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Olesoxime

Phase 3

Amyotrophic Lateral Sclerosis | Small molecule | Neurology |Roche Holding AG|Last Updated: Feb 25, 2020

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment512

FDA Designations

No designations recorded

Clinical trial landscape

Olesoxime · 6 trials · 7 indications

Phase 3 1Phase 2 3Phase 1 2
NCT00868166Safety and Efficacy of TRO19622 as add-on Therapy to Riluzole Versus Placebo in Treatment of Patients Suffering From ALSAmyotrophic Lateral Sclerosis
COMPLETED512 Analytics
PHASE3COMPLETED
Safety and Efficacy of TRO19622 as add-on Therapy to Riluzole Versus Placebo in Treatment of Patients Suffering From ALS
Amyotrophic Lateral SclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival Rate at 18 Months
From the date of randomization until the date of death or last follow-up censored at 18 months (548 days)

Overall survival was defined from the date of randomization until the date of death (event) or last known alive date (censored). If the death date was after 18 months, the participant was censored at 18 months (548 days). Participants still alive at or after 18 months were censored at 18 months/ 548 days. All data over the 18-month follow-up period after randomization, and participant survival status at the 18-month follow-up visit for participants who withdrew prematurely from the study for reasons other than death were included.

Percentage of Participants With Adverse Events (AEs) or Serious Adverse Events (SAEs)
Baseline up to approximately 3 years
Motor Function Measure
every 6 months

Motor function Measure (MFM) D1+D2 score

The primary outcome will be the measure of the percentage of responders defined as patients with a minimum decrease of 50 % of their maximum neuropathic pain dimension (either pain or dysesthesia) present at baseline.
The mean pain score during the last 7 days of the treatment period will be compared to the mean score of the last 7 days of the screening score period.
T1/2 of Radiocarbon
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 168, 216, 264, 312, 360, 408 h) following single dose on Day 1
Apparent Plasma Clearance (CL/F) of Olesoxime and Any Major Metabolite(s) Identified
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, 288, 312, 336, 360, 384, 408 h) following single dose on Day 1
CL/F of Radiocarbon
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 168, 216, 264, 312, 360, 408 h) following single dose on Day 1
Apparent Volume of Distribution (Vz/F) of Olesoxime and Any Major Metabolite(s) Identified
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, 288, 312, 336, 360, 384, 408 h) following single dose on Day 1
Vz/F of Radiocarbon
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 168, 216, 264, 312, 360, 408 h) following single dose on Day 1
Cumulative Amount of Olesoxime Excreted in Urine
Continuous urine collection from pre-dose (0 h) to post-dose (432 h, or until release criteria are met) following single dose on Day 1
Cumulative Amount of Olesoxime Excreted in Expired Air
Pre-dose (0 h) and post-dose (8, 10, 12, 16, 24, 48, 72, 96 h) following single dose on Day 1
Cumulative Amount of Olesoxime Excreted in Feces
Continuous fecal collection from pre-dose (0 h) to post-dose (432 h, or until release criteria are met) following single dose on Day 1
Renal Clearance (CLr) of Olesoxime
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, 288, 312, 336, 360, 384, 408 h) following single dose on Day 1
AUClast of Radiocarbon
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 168, 216, 264, 312, 360, 408 h) following single dose on Day 1
AUCinf of Radiocarbon
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 168, 216, 264, 312, 360, 408 h) following single dose on Day 1
Percentage of Participants with Adverse Events (AEs)
Continuously from Screening until 7 days after last dose (up to 46 days overall)
Maximum Observed Concentration (Cmax) of Olesoxime and Any Major Metabolite(s) Identified
Pre-dose (0 hours [h]) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, 288, 312, 336, 360, 384, 408 h) following single dose on Day 1
Cmax of Radiocarbon
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 168, 216, 264, 312, 360, 408 h) following single dose on Day 1
Time of Maximum Observed Concentration (Tmax) of Olesoxime and Any Major Metabolite(s) Identified
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, 288, 312, 336, 360, 384, 408 h) following single dose on Day 1
Tmax of Radiocarbon
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 168, 216, 264, 312, 360, 408 h) following single dose on Day 1
Area Under the Concentration-Time Curve from Drug Administration to Last Quantifiable Concentration (AUClast) of Olesoxime and Any Major Metabolite(s) Identified
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, 288, 312, 336, 360, 384, 408 h) following single dose on Day 1
Area Under the Concentration-Time Curve Extrapolated to Infinity (AUCinf) of Olesoxime and Any Major Metabolite(s) Identified
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, 288, 312, 336, 360, 384, 408 h) following single dose on Day 1
Elimination Half-Life (t1/2) of Olesoxime and Any Major Metabolite(s) Identified
Pre-dose (0 h) and post-dose (2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264, 288, 312, 336, 360, 384, 408 h) following single dose on Day 1
Safety criteria
The primary endpoint of this study will be the cumulative incidence of AE/SAE assessed by ongoing monitoring at week 24 (day 168)

