The KHENERGY Study: Safety and Efficacy of KH176 in Mitochondrial m.3243A>G Spectrum Disorders.


Journal

Clinical pharmacology and therapeutics
ISSN: 1532-6535
Titre abrégé: Clin Pharmacol Ther
Pays: United States
ID NLM: 0372741

Informations de publication

Date de publication:
01 2019
Historique:
pubmed: 31 7 2018
medline: 16 10 2019
entrez: 31 7 2018
Statut: ppublish

Résumé

KH176 is a potent intracellular reduction-oxidation-modulating compound developed to treat mitochondrial disease. We studied tolerability, safety, pharmacokinetics, pharmacodynamics, and efficacy of twice daily oral 100 mg KH176 for 28 days in a double-blind, randomized, placebo-controlled, two-way crossover phase IIA study in 18 adult m.3243A>G patients without cardiovascular involvement. Efficacy parameters included clinical and functional outcome measures and biomarkers. The trial was registered within ClinicalTrials.gov (NCT02909400), the European Clinical Trials Database (2016-001696-79), and ISRCTN (43372293) (The KHENERGY study). Twice daily oral 100 mg KH176 was well tolerated and appeared safe. No serious treatment-emergent adverse events were reported. No significant improvements in gait parameters or other outcome measures were obtained, except for a positive effect on alertness and mood, although a coincidence due to multiplicity cannot be ignored. The results of the study provide first data on safety and efficacy of KH176 in patients with mitochondrial disease and will be instrumental in designing future clinical trials.

Identifiants

pubmed: 30058726
doi: 10.1002/cpt.1197
pmc: PMC6704357
doi:

Substances chimiques

Antioxidants 0
Chromans 0
DNA, Mitochondrial 0
6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid S18UL9710X

Banques de données

ClinicalTrials.gov
['NCT02909400']
EudraCT
['2016-001696-79']
ISRCTN
['ISRCTN43372293']

Types de publication

Clinical Trial, Phase II Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

101-111

Informations de copyright

© 2018 American Society for Clinical Pharmacology and Therapeutics.

Références

BMC Cardiovasc Disord. 2002 Aug 01;2:12
pubmed: 12150714
Cell. 2008 Jul 11;134(1):112-23
pubmed: 18614015
Neurology. 2014 Jul 8;83(2):125-33
pubmed: 24907231
Curr Neuropharmacol. 2016;14(6):610-8
pubmed: 26923778
Orphanet J Rare Dis. 2016 Mar 18;11:25
pubmed: 26988355
Orphanet J Rare Dis. 2017 Oct 16;12(1):163
pubmed: 29037240
Am J Cardiol. 2007 Jan 15;99(2):264-9
pubmed: 17223431
Cochrane Database Syst Rev. 2012 Apr 18;(4):CD004426
pubmed: 22513923
Sci Rep. 2017 Sep 15;7(1):11733
pubmed: 28916769
Cephalalgia. 2018 May;38(6):1093-1106
pubmed: 28762753
J Neurol Neurosurg Psychiatry. 2013 Aug;84(8):936-8
pubmed: 23355809
Muscle Nerve. 2010 Nov;42(5):739-48
pubmed: 20886510
Headache. 2018 Jan;58(1):45-52
pubmed: 29139113
Neurology. 2011 Nov 29;77(22):1965-71
pubmed: 22094475
EMBO Mol Med. 2016 Mar 31;8(4):311-27
pubmed: 26951622
Brain. 2011 Sep;134(Pt 9):2677-86
pubmed: 21788663
JIMD Rep. 2015;24:69-81
pubmed: 25967227
Ann Neurol. 2015 May;77(5):753-9
pubmed: 25652200
Neuromuscul Disord. 2012 Jul;22(7):592-6
pubmed: 22513320
J Affect Disord. 2009 Apr;114(1-3):327-32
pubmed: 18692904
Eur J Neurol. 2017 Feb;24(2):255-261
pubmed: 27869334
Sci Rep. 2018 Apr 26;8(1):6577
pubmed: 29700325
Orphanet J Rare Dis. 2017 May 15;12(1):91
pubmed: 28506302
Nucleic Acids Res. 2016 Jan 4;44(D1):D1251-7
pubmed: 26450961
Eur J Ophthalmol. 2012 May-Jun;22(3):461-5
pubmed: 21928272
Annu Rev Pathol. 2010;5:297-348
pubmed: 20078222
J Neurol. 2014 Jan;261(1):73-82
pubmed: 24150688
Lancet Neurol. 2011 Sep;10(9):806-18
pubmed: 21820356
J Inherit Metab Dis. 2012 Nov;35(6):1059-69
pubmed: 22403016
Drugs. 2017 Sep;77(13):1461-1472
pubmed: 28752290

Auteurs

Mirian C H Janssen (MCH)

Department of Pediatrics, Radboud Center for Mitochondrial Medicine, Radboud Institutes for Molecular Life Sciences and Health Sciences, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.
Department of Internal Medicine, Radboud Center for Mitochondrial Medicine, Radboud Institutes for Molecular Life Sciences and Health Sciences, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.

Saskia Koene (S)

Department of Pediatrics, Radboud Center for Mitochondrial Medicine, Radboud Institutes for Molecular Life Sciences and Health Sciences, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.

Paul de Laat (P)

Department of Pediatrics, Radboud Center for Mitochondrial Medicine, Radboud Institutes for Molecular Life Sciences and Health Sciences, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.

Pleun Hemelaar (P)

Department of Intensive Care, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.

Peter Pickkers (P)

Department of Intensive Care, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.

Edwin Spaans (E)

Khondrion BV, Nijmegen, The Netherlands.

Rypko Beukema (R)

Department of Cardiology, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.

Julien Beyrath (J)

Khondrion BV, Nijmegen, The Netherlands.

Jan Groothuis (J)

Department of Rehabilitation, Radboud Center for Mitochondrial Medicine, Radboud Institutes for Molecular Life Sciences and Health Sciences, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.

Chris Verhaak (C)

Department of Psychology, Radboud Center for Mitochondrial Medicine, Radboud Institutes for Molecular Life Sciences and Health Sciences, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.

Jan Smeitink (J)

Khondrion BV, Nijmegen, The Netherlands.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH