An Observational Study in Adult Patients With Non-dystrophic Myotonic Disorders

NCT ID: NCT04616807

Last Updated: 2025-07-25

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

ACTIVE_NOT_RECRUITING

Total Enrollment

53 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-12-17

Study Completion Date

2026-01-24

Brief Summary

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This is a non-interventional, prospective, observational, multicentre study to evaluate the long-term safety and effectiveness of Namuscla in adult patients with NDM.

Detailed Description

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This is a non-interventional, prospective, observational, multicentre study to evaluate the long-term safety and effectiveness of Namuscla in adult patients with NDM. Namuscla should be prescribed as per the approved Summary of Product Characteristics (SmPC).

Adult patients with non-dystrophic myotonic disorders who have been prescribed Namuscla by the treating physician, and who meet the eligibility criteria will be enrolled in this study.

This includes:

* Patients newly initiated on Namuscla for the treatment of NDM (newly exposed)
* Patients already on Namuscla/ mexiletine at enrolment - For patients receiving mexiletine other than Namuscla, only those who switch to Namuscla will be included in the study.

Patients already being treated with Namuscla/ mexiletine at the time of enrolment will be considered for enrolment provided they meet the eligibility criteria.

The study will be initiated at specialized centres for the treatment of myotonic disorders ("reference centres") in the United Kingdom (UK), France, and Germany, depending on availability of Namuscla in the specific country. Depending on the enrolment and marketing status (availability) of Namuscla in other countries in the EU, inclusion of additional sites in other countries will be considered.

The study population will comprise patients who are diagnosed with non-dystrophic myotonic disorders and considered suitable candidates for the treatment by Namuscla by the investigators according to the approved SmPC. Patients will be enrolled over an approximate 2-year enrolment period and will be followed-up on-treatment for up to 3 years. Each enrolled patient will be observed for 3 years or until discontinuation (if discontinued early).

For all enrolled patients, the baseline would be the latest data available at the enrolment visit.

For the patients already on Namuscla, cumulative data (data related previous exposure as well as current data) will be collected for adverse events (AEs) on Namuscla treatment.

No drug will be supplied for this study; patients will receive medicines through local standard practices. All evaluations and investigations during the study will be performed according to the routine clinical practices and discretion of the treating physician.

Conditions

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Myotonic Dystrophy

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Interventions

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Mexiletine

Observational Study

Intervention Type DRUG

Other Intervention Names

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Namuscla ™

Eligibility Criteria

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Inclusion Criteria

1. Adult, male or female patients with non-dystrophic myotonic disorders planned to be started on Namuscla according to the approved SmPC
2. Patients already receiving Namuscla/mexiletine for the treatment of NDM; (for patients on mexiletine other than Namuscla, only those who switch to Namuscla will be enrolled).
3. Patients who understand and are willing to provide informed consent.

Exclusion Criteria

1. Patients who are enrolled or participating in any other clinical trial for an investigational product. -
2. Hypersensitivity to mexiletine, or to any of the excipients of Namuscla, or hypersensitivity to any local anaesthetic
3. Ventricular tachyarrhythmia
4. Atrial tachyarrhythmia, fibrillation or flutter
5. Complete heart block (ie, third-degree atrioventricular block) or any heart block susceptible to evolve to complete heart block (first-degree atrioventricular block with markedly prolonged PR interval (≥ 240 ms) and/or wide QRS complex (≥ 120 ms), second-degree atrioventricular block, bundle branch block, bifascicular and trifascicular block),
6. Myocardial infarction (acute or past), or abnormal Q-waves
7. Symptomatic coronary artery disease
8. Heart failure with reduced ejection fraction \<50%
9. Sinus node dysfunction (including sinus rate \< 50 bpm)
10. Patients receiving drugs that can induce torsades de pointes
11. Patients receiving medicinal products with narrow therapeutic index (ie, theophylline, tizanidine, digoxin, lithium, phenytoin or warfarin)
12. Patients who are pregnant or lactating.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lupin Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hôpital Universitaire de La Pitié Salpêtrière

Paris, Cedex, France

Site Status

CHRU Lille

Lille, , France

Site Status

St. Josef-Hospital Klinikum der Ruhr Universitaet Bochum

Bochum, North Rhine-Westphalia, Germany

Site Status

Universitätsklinikum Ulm, Klinik für Neurologie

Ulm, , Germany

Site Status

Institute of Neurology

London, England, United Kingdom

Site Status

Nottingham University Hospitals NHS Trust

Nottingham, England, United Kingdom

Site Status

Countries

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France Germany United Kingdom

Other Identifiers

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LUP/MEX/2018/001

Identifier Type: -

Identifier Source: org_study_id

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