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Spinocerebellar Ataxia 27B (SCA27B)Phase 3TREAT-FGF14NCT07185347

A Randomized, Parallel-arm, Double Blind, Placebo-controlled Study to Assess the Efficacy of Fampridine for Patients With Spinocerebellar Ataxia SCA27B Caused by a GAA Expansion in the FGF14 Gene

A Phase 3 study testing Fampridine 10 mg prolonged-release tablet (per os) in people with Spinocerebellar Ataxia 27B (SCA27B), run by Assistance Publique - Hôpitaux de Paris at 9 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Spinocerebellar ataxias 27B (SCA27B) is caused by an expansion of ≥ 250 GAA triplets in the FGF14 gene and accounts for 15% of cerebellar ataxias (around 500 patients in France). It is a late-onset form often presenting paroxysmal episodes of ataxia and/or diplopia. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Spinocerebellar Ataxia 27B (SCA27B)
What is being tested?
Fampridine 10 mg prolonged-release tablet (per os)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
70 participants
Where
9 sitesFrance
Study dates
21 Oct 2025to 21 May 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Genetic diagnosis of spinocerebellar ataxia SCA27B caused by an expansion ≥ 250 GAA repeats in the FGF14 gene
  • At least 18 years of age
  • SARA total score > 3 and score ≥ 1 on the "gait" item of the SARA scale.
  • Physically able and expected to complete the trial as designed and having the ability to take oral medication
  • Signature of informed consent
  • Covered by social security

Who cannot join

  • Hypersensitivity to fampridine
  • Hypersensitivity to any excipients present in fampridine
  • Serious systemic illnesses or conditions known for enhancing the side-effects of fampridine (i.e., creatinine clearance < 50 ml/min, hepatic insufficiency, medically significant heart conduction disorders such as occurrence of torsades de pointes or another severe ventricular arrhythmia, high-degree atrioventricular block (Mobitz II or complete), Brugada pattern, QTcF time of >480 msec in 3 consecutive ECG recordings taken at least 5 minutes apart, uncompensated cardiovascular disorder, epilepsy)
  • Unstable, clinically significant neurologic (other than the disease being studied; eg, recurrent strokes), psychiatric, cardiovascular (eg, pulmonary arterial hypertension, cardiac valvulopathy, orthostatic hypotension/tachycardia), pulmonary, hepatic, renal, metabolic, gastrointestinal, urologic, immunologic, hematopoietic, or endocrine disease or other abnormality which may impact the ability of the participant to participate or potentially confound the study results.
  • Patients with known recurrent, active, or chronic infections.
  • Patients with prior history of seizure.
Show all 17Show fewer
  • Concurrent treatment with other medicinal products containing fampridine (4-aminopyridine).
  • Concomitant use of Fampyra with medicinal products that are inhibitors or substrates of Organic Cation Transporter 2 (OCT2) for example, cimetidine.
  • Participation in another clinical trial with an investigational drug or receipt of an investigational product within 12 weeks or 5 times the half-life of the product (whichever is longer) prior to Baseline visit
  • Previous treatment with fampridine
  • Patients considered at risk of suicidal behavior based on the Columbia-Suicide Severity Rating Scale (C-SSRS), defined as reporting suicidal ideation with intent to act (C-SSRS items 4 or 5) within the 6 months prior to randomization, or any suicidal behavior (including actual, aborted, or interrupted attempts) within the past 12 months.
  • Pregnancy and breastfeeding (women in childbearing potential will have a urine pregnancy test at each visit)
  • Sexual non abstinence or absence of effective contraception (for child-bearing aged women, contraception using highly effective methods (see section 6.2 of the protocol) for the duration of treatment and up to 7 days after the last dose of treatment)
  • Inability to understand information about the protocol
  • Legally incapacitated adults (e.g., individuals under legal protection such as guardianship or curatorship)
  • Persons deprived of their liberty by judicial decision
  • Other ataxic syndromes than SCA27B

Trial locations and contacts

9 sites in 1 country. Contact the study team or a site near you to ask about taking part.

