- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01348087
Long-term, Safety, Tolerability and Efficacy Study of AFQ056 in Adult Patients With Fragile X Syndrome
April 11, 2016 updated by: Novartis Pharmaceuticals
An Open-label Study to Evaluate the Long-term Safety, Tolerability and Efficacy of AFQ056 in Adult Patients With Fragile X Syndrome
The purpose of this study is to generate long-term safety, tolerability and efficacy data for AFQ056 in eligible adult patients with FXS who have participated in the CAFQ056A2212 (NCT01253629).study and patients who have participated in the previous proof-of-concept study CAFQ056A2204 (NCT00718341).
Study Overview
Detailed Description
A 148 patients were enrolled into this treatment extension trial conducted for at least 3 years.
This extension trial was terminated after the decision to terminate the AFQ056 development program.
The decision was based on the results of two randomized, double blind, placebo controlled phase IIb trials in adult and adolescent FXS patients (CAFQ056A2212 and CAFQ056B2214respectivly), both of which failed to demonstrate efficacy in the FXS population.
As this extension trial was terminated, only the primary objective and safety are represented.
Study Type
Interventional
Enrollment (Actual)
148
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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New South Wales
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Ryde, New South Wales, Australia, 2112
- Novartis Investigative Site
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Waratah, New South Wales, Australia, 2298
- Novartis Investigative Site
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Victoria
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Caulfield, Victoria, Australia, 3161
- Novartis Investigative Site
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Ontario
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Brampton, Ontario, Canada, L6Y 1M5
- Novartis Investigative Site
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Quebec
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Sherbrooke, Quebec, Canada, J1H 5N4
- Novartis Investigative Site
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Glostrup, Denmark, 2600
- Novartis Investigative Site
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Bron Cedex, France, 69677
- Novartis Investigative Site
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Paris, France, 75013
- Novartis Investigative Site
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Berlin, Germany, 12203
- Novartis Investigative Site
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Mainz, Germany, 55131
- Novartis Investigative Site
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Tübingen, Germany, 72076
- Novartis Investigative Site
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Würzburg, Germany, 97070
- Novartis Investigative Site
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GE
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Genova, GE, Italy, 16147
- Novartis Investigative Site
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Andalucia
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Malaga, Andalucia, Spain, 29010
- Novartis Investigative Site
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Catalunya
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Sant Cugat, Catalunya, Spain, 08190
- Novartis Investigative Site
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Lausanne, Switzerland, 1011
- Novartis Investigative Site
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Zurich, Switzerland, 8091
- Novartis Investigative Site
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Edinburgh, United Kingdom, EH10 5HF
- Novartis Investigative Site
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Arizona
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Phoenix, Arizona, United States, 85006
- Novartis Investigative Site
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California
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Sacramento, California, United States, 95817
- Novartis Investigative Site
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Georgia
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Decatur, Georgia, United States, 30033
- Novartis Investigative Site
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Illinois
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Chicago, Illinois, United States, 60612
- Novartis Investigative Site
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Indiana
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Indianapolis, Indiana, United States, 46202
- Novartis Investigative Site
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Massachusetts
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Boston, Massachusetts, United States, 02115
- Novartis Investigative Site
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Nebraska
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Omaha, Nebraska, United States, 68198-5575
- Novartis Investigative Site
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New York
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Staten Island, New York, United States, 10314
- Novartis Investigative Site
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Pennsylvania
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Media, Pennsylvania, United States, 19063
- Novartis Investigative Site
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Tennessee
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Nashville, Tennessee, United States, 37212
- Novartis Investigative Site
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion criteria Group 1 patients
- Had to have completed the CAFQ056A2212 study or another study of AFQ056 which included adult FXS patients within one week of enrollment into the open-label study.
- Females of child-bearing potential had to follow protocol requirements with respect to contraception.
- Have a caregiver or caregivers who spent, on average, at least six hours per day with the patient, who were willing and capable of supervising treatment, providing input into efficacy and safety assessments, and accompanying the patient to study visits.
Group 2:
- Had to have:
- Completed Study CAFQ056A2204.
- Completed Study CAFQ056A2212 or another study of AFQ056 which included adult patients with FXS but enrollment into the current study was delayed for more than a week.
- Discontinued prematurely from Study CAFQ056A2212 or another study of AFQ056 which included adult patients with FXS due to intolerability of the dosage in the patient's assigned treatment group.
- Females of child-bearing potential had to follow protocol requirements with respect to contraception.
- Have a caregiver or caregivers who spent, on average, at least six hours per day with the patient, who were willing and capable of supervising treatment, providing input into efficacy and safety assessments, and accompanying the patient to study visits
Exclusion criteria
Any advanced, severe or unstable disease
- History of severe self- injurious behavior
- History of uncontrolled seizure disorder or resistant to therapy within the past 2 years (Patients who are clinically stable under anti-convulsant therapy for the past 2 years are not excluded)
- History of clinically significant allergies requiring hospitalization or non- inhaled corticosteroid therapy (asthma, anaphylaxis, etc.)
- Using (or used within 6 weeks before baseline) concomitant medications that are potent inhibitors or inducers of CYP3A4
- Using glutamatergic agents (riluzole, memantine, etc.) or lithium, digoxin, or warfarin within 6 weeks of baseline Other protocol-defined inclusion/exclusion criteria may apply
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: AFQ056 100 mg (Bid)
All patients initiated treatment with AFQ056 at a starting dose of 25 milligram (mg) twice daily.
The dose was titrated from 25mg bid to 50mg bid, 75mg bid and 100mg bid at weekly intervals.
