Six Month Study of Gentamicin in Duchenne Muscular Dystrophy With Stop Codons

NCT ID: NCT00451074

Last Updated: 2012-03-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-03-31

Study Completion Date

2009-07-31

Brief Summary

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The purpose of this study is to determine the safety of giving intravenous (IV) gentamicin to boys with Duchenne muscular dystrophy who have stop codon mutations.

Detailed Description

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The primary purpose of this second cohort is to see if the IV Medication, gentamicin, is safe to give twice a week for six months to boys with Duchenne muscular dystrophy (DMD). Secondarily, we want to know if gentamicin can help strengthen the muscles of boys with DMD who have a particular type of genetic mutation known as a stop codon. The gentamicin is thought to allow for "read-through" of this type of mutation which would allow for the production of dystrophin, a protein which is lacking in boys with DMD.

Conditions

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Duchenne Muscular Dystrophy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Gentamicin infusions twice a week for six months

Gentamicin infusions twice a week

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 5-20 years
* Duchenne muscular dystrophy documented by written report of stop codon mutation analysis of the dystrophin gene.
* Subject is capable of cooperating for efficacy and safety testing
* Absent dystrophin on muscle biopsy
* Subjects may be untreated, taking prednisone or comparable corticosteroids
* Subjects taking corticosteroids must be on the same dose for at least 3 months (90 days) prior to the start of the study.

Exclusion Criteria

* Known allergy to any aminoglycoside or sulfate compounds
* Current use of potential nephrotoxic or ototoxic drug
* Current use of corticosteroids has not been stable for 3 months (90) days
* Known mutation at nucleotide 1555 in 12S rRNA gene of mitochondrial DNA (predisposes to aminoglycoside hearing loss and commercially available via Athena Diagnostics Lab). This DNA testing (Hearing susceptibility test) will be made available through funding from this grant.
* Inability to hear within the range of 0 to 25 dB in any hearing frequency by pure tone audiometry
* Cystatin C equal to or \> 1.4mg/L
* Other medical condition that would impede the conduct of study (e.g., congestive heart failure)
Minimum Eligible Age

5 Years

Maximum Eligible Age

20 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

National Institute of Neurological Disorders and Stroke (NINDS)

NIH

Sponsor Role collaborator

Nationwide Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jerry R. Mendell

Director, Center for Gene Therapy

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jerry R. Mendell, M.D.

Role: PRINCIPAL_INVESTIGATOR

The Research Institute at Nationwide Children's Hospital/ Nationwide Children's Hospital

Locations

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Neuromuscular Research Institute - Scottsdale Healthcare Hopsital at Shea

Scottsdale, Arizona, United States

Site Status

University of Kansas

Kansas City, Kansas, United States

Site Status

The Research Institute at Nationwide Children's Hospital

Columbus, Ohio, United States

Site Status

Countries

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United States

References

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Malik V, Rodino-Klapac LR, Viollet L, Mendell JR. Aminoglycoside-induced mutation suppression (stop codon readthrough) as a therapeutic strategy for Duchenne muscular dystrophy. Ther Adv Neurol Disord. 2010 Nov;3(6):379-89. doi: 10.1177/1756285610388693.

Reference Type RESULT
PMID: 21179598 (View on PubMed)

Malik V, Rodino-Klapac LR, Viollet L, Wall C, King W, Al-Dahhak R, Lewis S, Shilling CJ, Kota J, Serrano-Munuera C, Hayes J, Mahan JD, Campbell KJ, Banwell B, Dasouki M, Watts V, Sivakumar K, Bien-Willner R, Flanigan KM, Sahenk Z, Barohn RJ, Walker CM, Mendell JR. Gentamicin-induced readthrough of stop codons in Duchenne muscular dystrophy. Ann Neurol. 2010 Jun;67(6):771-80. doi: 10.1002/ana.22024.

Reference Type RESULT
PMID: 20517938 (View on PubMed)

Related Links

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http://www.nationwidechildrens.org/center-for-gene-therapy

Center for Gene Therapy, The Research Institute at Nationwide Children's Hospital

Other Identifiers

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7R01NS043186

Identifier Type: NIH

Identifier Source: secondary_id

View Link

NS043186

Identifier Type: -

Identifier Source: org_study_id

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