Phase 3 Study of Ataluren in Participants With Nonsense Mutation Duchenne Muscular Dystrophy (nmDMD) (ACT DMD)
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ClinicalTrials.gov Identifier: NCT01826487 |
Recruitment Status :
Completed
First Posted : April 8, 2013
Results First Posted : August 4, 2020
Last Update Posted : August 4, 2020
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Sponsor:
PTC Therapeutics
Information provided by (Responsible Party):
PTC Therapeutics
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
Conditions |
Muscular Dystrophy, Duchenne Muscular Dystrophies Muscular Disorders, Atrophic Muscular Diseases Musculoskeletal Diseases Neuromuscular Diseases Nervous System Diseases Genetic Diseases, X-Linked Genetic Diseases, Inborn |
Interventions |
Drug: Ataluren Drug: Placebo |
Enrollment | 230 |
Participant Flow
Recruitment Details | A total of 291 participants were screened for eligibility, of which 61 participants did not meet entry criteria. |
Pre-assignment Details | A total of 230 eligible participants were randomized in 1:1 ratio to receive either placebo or ataluren. 2 participants, 1 in each treatment arm, were excluded from intent-to-treat (ITT) population; as they did not have at least 1 valid post-baseline 6-minute walk distance (6MWD) value, a requirement for inclusion in ITT population. |
Arm/Group Title | Placebo | Ataluren |
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Arm/Group Description | Participants received placebo matched to ataluren orally 3 times a day (TID) at morning, midday, and evening for 48 weeks. | Participants received ataluren suspension orally TID, 10 milligrams/kilogram (mg/kg) at morning, 10 mg/kg at midday, and 20 mg/kg at evening (total daily dose 40 mg/kg) for 48 weeks. |
Period Title: Overall Study | ||
Started | 115 | 115 |
As-treated Population [1] | 115 | 115 |
ITT Population [2] | 114 | 114 |
Completed | 111 | 110 |
Not Completed | 4 | 5 |
Reason Not Completed | ||
Adverse Event | 1 | 1 |
Lost to Follow-up | 1 | 0 |
Withdrawal by Subject | 1 | 3 |
Protocol Violation | 1 | 1 |
[1]
All Randomized participants who received any study treatment.
[2]
Received any study treatment; had a valid baseline, and at least 1 valid post-baseline 6MWD value.
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Baseline Characteristics
Arm/Group Title | Placebo | Ataluren | Total | |
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Arm/Group Description | Participants received placebo matched to ataluren orally TID at morning, midday, and evening for 48 weeks. | Participants received ataluren suspension orally TID, 10 mg/kg at morning, 10 mg/kg at midday, and 20 mg/kg at evening (total daily dose 40 mg/kg) for 48 weeks. | Total of all reporting groups | |
Overall Number of Baseline Participants | 115 | 115 | 230 | |
Baseline Analysis Population Description |
As-treated population included all randomized participants who actually received any study treatment.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 115 participants | 115 participants | 230 participants | |
9.0 (1.65) | 8.9 (1.79) | 8.9 (1.72) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 115 participants | 115 participants | 230 participants | |
Female |
0 0.0%
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0 0.0%
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0 0.0%
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Male |
115 100.0%
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115 100.0%
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230 100.0%
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6 Minute Walk Distance (6MWD)
[1] Mean (Standard Deviation) Unit of measure: Meters |
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Number Analyzed | 115 participants | 115 participants | 230 participants | |
362.69 (81.424) | 364.04 (73.342) | 363.36 (77.322) | ||
[1]
Measure Description: The 6-minute walk distance (6MWD) test is a non-encouraged test performed in a 30 meters long flat corridor, where the participant is instructed to walk as far as possible, back and forth around two cones, with the permission to slow down, rest, or stop if needed. Ambulation was assessed via the 6MWD test following standardized procedures by measuring the 6MWD in meters. Participants were not permitted to use assistive devices (walker, long leg braces, or short leg braces) during the 6MWD test.
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Time to Walk/Run 10 Meters
Mean (Standard Deviation) Unit of measure: Seconds |
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Number Analyzed | 115 participants | 115 participants | 230 participants | |
6.83 (2.924) | 6.66 (3.078) | 6.75 (2.996) | ||
Time to Climb 4 Stairs
[1] Mean (Standard Deviation) Unit of measure: Seconds |
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Number Analyzed | 112 participants | 112 participants | 224 participants | |
6.76 (7.287) | 5.99 (5.347) | 6.38 (6.389) | ||
[1]
Measure Analysis Population Description: 'Number analyzed' signifies participants of as-treated population analyzed for this parameter.
