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ACTIVE NOT RECRUITING
NCT02616484
PHASE3

Trial of Dichloroacetate in Pyruvate Dehydrogenase Complex Deficiency:

Sponsor: Saol Therapeutics Inc

View on ClinicalTrials.gov

Summary

The objective of this research study is to conduct a pivotal phase 3 trial of treatment with the investigational drug dichloroacetate (DCA) in young children with deficiency of the pyruvate dehydrogenase complex (PDC). PDC deficiency (PDCD) is the most common cause of congenital lactic acidosis and is a frequently fatal metabolic disease of childhood for which no proven treatment exists. The investigators predict that DCA represents targeted potential therapy for PDCD because of its ability to increase both the catalytic activity and stability of the enzyme complex. The conclusions of numerous laboratory and clinical investigations are consistent with this postulate and have led to the designation of DCA as an Orphan Product for congenital lactic acidosis by the Food and Drug Administration. A novel Observer reported outcome (ObsRO) survey that is completed by study participant's parent/caregiver, is the efficacy outcome measure. Funding Source - FDA OOPD

Official title: Phase 3 Trial of Dichloroacetate in Pyruvate Dehydrogenase Complex Deficiency:

Key Details

Gender

All

Age Range

6 Months - 17 Years

Study Type

INTERVENTIONAL

Enrollment

34

Start Date

2020-07-14

Completion Date

2025-08-27

Last Updated

2025-05-04

Healthy Volunteers

No

Interventions

DRUG

Dichloroacetate (DCA)

Study medication DCA is an oral solution mixed with an artificial sweetener containing aspartame and strawberry extract (50mg/mL) Participants will be genotyped to determine GSTZ1 (glutathione S-transferase Zeta-1) haplotype status, which will stratify this group into 1 of 2 dose regimens: EGT carriers will receive 12 mg/kg/12hr DCA. EGT non-carriers will receive 6 mg/kg/12 hr DCA.

OTHER

Placebo

Participants will receive the same volume of placebo in liquid form given during DCA treatment arm. Liquid will be an exact replication of DCA formulation with no DCA added.

GENETIC

Genotype

Participants will be genotyped to determine GSTZ1 haplotype status.

Locations (10)

Children's Hospital of Orange County

Orange, California, United States

Stanford University

Stanford, California, United States

Children's National Medical Center

Washington D.C., District of Columbia, United States

University of Florida

Gainesville, Florida, United States

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Children's Hospital of Pittsburgh

Pittsburgh, Pennsylvania, United States

Baylor College of Medicine

Houston, Texas, United States

University of Utah

Salt Lake City, Utah, United States

Seattle Children's Hospital

Seattle, Washington, United States