Ulipristal Acetate In Disease Charcot-Marie-Tooth Type of 1A

NCT ID: NCT02600286

Last Updated: 2022-07-25

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

23 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-23

Study Completion Date

2017-11-02

Brief Summary

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The disease Charcot-Marie-Tooth disease type 1A (CMT1A) is the most common inherited peripheral neuropathy, for which no treatment has proved its effectiveness. It is autosomal dominant, associated with a duplication of the chromosome 17p11.2 region which leads to overexpression of the gene and the protein-peripheral myelin protein-22 (PMP22), a major component of peripheral myelin.

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.

Detailed Description

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Conditions

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CMT1A

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

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.

Group Type EXPERIMENTAL

EllaOne

Intervention Type DRUG

* 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

Intervention Type DRUG

* 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.

Group Type EXPERIMENTAL

EllaOne

Intervention Type DRUG

* 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

Intervention Type DRUG

* 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.

Group Type EXPERIMENTAL

EllaOne

Intervention Type DRUG

* 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

Intervention Type DRUG

* 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.

Intervention Type DRUG

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.

Intervention Type DRUG

Other Intervention Names

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1: Experimental 2: Experimental 3: Experimental 1: Experimental 2: Experimental 3: Experimental

Eligibility Criteria

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Inclusion Criteria

* Male 18-70 years
* 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

* Another cause of neuropathy: Chronic alcohol intoxication, chemotherapy, diabetes, kidney failure, monoclonal gammopathy, cryoglobulin, B12 deficiency, hepatitis B / C, HIV, Lyme or poliomyelitis
* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Strasbourg, France

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status

Département de Neurologie

Dijon, , France

Site Status

Département de Neurologie

Nancy, , France

Site Status

Unité de pathologie neuro-musculaire

Paris, , France

Site Status

Département de Neurologie Centre de Référence des Maladies Neuromusculaires Grand Est (CERNEST) Hôpital de Hautepierre

Strasbourg, , France

Site Status

Countries

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France

Other Identifiers

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6100

Identifier Type: -

Identifier Source: org_study_id

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