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Clinical Trial Details — Status: Suspended

Administrative data

NCT number NCT01463215
Other study ID # CL-Ambroxol-002
Secondary ID
Status Suspended
Phase Phase 1/Phase 2
First received October 27, 2011
Last updated February 12, 2013
Start date December 2012
Est. completion date August 2015

Study information

Verified date February 2012
Source Exsar Corporation
Contact n/a
Is FDA regulated No
Health authority United States: Food and Drug Administration
Study type Interventional

Clinical Trial Summary

Ambroxol is expected to improve the signs and symptoms of patients with Type I Gaucher Disease.


Description:

This is an Open-Label, Dose Escalation with 2 Dose Levels, Proof-of-Concept Clinical Trial of Ambroxol for the Treatment of Patients with Type I Gaucher Disease.

This study is a randomized clinical trial involving 20 evaluable patients affected with Type 1 Gaucher disease who are responsive to Ambroxol in vitro. There are 2 treatment groups, involving 2 dose levels of Ambroxol (187.5 and 225 mg/day), given once daily PO for 2 months in both groups. The 187.5-mg/day dose level will be tested first. If there are no significant adverse events, defined as >Grade 3 toxicity according to the latest version of the National Cancer Institute (NCI) Common Toxicity Criteria (CTC), the 225-mg/day dose level will be tested.


Recruitment information / eligibility

Status Suspended
Enrollment 20
Est. completion date August 2015
Est. primary completion date December 2014
Accepts healthy volunteers No
Gender Both
Age group 16 Years and older
Eligibility Inclusion Criteria:

- Biochemically and genetically confirmed diagnosis of Gaucher disease caused by ß-glucocerebrosidase deficiency resulting from mutations in the GBA genes, which have been shown to respond to Ambroxol according to in vitro screening assay.

- Must be 16 years of age or older at the time of study initiation.

- With an intact, enlarged spleen.

- A hemoglobin level of at least 10 g/L.

- Able to understand and cooperate with the requirements of the study protocol.

- Mentally competent, have ability to understand and willingness to sign the informed consent form.

- Able to travel to a participating study site.

- Women of child-bearing potential must use accepted contraceptive methods, and must have a negative serum or urine pregnancy test within one week prior to treatment initiation. An additional pregnancy test is to be performed, and results obtained, prior to administration of the first dose of Ambroxol.

- Fertile men must practice effective contraceptive methods during the study period, unless documentation of infertility exists.

- Body weight >40 kg (88 lbs).

Exclusion Criteria:

- Receipt of any form of glucocerebrosidase <<4 weeks prior study initiation.

- Total splenectomy.

- Serious medical illness, significant cardiac disease, chronic bronchitis, emphysema, and cystic fibrosis, as well as disorders causing ventilation perfusion mismatch.

- Substance abuse.

- Any complex disease that may confound treatment assessment.

- Pregnant women, or women of child-bearing potential not using reliable means of contraception.

- Lactating females because of the potential for adverse reactions in nursing infants.

- Fertile men unwilling to practice contraceptive methods during the study period.

- Unwilling or unable to follow protocol requirements.

- Known hypersensitivity reactions, intolerance or adverse reactions to Ambroxol or to the inactive ingredients.

- Evidence of systemic infection, or serious infection within the past month.

- Known to have HIV infection.

- Known to have hepatitis B or hepatitis C.

- Patients with a history of convulsive disorders.

- Patients receiving any other investigational treatment for any indication within the past 4 weeks prior to initiation of Ambroxol treatment.

- A history of cancer of any type.

- Patients who have received immunotherapy of any type within the past 4 weeks prior to study initiation.

- Any condition or abnormality which may, in the opinion of the investigator, compromise the safety of patients.

Study Design

Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Drug:
Ambroxol
Ambroxol at a dose level of 187.5 or 225 mg/day will be given once daily by mouth for 2 months.

Locations

Country Name City State
United States ExSAR Corporation Monmouth Junction New Jersey

Sponsors (1)

Lead Sponsor Collaborator
Exsar Corporation

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Safety assessment based on potential changes in physical exam, vital signs, ECG, adverse event query, and clinical lab results, when compared to baseline values. Safety will be based on physical exam, vital signs, ECG, adverse event query, and clinical pathology (includes chemistry, hematology and coagulation), asessed at baseline and approximately biweekly during the study. Safety will be assessed at baseline and biweekly for 2 months. Yes
Secondary efficacy based on biomarker (glucocerebrosidase activities), lab results, as well as hepatic and splenic volumes from imaging scans. Efficacy is based on biomarker (glucocerebrosidase activities), phenotypes according to specific lab results (acid phosphatase, angiotensin-converting enzyme, serum bilirubin, hemoglobin, platelet counts, peripheral blood leukocyte counts, serum iron, clotting time, etc.), as well as hepatic and splenic volumes. Biomarker, lab results (phenotype), as well as hepatic and spenic volumes will be assessed at baseline and after 2 months of treatment, and lab results (phenotypes) will also be assessed biweekly during the 2-month treatment period. No