Withdrawal of Tiratricol Treatment in Males With Monocarboxylate Transporter 8 Deficiency (MCT8 Deficiency)
ReTRIACt
Sponsor study identifier
interventional
20
3 countries
8
Study Start
July 21, 2023
Actual (reported)Primary Completion
July 22, 2025
Actual (reported)Study Completion
September 3, 2025
Actual (reported)This is a double-blind, randomized phase 3 multicenter placebo-controlled study in at least 16 evaluable male participants diagnosed with MCT8 deficiency. Male participants, from 4 years of age (at randomization) and having demonstrated stable maintenance treatment with tiratricol, will be randomized to receive placebo or tiratricol for 30 days or until reaching the rescue criterion (serum total triiodothyronine \[T3\] \> upper limit of normal \[ULN\] of the participant's normal range, for a sample collected during the 30-day Randomized Treatment Period). The research hypothesis to be tested is that, for participants in the placebo group, removal of tiratricol will lead to an increase of serum total T3 concentration, measured by liquid chromatography with tandem mass spectrometry (LC/MS/MS), above the ULN and requirement of rescue treatment with tiratricol, compared to those who continue to receive tiratricol.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
September 3, 2025
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
September 29, 2022
Actual (reported)October 13, 2022
Actual (reported)July 21, 2023
Actual (reported)July 22, 2025
Actual (reported)September 3, 2025
Actual (reported)Rate of change from baseline in serum total T3 (ln-transformed) during the 30-day double-blind Randomized Treatment Period
Baseline to Day 30
Proportion of participants who meet the rescue criterion (serum total T3 > ULN) during the 30-day double-blind Randomized Treatment Period
Baseline to Day 30
Change in serum thyroid hormone variables (T3, T4, TSH, fT3, and fT4)
From i) Baseline to Day 30, ii) Screening to End of Study (up to 26 weeks), iii) first tiratricol administration in Run-in/Dose Titration Period to last measurement prior to randomization (up to 16 weeks)
Tiratricol tablets are flat tablets that contain 350 µg tiratricol. Treatment will be administered orally or via percutaneous endoscopic gastrostomy (PEG) tube; tablets will be suspended in water and, if needed, mixed with mashed food for oral administration or administered in water through the PEG tube as applicable.
Placebo tablets will be identical in appearance to tiratricol tablets but contain no tiratricol. Treatment will be administered orally or via PEG tube; tablets will be suspended in water and, if needed, mixed with mashed food for oral administration or administered in water through the PEG tube as applicable. During the Randomized Treatment Period, participants will receive the same number of tablets as the stable dose of open-label tiratricol they were receiving before randomization.
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Formulated product
Tiratricol
The registry describes a specific formulation. Its exact chemical ingredients and approval status require separate evidence.
TABLET
View registry recordThe registry names these ingredients. The formulation’s exact chemical form has not been confirmed.
Tiratricol
Named ingredient: Tiratricol
View registry recordRare Disease Research, LLC
Kissimmee, Florida, 34746, United States
Rare Disease Research, LLC
Atlanta, Georgia, 30329, United States
SSM Health Cardinal Glennon Children's Hospital
St Louis, Missouri, 63104, United States
Rare Disease Research, LLC
Hillsborough, North Carolina, 27278, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
Tranquil Clinical and Research Consulting Services
Webster, Texas, 77598, United States
Erasmus MC
Andrew J. Bauer, MD
Children's Hospital of Philadelphia
W. E. Visser, MD
Erasmus Medical Center
20 participants (actual enrollment reported by the registry).
Thyroid Hormone Analog Therapy in MCT8 Deficiency: Triac Trial Patients
Change in clinical endpoints: Heart rate
From i) Baseline to Day 30, ii) Screening to End of Study (up to 26 weeks), iii) first tiratricol administration in Run-in/Dose Titration Period to last measurement prior to randomization (up to 16 weeks)
Change in clinical endpoints: Systolic blood pressure
From i) Baseline to Day 30, ii) Screening to End of Study (up to 26 weeks), iii) first tiratricol administration in Run-in/Dose Titration Period to last measurement prior to randomization (up to 16 weeks)
Change in clinical endpoints: Rate pressure product (heart rate × systolic blood pressure)
From i) Baseline to Day 30, ii) Screening to End of Study (up to 26 weeks), iii) first tiratricol administration in Run-in/Dose Titration Period to last measurement prior to randomization (up to 16 weeks)
Change in clinical endpoints: Heart rate Z scores
From i) Baseline to Day 30, ii) Screening to End of Study (up to 26 weeks), iii) first tiratricol administration in Run-in/Dose Titration Period to last measurement prior to randomization (up to 16 weeks)
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Rotterdam, 3015 GD, Netherlands
Addenbrooke's Hospital
Cambridge, United Kingdom
First Submitted
September 29, 2022
First Posted
October 13, 2022
Study Start
July 21, 2023
Actual (reported)Primary Completion
July 22, 2025
Actual (reported)Study Completion
September 3, 2025
Actual (reported)Last Updated
April 8, 2026
Record last verified: 2026-04
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