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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01253629
Registration number
NCT01253629
Ethics application status
Date submitted
2/12/2010
Date registered
3/12/2010
Date last updated
23/12/2020
Titles & IDs
Public title
Safety and Efficacy of AFQ056 in Adult Patients With Fragile X Syndrome
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Scientific title
A Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Evaluate AFQ056 in Adult Patients With Fragile X Syndrome
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Secondary ID [1]
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2009-013667-19
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Secondary ID [2]
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CAFQ056A2212
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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:
Fragile X Syndrome
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Mental Health
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Learning disabilities
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - AFQ056
Treatment: Drugs - Placebo
Experimental: 25 mg bid AFQ056 - 1 capsule of 25 mg and 1 capsule of placebo per intake
Experimental: 50 mg bid AFQ056 - 2 capsules of 25 mg per intake
Experimental: 100 mg bid AFQ056 - 1 capsule of 100 mg and 1 capsule of placebo per intake
Placebo comparator: Placebo - 2 capsules of placebo per intake
Treatment: Drugs: AFQ056
AFQ056, was provided as hard gelatin capsules, 25mg and 100 mg oral dosage strengths, identical in appearance were used
Treatment: Drugs: Placebo
Placebo medication identical in appearance to active medication was provided
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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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Change from baseline in behavioral symptoms of Fragile X Syndrome using the Aberrant Behavior Checklist - Community (ABC-C) Total score in Stratum I
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Assessment method [1]
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The ABC-C is a 58-item questionnaire that should have been completed as much as possible by the same rater. It is comprised of five subscales (irritability, lethargy/social withdrawal, stereotypic behavior, hyperactivity and inappropriate speech) plus the total score which ranks from 0 to 174 in patients who were fully methylated (FM)
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Timepoint [1]
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12 weeks
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Secondary outcome [1]
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Change from baseline in behavioral symptoms of Fragile X Syndrome (FXS) using the ABC-C Total score in Stratum II
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Assessment method [1]
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The ABC-C is a 58-item questionnaire that should have been completed as much as possible by the same rater. It is comprised of five subscales (irritability, lethargy/social withdrawal, stereotypic behavior, hyperactivity and inappropriate speech). Assessing the reduction in the (ABC-C) total score after 12 weeks of treatment in FXS patients with partially methylated (PM) FMR1 gene.
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Timepoint [1]
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12 weeks
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Secondary outcome [2]
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Global improvement of symptoms in Fragile X using the Clinical Global Impression-Improvement (CGI-I) scale
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Assessment method [2]
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The CGI-I score ranges from 1 to 7 (with 1 being "very much improved", 4 being "no change" to 7 being "very much worse")
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Timepoint [2]
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12 weeks
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Secondary outcome [3]
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Change from baseline in irritability, lethargy/social withdrawal, stereotypic behavior, hyperactivity, and inappropriate speech assessed by the individual subscales of the ABC-C scale
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Assessment method [3]
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comprised of five subscales (irritability, lethargy/social withdrawal, stereotypic behavior, hyperactivity and inappropriate speech) plus the total score which ranks from 0 to 174
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Timepoint [3]
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12 weeks
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Secondary outcome [4]
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The proportion of patients with clinical response in the ABC-C total score
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Assessment method [4]
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response is defined as reduction of at least 25% from baseline in the ABC-CFX total score and a score of 1 (very much improved) or 2 (much improved) on the CGI-I scale at Week 12
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Timepoint [4]
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12 weeks
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Secondary outcome [5]
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improvement of repetitive behavior as measured by changes in the RBS-R
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Assessment method [5]
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The Repetitive Behavior Scale - Revised (RBS-R) includes six domains: ritualistic behavior, sameness behavior, stereotypic behavior, self-injurious behavior, compulsive behavior, and restricted interests. A negative change from baseline indicates improvement
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Timepoint [5]
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Week 12
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Eligibility
Key inclusion criteria
* Patients with Fragile X Syndrome, who are at least moderately ill based on a Clinical Global Impression Severity score of at least 4 and have qualifying scores on the ABC-C and IQ test at Visit 1
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Minimum age
18
Years
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Maximum age
45
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
* Advanced, severe or unstable disease that may interfere with the study outcome evaluations
* Cancer within the past 5 years, other than localized skin cancer
* Current treatment with more than two psychoactive medications, excluding anti-epileptics
* History of severe self-injurious behavior
Other protocol-defined inclusion/exclusion criteria may apply
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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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
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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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
1/11/2010
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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
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Actual
1/08/2013
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Sample size
Target
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Accrual to date
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Final
175
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Novartis Investigative Site - Ryde
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Recruitment hospital [2]
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Novartis Investigative Site - Waratah
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Recruitment hospital [3]
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Novartis Investigative Site - Caulfield
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Recruitment postcode(s) [1]
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2112 - Ryde
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Recruitment postcode(s) [2]
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2298 - Waratah
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Recruitment postcode(s) [3]
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3161 - Caulfield
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Recruitment outside Australia
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United States of America
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Arizona
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United States of America
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California
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United States of America
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Georgia
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Illinois
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Indiana
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Massachusetts
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Nebraska
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New York
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Pennsylvania
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South Carolina
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Tennessee
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United States of America
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Texas
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Canada
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Ontario
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Canada
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Quebec
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Denmark
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Glostrup
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France
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Bron Cedex
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France
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Paris
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Germany
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Berlin
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Germany
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Mainz
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Germany
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Tübingen
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Germany
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Würzburg
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Italy
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GE
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Italy
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RM
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Spain
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Andalucia
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Spain
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Cataluña
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Switzerland
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Lausanne
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Switzerland
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Zurich
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United Kingdom
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Edinburgh
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Novartis Pharmaceuticals
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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
This Phase IIb study is designed to assess whether 3 doses of AFQ056 are safe and effective in treating the behavioral symptoms of Fragile X Syndrome.
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Trial website
https://clinicaltrials.gov/study/NCT01253629
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Trial related presentations / publications
Berry-Kravis E, Des Portes V, Hagerman R, Jacquemont S, Charles P, Visootsak J, Brinkman M, Rerat K, Koumaras B, Zhu L, Barth GM, Jaecklin T, Apostol G, von Raison F. Mavoglurant in fragile X syndrome: Results of two randomized, double-blind, placebo-controlled trials. Sci Transl Med. 2016 Jan 13;8(321):321ra5. doi: 10.1126/scitranslmed.aab4109.
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Public notes
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Contacts
Principal investigator
Name
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Novartis Pharmaceuticals
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Address
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Novartis Pharmaceuticals
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Contact person for scientific queries
No information has been provided regarding IPD availability
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/NCT01253629
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