This is a randomized, double-blind, placebo-controlled and multicenter 3 phase trial evaluating the therapeutic effect and safety of CMT1A by PXT3003. This double-blind study will assess in parallel groups 1 dose of PXT3003 compared to Placebo in CMT1A patients treated for 15 months.
This multi-center, randomized, double-blind, placebo-controlled, Phase III clinical study is designed to evaluate PXT3003 versus placebo in subjects with genetically confirmed CMT1A of mild-to-moderate severity (CMTNS-V2 score \>2 and ≤18) aged 16 to 65 years. Genetically confirmed CMT1A subjects will be screened and randomized in a 1:1 ratio to receive either oral PXT3003 daily or matching placebo for 15 months. A total of approximately 176 subjects will be enrolled. Visits will take place at Screening (up to -30 days), Baseline , and Months 3, 6, 9, 12, and 15.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
176
Patients will be administered PXT3003 twice daily (bid) at 10mL.
Patients will be administered PXT3003 placebo twice daily (bid) at 10mL.
Peking University Third Hospital
Beijing, China
Overall Neuropathy Limitation Scale (ONLS) score
The primary efficacy endpoint will be the main effect of the studied treatment on the improvement of disability measured by the Overall Neuropathy Limitation Scale (ONLS) score, summarized at 15 months defined by: the change of the ONLS from baseline to the 15 months.ONLS is a disability scale that was derived and improved from the Overall Disability Sum Score to measure limitations in the everyday activities of the upper limbs (rated in 5 points) and the lower limbs (rated on 7 points) . The total score goes from 0 ( no disability) to 12 (maximum disability).
Time frame: 15 months
Treatment responders rate of PXT3003;
Responders Rate to PXT3003 therapy defined as a patients improving on ONLS at end of treatment.
Time frame: 15 months
The sub-item of Arm and leg scores in Overall Neuropathy Limitation Scale (ONLS)
ONLS is a disability scale that was derived and improved from the Overall Disability Sum Score to measure limitations in the everyday activities of the upper limbs (rated in 5 points) and the lower limbs (rated on 7 points) . The total score goes from 0 ( no disability) to 12 (maximum disability).
Time frame: 15 months
Total and sub-item score of Charcot-Marie-Tooth neuropathy score second version (CMTNS-V2);
CMTNS is a specific scale designed to assess severity of impairment in CMT disease .Although not completely validated, it provides a single and reliable measure of CMT severity. It is a 36-point scale based on 9 items: 5 of them quantify impairment (sensory symptoms, pin sensibility, vibration, arm and leg strength).
Time frame: 15 months
10-Meter Walk Test (10MWT);
Record the time for walk 10 meters . 10m WT is simple to administer, standardized, reliable and valid evaluation of functional exercise capacity and gait that has been proven reliable in neurologic disorders and in CMT patients. Results recorded are the time to walk 10 meters and the number of steps performed.
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Xuanwu Hospital Capital Medical University
Beijing, China
The First Bethune Hospital of Jilin University
Changchun, China
The Third Xiangya Hospital of Central South University
Changsha, China
The First Affiliated Hospital of Fujian Medical University
Fuzhou, China
Nanfang Hospital Southern Medical University
Guangzhou, China
The First Affiliated Hospital,Sun Yat-sen University
Guangzhou, China
The Affiliated Hospital of Guizhou Medical University
Guiyang, China
The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, China
The First Affiliated Hospital of Harbin Medical University
Harbin, China
...and 15 more locations
Time frame: 15 months
Nine-hole peg test (9HPT) for non-dominant hand ;
The 9-HPT is a simple timed test of fine motor coordination of extremities in the upper limbs.
Time frame: 15 months
Quantified Muscular Testing (QMT) (grip strength and bilateral foot dorsiflexion dynamometry) ;
QMT is used to evaluate motor strength in CMT1A. The following muscles will be evaluated: hand grip (right and left).
Time frame: 15 months
Electrophysiological parameters Sensory responses measured at ulnar and radial nerves on the non-dominant side:
The assessment parameters including: Distal motor latency (DML) .
Time frame: 15 months
Electrophysiological parameters motor responses measured at ulnar and radial nerves on the non-dominant side
The assessment parameters including: Nerve conduction velocity (NCV) .
Time frame: 15 months