoria, 3052

  • The Children's Hospital at Westmead

    Westmead, New South Wales, 2145

Other trials in Australia

Brazil2 sites
  • Universidade Federal do Rio de Janeiro - Instituto de Puericultura e Pediatria Martagao Gesteira

    Rio de Janeiro, 21.941-912

  • Sao Paulo University -HC/FMUSP

    São Paulo, 05403-900

Other trials in Brazil

Chile2 sites
  • Hospital Luis Calvo Mackenna

    Santiago, Santiago Metropolitan

  • Hospital Clinico Universidad Catolica

    Santiago, 8330073

Other trials in Chile

Czechia2 sites
  • University Hospital Brno

    Brno, 635 00

  • Motol University Hospital

    Prague, 150 06

Other trials in Czechia

Spain2 sites
  • Hospital Sant Joan de Deu

    Barcelona, 08950

  • Hospital Universitari i Politecnic la Fe

    Valencia, 46026

Other trials in Spain

Sweden2 sites
  • Queen Silvia Children's Hospital

    Gothenburg, SE-416 85

  • Astrid Lindgren Childrens Hospital

    Stockholm, 17176

Other trials in Sweden

Turkey (Türkiye)2 sites
  • Hacettepe Childrens Hospital

    Ankara, 06100

  • Erciyes University Faculty of Medicine

    Talas/Kayseri, 38039

Other trials in Turkey (Türkiye)

Belgium1 site
  • UZ Leuven

    Leuven, 3000

Other trials in Belgium

Bulgaria1 site
  • Aleksandrovska Hospital

    Sofia, 1431

Other trials in Bulgaria

Israel1 site
  • Hadassah University Hospital

    Jerusalem, 91240

Other trials in Israel

Poland1 site
  • Medical University of Warsaw

    Warsaw, 502-097

Other trials in Poland

South Korea1 site
  • Seoul National University Hospital

    Seoul, 110-744

Other trials in South Korea

Switzerland1 site
  • CHUV Lausanne

    Lausanne, 1011

Other trials in Switzerland

About this study

Official title: A Phase 3 Extension Study of Ataluren (PTC124) in Patients With Nonsense Mutation Dystrophinopathy

The primary objective of this study is to obtain long term safety data of ataluren in male participants with nonsense mutation dystrophinopathy (who participated and completed a previous Phase 3 study of ataluren [PTC124-GD-020-DMD {NCT01826487}]) to augment the overall safety database. Screening and baseline procedures are structured to avoid a gap in treatment between the double-blind study (PTC124-GD-020-DMD) and this extension study.

This study may be further extended by amendment until either ataluren becomes commercially available or the clinical development of ataluren in duchenne muscular dystrophy (DMD) is discontinued.

Being tested
Ataluren
Keywords
Duchenne muscular dystrophy, Dystrophinopathy, Nonsense mutation, Premature stop codon, Becker muscular dystrophy, DMD/BMD, PTC124, Ataluren
Medical subject headings
Muscular Dystrophy, Duchenne, Muscular Dystrophies, Muscular Disorders, Atrophic, Muscular Diseases, Musculoskeletal Diseases, Neuromuscular Diseases, Nervous System Diseases, Genetic Diseases, X-Linked

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AtalurenDrug

    Also called PTC124

    Ataluren will be administered per the dose and schedule specified in the arm.

Study groups in NCT02090959
Study groupRoleWhat they receive
AtalurenExperimentalParticipants will receive ataluren suspension orally 3 times a day (TID), 10 milligrams/kilogram (mg/kg) at morning, 10 mg/kg at midday, and 20 mg/kg at evening (total daily dose 40 mg/kg) for up to 144 weeks.
Receives: Drug: Ataluren

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    An adverse event (AE): any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severity of AEs: graded per Common Terminology Criteria for AEs (CTCAE), Version 3.0 as Grade 1 (mild), 2 (moderate), 3 (severe), 4 (life-threatening), 5 (death). Drug-related AEs: AEs with possible, probable, unlikely relationship, or unrelated to study drug. Serious AEs (SAEs): death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention. TEAE: an AE that occurred or worsened in the period extending from first dose of study drug in this study to 6 weeks after last dose of study drug in this study. A summary of other non-serious AEs and all SAEs, regardless of causality is located in Reported AE section.

