Clinical trial NCT04316637: Early Access Program With Arimoclomol in US Patients With NPC
Official title: Early Access Program With Arimoclomol for the Treatment of Niemann-Pick Disease Type C in the US
Study type: EXPANDED_ACCESS
Overall status: AVAILABLE
Conditions: Niemann-Pick Disease, Type C
Lead sponsor: ZevraDenmark
Sponsor class: INDUSTRY
First posted: 2020-03-20
Sex: ALL
Minimum age (years): 2
Standard ages: CHILD
ADULT
OLDER_ADULT

Brief summary: NPC is a rare, relentlessly progressive, neurological disease and associated with serious morbidity and shortened life expectancy.

The purpose of this Expanded Access Program is to provide early access to arimoclomol for patients with Niemann-Pick Type C disease who, in the opinion and the clinical judgement of the treating physician, may benefit from treatment with arimoclomol.

Participants will receive treatment with arimoclomol until their doctor finds it does not help them anymore, they withdraw, or the study is stopped for any reason.


Eligibility criteria: Inclusion Criteria:

* The patient has a confirmed diagnosis of NPC (NPC1 or NPC2)\* and at least one neurological symptom.
* The patient is two years of age or above.
* The patient is a permanent resident of US.
* If taking miglustat (Zavesca®), the patient must have been on the target dose for the past six weeks.
* If the patient is a sexually active female of child-bearing potential (post-menarche), it is agreed to use highly effective contraception during the EAP and until three weeks after the last dose of arimoclomol.
* Confirmed negative urine pregnancy test for sexually active female of child-bearing potential (post-menarche).
* All sexually active male patients with female partners of child-bearing potential (postmenarche) agree to use a condom in addition to the birth control used by their partners during treatment and until three weeks after the last dose of arimoclomol.
* If the patient has a history of seizures, the condition must be adequately controlled, i.e., the pattern of seizure activity must be stable, and the patient must be on a stable dose and regimen of antiepileptic medication during one month prior to screening.
* Patient or parent/guardian must provide written informed consent to participate in EAP.

  * In line with Patterson et al. 2017

Exclusion Criteria:

* Severe liver insufficiency.
* Renal insufficiency.
* The patient has a known or suspected allergy or intolerance to arimoclomol or its constituents.
* The patient is pregnant, planning to become pregnant (while on the EAP program) or is currently breastfeeding.
* The patient will undergo treatment with another investigational drug\*, whilst participating in the program or in the 4 weeks prior to commencing treatment with arimoclomol.
* The patient is either eligible and able to participate in or is currently participating in an active interventional clinical trial within the indication.
* The patient, in the opinion of the clinician, is unable to comply with the treatment or has a medical condition that would potentially increase the risk to the patient by participation.
* The patient has a medical condition which hinders the clinician's assessment of arimoclomol safety and efficacy (e.g. certain epileptic conditions or severe cataplexy).

  * Including unlicensed product provided under an Early Access Program or equivalent compassionate use programs

Primary outcomes:
Secondary outcomes:
Other outcomes:
Locations:
city: Birmingham
country: United States
facility: University of Alabama Birmingham
state: Alabama
city: Oakland
country: United States
facility: UCSF Benioff Children's Hospital and Research Center/ UCSF
state: California
city: Orange
country: United States
facility: Children's Hospital of Orange County (CHOC)
state: California
city: Miami
country: United States
facility: Nicklaus Children's Hospital
state: Florida
city: Chicago
country: United States
facility: Rush University Medical Center
state: Illinois
city: Boston
country: United States
facility: Boston Childrens Hospital
state: Massachusetts
city: Rochester
country: United States
facility: Mayo Clinic Children's Center
state: Minnesota
city: New York
country: United States
facility: New York University School of Medicine
state: New York
city: Cincinnati
country: United States
facility: Cincinnati Children's Hospital Medical Center (CCH)
state: Ohio
city: Philadelphia
country: United States
facility: Children's Hospital of Philadelphia
state: Pennsylvania
city: Pittsburgh
country: United States
facility: UPMC Children's Hospital of Pittsburgh
state: Pennsylvania
city: Austin
country: United States
facility: Dell Children's Medical Center
state: Texas
city: Houston
country: United States
facility: UT Health / McGovern Medical School; Division of Medical Genetics
state: Texas
Study officials:
References: