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Fosmetpantotenate Randomized Controlled Trial in Pantothenate Kinase-Associated Neurodegeneration
T. Klopstock, A. Videnovic, AT. Bischoff, C. Bonnet, L. Cif, C. Comella, M. Correa-Vela, ML. Escolar, JL. Fraser, V. Gonzalez, N. Hermanowicz, R. Jech, HA. Jinnah, T. Kmiec, A. Lang, MJ. Martí, S. Mercimek-Andrews, M. Monduy, GAM. Nimmo, B....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, multicentrická studie, randomizované kontrolované studie, práce podpořená grantem
PubMed
33200489
DOI
10.1002/mds.28392
Knihovny.cz E-zdroje
- MeSH
- činnosti denního života MeSH
- dvojitá slepá metoda MeSH
- Hallervordenův-Spatzův syndrom * farmakoterapie genetika MeSH
- kyselina pantothenová analogy a deriváty MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- práce podpořená grantem MeSH
- randomizované kontrolované studie MeSH
BACKGROUND: Pantothenate kinase-associated neurodegeneration (PKAN) currently has no approved treatments. OBJECTIVES: The Fosmetpantotenate Replacement Therapy pivotal trial examined whether treatment with fosmetpantotenate improves PKAN symptoms and stabilizes disease progression. METHODS: This randomized, double-blind, placebo-controlled, multicenter study evaluated fosmetpantotenate, 300 mg oral dose three times daily, versus placebo over a 24-week double-blind period. Patients with pathogenic variants of PANK2, aged 6 to 65 years, with a score ≥6 on the PKAN-Activities of Daily Living (PKAN-ADL) scale were enrolled. Patients were randomized to active (fosmetpantotenate) or placebo treatment, stratified by weight and age. The primary efficacy endpoint was change from baseline at week 24 in PKAN-ADL. RESULTS: Between July 23, 2017, and December 18, 2018, 84 patients were randomized (fosmetpantotenate: n = 41; placebo: n = 43); all 84 patients were included in the analyses. Six patients in the placebo group discontinued treatment; two had worsening dystonia, two had poor compliance, and two died of PKAN-related complications (aspiration during feeding and disease progression with respiratory failure, respectively). Fosmetpantotenate and placebo group PKAN-ADL mean (standard deviation) scores were 28.2 (11.4) and 27.4 (11.5) at baseline, respectively, and were 26.9 (12.5) and 24.5 (11.8) at week 24, respectively. The difference in least square mean (95% confidence interval) at week 24 between fosmetpantotenate and placebo was -0.09 (-1.69 to 1.51; P = 0.9115). The overall incidence of treatment-emergent serious adverse events was similar in the fosmetpantotenate (8/41; 19.5%) and placebo (6/43; 14.0%) groups. CONCLUSIONS: Treatment with fosmetpantotenate was safe but did not improve function assessed by the PKAN-ADL in patients with PKAN. © 2020 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.
Biostatistics Retrophin Inc San Diego California USA
Child Neurology Department Children's Memorial Health Institute Warsaw Poland
Department of Child Neurology Fondazione IRCCS Istituto Neurologico Carlo Besta Milan Italy
Department of Child Neurology Hospital Universitari Vall d'Hebron Barcelona Spain
Department of Child Neurology Oslo University Hospital Rikshospitalet Oslo Norway
Department of Neurology Children's National Medical Center Washington District of Columbia USA
Department of Neurology Columbia University College of Physicians and Surgeons New York New York USA
Department of Neurology Hospital Clinic of Barcelona Barcelona Spain
Department of Neurology Sorbonne University AP HP Salpêtrière Hospital Paris France
Department of Neurology University of California Irvine Irvine California USA
Department of Neurosurgery CHRU de Montpellier Gui de Chauliac Hospital Montpellier France
Department of Pediatrics University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA
Departments of Neurology and Human Genetics Emory University School of Medicine Atlanta Georgia USA
German Center for Neurodegenerative Diseases Munich Munich Germany
Munich Cluster for Systems Neurology Munich Munich Germany
Neurology Nicklaus Children's Hospital Miami Florida USA
Research and Development Retrophin Inc San Diego California USA
Citace poskytuje Crossref.org
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