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Amifampridine

Phase 3

Lambert Eaton Myasthenic Syndrome | Small molecule | Other |Catalyst Pharmaceuticals, Inc.|Last Updated: Jan 4, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment38
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01377922A Phase 3 Study of Amifampridine Phosphate in Patients With Lambert Eaton Myasthenic Syndrome (LEMS)PHASE3 COMPLETED 38Jun 1, 2011Jul 1, 2016Jan 4, 201814 United States, France +6
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Study Endpoints
Primary Endpoints
Change From Baseline Quantitative Myasthenia Gravis (QMG) at 14 Days
Assessment at Baseline and Day 14

The QMG is a physician-rated test including 13 assessments, including facial strength, swallowing, grip strength, and duration of time that limbs can be maintained in outstretched positions. Each of the 13 items is scored from 0 (none) to 3 (severe). The total score can range from 0 to 39. Increased QMG total score correlates to worsening symptoms of LEMS.

Change in SGI Score
Assessment at Baseline and Day 14

Subject Global Impression (SGI) is a measure of changes in subject's perception of change in overall wellbeing. The patient is asked to use the 7-point scale below to rate their impression of the effects of the study medication during the preceding 3 days on their physical well being. 1. Terrible 2. Mostly dissatisfied 3. Mixed 4. Partially satisfied 5. Mostly satisfied 6. Pleased 7. Delighted

Secondary Endpoints
Change From Baseline Timed 25 Foot Walking Test (T25FW) at 14 Days
Assessment at Baseline and Day 14
Change in CGI-I Score
Baseline and Day 14
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORMatching placebo tablets administered 3-4 times a day (to the individual patient's tablet count of active at baseline) over 2 weeks.
Amifampridine PhosphateEXPERIMENTALAmifampridine, 30-80 mg given 3-4 times per day with a maximum single dose of 20 mg (2 x 10 mg tablets), for 2 weeks.
Interventions
NameTypeDescription
Amifampridine PhosphateDRUGAmifampridine, 30-80 mg given 3-4 times per day with a maximum single dose of 20 mg (2 x 10 mg tablets), for 2 weeks.
PlaceboDRUGMatching placebo tablets administered 3-4 times a day (to the individual patient's tablet count of active at baseline) over 2 weeks.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites14

Inclusion Criteria: Individuals eligible to participate in this study must meet all of the following inclusion criteria: * ≥18 years of age * Confirmed diagnosis of LEMS * Normal respiratory function * Normal swallowing function * If receiving peripherally acting cholinesterase inhibitors a stable ...

Countries:United StatesFranceGermanyHungaryPolandRussiaSerbiaSpain
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