Trial Outcomes & Findings for Safety, Tolerability, and Efficacy of MTP-131 for the Treatment of Mitochondrial Myopathy (NCT NCT02367014)

NCT ID: NCT02367014

Last Updated: 2019-12-27

Results Overview

Change in distance walked as measured by meters on the 6-minute walk test from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

36 participants

Primary outcome timeframe

Assessed at Baseline, Day 5 (end-of-treatment visit)

Results posted on

2019-12-27

Participant Flow

Study Centers: Akron Children's Hospital; Massachusetts General Hospital; University of Pittsburgh School of Medicine; University of California, San Diego

Participant milestones

Participant milestones
Measure
Low Dose
MTP-131: MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
MTP-131: MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
MTP-131: MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
Placebo: Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Overall Study
STARTED
9
9
9
9
Overall Study
COMPLETED
9
9
9
9
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety, Tolerability, and Efficacy of MTP-131 for the Treatment of Mitochondrial Myopathy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Low Dose
n=9 Participants
MTP-131: MTP-131 (low dose) administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=9 Participants
MTP-131: MTP-131 (intermediate dose) administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=9 Participants
MTP-131: MTP-131 (high dose) administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 Participants
Placebo: Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
40.8 years
STANDARD_DEVIATION 11.32 • n=5 Participants
45.0 years
STANDARD_DEVIATION 14.09 • n=7 Participants
42.3 years
STANDARD_DEVIATION 16.84 • n=5 Participants
41.9 years
STANDARD_DEVIATION 15.83 • n=4 Participants
42.5 years
STANDARD_DEVIATION 14.12 • n=21 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
8 Participants
n=7 Participants
6 Participants
n=5 Participants
9 Participants
n=4 Participants
30 Participants
n=21 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
0 Participants
n=4 Participants
6 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Assessed at Baseline, Day 5 (end-of-treatment visit)

Change in distance walked as measured by meters on the 6-minute walk test from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=9 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=9 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=9 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Distance Walked (Meters) on the 6-minute Walk Test (6MWT)
13.5 meters
Interval -72.0 to 86.0
36.5 meters
Interval -20.0 to 107.0
64.5 meters
Interval 4.0 to 133.0
20.4 meters
Interval -37.0 to 90.0

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: All participants for whom maximum oxygen uptake was measured at baseline and Day 5

Change in maximum oxygen uptake as measured by mL/kg/min from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=7 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=6 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Maximum Oxygen Uptake (ml/kg/Min)
0.35 ml/kg/min
Standard Deviation 2.617
2.36 ml/kg/min
Standard Deviation 2.714
0.64 ml/kg/min
Standard Deviation 3.121
2.14 ml/kg/min
Standard Deviation 3.137

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: All participants for whom VE/VCO2 slope measurements were recorded at Baseline and Day 5

Change in ventilatory efficiency as measured by the VE/VCO2 slope from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=7 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=6 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Ventilatory Efficiency (VE/VCO2 Slope)
0.749 VE/VCO2 slope
Standard Deviation 2.9412
-0.671 VE/VCO2 slope
Standard Deviation 5.4024
-1.681 VE/VCO2 slope
Standard Deviation 3.2834
-1.375 VE/VCO2 slope
Standard Deviation 5.5801

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: All participants for whom aerobic efficiency measurements were recorded at Baseline and Day 5

Change in aerobic efficiency as measured by ΔO2 consumption/Δ work ratio from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=7 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=7 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=6 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Aerobic Efficiency (ΔO2 Consumption/Δ Work Ratio)
-0.234 ΔO2 consumption/Δwork ratio
Standard Deviation 4.3414
0.643 ΔO2 consumption/Δwork ratio
Standard Deviation 2.7507
-0.214 ΔO2 consumption/Δwork ratio
Standard Deviation 1.9727
0.738 ΔO2 consumption/Δwork ratio
Standard Deviation 3.5959

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: All participants for whom oxygen utilization measurements were recorded at Baseline and Day 5

Change in oxygen utilization as measured by ΔVO2/ΔlogVE ratio from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=7 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=7 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=6 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Oxygen Utilization (ΔVO2/ΔlogVE Ratio)
-118.87 ΔVO2/ΔlogVE ratio
Standard Deviation 229.105
184.99 ΔVO2/ΔlogVE ratio
Standard Deviation 410.093
90.13 ΔVO2/ΔlogVE ratio
Standard Deviation 116.281
166.50 ΔVO2/ΔlogVE ratio
Standard Deviation 479.145

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom oxygen uptake kinetics was measured

Change in oxygen uptake kinetics (mean response time) as measured by seconds from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=7 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=7 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=6 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Oxygen Uptake Kinetics (Mean Response Time as Measured by Seconds)
6.40 seconds
Standard Deviation 11.402
-2.49 seconds
Standard Deviation 26.830
-9.75 seconds
Standard Deviation 26.288
-7.47 seconds
Standard Deviation 14.357

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom pre-exercise lactate levels were measured

Change in pre-exercise lactate levels as measured by mg/dL from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=6 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=6 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Pre-exercise Lactate Levels (mg/dL)
3.4 mg/dL
Standard Deviation 9.00
13.8 mg/dL
Standard Deviation 18.30
0.4 mg/dL
Standard Deviation 10.25
4.4 mg/dL
Standard Deviation 14.06

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom post- exercise lactate levels were measured

Change in post-exercise lactate levels as measured by mg/dL from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=6 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=7 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Post-exercise Lactate Levels (mg/dL)
6.9 mg/dL
Standard Deviation 11.87
10.6 mg/dL
Standard Deviation 42.93
4.3 mg/dL
Standard Deviation 22.10
8.4 mg/dL
Standard Deviation 13.21

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom peak respiratory exchange ratio was measured.

Change in peak respiratory exchange ratio as measured by VCO2/VO2 from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=7 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=6 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Peak Respiratory Exchange Ratio (VCO2/VO2)
0.109 VCO2/VO2 ratio
Standard Deviation 0.0741
0.114 VCO2/VO2 ratio
Standard Deviation 0.1803
0.010 VCO2/VO2 ratio
Standard Deviation 0.0561
0.133 VCO2/VO2 ratio
Standard Deviation 0.1297

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom peak respiratory rate was measured

Change in peak respiratory rate as measured by breaths/min from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=6 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=5 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Peak Respiratory Rate (Breaths/Min)
1.4 breaths/min
Standard Deviation 6.54
-0.7 breaths/min
Standard Deviation 5.72
0.9 breaths/min
Standard Deviation 6.24
8.2 breaths/min
Standard Deviation 5.26

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom peak ventilation was measured.

Change in peak ventilation as measured by L/min from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=7 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=6 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Peak Ventilation (L/Min)
2.70 L/min
Standard Deviation 8.692
8.87 L/min
Standard Deviation 7.975
2.49 L/min
Standard Deviation 8.303
8.47 L/min
Standard Deviation 8.564

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom peak heart rate was measured

Change in peak heart rate as measured by beats per minute from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=7 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=8 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Peak Heart Rate (Beats/Min)
10.1 beats/min
Standard Deviation 11.15
16.7 beats/min
Standard Deviation 13.02
4.5 beats/min
Standard Deviation 9.58
3.8 beats/min
Standard Deviation 7.85

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom peak oxygen saturation was measured.

Change in peak oxygen saturation as measured by percentage of O2-saturated hemoglobin from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=7 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=7 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Peak Oxygen Saturation (% O2-saturated Hemoglobin)
0.0 percentage of O2-saturated hemoglobin
Standard Deviation 1.69
0.1 percentage of O2-saturated hemoglobin
Standard Deviation 1.07
0.6 percentage of O2-saturated hemoglobin
Standard Deviation 0.74
0.3 percentage of O2-saturated hemoglobin
Standard Deviation 1.60

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom peak systolic blood pressure was measured.

Change in peak systolic blood pressure as measured by mmHg from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=7 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=6 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=6 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=7 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Peak Systolic Blood Pressure (mmHg)
16.7 mmHg
Standard Deviation 21.00
-1.5 mmHg
Standard Deviation 36.47
16.0 mmHg
Standard Deviation 12.71
-2.7 mmHg
Standard Deviation 21.84

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom peak diastolic blood pressure was measured

Change in peak diastolic blood pressure as measured by mmHg from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=7 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=5 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=6 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=7 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Peak Diastolic Blood Pressure (mmHg)
0.6 mmHg
Standard Deviation 12.67
-1.4 mmHg
Standard Deviation 11.13
-2.5 mmHg
Standard Deviation 9.07
-6.6 mmHg
Standard Deviation 12.74

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom peak Borg dyspnea was measured.

