Study to Evaluate Efficacy, Safety, and Tolerability of MT-7117 in Subjects With Erythropoietic Protoporphyria

NCT ID: NCT03520036

Last Updated: 2025-12-31

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-05

Study Completion Date

2019-09-28

Brief Summary

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The purpose of this study is to investigate the efficacy and safety of MT-7117 on sunlight exposure duration without symptoms and tolerance in subjects with EPP.

Detailed Description

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This is a Phase 2, randomized, double-blind, placebo controlled study to assess the efficacy, tolerability, and safety of MT-7117 in subjects with EPP. The study consists of a 2 week screening period, a 16 week double-blind treatment period, and a 6 week follow-up period at Week 22. The total participation period is approximately 24 weeks.

Conditions

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Erythropoietic Protoporphyria (EPP)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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MT-7117 low dose

Group Type EXPERIMENTAL

MT-7117 low dose

Intervention Type DRUG

MT-7117 low dose QD, oral, 16 weeks

MT-7117 high dose

Group Type EXPERIMENTAL

MT-7117 high dose

Intervention Type DRUG

MT-7117 high dose QD, oral, 16 weeks

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo QD, oral, 16 weeks

Interventions

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MT-7117 low dose

MT-7117 low dose QD, oral, 16 weeks

Intervention Type DRUG

MT-7117 high dose

MT-7117 high dose QD, oral, 16 weeks

Intervention Type DRUG

Placebo

Placebo QD, oral, 16 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 1\. Subjects provided written informed consent to participate.
* 2\. Male and female subjects with a confirmed diagnosis of EPP based on medical history, aged 18 years to 75 years, inclusive, at Screening.
* 3\. Subjects are willing and able to travel to the study sites for all scheduled visits.
* 4\. In the Investigator's opinion, subject is able to understand the nature of the study and any risks involved in participation, and willing to cooperate and comply with the protocol restrictions and requirements (including travel).

Exclusion Criteria

* 1\. History or presence of photodermatoses other than EPP.
* 2\. Subjects who are unwilling or unable to go outside during daylight hours (e.g., between 1 hour post sunrise and 1 hour pre-sunset) during the study.
* 3\. Presence of clinically significant hepatobiliary disease based on LFT values at Screening.
* 4\. Subjects with AST, ALT, ALP ≥3.0 × upper limit of normal (ULN) or total bilirubin \>1.5 × ULN at Screening.
* 5\. Subjects with or having a history (in the last 2 years) of excessive alcohol intake in the opinion of the Investigator.
* 6\. History or presence of melanoma and/or atypical nevus at Screening.
* 7\. History of familial melanoma (defined as having 2 or more first-degree relatives, such as parents, sibling and/or child).
* 8\. History or presence of pre-malignant skin lesion squamous cell carcinoma, basal cell carcinoma, or other malignant skin lesions.
* 9\. History or presence of psychiatric disease judged to be clinically significant by the Investigator and which may interfere with the study evaluation and/or safety of the subjects.
* 10\. Presence of clinically significant acute or chronic renal disease based upon the subject's medical records including hemodialysis; and a serum creatinine level of greater than 1.2 mg/dL or a glomerular filtration rate (GFR) \<60 ml/min.
* 11\. Presence of any clinically significant disease or laboratory abnormality which, in the opinion of the Investigator, can interfere with the study objectives and/or safety of the subjects.
* 12\. Pregnancy or lactation.
* 13\. Females of child bearing potential and male subjects with partners of child-bearing potential unwilling to use adequate contraception measures as described in the protocol.
* 14\. Treatment with phototherapy within 3 months before Randomization (Visit 2).
* 15\. Treatment with afamelanotide within 3 months before Randomization (Visit 2).
* 16\. Treatment with cimetidine within 4 weeks before Randomization (Visit 2).
* 17\. Treatment with antioxidant agents at doses which, in the opinion of the Investigator, may affect study endpoints (including but not limited to beta-carotene, cysteine, pyridoxine) within 4 weeks before Randomization (Visit 2).
* 18\. Chronic treatment with prescription-based analgesic agents including but not limited to opioids and opioid derivatives such as morphine, hydrocodone, oxycodone or their combination with other analgesics or non-steroidal anti-inflammatory drug (NSAID, as Percocet and Vicodin-like prescription drugs) within 4 weeks before Randomization (Visit 2).
* 19\. Treatment with any drugs or supplements which, in the opinion of the Investigator, can interfere with the objectives of the study or safety of the subjects.
* 20\. Previous exposure to MT 7117.
* 21\. Previous treatment with any investigational agent within 12 weeks before Screening OR 5 half-lives of the investigational product (whichever is longer).
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tanabe Pharma America, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Head of Medical Science

Role: STUDY_DIRECTOR

Tanabe Pharma America, Inc.

Locations

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ACTCA, A Member of the Alliance, Inc.

Los Angeles, California, United States

Site Status

University of California at San Francisco

San Francisco, California, United States

Site Status

University of Miami Miller School of Medicine

Miami, Florida, United States

Site Status

Metro Boston Clinical Partners, LLC

Brighton, Massachusetts, United States

Site Status

Ichan School of Medicine at Mount Sinai

New York, New York, United States

Site Status

Wake Forest Baptist Medical Center

Winston-Salem, North Carolina, United States

Site Status

Remington-Davis, Inc

Columbus, Ohio, United States

Site Status

University of Texas Medical Branch Porphyria Center

Galveston, Texas, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

Countries

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United States

References

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Balwani M, Bonkovsky HL, Levy C, Anderson KE, Bissell DM, Parker C, Takahashi F, Desnick RJ, Belongie K; Endeavor Investigators. Dersimelagon in Erythropoietic Protoporphyrias. N Engl J Med. 2023 Apr 13;388(15):1376-1385. doi: 10.1056/NEJMoa2208754.

Reference Type RESULT
PMID: 37043653 (View on PubMed)

Ogasawara A, Ide R, Inoue S, Tsuda M, Teng R. Assessment of Potential Drug-Drug Interactions for Novel Oral Melanocortin-1 Receptor Agonist Dersimelagon. Pharmacol Res Perspect. 2025 Feb;13(1):e70069. doi: 10.1002/prp2.70069.

Reference Type DERIVED
PMID: 39887900 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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MT-7117-A01

Identifier Type: -

Identifier Source: org_study_id