Study to Evaluate Safety & Efficacy of FLX-787-ODT to Treat Fasciculations in Tongue and Appendicular Muscle in Adult Subjects With ALS

Amyotrophic Lateral Sclerosis Clinical Trial

Official title:

An Open Label Study to Evaluate the Safety and Efficacy of FLX-787-ODT for Treatment of Fasciculations in the Tongue and One Appendicular Muscle in Adult Subjects With Amyotrophic Lateral Sclerosis (ALS)

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT03334786
• Other study ID #: FLX-787-107
• Status: Terminated
• Phase: Phase 1/Phase 2
• Start date: April 5, 2018
• Est. completion date: August 23, 2018

Study information

• Verified date: April 2018
• Source: Flex Pharma, Inc.
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The FLX-787-107 study will determine how well FLX-787-ODT works to reduce fasciculations in patients with Amyotrophic Lateral Sclerosis (ALS). The study will measure how often fasciculations occur, if tongue and muscle strength, speech, and swallowing are affected, and monitor any side effects that might develop while taking the investigational product. Participants will be assessed before and after taking a single dose of FLX-787-ODT. Approximately 15 people will take part in this study at one center in the United States. Participants will be in the study for a single clinic visit and receive a telephone call 7 days later to monitor for side effects.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 3
• Est. completion date: August 23, 2018
• Est. primary completion date: August 23, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Documented diagnosis of ALS diagnosis of less than 5 years.

• Greater than 6 fasciculations per minute noted at least in the tongue by clinical, ultrasound, or EMG evaluation.

• Normal oral cavity exam at screening.

Exclusion Criteria:

• Presence of clinically significant or unstable condition that would result in an increased risk of study participation or difficulty in interpretation of the study results.

• Tremor or other movement disorder that would interfere with recording.

• Presence of major gastrointestinal disorders, such as inflammatory bowel disease, diverticulitis, active peptic ulcer disease, or significant gastroesophageal reflux disease (i.e., not well-controlled on antacids or proton pump inhibitors), or oral or esophageal lesions/ulcers.

• Presence of laryngospasm or significant swallowing problems.

• Inability to tolerate a spicy sensation in the mouth or stomach.

• Actively using illicit drugs or history of chronic substance abuse within the past year prior to screening, including abuse of alcohol.

• Participated in a clinical study (except natural history studies without administration of an investigational product) within 30 days prior to screening.

• Pregnant, breastfeeding, or planning to become pregnant.

• Blood pressure of =160 mmHg systolic and/or =100 mmHg diastolic.

• Clinically significant abnormalities in laboratory findings (including screening complete electrolyte panel, complete blood count, liver function tests).

Related Conditions & MeSH terms

• Amyotrophic Lateral Sclerosis
• Fasciculation
• Motor Neuron Disease
• Sclerosis

Intervention

Drug:
• FLX-787-ODT
Oral Disintegrating Tablet

Locations

Country	Name	City	State
United States	Beth Israel Deaconess Medical Center	Boston	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
Flex Pharma, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change from Baseline of Diastolic Blood Pressure in mmHg	Diastolic blood pressure collected before and after treatment	Prior to and within 3 hours following administration of investigational product on the single clinic visit
Primary	Change from Baseline of Systolic Blood Pressure in mmHg	Systolic blood pressure collected before and after treatment	Prior to and within 3 hours following administration of investigational product on the single clinic visit
Primary	Change from Baseline in Heart Rate in beats per minute	Heart rate collected before and after treatment	Prior to and within 3 hours following administration of investigational product on the single clinic visit
Primary	Change from Baseline in Respiration Rate in breaths per minute	Respiration rate collected before and after treatment	Prior to and within 3 hours following administration of investigational product on the single clinic visit
Primary	Change from Baseline in Body Temperature in degrees Celsius or Fahrenheit	Body temperature collected before and after treatment	Prior to and within 3 hours following administration of investigational product on the single clinic visit
Primary	Change from Baseline of Oral Cavity Examination	Oral Cavity Examination performed before and after treatment	Prior to and twice within 4 hours following administration of investigational product on the clinic visit
Primary	Incidence of Treatment-Emergent Adverse Events	Adverse Event Information collected throughout the study	Prior to and following administration of investigational product on the clinic visit with AEs followed for 7 days after by telephone contact
Secondary	Change from Baseline of Fasciculation Frequency	Fasciculations over time measured by ultrasound before and after treatment	Prior to and twice within 4 hours following administration of investigational product on the clinic visit
Secondary	Change from Baseline of Fasciculation Frequency	Fasciculations over time measured by EMG before and after treatment	Prior to and twice within 4 hours following administration of investigational product on the clinic visit
Secondary	Change from Baseline in Peak Tongue Strength in kPa by Iowa Oral Performance Instrument	Peak Tongue Strength Measurements before and after treatment	Prior to and once within 4 hours following administration of investigational product on the clinic visit
Secondary	Change from Baseline in Speech Assessments	Timed Speech Assessments before and after treatment	Prior to and once within 4 hours following administration of investigational product on the clinic visit
Secondary	Change from Baseline in Swallowing Assessments	Timed Swallowing Assessments before and after treatment	Prior to and once within 4 hours following administration of investigational product on the clinic visit