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Duchenne Muscular Dystrophy (DMD)Phase 3SIDEROSNCT02814019

A Phase III Double-blind Study With Idebenone in Patients With Duchenne Muscular Dystrophy (DMD) Taking Glucocorticoid Steroids

A Phase 3 study testing Idebenone 150 mg film-coated tablets in people with Duchenne Muscular Dystrophy (DMD), run by Santhera Pharmaceuticals at 63 sites in 15 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of the study is to assess the efficacy of idebenone in delaying the loss of respiratory function in patients with DMD receiving concomitant glucocorticoid steroids Read more about this study

Who is it for?
Ages 10 years and older, men only
Conditions the study is for
Duchenne Muscular Dystrophy (DMD)
What is being tested?
Idebenone 150 mg film-coated tablets
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
255 participants
Where
63 sitesin 15 countries
Study dates
Sep 2016to 1 Dec 2020
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 10 years and older
  • Men only
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male patients with a 35% ≤ FVC ≤ 80% of predicted value at Screening and at Baseline and who, in the opinion of the investigator are in the respiratory function decline phase.
  • Minimum 10 years old at Screening.
  • Signed and dated Informed Consent Form.
  • Documented diagnosis of DMD (severe dystrophinopathy) and clinical features consistent of typical DMD at diagnosis (i.e. documented delayed motor skills and muscle weakness by age 5 years). DMD should be confirmed by mutation analysis in the dystrophin gene or by substantially reduced levels of dystrophin protein (i.e. absent or <5% of normal) on Western blot or immunostaining.
  • Chronic use of systemic glucocorticoid steroids for DMD related conditions continuously for at least 12 months prior to Baseline without any dose adjustments on a mg/kg basis in the last 6 months (only dose adjustments determined by weight changes are allowed).
  • Ability to provide reliable FVC values at Screening and Baseline, and reproducible within 15% (relative change) at Baseline compared to Screening.
  • Patients assessed by the Investigator as willing and able to comply with the requirements of the study, possess the required cognitive abilities and are able to swallow study medication.
  • Patients who prior to Screening have been immunized with 23-valent pneumococcal polysaccharide vaccine or any other pneumococcal polysaccharide vaccine as per national recommendations, as well as annually immunized with inactivated influenza vaccine.

Who cannot join

  • Symptomatic heart failure (defined as patients with structural heart disease, dyspnea, fatigue and impaired tolerance to exercise; Stage C by the ACCF/AHA guideline or NYHA Classes III-IV) and/or symptomatic ventricular arrhythmias.
  • Ongoing participation in any other therapeutic trial and/or intake of any investigational drug within 90 days prior to Baseline (only exception allowed is use of Deflazacort in the US as part of the Expanded Access Program, or any approved corticosteroid product in trial for regimen optimization, for which the patient met the inclusion criterion 5).
  • Ongoing exon-skipping therapy or read-through gene therapy for DMD; previous exon-skipping or read-through gene therapy is allowed if the stop date was more than 6 months prior to Screening.
  • Planned or expected spinal fusion surgery during the study period (as judged by the Investigator; i.e. due to rapidly progressing scoliosis), previous spinal fusion surgery is allowed if it took place more than 6 months prior to Screening.
  • Asthma, bronchitis/COPD, bronchiectasis, emphysema, pneumonia or presence of any other non-DMD respiratory illness that affects respiratory function.
  • Chronic use of beta2-agonists or any use of other bronchodilating/bronchoconstricting medication (inhaled steroids, sympathomimetics, anticholinergics, antihistamines); chronic use is defined as a daily intake for more than 14 days.
Show all 13Show fewer
  • Any bronchopulmonary illness that required treatment with antibiotics within 3 months prior to Screening.
  • Moderate or severe hepatic impairment (use as guidance Child-Pugh class B [7 to 9 points] or Child-Pugh class C [10 to 15 points] - see Appendix B) or severe renal impairment (eGFR <30 mL/min/1.73 m2).
  • Prior or ongoing medical condition or laboratory abnormality that in the Investigator's opinion may put the patient at significant risk may confound the study results or may interfere significantly with the patient's participation in the study.
  • Relevant history of or current drug or alcohol abuse, or use of any tobacco or marijuana products/smoking.
  • Known individual hypersensitivity to idebenone or to any of the ingredients or excipients of the study medication.
  • Daytime ventilator assistance (defined as use of any assisted ventilation while awake).
  • Note: Patients who suffer from a severe, unstable condition including (but not limited to) cancer, auto-immune diseases, hematological diseases, metabolic disorders or immunodeficiencies, and who are at risk of an aggravation unrelated to the study condition, can only be included in the study if accepted in writing by the Sponsor's Senior Clinical Research Physician.