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Time to Descend 4 Stairs
[1] Mean (Standard Deviation) Unit of measure: Seconds |
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Number Analyzed | 109 participants | 112 participants | 221 participants | |
5.05 (5.362) | 5.07 (5.157) | 5.06 (5.247) | ||
[1]
Measure Analysis Population Description: 'Number analyzed' signifies participants of as-treated population analyzed for this parameter.
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Physical Function Total Score as Measured by North Star Ambulatory Assessment (NSAA)
[1] [2] Mean (Standard Deviation) Unit of measure: Units on a scale |
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Number Analyzed | 114 participants | 114 participants | 228 participants | |
60.2 (18.37) | 60.9 (17.97) | 60.6 (18.14) | ||
[1]
Measure Description: NSAA comprised tests of 17 abilities, such as ability to stand, rise from floor, get from lying to sitting, get from sitting to standing, raise one's head, stand on one's heels, hop, jump, and run. For each activity, a score of 0, 1, or 2 was recorded, with 0 = "unable to achieve independently," 1 = "modified method but achieves goal independent of physical assistance from another," or 2 = "normal- achieves goal without any assistance." Sum of these 17 scores was reported as ordinal total score, which can be transformed to a linear total score from 0 (worst) to 100 (best).
[2]
Measure Analysis Population Description: Intent-to-treat (ITT) population included all participants who were randomized and received any study treatment; and had a valid baseline, and at least one valid post-baseline 6MWD value.
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Baseline 6MWT
[1] Measure Type: Count of Participants Unit of measure: Participants |
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<300 meters | Number Analyzed | 115 participants | 115 participants | 230 participants |
22 19.1%
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25 21.7%
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47 20.4%
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>=300 to <400 meters | Number Analyzed | 115 participants | 115 participants | 230 participants |
52 45.2%
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47 40.9%
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99 43.0%
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>=400 meters | Number Analyzed | 115 participants | 115 participants | 230 participants |
41 35.7%
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43 37.4%
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84 36.5%
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[1]
Measure Description: The 6MWD test is a non-encouraged test performed in a 30 meters long flat corridor, where the participant is instructed to walk as far as possible, back and forth around two cones, with the permission to slow down, rest, or stop if needed. Ambulation was assessed via the 6MWD test following standardized procedures by measuring the 6MWD in meters. Participants were not permitted to use assistive devices (walker, long leg braces, or short leg braces) during the 6MWD test.
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Pediatric Outcomes Data Collection Instrument (PODCI) Scores
[1] [2] Mean (Standard Deviation) Unit of measure: Units on a scale |
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Transfers/Basic Mobility Score | Number Analyzed | 114 participants | 114 participants | 228 participants |
81.4 (15.79) | 83.9 (13.10) | 82.7 (14.53) | ||
Sports/Physical Functioning Score | Number Analyzed | 114 participants | 114 participants | 228 participants |
56.0 (20.94) | 56.2 (18.94) | 56.1 (19.92) | ||
[1]
Measure Description: PODCI includes a Global Functioning Scale and 5 core scales: Upper Extremity & Physical Function,Transfer/Basic Mobility, Sports/Physical Functioning, Pain/Comfort,and Happiness. Following PODCI domains were prespecified in protocol for analysis:Transfers/Basic Mobility domain assesses difficulty experienced in performing routine motor activities in daily life. Sports/Physical Functioning domain assesses difficulty encountered in participating in more active recreational activities. Each domain was scored from 0 (poor outcome/worse health) to 100(the highest level of functioning & least pain).
[2]
Measure Analysis Population Description: ITT population included all participants who were randomized and received any study treatment; and had a valid baseline, and at least one valid post-baseline 6MWD value.
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
The Sponsor can review results and/or communications prior to public release and can embargo communications regarding trial results for a period that is up to 180 days from the time submitted to the sponsor for review. The sponsor may consult with the PI to require changes to the communication or extend the embargo.
Results Point of Contact
Name/Title: | Patient Advocacy |
Organization: | PTC Therapeutics, Inc. |
Phone: | 1-866-562-4620 |
EMail: | medinfo@ptcbio.com |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | PTC Therapeutics |
ClinicalTrials.gov Identifier: | NCT01826487 |
Other Study ID Numbers: |
PTC124-GD-020-DMD 2012-004527-20 ( EudraCT Number ) |
First Submitted: | March 26, 2013 |
First Posted: | April 8, 2013 |
Results First Submitted: | July 17, 2020 |
Results First Posted: | August 4, 2020 |
Last Update Posted: | August 4, 2020 |