Dose adjustments (up- and down titrations) were permitted as needed to manage any tolerability issues and to ensure that patients reach their highest tolerated dose not to exceed 100mg bid.
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The investigational drug, AFQ056, will be provided as hard gelatin capsules.
Two different oral dosage strengths, identical in appearance, will be used.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Incidence and Severity of Adverse Events (AEs) and Serious Adverse Events (SAEs).
Time Frame: Prior to first dose in extension study, Baseline (start of study treatment in extension study) to End of trial
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Adverse events were summarized for the open-label treatment period, where the open-label treatment period is defined based on how AEs were collected and reported according to the manner in which patients entered the current study and which treatment (AFQ056 or placebo) they were receiving in the previous study.
AEs which were continuing from the core study or that started after the end of core study but prior to first dose of open-label study medication in the extension study for Category 1 patients are shown under ('Prior to Ext. first dose').
AEs which started during the open-label treatment period are presented based on the last AFQ056 dose taken on or before the onset date of the AE (25 mg bid; 50 mg bid; 75 mg bid; or 100 mg bid).
No efficacy data presented as study was terminated
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Prior to first dose in extension study, Baseline (start of study treatment in extension study) to End of trial
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
August 1, 2011
Primary Completion (Actual)
September 1, 2014
Study Completion (Actual)
September 1, 2014
Study Registration Dates
First Submitted
May 3, 2011
First Submitted That Met QC Criteria
May 4, 2011
First Posted (Estimate)
May 5, 2011
Study Record Updates
Last Update Posted (Estimate)
May 25, 2016
Last Update Submitted That Met QC Criteria
April 11, 2016
Last Verified
April 1, 2016
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Nervous System Diseases
- Neurologic Manifestations
- Neurobehavioral Manifestations
- Disease
- Congenital Abnormalities
- Genetic Diseases, Inborn
- Genetic Diseases, X-Linked
- Mental Retardation, X-Linked
- Intellectual Disability
- Heredodegenerative Disorders, Nervous System
- Chromosome Disorders
- Sex Chromosome Disorders
- Syndrome
- Fragile X Syndrome
Other Study ID Numbers
- CAFQ056B2279
- 2011-001952-12 (EudraCT Number)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Fragile X Syndrome
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University of California, DavisNational Institute of Mental Health (NIMH)CompletedFragile X PremutationUnited States
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University of California, DavisNational Institute on Aging (NIA); Forest LaboratoriesCompletedFragile X-Associated Tremor/Ataxia Syndrome | Fragile X Premutation CarriersUnited States
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Ovid Therapeutics Inc.CompletedFragile X Syndrome (FXS)United States
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Guido A. Davidzon, MD, SMWithdrawn
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Marinus PharmaceuticalsUniversity of California, Davis; U.S. Army Medical Research and Development...Completed
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RTI InternationalEunice Kennedy Shriver National Institute of Child Health and Human Development...CompletedFragile X Syndrome (FXS)United States
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Novartis PharmaceuticalsTerminated
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Sheba Medical CenterElMindA LtdRecruitingFragile X Associated Tremor-ataxia Syndrome | FXTASIsrael
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University of California, DavisUniversity of Alberta; St. Justine's HospitalRecruitingNeurobehavioral Manifestations | Genetic Diseases, X-Linked | Intellectual Disability | Fragile X Syndrome | Sex Chromosome Disorders | Fragile X Mental Retardation Syndrome | Trinucleotide Repeat Expansion | Fra(X) Syndrome | FXS | Mental Retardation, X LinkedUnited States, Canada
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University of AlbertaSt. Justine's HospitalRecruitingNeurobehavioral Manifestations | Genetic Diseases, X-Linked | Mental Retardation, X-Linked | Intellectual Disability | Fragile X Syndrome | Sex Chromosome Disorders | Fragile X Mental Retardation Syndrome | Trinucleotide Repeat Expansion | Fra(X) Syndrome | FXSCanada
Clinical Trials on AFQ056
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Novartis PharmaceuticalsCompletedFragile X SyndromeUnited States, Switzerland, Germany, Australia, Canada, Denmark, France, Italy, Spain, United Kingdom
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Novartis PharmaceuticalsCompletedFragile X SyndromeUnited States, Spain
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Novartis PharmaceuticalsCompletedMild Moderate | or Severe Renal ImpairmentGermany
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Novartis PharmaceuticalsCompletedHepatic ImpairmentGermany, United States, Hungary
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Novartis PharmaceuticalsTerminatedFragile X SyndromeUnited States, Belgium, Australia, Israel, Switzerland, Germany, Denmark, Italy, Netherlands, Spain, Sweden, United Kingdom, France
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Novartis PharmaceuticalsTerminatedEfficacy, Safety and Tolerability of AFQ056 in Patients With Huntington's Disease in Reducing ChoreaChorea | Huntington's DiseaseGermany, United Kingdom
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Novartis PharmaceuticalsCompletedFragile X SyndromeUnited States, Belgium, Australia, Israel, Switzerland, Germany, France, Canada, Denmark, Indonesia, Italy, Netherlands, Spain, Sweden, Turkey, United Kingdom
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Elizabeth Berry-KravisNational Institute of Neurological Disorders and Stroke (NINDS); Novartis PharmaceuticalsCompleted
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Yale UniversityCompletedFamilial Alcoholism VulnerabilityUnited States
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Novartis PharmaceuticalsTerminatedPatient Diagnosed With OCD and Resistant to SSRI Treatment | Failed SSRI Over 12 Weeks at Appropriate DosesGermany, Switzerland, Bulgaria, United States, Czech Republic