Cumulative incidence of adverse events/serious adverse events (i.e. total number per patient) as assessed by ongoing monitoring.

Secondary Endpoints

Percentage of Participants With Failure Over 18 Months
From randomization to the time of the first event to consider at 18 months (548 days)
Amyotrophic Lateral Sclerosis Functional Rating Scale - Revised (ALSFRS-R)
Inclusion, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 15 and Month 18
Percentage of Participants With a Global ALS FRS-R Score of <30 or Death
Month 18 (548 days)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeOTHER

Treatment Arms

ArmTypeDescription
OlesoximeEXPERIMENTAL2 Capsules of TRO19622 (330mg) once a day with the noon meal as add-on therapy to riluzole 50mg bid
Placebo ComparatorPLACEBO_COMPARATOR2 Capsules of Placebo once a day with the noon meal as add-on therapy to riluzole 50mg bid
PlaceboPLACEBO_COMPARATOR50 patients enrolled in this arm. liquid suspension
TRO19622EXPERIMENTAL2 capsules of TRO19622 (330mg) once day with the noon meal
ControlPLACEBO_COMPARATOR2 capsules of placebo once day with the noon meal
olesoxime (TRO19622)EXPERIMENTALolesoxime (3 caps: 495 mg, od) will be administered orally as 165 mg soft capsules for 6 months. Investigational products will be allocated in a 1:1 ratio from Baseline/Visit 0 to Week 24 (Visit 3/Final Visit).

Interventions

NameTypeDescription
OlesoximeDRUG2 capsules of TRO19622 (330mg) once a day with the noon meal as add-on therapy to riluzol 50mg bid
Placebo ComparatorDRUG2 capsules of Placebo once a day with the noon meal as add-on therapy to riluzole 50mg bid
RiluzoleDRUGRiluzole given as add-on therapy 50mg bid
PlaceboDRUG0.1ml/kg once a day with food at dinner.
Olesoxime (TRO19622)DRUG2 capsules of TRO19622 (330 mg) once day with the noon meal
Placebo ControlDRUGPlacebo Control 2 capsules once day with the noon meal
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: * Patients with sporadic or familial Amyotrophic Lateral Sclerosis * Patients with a clinical diagnosis of laboratory-supported probable, probable, or definite ALS according to the modified El Escorial criteria8. * Have signed an Informed Consent to participate to the trial befo...

Countries:BelgiumFranceGermanySpainUnited KingdomItalyNetherlandsPoland
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Frequently asked questions about Olesoxime

What is Olesoxime used for?

Olesoxime is an investigational small molecule being studied for neurological conditions, including chemotherapy-induced peripheral neuropathy, amyotrophic lateral sclerosis, spinal muscular atrophy type II, and relapsing remitting multiple sclerosis. It has also been evaluated in healthy volunteers for pharmacokinetic studies.

Who makes Olesoxime?

Olesoxime is being developed by Roche Holding AG, which trades under the ticker RHHBY. The drug is a small molecule in the neurology therapeutic area.

What phase is Olesoxime in?

Olesoxime is in Phase 3 clinical development. It is investigational and not yet approved. Clinical trials have been conducted in Phase 1 and Phase 2 as well, with one completed Phase 3 trial.

What clinical trials is Olesoxime in?

Olesoxime has been studied in several completed trials, including NCT00876538 for chemotherapy-induced peripheral neuropathy, NCT01808885 for relapsing remitting multiple sclerosis, NCT02628743 for spinal muscular atrophy, and NCT02835976 in healthy volunteers.

Is Olesoxime the same as TRO19622?

Yes, Olesoxime is also known as TRO19622. Clinical trial records refer to the drug by both names, such as in NCT00876538, which studies the effect of TRO19622 in chemotherapy-induced peripheral neuropathy.