9 sites in 1 country

France9 sites, 9 recruiting
  • Neurology Department, CHU d'Angers

    Angers

    Christophe VERNY

    Not yet recruiting
  • Genetics Department, CHU de Bordeaux

    Bordeaux

    Cyril GOIZET

    Recruiting
  • Neurology and Gentics Department, CHU de Dijon

    Dijon

    Quentin THOMAS

    Recruiting
  • Neurology Department, Hôpital Pierre Wertheimer Hospital

    Lyon

    Caroline FROMENT

    Stéphane THOBOIS

    Not yet recruiting
  • Neurology Department, Gui De Chauliac Hospital

    Montpellier

    Cecilia MARELLI TOSI

    Recruiting
  • Genetics Department, Pitié-Salpêtrière University Hospital

    Paris

    Giulia COARELLI, + 33 (0)1 57 27 46 82, giulia.coarelli@aphp.fr

    Recruiting
  • Genetics Department, CHU de Rouen

    Rouen

    Gael NICOLAS

    Not yet recruiting
  • Neurology Department, CHRU de Strasbourg

    Strasbourg

    Mathieu ANHEIM

    Not yet recruiting
  • Neurology Department, CHU de Toulouse

    Toulouse

    Fabienne ORY-MAGNE

    Not yet recruiting

Other trials in France

About this study

Spinocerebellar ataxias 27B (SCA27B) is caused by an expansion of ≥ 250 GAA triplets in the FGF14 gene and accounts for 15% of cerebellar ataxias (around 500 patients in France). It is a late-onset form often presenting paroxysmal episodes of ataxia and/or diplopia. The disease progresses slowly, with an average increase of 0.10 points/year on the Friedreich's Ataxia Rating Scale (FARS) - Functional Staging and by 0.23 points/year on the Scale for the Assessment and Rating of Ataxia (SARA). To date, no treatment has been proven to be effective in these patients. Three open-label studies using 4-aminopyridine, have shown improvements in visual symptoms and gait in a total of 36 out of 44 patients, although these improvements were evaluated through diverse methodologies. In a subgroup of patients (n=7), administration of 4-aminopyridine resulted in a reduction in FARS - Functional Staging, ranging from 0.5 to 2 points. Notably, this beneficial effect rapidly disappearing in all patients stopping the drug. 4-aminopyridine, a potassium channel blocker, may involve restoration of cerebellar Purkinje cell rhythmic firing property, impaired with the loss of FGF14 function. Although these results appear very promising, the positive effect of 4-aminopyridine is reported only in restricted sample sizes and open-label experiences. Therefore, a robust clinical trial is necessary to provide the level of evidence required for a definitive conclusion on the benefit-risk of fampridine and before introducing the treatment into the regular patient clinical management.

Hence, to confirm the beneficial effect of 4-aminopyridine treatment, this study will compare fampridine 10 mg bid (sustained-release form) to placebo during a 3-month treatment in a randomized, double-blind, multicenter, placebo-controlled study, on functional handicap in SCA27B cerebellar ataxia patients.

Being tested
Fampridine 10 mg prolonged-release tablet (per os), Placebo (tablets per os)
Keywords
SCA27B, Fampridine, Ataxia, Diplopia, FARS-Functional Staging
Medical subject headings
Ataxia, Diplopia

What participants receive

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

  • Fampridine 10 mg prolonged-release tablet (per os)Drug

    Patients randomized in the experimental arm will take 1 tablet twice a day, 12 hours apart, on an empty stomach, for 12 weeks.

  • Placebo (tablets per os)Drug

    Patients randomized in the control arm will take 1 tablet twice a day, 12 hours apart, on an empty stomach, for 12 weeks.

Study groups in NCT07185347
Study groupRoleWhat they receive
FampridineExperimentalNot described
Receives: Drug: Fampridine 10 mg prolonged-release tablet (per os)
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo (tablets per os)

What is being measured

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

  1. Proportion of patients showing an improvement of at least 0.5 point on the Friedreich's Ataxia Rating Scale (FARS) -Functional Staging at week 12

    Measured: At week 12

Secondary outcomes (30)
  1. Improvement of at least 0.5 point on the Friedreich's Ataxia Rating Scale (FARS) -Functional Staging at week 2

    Measured: At week 2

  2. Variation in cerebellar syndrome assessed by the Scale for the assessment and rating of ataxia (SARA) at week 2 and week 12

    Measured: At week 2 and week 12

  3. Variation in cerebellar syndrome assessed by the modified Friedreich Ataxia Rating Scale (mFARS) at week 2 and week 12

    Measured: At week 2 and week 12

  4. Variation in cerebellar syndrome assessed by the Composite Cerebellar Functional Severity Score (CCFS score) at week 2 and week 12

