5 Participants Needed

Vatiquinone for Friedreich Ataxia

PA
Overseen ByPatient Advocacy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called vatiquinone for young children with Friedreich ataxia, a rare genetic disorder affecting movement and coordination. The study aims to understand how the body processes the drug and to assess its safety. Children with a confirmed diagnosis of Friedreich ataxia who can avoid certain medications and foods, such as grapefruit, may be suitable for this trial. Participants will take an oral solution of vatiquinone three times a day for about 72 weeks. As a Phase 2 trial, this research focuses on measuring the treatment's effectiveness in an initial, smaller group, offering participants a chance to contribute to important advancements in care.

Will I have to stop taking my current medications?

You will need to stop taking anticoagulants, aspirin, and strong CYP3A4 inducers/inhibitors at least 30 days before the study and during the study. Also, you cannot use interventional CoQ10, vitamin E, or any medication for Friedreich ataxia 30 days before the study.

Is there any evidence suggesting that vatiquinone is likely to be safe for humans?

Research has shown that vatiquinone is generally safe and well tolerated. Studies have found that people of all ages taking vatiquinone did not experience more side effects than those taking a placebo (a pill with no active ingredients). No major differences in unwanted effects appeared between the two groups, suggesting that vatiquinone is unlikely to cause harmful side effects.12345

Why do researchers think this study treatment might be promising?

Unlike the standard treatments for Friedreich Ataxia, which primarily focus on managing symptoms, Vatiquinone offers a new approach by targeting the underlying oxidative stress associated with the disease. Researchers are excited about Vatiquinone because it is a small molecule that works by inhibiting an enzyme called 15-lipoxygenase, potentially reducing oxidative damage in nerve cells. This could lead to better outcomes for patients by addressing the root cause rather than just alleviating symptoms, offering a glimmer of hope for more effective management of this challenging condition.

What evidence suggests that vatiquinone might be an effective treatment for Friedreich ataxia?

Research has shown that vatiquinone, the investigational treatment in this trial, may help treat Friedreich ataxia, a rare genetic disorder affecting the nervous system and movement. In studies with adults, those treated with vatiquinone improved by 4.8 points on a scale measuring symptom severity after 24 weeks. Patients also reported feeling less tired, as measured by a fatigue scale. These findings suggest that vatiquinone could offer real benefits for people with Friedreich ataxia. However, more research is needed to confirm its effectiveness, especially in younger patients.23567

Are You a Good Fit for This Trial?

This trial is for children under 7 with Friedreich ataxia, confirmed by genetic testing. They must be able to take vatiquinone orally with food and avoid certain medications like anticoagulants, aspirin, and strong CYP3A4 inducers/inhibitors for specific periods before and during the study.

Inclusion Criteria

I can stop taking blood thinners and aspirin for 30 days before and during the study, as advised by my doctor.
I can avoid certain medications and products like grapefruit for 30 days before and during the study.
I can take vatiquinone oral solution with food.
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Exclusion Criteria

I haven't taken CoQ10, vitamin E, or any FA medication in the last 30 days.
Your heart's pumping ability is less than 50%.
Participation in any other interventional clinical trial or receipt of any study drug in any other clinical trial within 60 days prior to the Baseline Visit. Participants may be rescreened after the exclusionary period of 60 days has passed
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive vatiquinone orally 3 times a day for 72 weeks

72 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Vatiquinone
Trial Overview The trial is studying vatiquinone in young participants with Friedreich ataxia. It aims to understand how the body processes the drug (pharmacokinetics) and evaluate its safety when administered alongside a meal.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: VatiquinoneExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

PTC Therapeutics

Lead Sponsor

Trials
75
Recruited
6,300+

Dr. Matthew B. Klein

PTC Therapeutics

Chief Executive Officer since 2023

BA from the University of Pennsylvania, MD from Yale University School of Medicine, MS in Epidemiology from the University of Washington School of Public Health

Dr. Stuart W. Peltz

PTC Therapeutics

Chief Medical Officer since 2023

MD from Harvard Medical School

Citations

FDA Denies Approval for Friedreich Ataxia Agent ...Vatiquinone was considered more effective in the open-label study of adults with FA. After 24 weeks of treatment with the therapy, participants ...
FDA Issues CRL for Vatiquinone in Friedreich Ataxia ...Also, in an open-label study of adults, vatiquinone treatment was associated with a 4.8-point mFARS benefit at 24 weeks compared with natural ...
Vatiquinone (PTC-743)There was significant improvement in the patient reported outcome measure of fatigue, the Modified Fatigue Scale (nominal p value of 0.025). The vatiquinone ...
Safety and Efficacy of Vatiquinone Treatment in Friedreich ...Vatiquinone treatment resulted in a clinically meaningful and statistically significant treatment effect on the USS, a sensitive and predictive endpoint for ...
PTC Therapeutics Receives Complete Response Letter for ..."We believe the data collected to date demonstrate that vatiquinone could provide a safe and effective therapy for both children and adults ...
NCT05515536 | A Study to Assess the Safety and Efficacy ...The primary objective of this study is to assess the long-term safety of vatiquinone in participants with Friedreich ataxia (FA) previously exposed to ...
PTC Therapeutics Announces Vatiquinone NDA Submission ...In addition, these studies demonstrate that vatiquinone is safe and well tolerated in all age groups studied. The vatiquinone NDA is the fourth ...
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