Change in peak Borg dyspnea as measured by 0-10 with 0 meaning no breathlessness and 10 meaning maximal breathlessness from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=7 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=7 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Peak Borg Dyspnea
-2.00 Units on a scale
Standard Deviation 2.00
-2.2 Units on a scale
Standard Deviation 2.23
-1.4 Units on a scale
Standard Deviation 1.30
-0.4 Units on a scale
Standard Deviation 1.70

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom VO2 was measured.

Change in VO2 anaerobic threshold as measured by mL from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=5 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=7 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=4 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in VO2 Anaerobic Threshold (mL)
30.00 mL
Standard Deviation 83.93
10.8 mL
Standard Deviation 80.35
1.6 mL
Standard Deviation 42.17
42.0 mL
Standard Deviation 51.89

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom watts was measured

Change in watts from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=8 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=7 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=8 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Watts
9.6 watts
Standard Deviation 14.15
13.9 watts
Standard Deviation 12.48
5.4 watts
Standard Deviation 10.03
4.4 watts
Standard Deviation 11.87

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom temperature was measured

Change in temperature as measured by units of Celsius from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=9 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=8 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=9 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Temperature (°C)
-0.3 °C
Standard Deviation 0.54
0.2 °C
Standard Deviation 0.42
0.1 °C
Standard Deviation 0.28
0.0 °C
Standard Deviation 0.67

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom PR interval was measured

Change in PR interval as measured by ECG in milliseconds from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=9 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=8 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=9 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in ECG-PR Interval (Msec)
-3.2 msec
Standard Deviation 7.77
8.3 msec
Standard Deviation 7.05
9.1 msec
Standard Deviation 9.55
-1.6 msec
Standard Deviation 15.61

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom QRS complex was measured

Change in QRS complex as measured by ECG in msec from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=9 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=9 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=9 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in ECG-QRS Complex (Msec)
1.2 msec
Standard Deviation 7.14
2.3 msec
Standard Deviation 6.56
-2.2 msec
Standard Deviation 8.86
0.8 msec
Standard Deviation 5.78

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom QT interval was measured

Change in QT interval as measured by ECG in msec from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=9 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=9 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=9 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in ECG-QT Interval (Msec)
-6.0 msec
Standard Deviation 30.53
-4.8 msec
Standard Deviation 12.94
-16.7 msec
Standard Deviation 81.02
-1.3 msec
Standard Deviation 18.49

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom QTc interval was measured

Change in QTc interval as measured by ECG in msec from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=9 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=9 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=9 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in ECG-QTc Interval (Msec)
3.4 msec
Standard Deviation 20.17
1.3 msec
Standard Deviation 20.24
-23.2 msec
Standard Deviation 77.53
6.7 msec
Standard Deviation 17.28

SECONDARY outcome

Timeframe: Days 1-5 and Day 7.

Population: Participants for whom CSSR was measured.

Number of participants with suicide ideation, suicidal behavior, or non-suicidal self-injurious behavior post-screening as measured on Days 1-5, and Day 7 on the Columbia Suicide Severity Rating Scale (CSSRS). A yes/no binary response is utilized in the following ten categories: 1 - Wish to be Dead; 2 - Non-specific Active Suicidal Thoughts; 3 - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act; 4 - Active Suicidal Ideation with Some Intent to Act, without Specific Plan; 5 - Active Suicidal Ideation with Specific Plan and Intent; 6 - Preparatory Acts or Behavior; 7 - Aborted Attempt; 8 - Interrupted Attempt; Category 9 - Actual Attempt (non-fatal); 10 - Completed Suicide. A yes/no binary response is also utilized in assessing self-injurious behavior without suicidal intent. A lower score means a better outcome whereas a higher score means a worse outcome.

