Cystinosis Clinical Trial
Official title:
An Open-Label, Safety and Effectiveness Study of Cysteamine Bitartrate Delayed-release Capsules (RP103) in Cysteamine Treatment Naïve Patients With Cystinosis
This was a long-term, open-label study of the safety, tolerability and effectiveness of RP103 in cystinosis patients who were naïve to any form of cysteamine treatment. Participants received RP103 treatment for at least 12 months. U.S. participants transitioned to the commercially approved drug PROCYSBI®. In Brazil, after at least 12 months of study participation and upon approval by the Brazilian regulatory authorities, participants were eligible to transition to a post-study drug supply program, and continue to receive the drug at no personal cost.
The purpose of this study was to gather information about the safety and effectiveness (how
well it works to treat cystinosis) of a new drug called RP103.
In cystinosis, the body builds up cystine. When taken regularly, the active ingredient of an
older, already approved drug called Cystagon® (cysteamine bitartrate) reduces cystine in the
body. RP103 has the same active ingredient as Cystagon® and is designed to reduce cystine in
a similar way that Cystagon® does. RP103 is also different from Cystagon®: Instead of the
cysteamine bitartrate being absorbed from the stomach, RP103 is designed to be absorbed from
the small intestine. This may make the effects of the drug last longer, so that it can be
taken twice a day instead of four times a day like Cystagon®.
To decide if RP103 is effective, the study used two types of blood tests. One test is
pharmacodynamics (PD), which measures the amount of white blood cell (WBC) cystine after
taking study drug. WBC cystine is a laboratory test used to find out if cysteamine bitartrate
is reducing cystine levels in the body. The second test is pharmacokinetics (PK), which
measures the amount of cysteamine in the blood after taking the drug.
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