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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05005975
Registration number
NCT05005975
Ethics application status
Date submitted
28/07/2021
Date registered
16/08/2021
Titles & IDs
Public title
Extension Study to Evaluate Safety and Tolerability of Oral Dersimelagon (MT-7117) in Subjects With Erythropoietic Protoporphyria (EPP) or X-Linked Protoporphyria (XLP)
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Scientific title
A Phase 3, Multicenter, Open-label, Long-term, Extension Study to Evaluate Safety and Tolerability of Oral Dersimelagon (MT-7117) in Subjects With Erythropoietic Protoporphyria (EPP) or X-Linked Protoporphyria (XLP)
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Secondary ID [1]
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jRCT2041210146
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Secondary ID [2]
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MT-7117-A-301
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
EPP
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XLP
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Condition category
Condition code
Skin
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Other skin conditions
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Blood
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0
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Other blood disorders
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Human Genetics and Inherited Disorders
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0
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - MT-7117
Experimental: Dersimelagon 200mg -
Treatment: Drugs: MT-7117
MT-7117
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of patients with Treatment emergent adverse events (TEAEs) (including serious adverse events [SAEs] and adverse events of special interest [AESIs]).
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Assessment method [1]
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Vital signs (blood pressure, respiratory rate, pulse rate, and body temperature), Clinical laboratory examinations (hematology, coagulation, biochemistry, urinalysis, and others), 12-lead electrocardiogram (ECG) parameters (Mean Heart Rate, PR Interval, QRS Duration, QT interval, QTcB and QTcF) will be assessed.
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Timepoint [1]
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up to 30 further months
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Primary outcome [2]
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Number of patients with abnormal Physical examination data
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Assessment method [2]
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Physical examination consists of assessment of abdominal, respiratory, cardiovascular, general appearance, and others.
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Timepoint [2]
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up to 30 further months
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Primary outcome [3]
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Number of patients with Nevi appearance
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Assessment method [3]
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Timepoint [3]
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up to 30 further months
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Eligibility
Key inclusion criteria
* 1. Subjects provided written informed consent to participate. For adolescent subjects, both adolescent assent and parental consent will be provided.
* 2. Subjects who complete MT-7117-G01 (complete through Week 58 [Visit 12])
* 3. Subjects have a body weight of =30 kg.
* 4. Subjects are willing and able to travel to the study sites for all scheduled visits.
* 5. In the Investigator's opinion, subject can understand the nature of the study and any risks involved in participation, and is willing to cooperate and comply with the protocol restrictions and requirements (including travel).
* 6. Female subjects who are non-lactating and have a negative urine pregnancy test at baseline visit prior to receiving the first dose of study drug.
* 7. Female subjects of childbearing potential and male subjects with partner of childbearing potential must agree to use 2 effective methods of contraception including barrier method (especially for female subjects, one method must be highly effective method)
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Minimum age
12
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
A subject will NOT be eligible for this study if ANY of the following criteria apply:
* 1. History or presence of photodermatoses other than EPP or XLP.
* 2. Presence or history of any hepatobiliary disease at Screening, determined as clinically significant by the Investigator after the discussion with the Sponsor Medical Monitor.
* 3. Subjects with AST, ALT, ALP =3.0 × upper limit of normal (ULN) or total bilirubin >1.5 × ULN at Screening.
* 4. Subjects with or having a history (in the last 2 years) of excessive alcohol intake in the opinion of the Investigator.
* 5. History of melanoma.
* 6. Presence of melanoma and/or lesions suspicious for melanoma at Screening.
* 7. History of familial melanoma (defined as having 2 or more first-degree relatives, such as parents, sibling and/or child).
* 8. Presence of squamous cell carcinoma, basal cell carcinoma, or other malignant skin lesions. Any suspicious lesions or nevi will be evaluated. If the suspicious lesion or nevi cannot be resolved through biopsy or excision, the subject will be excluded from the study.
* 9. History or presence of psychiatric disease judged to be clinically significant by the Investigator and which may interfere with the study evaluation and/or safety of the subjects.
* 10. Presence of clinically significant acute or chronic renal disease based upon the subject's medical records including hemodialysis; an estimated glomerular filtration rate (eGFR) <60 mL/min/1.73m2 as calculated by the CKD-EPI creatinine equation (2009) for adults and by the Schwartz creatinine equation for adolescents (2009). MDRD can be used for adults per local recommendations.
* 11. Presence of any clinically significant disease or laboratory abnormality which, in the opinion of the Investigator, can interfere with the study objectives and/or safety of the subjects.
* 12. Female subjects who are pregnant, lactating, or intending to become pregnant during the study.
* 13. Treatment with phototherapy or afamelanotide within 3 months before baseline (Visit 2).
* 14. Treatment with cimetidine or antioxidant agents at doses which, in the opinion of the Investigator, may affect study endpoints (including but not limited to beta-carotene, cysteine, pyridoxine) within 4 weeks before baseline (Visit 2).
* 15. Chronic treatment with any scheduled analgesic agents including, but not limited to opioids and opioid derivatives such as morphine, hydrocodone, oxycodone, fentanyl, or their combination with other unscheduled analgesics or non-steroidal anti-inflammatory drug (Percocet and Vicodin-like prescription drugs) within 4 weeks before baseline (Visit 2). Acute use of scheduled narcotics greater than 3 months prior to baseline, over-the-counter medications (OTCs), such as non-steroidal anti-inflammatory drugs (NSAIDs) or aspirin for analgesia, or prior temporary use of scheduled agents within 3 months of baseline (Visit 2) are not excluded.
* 16. Treatment with any drugs or supplements which, in the opinion of the Investigator, can interfere with the objectives of the study or safety of the subjects.
* 17. Previous treatment with any investigational agent other than dersimelagon within 12 weeks before Screening OR 5 half-lives of the investigational product (whichever is longer).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
10/08/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/06/2025
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Actual
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Sample size
Target
151
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD,VIC
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Recruitment hospital [1]
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Wesley Medical Research - Brisbane
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Recruitment hospital [2]
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Royal Melbourne Hospital (RMH) - Parkville
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Recruitment postcode(s) [1]
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4066 - Brisbane
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Recruitment postcode(s) [2]
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3050 - Parkville
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Recruitment outside Australia
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United States of America
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State/province [1]
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California
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United States of America
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Massachusetts
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United States of America
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Missouri
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United States of America
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New York
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United States of America
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North Carolina
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Ohio
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Pennsylvania
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United States of America
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Texas
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Washington
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Country [10]
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Canada
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Alberta
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Germany
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Berlin
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Italy
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Brescia BS
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Italy
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Milan
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Italy
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Modena
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Italy
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Rome
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Japan
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Hyogo
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Japan
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Ishikawa
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Japan
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Osaka
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Japan
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Tokyo
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Japan
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Toyama
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Norway
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Bergen
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Spain
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Barcelona
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Spain
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Madrid
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Sweden
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Stockholm
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United Kingdom
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MN
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United Kingdom
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State/province [26]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Mitsubishi Tanabe Pharma America Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
To evaluate the long-term safety and tolerability of oral dersimelagon.
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Trial website
https://clinicaltrials.gov/study/NCT05005975
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Head of Medical Science
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Address
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Mitsubishi Tanabe Pharma America Inc.
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05005975