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Muscular Atrophy, SpinalPhase 1NCT02240355

A Study of RO6885247 in Adult and Pediatric Patients With Spinal Muscular Atrophy (MOONFISH)

A Phase 1 study testing RO6885247 in people with Muscular Atrophy, Spinal, run by Hoffmann-La Roche at 26 sites in 9 countries.

Terminated

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

Official record
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Trial summary

This multicenter, randomized, double-blind, 12-week, placebo-controlled multiple dose study will investigate the safety and tolerability of RO6885247 in adult and pediatric patients with spinal muscular atrophy (SMA). Read more about this study

Who is it for?
Ages Up to 55 years
Conditions the study is for
Muscular Atrophy, Spinal
What is being tested?
RO6885247
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
9 participants
Where
26 sitesin 9 countries
Study dates
Nov 2014to Jul 2015
Phase
Phase 1
Are there results?
None posted in the registry

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 Up to 55 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Males and females, aged 2 to 55 years inclusive or below 7 months inclusive
  • Confirmed diagnosis of 5q-autosomal recessive SMA (Types 1 to 3), for patients aged 7 months or below clinical symptoms attributable to type 1 SMA and 2 SMN2 copies
  • Able and willing to provide informed consent and to comply with the study protocol. Alternatively, a legally authorized representative must be able to consent for the patient and assent must be given by the subject wherever possible.
  • Female patients of childbearing potential and male patients with a female partner of childbearing potential must agree with the required contraceptive methods as defined per protocol.
  • For patients aged 7 months or below, Gestational age of 37 to 42 weeks and not considered small for gestational age at birth

Who cannot join

  • Concomitant or previous participation in any investigational drug or device study within 90 days prior to screening
  • Concomitant or previous participation in a SMN2-targeting antisense oligonucleotide study within 12 months prior to screening
  • Concomitant or previous participation at any time in a gene therapy study
  • For patients aged 2-55 years, hospitalization for pulmonary event within the last 2 months or planned at the time of screening
  • Surgery for scoliosis in the last 6 months from screening or planned within 6 months from screening
  • Unstable gastrointestinal, renal, hepatic, endocrine or cardiovascular system disease
Show all 12Show fewer
  • Clinically relevant ECG abnormalities at screening or baseline; personal or family history (first degree relatives) of congenital long QT syndrome
  • Clinically significant abnormalities in laboratory test results at screening
  • Any concomitant disease or condition that could interfere with the conduct of the study, or pose an unacceptable risk to the subject in this study
  • Use of prohibited medications as per protocol within 90 days prior to randomization. Patients who are on inhaled corticosteroids, administered either through a nebulizer or an inhaler, are allowed.
  • Recently initiated treatment (within <6 months prior to randomization) with oral salbutamol or another beta2-adrenergic agonist taken orally is not allowed. Patients who have been on oral salbutamol (or another beta2-adrenergic agonist) for at least 6 months before randomization are allowed. Use of inhaled beta2-adrenergic agonists is allowed.
  • For patients aged 7 months or below, patients requiring invasive ventilation or tracheostomy, presence of non-SMA related morbidities

Trial locations and contacts

26 sites in 9 countries.

26 sites in 9 countries

United States6 sites
  • Study site

    Boston, Massachusetts, 02115

  • Study site

    Chicago, Illinois, 60611-2605

  • Study site

    New York, New York, 10032

  • Study site

    Orlando, Florida, 32827

  • Study site

    St Louis, Missouri, 63110

  • Study site

    Stanford, California, 94305

Other trials in United States

Italy4 sites
  • Fondazione IRCCS Istituto Neurologico "Carlo Besta"; UO di Neurologia dello Sviluppo

    Milan, Lombardy, 20133

  • Study site

    Milan, Lombardy, 20133

  • Policlinico Agostino Gemelli; Dipartimento di Neuropsichiatria Infantile

    Rome, Lazio, 00168

  • Study site

    Rome, Lazio, 00168

Other trials in Italy

United Kingdom4 sites
  • UCL; GAP Unit, Institute of Child Health, UCL

    London, WC1N 1EH

  • Study site

    London, WC1N 1EH

  • MRC Neuromuscular Centre - Institute of Genetic Medicine

    Newcastle upon Tyne, NE1 3BZ

  • Study site

    Newcastle upon Tyne, NE1 3BZ

Other trials in United Kingdom

Canada2 sites
  • Study site

    Montreal, Quebec

  • Study site

    Toronto, Ontario, M5G 1X8

Other trials in Canada

France2 sites
  • Ch Pitie Salpetriere; Institut de Myologie

    Paris, 75013

  • Study site

    Paris, 75013

Other trials in France

Netherlands2 sites
  • UMC Utrecht; Polkliniek Neuromusculaire ziekten

    Utrecht, 3584 CX

  • Study site

    Utrecht, 3584 CX

Other trials in Netherlands

Sweden2 sites
  • Drottning Silvias Barn- och ungdomssjukhus; Kliniken för barnmedicin