Trial locations and contacts

63 sites in 15 countries.

63 sites in 15 countries

United States20 sites
  • Rare Disease Research

    Atlanta, Georgia, 30318

  • Johns Hopkins University

    Baltimore, Maryland, 21287

  • University of Alabama

    Birmingham, Alabama, 35233

  • Children's Hospital Boston

    Boston, Massachusetts, 02115

  • Neurosciences Institute, Neurology - Charlotte Carolinas Healthcare System

    Charlotte, North Carolina, 28207

  • Cincinnati Children's Hospital

    Cincinnati, Ohio, 45229-3039

  • MetroHealth Medical Center

    Cleveland, Ohio, 44109-1988

  • University of Kansas

    Fairway, Kansas, 66103

  • Cook Children's Medical Center

    Fort Worth, Texas, 76087

  • University of Iowa

    Iowa City, Iowa, 52242

  • Childrens Hospital of Los Angeles

    Los Angeles, California, 90027

  • David Geffen School of Medicine at UCLA

    Los Angeles, California, 90095

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104-1771

  • Phoenix Children's Hospital

    Phoenix, Arizona, 85016

  • University of Rochester Medical Center

    Rochester, New York, 14642

  • UC Davis Department of Physical Medicine and Rehabilitation

    Sacramento, California, 95817

  • Gillette Children's Specialty Healthcare

    Saint Paul, Minnesota, 55101

  • Loma Linda University Healthcare

    San Bernardino, California, 92354

  • Shriners Hospitals for Children-Tampa

    Tampa, Florida, 33612

  • Banner University of Arizona Medical Center

    Tucson, Arizona, 85724

Other trials in United States

Italy8 sites
  • Fondazione IRCCS Eugenio Medea

    Bosisio Parini, 23842

  • Istituto Giannina Gaslini

    Genova, 16147

  • Scientific Coordinator Nemo Sud Clinical Center

    Messina, 98125

  • Centro Clinico NEMO (NEuroMuscular Omnicentre), Niguarda Hospital

    Milan

  • Servizio di Cardiomiologia e Genetica Medica, AOU Università degli Studi della Campania "Luigi Vanvitelli"

    Naples, 80131

  • Reparto Di Neurologia dell'Osperdale Di Padova

    Padova, 35122

  • Dipartimento di Clinica Neurologica e Psichiatrica dell'Età Evolutiva della Fondazione IRCCS "C. Mondino" di Pavia

    Pavia, 27100

  • U.O.C. Neuropsichiatria Infantile

    Roma, 00168

Other trials in Italy

Germany7 sites
  • Universitätsmedizin Berlin Campus Virchow-Klinikum

    Berlin, 13353

  • Uniklinik Köln

    Cologne, 50937

  • Universitätsklinikum Essen

    Essen, 45147

  • Universitätsklinik Freiburg Zentrum für Kinderheilkunde und Jugendmedizin

    Freiburg im Breisgau

  • Universitätsklinikum Hamburg-Eppendorf, Klinik für Kinder- und Jugendmedizin

    Hamburg, 20246

  • Universitätsklinikum Heidelberg Zentrum für Kinder- und Jugendmedizin

    Heidelberg

  • Zentrum für neuromuskuläre Erkrankungen

    München

Other trials in Germany

United Kingdom7 sites
  • Leeds Teaching Hospital NHS Trust

    Leeds, LS1 3EX

  • UCL, National Hospital for Neurology and Neurosurgery

    London, WC1 3BG

  • Great Ormond Street Hospital for Children

    London, WC1N 3JH

  • John Walton Muscular Dystrophy Research Centre

    Newcastle

  • Robert Jones and Agnes Hunt Orthopaedic Hospital

    Oswestry, SY10 7AG

  • Oxford University hospitals NHS Foundation Trust

    Oxford, OX39DU

  • Royal Hallamshire Hospital

    Sheffield, S10 2JF

Other trials in United Kingdom

France5 sites
  • Service de neuropédiatrie Pôle Pédiatrie CHRU de Lille - Hôpital Jeanne de Flandre

