Trial Outcomes & Findings for Historically Controlled Trial of Corticosteroids in Young Boys With Duchenne Muscular Dystrophy (NCT NCT02167217)

NCT ID: NCT02167217

Last Updated: 2018-12-21

Results Overview

Bayley III Gross Motor Scaled Score measures motor development. This is normed for typically developing children and follow a bell shaped curve. The scale has mean of 10 +/-3 for children at all ages and is bell shaped. Therefore the two standard deviation range is 16 to 4 with higher values indicated better performance. Lower values have been shown to be common in boys with DMD and it this study the baseline average score was 4.2.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

25 participants

Primary outcome timeframe

One year

Results posted on

2018-12-21

Participant Flow

Participant milestones

Participant milestones
Measure
Oral Prednisolone
Oral Prednisolone 5mg/kg/ day on two consecutive days, Friday and Saturday with breakfast Prednisolone: Prednisolone (5mg per kg )will be taken on two consecutive days, Friday and Saturday mornings each week with breakfast
Overall Study
STARTED
25
Overall Study
COMPLETED
23
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The analysis population does not include the two who dropped out.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Oral Prednisolone
n=25 Participants
Oral Prednisolone 5mg/kg/ day on two consecutive days, Friday and Saturday with breakfast Prednisolone: Prednisolone (5mg per kg )will be taken on two consecutive days, Friday and Saturday mornings each week with breakfast Twenty-five steroid naïve boys four to 30 months of age with genetically confirmed Duchenne Muscular Dystrophy (DMD) were enrolled. 25 infants and boys were enrolled and 23 completed the study. One boy was lost to follow-up and one discontinued treatment after six months secondary to side effects.
Age, Categorical
<=18 years
23 Participants
n=23 Participants • The analysis population does not include the two who dropped out.
Age, Categorical
Between 18 and 65 years
0 Participants
n=23 Participants • The analysis population does not include the two who dropped out.
Age, Categorical
>=65 years
0 Participants
n=23 Participants • The analysis population does not include the two who dropped out.
Age, Continuous
1.5 years
STANDARD_DEVIATION 0.8 • n=23 Participants • The 23 analyzed does not include the two who dropped out.
Sex: Female, Male
Female
0 Participants
n=23 Participants • The number analyzed does not include the two who dropped out. See above.
Sex: Female, Male
Male
23 Participants
n=23 Participants • The number analyzed does not include the two who dropped out. See above.
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=25 Participants
Race (NIH/OMB)
Asian
1 Participants
n=25 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=25 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=25 Participants
Race (NIH/OMB)
White
22 Participants
n=25 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=25 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=25 Participants
Region of Enrollment
United States
23 Participants
n=23 Participants • The number analyzed does not include the two who dropped out
Bayley III Gross Motor Scaled Score
4.2 units on a scale
STANDARD_DEVIATION 2.5 • n=23 Participants • The number analyzed does not include the two who dropped out.

PRIMARY outcome

Timeframe: One year

Population: We analyzed the change in the gross motor score after one year. An increase indicates improvement compared to peers

Bayley III Gross Motor Scaled Score measures motor development. This is normed for typically developing children and follow a bell shaped curve. The scale has mean of 10 +/-3 for children at all ages and is bell shaped. Therefore the two standard deviation range is 16 to 4 with higher values indicated better performance. Lower values have been shown to be common in boys with DMD and it this study the baseline average score was 4.2.

Outcome measures

Outcome measures
Measure
Oral Prednisolone
n=23 Participants
Oral Prednisolone 5mg/kg/ day on two consecutive days, Friday and Saturday with breakfast Prednisolone: Prednisolone (5mg per kg )will be taken on two consecutive days, Friday and Saturday mornings each week with breakfast
Bayley III Gross Motor Scaled Score (Change From Baseline to 12 Month)
4.8 units on a scale
Standard Deviation 2.3

Adverse Events

Oral Prednisolone

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Oral Prednisolone
n=25 participants at risk
Oral Prednisolone 5mg/kg/ day on two consecutive days, Friday and Saturday with breakfast Prednisolone: Prednisolone (5mg per kg )will be taken on two consecutive days, Friday and Saturday mornings each week with breakfast
Nervous system disorders
irritability
16.0%
4/25 • Number of events 7 • Data for adverse event were collected over one year.
60 adverse events (AEs) were reported; 15 were possibly or probably related to medication. There were no severe AEs.
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Track Infection
56.0%
14/25 • Number of events 17 • Data for adverse event were collected over one year.
60 adverse events (AEs) were reported; 15 were possibly or probably related to medication. There were no severe AEs.
Gastrointestinal disorders
Gastroenteritis
20.0%
5/25 • Number of events 5 • Data for adverse event were collected over one year.
60 adverse events (AEs) were reported; 15 were possibly or probably related to medication. There were no severe AEs.
Infections and infestations
Ear Infection
20.0%
5/25 • Number of events 5 • Data for adverse event were collected over one year.
60 adverse events (AEs) were reported; 15 were possibly or probably related to medication. There were no severe AEs.
Skin and subcutaneous tissue disorders
Rash
12.0%
3/25 • Number of events 3 • Data for adverse event were collected over one year.
60 adverse events (AEs) were reported; 15 were possibly or probably related to medication. There were no severe AEs.
General disorders
Fever
16.0%
4/25 • Number of events 4 • Data for adverse event were collected over one year.
60 adverse events (AEs) were reported; 15 were possibly or probably related to medication. There were no severe AEs.

Additional Information

Anne M. Connolly, MD FAAN

Washington University School of Medicine

Phone: 314-362-6981

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place