Testing Miglustat Administration in Subjects With Spastic Paraplegia 11

NCT ID: NCT04768166

Last Updated: 2022-04-11

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-15

Study Completion Date

2021-09-15

Brief Summary

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Hereditary spastic paraparesis type 11 (SPG11) is caused by mutations in the SPG11 gene that produces spatacsin, a protein involved in lysosomal function. Studies performed in skin cells (fibroblasts) from SPG11 patients, mice and zebrafish models of the disease showed that the material accumulated in the lysosomes is made of glycosphingolipids (GSL).

Miglustat is a drug that inhibits an enzyme called glucosylceramide synthetase (GCS) which is used for the production of GSL. Miglustat, therefore, helps to delay the production of GSL. This study aims to collect preliminary data on the safety of miglustat on the SPG11 disease and to assess biomarkers.

Detailed Description

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We will analyze the safety of Miglustat

Conditions

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Hereditary Spastic Paraparesis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Evaluate the safety of Miglustat administration in subjects with Spastic Paraplegia 11

100 mg of Miglustat, 3 caps per day for first 4 weeks; 100 mg of Miglustat, 6 caps per day for 8 weeks

Group Type EXPERIMENTAL

Miglustat 100 MG

Intervention Type DRUG

100mg/TID in 4w then 200mg/TID in 8 w

Interventions

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Miglustat 100 MG

100mg/TID in 4w then 200mg/TID in 8 w

Intervention Type DRUG

Other Intervention Names

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Genorph

Eligibility Criteria

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Inclusion Criteria

* Written signed informed consent;
* Confirmed diagnosis of SPG11;
* Age \> 13 years;
* SPRS score ≥ 10 or ≤35;
* Use of effective contraceptive methods and the performance of pregnancy tests (only fertile subjects).

Exclusion Criteria

* Diagnosis of other concomitant neurodegenerative diseases;
* Outcomes of severe pre- or peri-natal suffering;
* Age ≤ 13 years;
* SPRS score ≥ 35 or ≤10;
* Hypersensitivity or intolerance to miglustat;
* Participation in other pharmacological studies within 30 days of the first Study visit (T0);
* The inability to take the drug;
* Any additional medical conditions;
* Subjects with severe renal impairment;
* Refusal to use effective contraceptive methods and the performance of pregnancy tests (only fertile subjects).
Minimum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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IRCCS Fondazione Stella Maris

OTHER

Sponsor Role lead

Responsible Party

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Filippo Maria Santorelli

Director Molecular Medicine, Neurogenetics and Neuromuscular Disorders

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Filippo M Santorelli, MD PhD

Role: PRINCIPAL_INVESTIGATOR

IRCCS Stella Maris

Locations

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IRCCS Fondazione Stella Maris

Pisa, PI, Italy

Site Status

Countries

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Italy

References

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Bellofatto M, De Michele G, Iovino A, Filla A, Santorelli FM. Management of Hereditary Spastic Paraplegia: A Systematic Review of the Literature. Front Neurol. 2019 Jan 22;10:3. doi: 10.3389/fneur.2019.00003. eCollection 2019.

Reference Type BACKGROUND
PMID: 30723448 (View on PubMed)

Boutry M, Branchu J, Lustremant C, Pujol C, Pernelle J, Matusiak R, Seyer A, Poirel M, Chu-Van E, Pierga A, Dobrenis K, Puech JP, Caillaud C, Durr A, Brice A, Colsch B, Mochel F, El Hachimi KH, Stevanin G, Darios F. Inhibition of Lysosome Membrane Recycling Causes Accumulation of Gangliosides that Contribute to Neurodegeneration. Cell Rep. 2018 Jun 26;23(13):3813-3826. doi: 10.1016/j.celrep.2018.05.098.

Reference Type BACKGROUND
PMID: 29949766 (View on PubMed)

Branchu J, Boutry M, Sourd L, Depp M, Leone C, Corriger A, Vallucci M, Esteves T, Matusiak R, Dumont M, Muriel MP, Santorelli FM, Brice A, El Hachimi KH, Stevanin G, Darios F. Loss of spatacsin function alters lysosomal lipid clearance leading to upper and lower motor neuron degeneration. Neurobiol Dis. 2017 Jun;102:21-37. doi: 10.1016/j.nbd.2017.02.007. Epub 2017 Feb 22.

Reference Type BACKGROUND
PMID: 28237315 (View on PubMed)

Lo Giudice T, Lombardi F, Santorelli FM, Kawarai T, Orlacchio A. Hereditary spastic paraplegia: clinical-genetic characteristics and evolving molecular mechanisms. Exp Neurol. 2014 Nov;261:518-39. doi: 10.1016/j.expneurol.2014.06.011. Epub 2014 Jun 20.

Reference Type BACKGROUND
PMID: 24954637 (View on PubMed)

Platt FM, Jeyakumar M, Andersson U, Heare T, Dwek RA, Butters TD. Substrate reduction therapy in mouse models of the glycosphingolipidoses. Philos Trans R Soc Lond B Biol Sci. 2003 May 29;358(1433):947-54. doi: 10.1098/rstb.2003.1279.

Reference Type BACKGROUND
PMID: 12803928 (View on PubMed)

Other Identifiers

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2019-002827-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

TreatSPG11

Identifier Type: -

Identifier Source: org_study_id

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