    Lille, 59037

  • CHRU de Montpellier - Hôpital Gui de Chauliac

    Montpellier, 34295

  • Hôpital Hôtel Dieu

    Nantes, 44093

  • I-Motion - Plateforme d'essais cliniques pédiatriques Hôpital Armand Trousseau bâtiment Lemariey porte 20

    Paris

  • Hôpital des enfants

    Toulouse, 31059

Other trials in France

Spain5 sites
  • Hospital Sant Joan de Déu Neuropediatra

    Barcelona, 08950

  • Hospital Universitari Vall D' Hebron

    Barcelona, 8950

  • Hospital Universitario La Paz

    Madrid, 28046

  • Hospital Universitario Virgen del Rocio

    Seville, 41013

  • Hospital La Fe de Valencia

    Valencia, 106 46026

Other trials in Spain

Belgium2 sites
  • University Hospital Leuven

    Leuven, 3000

  • Centre de Référence Neuromusculaire, CHR Citadelle

    Liège, 4000

Other trials in Belgium

Netherlands2 sites
  • LUMC

    Leiden

  • Radboud university medical centre

    Nijmegen, 6500

Other trials in Netherlands

Austria1 site
  • Gottfried von Preyer'sches Kinderspital

    Vienna, 1100

Other trials in Austria

Bulgaria1 site
  • Sofia Medical University

    Sofia, 1431

Other trials in Bulgaria

Hungary1 site
  • Semmelweis University 2nd Department of Paediatrics

    Budapest

Other trials in Hungary

Ireland1 site
  • Children's University Hospital

    Dublin, 1

Other trials in Ireland

Israel1 site
  • Institute of Neurology at Schneider Children's Medical Center of Israel

    Petah Tikva, 4920235

Other trials in Israel

Sweden1 site
  • Sahlgrenska University Hospital

    Gothenburg

Other trials in Sweden

Switzerland1 site
  • Center for neuromuscular disorders, Universitäts-Kinderspital beider Basel (UKBB)

    Basel, 4301

Other trials in Switzerland

About this study

Official title: A Phase III Double-blind, Randomized, Placebo-Controlled Study Assessing the Efficacy, Safety and Tolerability of Idebenone in Patients With Duchenne Muscular Dystrophy Receiving Glucocorticoid Steroids

The purpose of the study is to assess the efficacy of idebenone in delaying the loss of respiratory function in patients with DMD receiving concomitant glucocorticoid steroids

Read the detailed description

The SIDEROS trial is a randomized, placebo controlled, parallel group study of the efficacy of idebenone in delaying the loss of respiratory function, whilst also monitoring safety and tolerability of idebenone in at least 266 DMD patients taking stable dose of concomitant glucocorticoid steroids.

The study treatment period will be 18 months/ 78 weeks and the idebenone dose will be 900 mg/day. Participants can use deflazacort or prednisolone and be on any dose regimen.

Since glucocorticoid steroids are widely used in ambulant boys from an early age until late into teenage and even adult years, this study will not take age and ambulatory status into account and will only exclude patients that need daytime ventilator assistance.

The schedule of assessments will include a Screening Visit and up to 9 protocol visits, including a Follow-up Visit.

A Screening Visit will take place a maximum of 4 weeks prior to the Baseline Visit (Visit 1, study day -1). Beginning at Baseline, the patient will receive study medication to be taken at home, and will undergo regular assessments in the clinic throughout the study period until Visit 8 at Week 78 at which time the study will be completed and medication discontinued.

All patients completing Visit 8/Week 78, and considered eligible by the Investigator will be able to participate in an open-label extension study (SIDEROS-E) and will continue to receive idebenone until idebenone is commercially available for patients included in the study or SIDEROS-E is terminated by the Sponsor, whichever occurs first. The duration of the SIDEROS-E study will be defined in a separate protocol.

For all patients not participating in the extension study (SIDEROS-E), a Follow-up Visit (Visit 9/Follow-up Visit) will take place 4 weeks after end of Treatment at Visit 8/Week 78 or after premature discontinuation of study medication.

Each hospital visit will include efficacy assessments (respiratory function assessed by hospital-based spirometry, oxygen saturation, end-tidal CO2) and safety assessments (adverse events, concomitant medication, physical examination, vital signs, safety laboratory evaluations). In addition, respiratory function will be assessed weekly at home with a hand-held device in order to closely monitor respiratory function between hospital visits.

The study medication, all medical procedures and laboratory testing, and the visits to the study centre are free of charge. In addition the patients will receive a travel allowance to cover reasonable expenses to and from the study centre. Participants will not otherwise be compensated for this study.