Outcome measures

Outcome measures
Measure
Low Dose
n=9 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=9 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=9 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Number of Participants Who Had Suicide Ideation, Suicidal Behavior, or Non-suicidal Self-injurious Behavior Post-screening.
0 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom creatine phosphokinase was measured

Change in Creatine Phosphokinase as measured by IU/L from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=9 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=9 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=9 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Creatine Phosphokinase (IU/L)
-24.8 IU/L
Standard Deviation 25.10
-161.7 IU/L
Standard Deviation 176.49
-101.2 IU/L
Standard Deviation 149.07
-154.9 IU/L
Standard Deviation 232.99

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom Alanine aminotransferase was measured

Change in Alanine aminotransferase (ALT) as measured by (U/L) from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=9 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=9 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=9 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Alanine Aminotransferase (ALT) (U/L)
19.3 U/L
Standard Deviation 42.24
-3.0 U/L
Standard Deviation 4.92
-5.3 U/L
Standard Deviation 3.28
1.1 U/L
Standard Deviation 5.80

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom aspartate aminotransferase was measured

Change in aspartate aminotransferase (AST) as measured by U/L from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=9 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=9 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=9 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Aspartate Aminotransferase (AST) (U/L)
5.6 U/L
Standard Deviation 9.93
-2.2 U/L
Standard Deviation 10.38
-12.6 U/L
Standard Deviation 18.08
-4.4 U/L
Standard Deviation 13.07

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: Participants for whom eosinophils was measured

Change in eosinophils as measured by (10\^9 cells/L) from baseline (last assessment prior to start of study) to Day 5 (end of treatment visit).

Outcome measures

Outcome measures
Measure
Low Dose
n=9 Participants
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=9 Participants
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=8 Participants
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 Participants
Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Change in Eosinophils (10^9 Cells/L)
0.06 10^9 cells/L
Standard Deviation 0.073
0.08 10^9 cells/L
Standard Deviation 0.097
-0.01 10^9 cells/L
Standard Deviation 0.064
0.04 10^9 cells/L
Standard Deviation 0.088

Adverse Events

Low Dose

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Intermediate Dose

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

High Dose

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Low Dose
n=9 participants at risk
MTP-131 (low dose) 0.01 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Intermediate Dose
n=9 participants at risk
MTP-131 (intermediate dose) 0.10 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
High Dose
n=9 participants at risk
MTP-131 (high dose) 0.25 mg/kg/hour administered as single day intravenous infusion over 2 hours for 5 days
Placebo
n=9 participants at risk
Placebo: Placebo Comparator (at each dose cohort) administered as single day intravenous infusion over 2 hours for 5 days
Nervous system disorders
Headache
11.1%
1/9 • 7 days
11.1%
1/9 • 7 days
22.2%
2/9 • 7 days
22.2%
2/9 • 7 days
Nervous system disorders
Dizziness
22.2%
2/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Gastrointestinal disorders
Abdominal pain
0.00%
0/9 • 7 days
22.2%
2/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Gastrointestinal disorders
Flatulence
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
Musculoskeletal and connective tissue disorders
Muscle spasms
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
Gastrointestinal disorders
Constipation
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
Gastrointestinal disorders
Nausea
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
General disorders
Injection site bruising
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
General disorders
Thirst
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
General disorders
Vessel puncture site haemorrhage
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Infections and infestations
Nasopharyngitis
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Infections and infestations
Urinary tract infection
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Infections and infestations
Viral upper respiratory tract
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
Injury, poisoning and procedural complications
Contusion
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Injury, poisoning and procedural complications
Ligament sprain
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
Investigations
Blood creatine phosphokinase increased
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
Investigations
Eosinophil count increased
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Investigations
Hepatic enzyme increased
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Investigations
Liver function test increased
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Metabolism and nutrition disorders
Increased appetite
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
Musculoskeletal and connective tissue disorders
Myalgia
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Nervous system disorders
Somnolence
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Nervous system disorders
Migraine
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
Nervous system disorders
Myoclonus
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
Nervous system disorders
Presyncope
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
Skin and subcutaneous tissue disorders
Hyperhydrosis
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
Skin and subcutaneous tissue disorders
Pain of skin
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Skin and subcutaneous tissue disorders
Petechiae
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
Skin and subcutaneous tissue disorders
Skin tightness
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Vascular disorders
Flushing
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
Vascular disorders
Hypotension
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Vascular disorders
Pallor
0.00%
0/9 • 7 days
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
Vascular disorders
Phlebitis
11.1%
1/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days
0.00%
0/9 • 7 days

Additional Information

Jim Carr PharmD Chief Clinical Development Officer

Stealth BioTherapeutics Inc.

Phone: 617-600-6888

Results disclosure agreements

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

Restriction type: GT60