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Blinded CDCA

Phase 3

CTX | Small molecule | Other |Mirum Pharmaceuticals, Inc.|Last Updated: Oct 28, 2024

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-BlindCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment19
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04270682Study to Evaluate Patients With Cerebrotendinous Xanthomatosis (RESTORE)PHASE3 COMPLETED 19Jan 31, 2020Oct 4, 2023Oct 28, 202412 United States, Brazil
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Study Endpoints
Primary Endpoints
Change From Baseline in Urine 23S-Pentol During the Two Double-Blind Periods
Two double-blind periods: Week 0 to Week 4, Week 12 to Week 16

Primary Analysis of Change from Baseline in Urine 23S-Pentol (Natural Log-Transformed) during the Two Double-blind Periods- Paired T-test

Secondary Endpoints
Change From Baseline Plasma Cholestanol During the Two Double-Blind Periods
Two double-blind periods: Week 0 to Week 4, Week 12 to Week 16
Change From Baseline Plasma 7αC4 During the Two Double-Blind Periods
Two double-blind periods: Week 0 to Week 4, Week 12 to Week 16
Proportion of Participants Who Received Rescue Treatment During Two Double-Blind Periods
Two double-blind periods: Week 0 to Week 4, Week 12 to Week 16
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Adult CohortEXPERIMENTALPatients in the adult cohort will participate in a randomized, double-blind, placebo-controlled, 2 period × 2-treatment crossover study with rescue medication and open-label run-in to assess the efficacy and safety of CDCA.
Pediatric CohortEXPERIMENTALPediatric cohort patients (≥1 month and \<16 years) will participate in a 24-week, open-label cohort with an 8-week titration period and a 16-week treatment period at the tolerated dose.
Interventions
NameTypeDescription
Blinded CDCA 250 mg TIDDRUGAdult cohort patients will receive blinded 250 mg CDCA TID or placebo during the double-blind periods based upon their treatment assignment.
PlaceboDRUGAdult cohort patients will receive blinded 250 mg CDCA TID or placebo during the double-blind periods based upon their treatment assignment.
Open-Label CDCA 250 mg TIDDRUGAdult cohort patients will receive open-label 250 mg CDCA TID during the run-in and washout periods of the study or as rescue medication during the double-blind periods, if needed, based on clinical symptoms.
Rescue Medication CDCA 250 mg TIDDRUGCDCA 250 mg TID will be provided as rescue medication during the double-blind periods, if needed, based on laboratory results.
CDCA Weight-Based Dose TIDDRUGPatients in the pediatric cohort will complete a weight-based dose titration to a tolerated dose and will maintain that tolerated dose for the remainder of the study. Pediatric cohort dosing of CDCA will not exceed an equivalent dose of 750 mg/day.
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Eligibility Criteria
Age Range1 Month — N/A
SexALL
Healthy VolunteersNo
Study Sites12

Inclusion Criteria: 1. Male or female at least 1 month or older at screening. 2. Clinical diagnosis of CTX with biochemical confirmation. 3. Women of childbearing potential must agree to the use of one highly reliable method of contraception during the study, plus one additional barrier method duri...

Countries:United StatesBrazil
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