Ulipristal Acetate In Disease Charcot-Marie-Tooth Type of 1A
NCT ID: NCT02600286
Last Updated: 2022-07-25
Study Results
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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TERMINATED
PHASE2
23 participants
INTERVENTIONAL
2015-10-23
2017-11-02
Brief Summary
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In animals and humans, PMP22 mRNA level of glutathione S-transferase theta 2 and Cathepsin A (markers of oxidative stress), detected in a skin biopsy are markers that may play a role in the prognosis evolution of the disease. Furthermore, several studies have shown that the administration of progesterone increased the expression of PMP22 gene (measured in a skin biopsy) and worsening symptoms. In contrast, anti-progestins reduce the synthesis of PMP22 and improve symptoms in rat CMT1A.
The long-term safety of anti-progesterone was evaluated for mifepristone (RU486) ulipristal acetate and (EllaOne®). Few side effects have been reported including a few cases of endometrial hyperplasia reversible upon discontinuation of treatment. With the RU486, rare cases of adrenal androgen and failure have been observed. However, EllaOne® has low antagonistic action on the glucocorticoid receptor and no action on androgen receptors. The investigators therefore believe that it will be well tolerated in humans and will reduce the synthesis of PMP22 and the action of oxidative stress by improving disability of patients.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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1
Arm (1) will be randomised to receive either :
* 5 mg/per os of EllaOne every day through 12 months.
* 10 mg/per os of EllaOne every day through 12 months.
* EllaOne placebo/per os every day through 12 months.
EllaOne
* 5 mg/per os of EllaOne every day through 12 months.
* 10 mg/per os of EllaOne every day through 12 months.
* EllaOne placebo/per os every day through 12 months.
EllaOne placebo
* 5 mg/per os of EllaOne every day through 12 months.
* 10 mg/per os of EllaOne every day through 12 months.
* EllaOne placebo/per os every day through 12 months.
2
Arm (2) will be randomised to receive either :
* 5 mg/per os of EllaOne every day through 12 months.
* 10 mg/per os of EllaOne every day through 12 months.
* EllaOne placebo/per os every day through 12 months.
EllaOne
* 5 mg/per os of EllaOne every day through 12 months.
* 10 mg/per os of EllaOne every day through 12 months.
* EllaOne placebo/per os every day through 12 months.
EllaOne placebo
* 5 mg/per os of EllaOne every day through 12 months.
* 10 mg/per os of EllaOne every day through 12 months.
* EllaOne placebo/per os every day through 12 months.
3
Arm (3) will be randomised to receive either :
* 5 mg/per os of EllaOne every day through 12 months.
* 10 mg/per os of EllaOne every day through 12 months.
* EllaOne placebo/per os every day through 12 months.
EllaOne
* 5 mg/per os of EllaOne every day through 12 months.
* 10 mg/per os of EllaOne every day through 12 months.
* EllaOne placebo/per os every day through 12 months.
EllaOne placebo
* 5 mg/per os of EllaOne every day through 12 months.
* 10 mg/per os of EllaOne every day through 12 months.
* EllaOne placebo/per os every day through 12 months.
Interventions
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EllaOne
* 5 mg/per os of EllaOne every day through 12 months.
* 10 mg/per os of EllaOne every day through 12 months.
* EllaOne placebo/per os every day through 12 months.
EllaOne placebo
* 5 mg/per os of EllaOne every day through 12 months.
* 10 mg/per os of EllaOne every day through 12 months.
* EllaOne placebo/per os every day through 12 months.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* CMT1A proven genetically (17p11.2 duplication)
* symptomatic CMT1A (MRC score \<5 in at least one muscle group)
* Non severe axonal impairment (amplitude of the motor evoked potential on the median nerve and / or ulnar than 50% of normal)
* Subject contacted with a valid phone number
* Subject affiliated to a social security scheme
* Subject has been informed of the results of the medical examination prior
Exclusion Criteria
* Liver failure
* Lapp lactase deficiency, malabsoprtion syndrome glucose / galactose
* Support long-term drug interacting with the CYP3A4
* Patients with indication against xylocaine adrenaline
* In the biopsy site: surgery, skin disease or local infection
* Immunosuppression innate or acquired
* Hypersensitivity to the active substance / excipient
* uncontrolled severe asthma
* Treatment with vitamin C or vitamin B3 in the four weeks preceding randomization
* Orthopaedic surgery of the lower limbs in the 6 months prior to randomization or planned
* Against indication xylocaine adrenaline
* Malfunction of the innate or acquired coagulation
18 Years
70 Years
MALE
No
Sponsors
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University Hospital, Strasbourg, France
OTHER
Responsible Party
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Principal Investigators
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Andoni Echaniz-Laguna, MD
Role: STUDY_DIRECTOR
University Hospital, Strasbourg, France
Nicolas Collongues, MD
Role: PRINCIPAL_INVESTIGATOR
University Hospital, Strasbourg, France
Locations
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Service d'Explorations et pathologies neuro- musculaires
Besançon, , France
Département de Neurologie
Dijon, , France
Département de Neurologie
Nancy, , France
Unité de pathologie neuro-musculaire
Paris, , France
Département de Neurologie Centre de Référence des Maladies Neuromusculaires Grand Est (CERNEST) Hôpital de Hautepierre
Strasbourg, , France
Countries
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Other Identifiers
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6100
Identifier Type: -
Identifier Source: org_study_id
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