    Measured: Baseline (Day 1) up to 6 weeks post-treatment (Week 150)

  2. Number of Participants With Abnormalities in Clinical Laboratory Parameters

    Abnormalities in laboratory variables as pre-defined in protocol for safety-monitoring were: Hepatic (Serum alanine aminotransferase [ALT]: increase of greater than [>] 150 units/liter [U/L] with stable or decrease of creatinine kinese [CK]; Serum glutamyl amino transferase [GGT] [U/L]: Grade 2 [>2.5 - 5.0 * upper limit of normal {ULN}]), renal (Serum cystatin C miiligrams/liter [mg/L] >1.33 - 2.00 mg/L; Serum blood urea nitrogen [UREAN] [millimoles/liter {mmol/L}] greater than or equal to [≥]1.5 - 3.0 * ULN; Urine occult blood: 2+ [Small], 3+ [Moderate], 4+ [Large]), and electrolytes (Serum sodium: low [mmol/L], Grade 3-4 [less than {<}130 mmol/L]; serum potassium: high [mmol/L], Grade 3-4 [>6.0 mmol/L]; and Serum bicarbonate [mmol/L]: Grade 2 [<16 - 11 mmol/L]).

    Measured: Baseline (Day 1) up to 6 weeks post-treatment (Week 150)

Secondary outcomes (17)
  1. Change From Baseline in 6MWD at Week 144

    The 6MWD test was performed in a 30 meters long flat corridor, where the participant was instructed to walk as far as possible, back and forth around two cones, with the permission to slow down, rest, or stop if needed. Ambulation was assessed via the 6MWD test following standardized procedures by measuring the 6MWD in meters. Participants were not permitted to use assistive devices (walker, long leg braces, or short leg braces) during the 6MWD test.

    Measured: Baseline, Week 144

  2. Change From Baseline in Time to Stand From Supine Position at Week 144

    If the time taken to perform this test exceeded 30 seconds or if a participant could not perform this test due to disease progression, a value of 30 seconds was used.

    Measured: Baseline, Week 144

  3. Change From Baseline in Time to Walk/Run 10 Meters at Week 144

    If the time taken to perform this test exceeded 30 seconds or if a participant could not perform this test due to disease progression, a value of 30 seconds was used.

    Measured: Baseline, Week 144

  4. Change From Baseline in Time to Climb 4 Stairs at Week 144

    If the time taken to perform this test exceeded 30 seconds or if a participant could not perform this test due to disease progression, a value of 30 seconds was used.

    Measured: Baseline, Week 144

  5. Change From Baseline in Time to Descend 4 Stairs at Week 144

    If the time taken to perform this test exceeded 30 seconds or if a participant could not perform this test due to disease progression, a value of 30 seconds was used.

    Measured: Baseline, Week 144

  6. Change From Baseline in Physical Function Total Score as Measured by NSAA at Week 144

    Physical function was assessed via the NSAA, a functional scale specifically designed for ambulant Duchenne muscular dystrophy (DMD) participants. The assessment comprised tests for 17 abilities of a participant, such as ability to stand, rise from the floor, get from lying to sitting, get from sitting to standing, raise one's head, stand on one's heels, hop, jump, and run. For each activity, a score of 0, 1, or 2 was recorded, with 0 = "unable to achieve independently," 1 = "modified method but achieves goal independent of physical assistance from another," or 2 = "normal- achieves goal without any assistance." The sum of these scores (except for 'raise one's head' activity score) was reported as the ordinal total score, which was transformed to a linear total score ranging from 0 (worst) to 100 (best). Participants with confirmed loss of ambulation at a particular visit were assigned a score of 0.

    Measured: Baseline, Week 144

  7. Change From Baseline in PUL Total Score at Week 144

    The PUL was used to assess motor performance of the upper limb. The PUL scale includes 22 items; an entry item defining the starting functional level, and 21 items subdivided into shoulder level (4 items), elbow level (9 items), and distal level (8 items) dimensions. Scoring options per item may not be uniform and may vary from 0-1 and 0-6, according to the performance, with higher values corresponding to better performance. Each dimension was scored separately with a maximum score of 16 for shoulder level, 34 for elbow level, and 24 for distal level. Total score was calculated by adding the 3 level scores, with a maximum global score of 74 (total score range = 0-74). Higher score = better outcome.

    Measured: Baseline, Week 144

  8. Change From Baseline in Percent Predicted FVC as Measured by Spirometry at Week 144

    FVC is a standard pulmonary function test. FVC was defined as the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Percent predicted FVC (in %) = [(observed FVC)/(predicted FVC)]*100.