Being tested
Idebenone 150 mg film-coated tablets, placebo
Keywords
respiratory function in DMD
Medical subject headings
Muscular Dystrophy, Duchenne

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Idebenone 150 mg film-coated tabletsDrug

  • placeboDrug

Study groups in NCT02814019
Study groupRoleWhat they receive
idebenone 150 mg film-coated tabletsExperimental900 mg idebenone/day (2 tablets to be taken 3 times a day with meals)
Receives: Drug: Idebenone 150 mg film-coated tablets
placeboPlacebo comparatormatching placebo tablets
Receives: Drug: placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Forced Vital Capacity percent predicted (FVC %p) at Week 78

    Delaying the loss of respiratory function in patients with DMD receiving glucocorticoid steroids as measured by changes in FVC %p from Baseline to Week 78 using hospital based spirometry.

    Measured: 78 weeks

Secondary outcomes (3)
  1. Change From Baseline in Percent Predicted Peak Expiratory Flow (PEF %p) at Week 78

    Delaying the loss of respiratory function in patients with DMD receiving glucocorticoid steroids as measured by:

    •The change from Baseline to Week 78 in PEF %p assessed by hospital-based spirometry measurements

    Measured: 78 weeks

  2. Change From Baseline in Forced Vital Capacity (FVC) at Week 78

    Delaying the loss of respiratory function in patients with DMD receiving glucocorticoid steroids as measured by:

    •The time to first 10% decline in FVC (L) during the 78-week treatment period, assessed by hospital-based spirometry measurements

    Measured: 78 weeks

  3. Change from Baseline in Inspiratory Flow Reserve (IFR) at Week 78

    Delaying the loss of respiratory function in patients with DMD receiving glucocorticoid steroids as measured by:

    •The change from Baseline to Week 78 in IFR assessed by hospital-based spirometry measurements

    Measured: 78 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jun 2016 (estimated)
  2. Study startSep 2016
  3. Primary completion1 Dec 2020
  4. Study completion1 Dec 2020

Why it stopped: Interim analysis concluded to futility

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
255 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02814019
Sponsor's protocol ID
SNT-III-012
Acronym
SIDEROS
Status last verified
Nov 2021
First submitted
17 Jun 2016
Last updated
3 Dec 2021
Results posted
No

Publications

  • Buyse GM, Voit T, Schara U, Straathof CSM, D'Angelo MG, Bernert G, Cuisset JM, Finkel RS, Goemans N, McDonald CM, Rummey C, Meier T; DELOS Study Group. Efficacy of idebenone on respiratory function in patients with Duchenne muscular dystrophy not using glucocorticoids (DELOS): a double-blind randomised placebo-controlled phase 3 trial. Lancet. 2015 May 2;385(9979):1748-1757. doi: 10.1016/S0140-6736(15)60025-3. Epub 2015 Apr 20.

    PubMed 25907158
  • McDonald CM, Meier T, Voit T, Schara U, Straathof CS, D'Angelo MG, Bernert G, Cuisset JM, Finkel RS, Goemans N, Rummey C, Leinonen M, Spagnolo P, Buyse GM; DELOS Study Group. Idebenone reduces respiratory complications in patients with Duchenne muscular dystrophy. Neuromuscul Disord. 2016 Aug;26(8):473-80. doi: 10.1016/j.nmd.2016.05.008. Epub 2016 May 12.

    PubMed 27238057
  • Buyse GM, Voit T, Schara U, Straathof CS, D'Angelo MG, Bernert G, Cuisset JM, Finkel RS, Goemans N, Rummey C, Leinonen M, Mayer OH, Spagnolo P, Meier T, McDonald CM; DELOS Study Group. Treatment effect of idebenone on inspiratory function in patients with Duchenne muscular dystrophy. Pediatr Pulmonol. 2017 Apr;52(4):508-515. doi: 10.1002/ppul.23547. Epub 2016 Aug 29.

    PubMed 27571420

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Idebenone 150 mg film-coated tablets in people with Duchenne Muscular Dystrophy (DMD), run by Santhera Pharmaceuticals at 63 sites in 15 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 3 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 63 sites in United States, Italy, Germany, United Kingdom, France and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: Interim analysis concluded to futility). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Forced Vital Capacity percent predicted (FVC %p) at Week 78 (time frame: 78 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02814019, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Dec 2021.

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