Safety, Tolerability and Pharmacokinetics of ERX-963 in Adults With Myotonic Dystrophy Type 1

NCT ID: NCT03959189

Last Updated: 2021-06-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-17

Study Completion Date

2020-04-30

Brief Summary

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Participants in this study will receive two treatments, placebo and ERX-963, on different days in a randomized fashion.

The primary purpose of this study is to investigate the safety and tolerability of ERX-963 in participants diagnosed with Myotonic Dystrophy, Type 1 (DM1).

The secondary purpose is to evaluate the potential of ERX-963 treatment to reduce excessive daytime sleepiness / hypersomnia and improve cognitive function in DM1 participants compared to placebo treatment.

Detailed Description

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This study is evaluating single administration of two dose levels of ERX-963 to explore the relationship between dose, safety, tolerability, exposure and clinical benefit. This is a multi-center, randomized, double-blind, placebo-controlled, two-treatment period crossover study in two cohorts of participants with DM1.

Participants who have consented and meet eligibility criteria will receive two treatments, placebo and ERX-963, in a randomized crossover fashion with a washout period between the treatments. On treatment days, participants will receive treatment followed by repeated blood collection for pharmacokinetic analysis and administration of a battery of outcome measures relevant to sleep and cognition.

Conditions

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Myotonic Dystrophy, Type 1 (DM1) Myotonic Dystrophy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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ERX-963 then placebo

Participants in this arm will receive ERX-963 followed by a washout period. After the washout period, participants will receive placebo.

Group Type EXPERIMENTAL

ERX-963

Intervention Type DRUG

Active medicine

Placebo then ERX-963

Participants in this arm will receive placebo followed by a washout period. After the washout period, participants will receive ERX-963.

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Comparator

Interventions

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ERX-963

Active medicine

Intervention Type DRUG

Placebo

Comparator

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 18 to 65 years of age
* DM1 defined by genetic testing or clinical-confirmation
* Epworth Sleepiness Scale (ESS) of \> 11 or participants who have long sleep periods of an average of \> 10 hours a day
* Age of onset of DM1 greater than 16 years

Exclusion Criteria

* Significant respiratory compromise
* Significant cardiac disease
* Diagnosis of symptomatic Restless Leg Syndrome or significant untreated nocturnal hypoxias
* Significant moderate to severe hepatic insufficiency
* Clinically active depression, anxiety, or other medical condition that, in the investigator's opinion, would interfere with the safety and efficacy assessments
* History of seizures
* History of panic disorders
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Expansion Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Elliot Ehrich, MD

Role: STUDY_DIRECTOR

Chief Medical Officer

Locations

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Stanford Neurosciences Health Center

Palo Alto, California, United States

Site Status

Sleep Medicine Specialists of South Florida

Miami, Florida, United States

Site Status

University of Iowa

Iowa City, Iowa, United States

Site Status

The Center for Sleep & Wake Disorders

Chevy Chase, Maryland, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://www.expansionrx.com/

Expansion Therapeutics Corporate Website

Other Identifiers

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ERX-963-001

Identifier Type: -

Identifier Source: org_study_id

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