Part1,double blind portion of the trial did not meet the primary end points
MMPOWER-3
A Phase 3 Randomized, Placebo-Controlled Trial to Evaluate the Efficacy and Safety of Daily Subcutaneous Injections of Elamipretide in Subjects With Primary Mitochondrial Myopathy Followed by an Open-Label Treatment Extension
Sponsor study identifier
interventional
218
7 countries
27
Study Start
October 9, 2017
Actual (reported)Primary Completion
February 10, 2020
Actual (reported)Study Completion
February 10, 2020
Actual (reported)This is a multicenter phase 3 randomized, double-blind, parallel-group, placebo-controlled trial to evaluate the safety and efficacy of daily subcutaneous injections of elamipretide in subjects with primary mitochondrial myopathy. This will be followed by an open-label treatment extension.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
February 10, 2020
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
October 9, 2017
Actual (reported)October 12, 2017
Actual (reported)October 27, 2017
Actual (reported)February 10, 2020
Actual (reported)February 10, 2020
Actual (reported)April 2, 2021
Actual (reported)Six-minute Walk Test (6MWT)
Change From Baseline in Distance Walked (meters) on the Six-Minute Walk Test by Visit
Baseline to 24 weeks
Total Fatigue Score on the on the Primary Mitochondrial Myopathy Symptom Assessment (PMMSA)
Change from Baseline in Total fatigue score on the on the Primary Mitochondrial Myopathy Symptom Assessment (PMMSA) by visit. Each individual item score ranges from 1 (none) to 4 (severe). The total fatigue score ranges from 4-16. Lower values represent a better outcome. The total fatigue score is the sum of question 1 through question 4 on the Primary Mitochondrial Myopathy Symptom Assessment.
Baseline to 24 weeks
Fatigue During Activities Score on the Primary Mitochondrial Disease Symptom Assessment (PMMSA).
Baseline to 24 weeks
Neuro-QoL Fatigue Activities of Daily Living
Baseline to 24 weeks
Change From Baseline in the Most Bothersome Symptom Score on the Primary Mitochondrial Myopathy Symptoms Assessment
Baseline to 24 weeks
Neuro-QoL Fatigue Short Form Score
24 Weeks
40 mg (0.5mL) elamipretide subcutaneous (SC) daily
Placebo SC daily
Elamepretide 40 mg (0.5 mL) SC daily
40 mg of elamipretide administered as once daily 0.5 mL subcutaneous injections for 24 weeks using the elamipretide delivery system
40 mg of placebo administered as once daily 0.5 mL subcutaneous injections for 24 weeks using the elamipretide delivery system
University of California San Diego
La Jolla, California, 92093, United States
Stanford University
Palo Alto, California, 94304, United States
Children's Hospital Colorado
Aurora, Colorado, 80045, United States
Rare Disease Research, LLC
Atlanta, Georgia, 30318, United States
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
Columbia University Medical Center
New York, New York, 10032, United States
Akron Children's Hospital
Akron, Ohio, 44308, United States
Karaa A, Bertini E, Carelli V, Cohen B, Ennes GM, Falk MJ, Goldstein A, Gorman G, Haas R, Hirano M, Klopstock T, Koenig MK, Kornblum C, Lamperti C, Lehman A, Longo N, Molnar MJ, Parikh S, Phan H, Pitceathly RDS, Saneto R, Scaglia F, Servidei S, Tarnopolsky M, Toscano A, Van Hove JLK, Vissing J, Vockley J, Finman JS, Abbruscato A, Brown DA, Sullivan A, Shiffer JA, Mancuso M; MMPOWER-3 Trial Investigators. Genotype-specific effects of elamipretide in patients with primary mitochondrial myopathy: a post hoc analysis of the MMPOWER-3 trial. Orphanet J Rare Dis. 2024 Nov 21;19(1):431. doi: 10.1186/s13023-024-03421-5.
Karaa A, Bertini E, Carelli V, Cohen BH, Enns GM, Falk MJ, Goldstein A, Gorman GS, Haas R, Hirano M, Klopstock T, Koenig MK, Kornblum C, Lamperti C, Lehman A, Longo N, Molnar MJ, Parikh S, Phan H, Pitceathly RDS, Saneto R, Scaglia F, Servidei S, Tarnopolsky M, Toscano A, Van Hove JLK, Vissing J, Vockley J, Finman JS, Brown DA, Shiffer JA, Mancuso M; MMPOWER-3 Trial Investigators. Efficacy and Safety of Elamipretide in Individuals With Primary Mitochondrial Myopathy: The MMPOWER-3 Randomized Clinical Trial. Neurology. 2023 Jul 18;101(3):e238-e252. doi: 10.1212/WNL.0000000000207402. Epub 2023 Jun 2.
218 participants (actual enrollment reported by the registry).
First Submitted
October 12, 2017
First Posted
October 27, 2017
Study Start
October 9, 2017
Actual (reported)40 mg of elamipretide administered as once daily 0.5 mL subcutaneous injections for up to 144 weeks using the elamipretide delivery system
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Contact the study team to confirm eligibility.
Cleveland Clinical Neurological Institute
Cleveland, Ohio, 44195, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
Children's Hospital of Pittsburgh of UPMC
Pittsburgh, Pennsylvania, 15224, United States
Baylor College of Medicine/Texas Children's Hospital
Houston, Texas, 77030, United States
University of Texas Health Science Center
Houston, Texas, 77030, United States
Seattle Children's Hospital
Seattle, Washington, 98105, United States
Adult Metabolic Diseases Clinic
Vancouver, British Colombia, Canada
McMaster University Medical Center
Hamilton, Ontario, Canada
Copenhagen Neuromuscular Center
Copenhagen, DK-2100, Denmark
University Hospital of Bonn
Bonn, 53105, Germany
Klinikum der Universität München, Friedrich-Baur Institute
Munich, 80336, Germany
Institute of Genomic Medicine and Rare Disorders
Budapest, 1083, Hungary
IRCCS Institute of Neorological Sciences of Bologna, Bellaria Hospital
Bologna, 40139, Italy
Azienda Ospedaliero Universitaria Policlinico G. Martino
Messina, 98125, Italy
Istituto Nazionale Neurologico Carlo Besta
Milan, 20133, Italy
Dipartimento Ambientale di Neuroscienze
Pisa, 56126, Italy
Ospedale Pediatrico Bambin Gesù
Rome, 00165, Italy
Istituto di Neurologia, Fondazione Policlinico Universitario A. Gemelli
Rome, 00168, Italy
MRC Centre for Neuromuscular Diseases
London, United Kingdom
Royal Victoria Infirmary
Newcastle upon Tyne, United Kingdom
Primary Completion
February 10, 2020
Actual (reported)Study Completion
February 10, 2020
Actual (reported)Last Updated
January 24, 2022
Results First Posted
April 2, 2021
Record last verified: 2022-01
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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