Study to Assess the Efficacy, Safety and Tolerability of Idebenone in the Treatment of Friedreich's Ataxia
IONIA
A Phase III Double-Blind, Randomized, Placebo-Controlled Study of the Efficacy, Safety and Tolerability of Idebenone in the Treatment of Friedreich's Ataxia Patients
1 other identifier
interventional
70
1 country
2
Brief Summary
This study is meant to assess the effectiveness of idebenone on neurological outcome measures in patients with Friedreich's Ataxia over a 6 months period.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Dec 2007
Shorter than P25 for phase_3
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 7, 2007
CompletedFirst Posted
Study publicly available on registry
October 1, 2007
CompletedStudy Start
First participant enrolled
December 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2009
CompletedResults Posted
Study results publicly available
December 29, 2011
CompletedJuly 11, 2023
June 1, 2023
1.3 years
September 7, 2007
June 7, 2011
June 22, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in the International Cooperative Ataxia Rating Scale (ICARS) From Baseline Assessment to Week 24
International Cooperative Ataxia Rating Scale (ICARS): ICARS consists of a one-hundred-point semi-quantitative scale based upon 19 simple testing manoeuvres compartmentalized into postural and stance disorders, limb ataxia, dysarthria and oculomotor disorders and has been previously used in this patient population with good inter-rater reliability. Minimum score: 0, maximum score 100, higher score indicates greater impairment Calculation details: ICARS score at week 24 minus ICARS score baseline
baseline and 6 months
Secondary Outcomes (11)
Change in Friedreich's Ataxia Rating Scale (FARS) Scores From Baseline to Week 24
baseline and 6 months
Activities of Daily Living (ADL) of Friedreich's Ataxia Rating Scale (FARS), Change in ADL (Total Score ) From Baseline to Week 24
baseline and 6 months
Change in the International Cooperative Ataxia Rating Scale (ICARS) From Baseline Assessment to Week 12
baseline and 12 weeks
Absolute Change From Baseline to Week 24 in the Relative Wall Thickness (RWT) of the Left Ventricle
baseline and 6 months
Percent Change From Baseline to Week 24 in the Relative Wall Thickness (RWT) of the Left Ventricle
baseline and 6 months
- +6 more secondary outcomes
Study Arms (3)
Arm 1 - 900 mg/day Idebenone
EXPERIMENTALmid dose Idebenone
Arm 2 - up to 2250 mg/day Idebenone
EXPERIMENTALhigh dose Idebenone
Arm 3 - Placebo
PLACEBO COMPARATORPlacebo
Interventions
Eligibility Criteria
You may qualify if:
- Documented diagnosis of Friedreich's Ataxia (FRDA) with confirmed FRDA mutations
- Patients 8 - 17 years of age at baseline
- Patients with a body weight greater than 25 kg/55 lbs at baseline
- Patients able to walk at least 10 meters without accompanying person (ICARS Walking Capacities score ≤6) at screening and baseline
- Patients who in the opinion of the investigator are able to comply with the requirements of the study, including swallowing the study medication
- Negative urine pregnancy test at screening and baseline (female patients of childbearing potential)
You may not qualify if:
- Treatment with idebenone, Coenzyme Q10 or vitamin E (if taken at a dose 5 times above the daily requirement) within the past month
- Patients with International Cooperative Ataxia Rating Scale (ICARS) score of greater than 54 or less than 10 at screening
- Pregnancy and/or breast-feeding
- Clinically significant abnormalities of clinical hematology or biochemistry including, but not limited to, elevations greater than 1.5 times the upper limit of normal of Aspartate Aminotransferase (AST; also known as GOT), Alanine Aminotransferase (ALT; also known as GPT) or creatinine
- History of abuse of drugs or alcohol
- Participation in the previous (Phase II) study of idebenone at the National Institutes of Health (NIH)
- Participation in a trial of another investigational drug within the last 3 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
David Geffen School of Medicine, UCLA
Los Angeles, California, 90095-1769, United States
The Children's Hopsital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
Related Publications (3)
Meier T, Perlman SL, Rummey C, Coppard NJ, Lynch DR. Assessment of neurological efficacy of idebenone in pediatric patients with Friedreich's ataxia: data from a 6-month controlled study followed by a 12-month open-label extension study. J Neurol. 2012 Feb;259(2):284-91. doi: 10.1007/s00415-011-6174-y. Epub 2011 Jul 22.
PMID: 21779958RESULTLagedrost SJ, Sutton MS, Cohen MS, Satou GM, Kaufman BD, Perlman SL, Rummey C, Meier T, Lynch DR. Idebenone in Friedreich ataxia cardiomyopathy-results from a 6-month phase III study (IONIA). Am Heart J. 2011 Mar;161(3):639-645.e1. doi: 10.1016/j.ahj.2010.10.038. Epub 2011 Jan 31.
PMID: 21392622DERIVEDLynch DR, Perlman SL, Meier T. A phase 3, double-blind, placebo-controlled trial of idebenone in friedreich ataxia. Arch Neurol. 2010 Aug;67(8):941-7. doi: 10.1001/archneurol.2010.168.
PMID: 20697044DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr Thomas Meier
- Organization
- Santhera Pharmaceuticals
Study Officials
- PRINCIPAL INVESTIGATOR
Susan Perlman, MD
University of California, Los Angeles
- PRINCIPAL INVESTIGATOR
David Lynch, MD
Children's Hospital of Philadelphia
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 7, 2007
First Posted
October 1, 2007
Study Start
December 1, 2007
Primary Completion
April 1, 2009
Study Completion
April 1, 2009
Last Updated
July 11, 2023
Results First Posted
December 29, 2011
Record last verified: 2023-06