    Measured: At week 2 and week 12

  5. Variation in extracerebellar signs assessed by the Inventory of Non-Ataxia Signs (INAS) at week 12

    Measured: At week 12

  6. Variation on Timed 25-foot walk (T25FW) at week 2 and week 12

    Measured: At week 2 and week 12

  7. Variation in oculomotor signs assessed by the Scale for Ocular motor Disorders in Ataxia (SODA) at week 2 and week 12

    Measured: At week 2 and week 12

  8. Variation in oculomotor signs assessed by oculomotor recording (OMR) at week 2 and week 12

    Measured: At week 2 and week 12

  9. Variation in daily frequency of diplopia assessed on a Numerical Diplopia Rating Scale (NDRS) at week 2 and week 12

    Measured: At week 2 and week 12

  10. Variation in daily living activities evaluated by the FARS -Activities of Daily Living scale (FARS-ADL) at week 12

    Measured: At week 12

  11. Quality of life evaluated by the Patient Reported Outcome Measure of Ataxia (PROM-ATAXIA) questionnaire at week 12

    Measured: At week 12

  12. Quality of life evaluated by the 36-Item Short Form Health Survey (SF-36) questionnaire at week 12

    Measured: At week 12

  13. Patient's impression evaluated by the Patient Global Impression of change (PGI-C) at week 2 and week 12

    Measured: At week 2 and week 12

  14. Clinician's impression evaluated by the Clinician Global Impression of Change (CGI-C) at week 2 and week 12

    Measured: At week 2 and week 12

  15. Tolerance to the investigational drug

    Tolerance will be evaluated through clinical examination, blood analysis, and electrocardiogram (ECG) performed at Week 2 and Week 12. In addition, adverse events will be systematically recorded throughout the study period.

    Measured: At week 2 and week 12

  16. Clinical assessments at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  17. Variation in cerebellar syndrome assessed by the FARS-Functional Staging at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  18. Variation in cerebellar syndrome assessed by the SARA scale at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  19. Variation in cerebellar syndrome assessed by the mFARS scale at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  20. Variation in cerebellar syndrome assessed by the CCFS score at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  21. Variation in extracerebellar signs assessed by the Inventory of Non-Ataxia Signs (INAS) at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  22. Variation on Timed 25-foot walk (T25FW) at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  23. Variation in oculomotor signs assessed by the Scale for Ocular motor Disorders in Ataxia (SODA) at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  24. Variation in oculomotor signs assessed by oculomotor recording (OMR) at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  25. Variation in daily frequency of diplopia assessed on a Numerical Diplopia Rating Scale (NDRS) at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  26. Variation in daily living activities evaluated by the FARS -Activities of Daily Living scale at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  27. Quality of life evaluated by the PROM-ATAXIA questionnaire at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  28. Quality of life evaluated by the 36-Item Short Form Health Survey (SF-36) questionnaire at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  29. Patient's impression evaluated by the Patient Global Impression of change (PGI-C) at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

  30. Clinician's impression evaluated by the Clinician Global Impression of Change (CGI-C) at week 16, i.e. 4 weeks after treatment interruption

    Measured: At week 16

Timeline

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

  1. First posted22 Sep 2025
  2. Study start21 Oct 2025
  3. Primary completion21 May 2027 (estimated)
  4. Study completion21 May 2027 (estimated)

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
70 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07185347
Sponsor's protocol ID
APHP240921
Other IDs
2024-520413-53-00
Acronym
TREAT-FGF14
Status last verified
Dec 2025
First submitted
3 Sep 2025
Last updated
10 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data are available upon reasonable request The procedures carried out with the French data privacy authority (CNIL, Commission nationale de l'informatique et des libertés) do not provide for the transmission of the database, nor do the information and consent documents signed by the patients. Consultation by the editorial board or interested researchers of individual participant data that underlie the results reported in the article after deidentification may nevertheless be considered, subject to prior determination of the terms and conditions of such consultation and in respect for compliance with the applicable regulations.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Fampridine 10 mg prolonged-release tablet (per os) in people with Spinocerebellar Ataxia 27B (SCA27B), run by Assistance Publique - Hôpitaux de Paris at 9 sites in France.

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 6 inclusion and 17 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: looking for participants now, as of the sponsor's last update on 10 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in France. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Giulia COARELLI (+ 33 (0)1 57 27 46 82, giulia.coarelli@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of patients showing an improvement of at least 0.5 point on the Friedreich's Ataxia Rating Scale (FARS) -Functional Staging at week 12 (time frame: At week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 10 Dec 2025.

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