    Gothenburg, 41685

  • Study site

    Gothenburg, 41685

Other trials in Sweden

Switzerland2 sites
  • Universitäts-Kinderspitalbeider Basel_Abteilung für Neuro- und Entwicklungspädiatrie

    Basel, 4005

  • Study site

    Basel, 4005

Other trials in Switzerland

Turkey (Türkiye)2 sites
  • Hacettepe University, School of Medicine; Pediatrics Department; Pediatrics Child Neurology Unit

    Ankara, 06100

  • Study site

    Ankara, 06100

Other trials in Turkey (Türkiye)

About this study

Official title: A Multicenter, Randomized, Double Blind, Placebo Controlled, Multiple Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of RO6885247 Following 12 Weeks of Treatment in Adult and Pediatric Patients With Spinal Muscular Atrophy (MOONFISH).

This multicenter, randomized, double-blind, 12-week, placebo-controlled multiple dose study will investigate the safety and tolerability of RO6885247 in adult and pediatric patients with spinal muscular atrophy (SMA).

Being tested
RO6885247, placebo
Medical subject headings
Muscular Atrophy, Spinal

What participants receive

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

  • RO6885247Drug

    oral solution

  • placeboDrug

    oral solution

Study groups in NCT02240355
Study groupRoleWhat they receive
Part 1ExperimentalUp to 2 cohorts of patients, within each cohort patients will receive either RO6885247 or placebo once daily for 12 weeks
Receives: Drug: RO6885247; Drug: placebo
Part 2Experimental1 cohort of patients, within each cohort patients will receive either RO6885247 or placebo once daily for 12 weeks
Receives: Drug: RO6885247; Drug: placebo
Part 3Experimental1 cohort of patients, within each cohort patients will receive RO6885247 once daily for 12 weeks or 20 weeks
Receives: Drug: RO6885247

What is being measured

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

  1. Safety: Incidence of adverse events (AEs)

    Measured: Up to 20 weeks

Secondary outcomes (6)
  1. Pharmacokinetics: RO6885247 plasma concentrations

    Measured: Up to 16 weeks

  2. Pharmacokinetics: RO6885247 exposure, area under the concentration-time curve (AUC-tau, over the 24-hour dosing interval)

    Measured: Up to 12 weeks

  3. Pharmacodynamics: SMN protein levels in blood

    Measured: Up to 20 weeks

  4. Effect of RO6885247 on muscle electrophysiology, as assessed by Compound Muscle Action Potential (CMAP)

    Measured: Up to 20 weeks

  5. Effect of RO6885247 on Electrical Impedance Myography

    Measured: Up to 20 weeks

  6. Pharmacodynamics: In vivo splicing modification of SMN2 mRNA in blood

    Measured: Up to 20 weeks

Timeline

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

  1. First posted15 Sep 2014 (estimated)
  2. Study startNov 2014
  3. Primary completionJul 2015
  4. Study completionJul 2015

Why it stopped: There was an unexpected toxicology finding observed in the 39 week monkey study. Dosing was suspended, the study was put on hold and eventually terminated.

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02240355
Sponsor's protocol ID
BP29420
Other IDs
2014-002246-41, 2014
Status last verified
Dec 2016
First submitted
11 Sep 2014
Last updated
22 Dec 2016
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing RO6885247 in people with Muscular Atrophy, Spinal, run by Hoffmann-La Roche at 26 sites in 9 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 5 inclusion and 12 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 22 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in United States, Italy, United Kingdom, Canada, France and 4 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study was stopped early (reason given: There was an unexpected toxicology finding observed in the 39 week monkey study. Dosing was suspended, the study was put on hold and eventually terminated.). Results are not available in the source record.

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?

Safety: Incidence of adverse events (AEs) (time frame: Up to 20 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 22 Dec 2016; AzTrials last refreshed its copy on 8 Nov 2026.

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