RT001 in Amyotrophic Lateral Sclerosis

Amyotrophic Lateral Sclerosis Clinical Trial

Official title:

A Randomized, Double-Blind, Placebo-Controlled, Phase 2 Study to Assess Efficacy, Long Term Safety and Tolerability of RT001 in Subjects With Amyotrophic Lateral Sclerosis

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04762589
• Other study ID #: RT001-014
• Status: Recruiting
• Phase: Phase 2
• Start date: March 10, 2021
• Est. completion date: September 30, 2022

Study information

• Verified date: June 2021
• Source: Retrotope, Inc.
• Contact: Mark G Midei, MD
• Phone: +1 (410) 371-5357
• Email: mark[@]retrotope.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

RT001-014 is a Randomized, Double-Blind, Placebo-Controlled, Phase 2 Study to Assess Efficacy, Long Term Safety and Tolerability of RT001 in Subjects with Amyotrophic Lateral Sclerosis

Description:

Forty subjects at 4 EU sites will undergo baseline examination, and then be randomized 1:1 to receive either RT001 or placebo. Repeat visits will occur every 2 months. The final visit will be at 6 months.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 40
• Est. completion date: September 30, 2022
• Est. primary completion date: August 30, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 75 Years

Eligibility

Inclusion Criteria:

1. Male or female subject with age 20 years to 75 years at the time of signed consent

2. Patients who are defined as "definite ALS," "probable ALS" or "probable-laboratory-supported ALS," met diagnostic criteria revised EL Escorial for Airlie House.

3. ALSFRS-R > 20

4. Patients who can eat a meal, excrete, or move with oneself alone, and do not need assistance in everyday life

5. Patients of less than 3 years after the onset of ALS

6. Subject has an identified, reliable, study partner (e.g., caregiver, family member, social worker, or friend)

7. If patients are duly capable of study consent but are unable to sign by themselves due to aggravation of disease condition, written informed consent can be obtained from a legally authorized representative who can sign on behalf of the patients after confirming the patients' agreement to study participation

Exclusion Criteria:

1. Received treatment with other experimental therapies within the last 30 days prior to the first dose

2. Previously received treatment with RT001

3. Refusal to discontinue fish oils or other oil-based supplements for the duration of the study (Screening till last study procedure completed)

4. SVC < 70 at screening

5. Subject has a feeding tube or the need for a feeding tube is anticipated within the first 24 weeks after enrollment

6. Subject resides at a skilled nursing or dementia care facility, or admission to such a facility is planned during the study period

7. Evidence of any clinically significant neurological disorder other than ALS

8. The subject has a history of or currently has schizophrenia, schizoaffective disorder or bipolar disorder according to DSM-V or ICD-10 criteria

9. The subject has a significant pulmonary disorder not attributed to ALS or who require treatments that might complicate the evaluation of the effect of ALS on respiratory function

10. Subject has had a significant illness or infection requiring medical intervention in the past 30 days

11. Female who is breastfeeding or has a positive pregnancy test

12. Male participant or female participant of childbearing potential, who is sexually active and unwilling/unable to use a medically acceptable and effective double barrier birth control method throughout the study

13. Unwilling or unable to comply with the requirements of this protocol, including the presence of any condition (physical, mental, or social) that is likely to affect the subject's ability to return for visits as scheduled

14. History, within the last 2 years, of alcohol abuse or physical opioid dependence

Related Conditions & MeSH terms

• Amyotrophic Lateral Sclerosis
• Motor Neuron Disease
• Sclerosis

Intervention

Drug:
• RT001
RT001 8.64 g/d (3 capsules TID) for 1 month followed by 5.76 g/d (3 capsules BID) for an additional 5 months
• Placebo
Placebo Comparator: Placebo Inactive comparator capsule 960 mg/capsule: 3 capsules TID for 4 weeks, followed by 3 capsules BID for the remaining 20 weeks.

Locations

Country	Name	City	State
Estonia	University of Tartu	Tartu
Latvia	Riga Stradins Universtiy	Riga
Netherlands	UMC Utrecht	Utrecht
Sweden	Karolinska	Stockholm

Sponsors (1)

Lead Sponsor	Collaborator
Retrotope, Inc.

Countries where clinical trial is conducted

Estonia,  Latvia,  Netherlands,  Sweden, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change from baseline in the revised ALS Functional Rating Score (ALSFRS-R) at 24 weeks	Change from baseline in ALSFRS-R will be compared for the RT001 treated group vs placebo	24 weeks
Secondary	Composite of Death or a Specified State of Disease Progression	Change from baseline in the composite endpoint will be compared for the RT001 treated group vs placebo	24 weeks
Secondary	Change from Baseline in ALS Assessment Questionnaire (40 Items) (ALSAQ40)	Change from baseline in ALSAQ40 will be compared for the RT001 treated group vs placebo	24 weeks
Secondary	Change from baseline in SVC	Change from baseline in SVC will be compared for the RT001 treated group vs placebo	24 weeks
Secondary	Frequency, severity and relationship to study drug of AEs and SAEs	Frequency, severity and relationship to study drug of AEs and SAEs will be compared for the RT001 treated group vs placebo	24 weeks