UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000025872
Receipt number R000029639
Scientific Title Placebo controlled double blind randomized Phase 2 clinical trial of sodium pyruvate on lactic acidosis associated with mitochondrial disorders (Leigh syndrome)
Date of disclosure of the study information 2017/02/01
Last modified on 2019/01/28 10:28:09

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Basic information

Public title

Placebo controlled double blind randomized Phase 2 clinical trial of sodium pyruvate on lactic acidosis associated with mitochondrial disorders (Leigh syndrome)

Acronym

Placebo controlled double blind randomized Phase 2 clinical trial of sodium pyruvate on lactic acidosis associated with mitochondrial disorders (Leigh syndrome)

Scientific Title

Placebo controlled double blind randomized Phase 2 clinical trial of sodium pyruvate on lactic acidosis associated with mitochondrial disorders (Leigh syndrome)

Scientific Title:Acronym

Placebo controlled double blind randomized Phase 2 clinical trial of sodium pyruvate on lactic acidosis associated with mitochondrial disorders (Leigh syndrome)

Region

Japan


Condition

Condition

Leigh disorders

Classification by specialty

Medicine in general Pediatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of sodium pyruvate on Leigh disorders

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Total score of section 1-3 in NMDPS at 24 weeks after oral administration

Key secondary outcomes

Total score of NMDAS section 1-3,
Score of section 1, 2, 3, 4.
brain lactate by MRS,
GDF15 at 24 weeks after oral administration.
Duration of in-patient,
Emergency visit,
mortality


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

sodium pyruvate 0.5g/kg/day TID 24 weeks

Interventions/Control_2

Placebo (lactate+NaCl) 0.17/kg/day TID 24 weeks

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

2 years-old <=

Age-upper limit

30 years-old >

Gender

Male and Female

Key inclusion criteria

Leigh disease who fulfilled the following criteria
1)neurological findings (all matched)
progressive central neurological sings
symptoms suggesting bilateral brain stem abnormality
bilateral necrosis of brain stem by MRI
2)defined mitochondrial dysfunction (one of the following )
by repeated abnormality of serum lactate
by respiratory chain enzyme activity
by muscle pathology
by genetic abnormality

Key exclusion criteria

1) patients who is not evaluated by this protocol of the clinical trial
2)severe unconsciousness
3)sepsis
4)renal dysfunction by eGFR lower than 60 mL/min/1.73m2
5)heart failure (EF<40%)
6)status epileptics
7)pregnant
8)allergy against the sodium pyruvate
9)enrolled to the other clinical trial 24 weeks before this trial
10)patient who cannot evaluate the muscle activity by device
11)patients who are not recommended by the doctor

Target sample size

10


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yasutoshi Koga

Organization

Kurume University

Division name

Department of Pediatrics and Child Health

Zip code


Address

67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan

TEL

0942-31-7565

Email

yasukoga@med.kurume-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yasutoshi Koga

Organization

Kurume University

Division name

Department of Pediatrics and Child Health

Zip code


Address

67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan

TEL

0942-31-7565

Homepage URL

http://www.ped-kurume.com/

Email

yasukoga@med.kurume-u.ac.jp


Sponsor or person

Institute

Japan Agency of Medical Research and Development

Institute

Department

Personal name



Funding Source

Organization

Japan Agency of Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

久留米大学病院(福岡県)、筑波大学病院(茨城県)、千葉大学病院(千葉県)、千葉県立こども病院(千葉県)、名古屋市立大学病院(愛知県)、大阪府立母子保健総合医療センター(大阪府)、信州大学病院(長野県)


Other administrative information

Date of disclosure of the study information

2017 Year 02 Month 01 Day


Related information

URL releasing protocol

https://www.c-ctd.co.jp/project_PLA003/index.html

Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Unfortunately, data obtained by the clinical trials could not prove the efficacy overall, though there are several patients with perfect improvement by clinical rating scales. After the strategy consultation to PMDA on October 18, 2018, we decided to terminate the SP project.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2016 Year 11 Month 22 Day

Date of IRB


Anticipated trial start date

2017 Year 02 Month 01 Day

Last follow-up date

2017 Year 11 Month 30 Day

Date of closure to data entry

2017 Year 12 Month 15 Day

Date trial data considered complete

2017 Year 12 Month 27 Day

Date analysis concluded

2018 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2017 Year 01 Month 27 Day

Last modified on

2019 Year 01 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029639


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name