    Measured: Baseline, Week 144

  9. Change From Baseline in Percent Predicted FEV1 as Measured by Spirometry at Week 144

    FEV1 is a standard pulmonary function test. FEV1 was defined as the volume of air that can forcibly be blown out in 1 second, after full inspiration in the upright position, measured in liters. Percent predicted FEV1 (in %) = [(observed FEV1)/(predicted FEV1)]*100.

    Measured: Baseline, Week 144

  10. Change From Baseline in PEF as Measured by Spirometry at Week 144

    PEF was defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated.

    Measured: Baseline, Week 144

  11. Change From Baseline in PCF as Measured by Spirometry at Week 144

    PCF measures an individual's maximum speed of expiration during cough.

    Measured: Baseline, Week 144

  12. Change From Baseline in PODCI Transfers/Basic Mobility Score at Week 144

    Changes in health-related quality of life (HRQL) were measured via the PODCI questionnaire that has been shown to correlate with disease progression and clinical outcome measures in DMD. PODCI includes a Global Functioning Scale and 5 core scales: Upper Extremity and Physical Function,Transfer/Basic Mobility, Sports/Physical Functioning, Pain/Comfort,and Happiness. The following PODCI domain was prespecified in the protocol for analysis:Transfers/Basic Mobility domain assesses difficulty experienced in performing routine motor activities in daily life. Each domain was scored from 0 to 100, with 0 representing a poor outcome/worse health, while 100 representing the highest level of functioning and least pain.

    Measured: Baseline, Week 144

  13. Number of Participants With Change From Baseline in Activities of Daily Living and Disease Status at Week 144, as Assessed by a Standardized Survey Administered by Site Personnel

    Changes in activities of daily living and disease symptoms were captured via a DMD-specific survey administered by Site personnel. At screening or baseline, the participant and/or parent/caregiver were asked to identify any activities of daily living (for example, ambulation, balance, personal hygiene/grooming, dressing and undressing, self-feeding, using the bathroom, handwriting, school performance, behavior or energy level) or symptoms that were affected by the participant's DMD. At post-baseline visit (Week 144), the same participant and/or parent/caregiver was asked to describe any changes from baseline in those activities of daily living/symptoms, within the following categories: physical functioning; general energy level; cognition/school function; emotional/social functioning; and sleep. Changes from baseline were reported on a 5-point Likert scale: 1 (much better), 2 (slightly better), 3 (unchanged), 4 (slightly worse), or 5 (much worse).

    Measured: Baseline, Week 144

  14. Ataluren Plasma Concentration

    Pre-dose ataluren plasma concentrations prior to morning ataluren administration at each clinic visit was assessed using a validated high performance liquid chromatography with tandem mass spectrometry (HPLC/MS-MS) method.

    Measured: Pre-dose at Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, and 144

  15. Change From Baseline in Systolic and Diastolic Blood Pressure at Week 144

    Blood pressure determination was performed with the participant in a sitting position after a 5-minute rest.

    Measured: Baseline, Week 144

  16. Change From Baseline in Pulse Rate at Week 144

    Pulse rate determination was performed with the participant in a sitting position after a 5-minute rest.

    Measured: Baseline, Week 144

  17. Change From Baseline in Body Temperature at Week 144

    Measured: Baseline, Week 144

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Mar 2014 (estimated)
  2. Study start20 Mar 2014
  3. Primary completion12 Jun 2018
  4. Study completion12 Jun 2018

Why it stopped: Sponsor decision due to commercial availability of ataluren.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
219 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02090959
Sponsor's protocol ID
PTC124-GD-020e-DMD
Status last verified
Aug 2020
First submitted
17 Mar 2014
Last updated
11 Aug 2020
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Thangarajh M, Elfring GL, Trifillis P, McIntosh J, Peltz SW; Ataluren Phase 2b Study Group. The relationship between deficit in digit span and genotype in nonsense mutation Duchenne muscular dystrophy. Neurology. 2018 Sep 25;91(13):e1215-e1219. doi: 10.1212/WNL.0000000000006245. Epub 2018 Aug 22.

    PubMed 30135256

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ataluren in people with Muscular Dystrophy, Duchenne and Muscular Dystrophies, run by PTC Therapeutics at 58 sites in 19 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 11 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 sites in United States, France, Italy, Canada, Germany and 14 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 Aug 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) (time frame: Baseline (Day 1) up to 6 weeks post-treatment (Week 150)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02090959, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Aug 2020.

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