The present trial is a randomized, placebo-controlled study evaluating 3 different doses of PXT3003 in patients with CMT1A disease.
In addition to the safety and tolerability of the treatment, clinical, electrophysiological and biological endpoints (PMP22 mRNA, skin biopsy histology and plasma biomarkers) will be assessed. Standard laboratory tests and drug plasma concentrations will also be measured. Because of the slow progression of the disease and the nature of the observed symptoms, a minimum duration of 12 months of treatment is required in order to observe a potential improvement in any of the efficacy parameters.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
80
Liquid,5 ml, twice a day, 12-month treatment
Liquid,5 ml, twice a day, 12-month treatment
Liquid,5 ml, twice a day, 12-month treatment
Hôpital Roger Salengro
Lille, France
CHU Dupuytren
Limoges, France
CHU Lyon Sud
Lyon, France
Hôpital La Timone
Marseille, France
Hôtel Dieu
Safety and Tolerability of PXT3003
The Primary Objective is to assess the clinical and laboratory safety and tolerability of three doses of PXT3003 administered orally for 12 months to CMT1A patients versus placebo. Number of participants with adverse events in each arm.
Time frame: Screening, randomization, 1-, 3-, 6-, 9-, 12-month treatment and 1-month follow-up
To Obtain Preliminary Data on the Efficacy of PXT3003 on Clinical Scores and Functional Tests
Efficacy scores and functional tests will be assessed CMTNS/CMTES:ONLS, VAS, fatigue, pain, six minute walk test (6MWT), nine-hole peg test, quantified muscular testing (QMT; hand grip and foot dorsiflexion), CGI. For each test or score, change from baseline after 3-,6-, 9- and 12-months of treatment.
Time frame: Screening, randomization, 3-, 6-, 9- and 12-months treatment
To Assess the Pharmacodynamic Effect of PXT3003 on PMP22 mRNA Levels and Intra-epidermal Axon Density in Cutaneous Biopsy
A cutaneous biopsy (consisting in 2 small punch biopsies) will be performed to assess PMP22 mRNA expression and intra-epidermal axon density. Change from baseline after 12-month of treatment.
Time frame: Randomization and 12-month treatment
To Assess the Pharmacodynamic Effect of PXT3003 on Selected Neurophysiological Parameters
Electrophysiological examination will be performed to assess sensory and motor responses of the median and ulnar nerves (non-dominant side) including: NCV, compound muscle action potential (CMAP) and SNAP. Change from baseline after 3-,6-, 9- and 12-months of treatment.
Time frame: Screening, randomization, 3-, 6-, 9- and 12-month treatment
To Assess the Pharmacodynamic Effect of PXT3003 on a Series of Biochemical Biomarkers
Dosages of biochemical biomarkers in plasma. Change from baseline after 3-month of treatment.
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Liquid,5 ml, twice a day, 12-month treatment
Nantes, France
Groupe Hospitalier Pitié-Salpétrière
Paris, France
Time frame: Randomization and 3-month treatment
To Assess the Plasma Concentrations of PXT3003
PXT3003 plasmatic concentrations after one administration (randomization) and after 1-,6-and 12-months of treatment.
Time frame: Randomization, 1-, 6- and 12-month treatment