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The main purpose of this study is to evaluate safety and tolerability in a subgroup of patients with Autism Spectrum Disorder (ASD). In addition, Pharmacokinetics and Pharmacodynamics, as well as efficacy of STP1 are being explored.
After obtaining written informed consent, those patients who are deemed eligible for the study, will be randomized on Day 1, in a double-blinded manner, in a 3:1ratio to receive either oral STP1 (twice daily) or placebo (twice daily). The total study duration is 6 weeks, including a screening phase of up to 2 weeks, a treatment phase of 2 weeks and a post-treatment follow-up phase of 2 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| STP1 Low Dose | Experimental | 1 capsule and 1 tablet per intake |
|
| STP1 High Dose | Experimental | 1 capsule and 1 tablet per intake |
|
| Placebo | Placebo Comparator | 1 placebo capsule and 1 placebo tablet per intake |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| STP1 | Drug | STP1 is a combination of two drugs, a phosphodiesterase (PDE) inhibitor and an NKCC1 inhibitor |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability | Number of Participants with Adverse Events (nature and frequency of non-serious adverse events, serious adverse events and adverse events of special interest). | 14 days |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Craig Erickson, MD | Children's Hospital Medical Center, Cincinnati | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cincinnati Children's Hospital Medical Center | Cincinnati | Ohio | 45229 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39062003 | Derived | Erickson CA, Perez-Cano L, Pedapati EV, Painbeni E, Bonfils G, Schmitt LM, Sachs H, Nelson M, De Stefano L, Westerkamp G, de Souza ALS, Pohl O, Laufer O, Issachar G, Blaettler T, Hyvelin JM, Durham LA. Safety, Tolerability, and EEG-Based Target Engagement of STP1 (PDE3,4 Inhibitor and NKCC1 Antagonist) in a Randomized Clinical Trial in a Subgroup of Patients with ASD. Biomedicines. 2024 Jun 27;12(7):1430. doi: 10.3390/biomedicines12071430. |
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Of 12 enrolled participants, 12 met inclusion criteria and were randomized to treatment.
The patient population is defined as ASD-Phen1 based on STALICLA criteria. The number of patients enrolled were 12 subjects with 6 subjects receiving STP1-Low Dose, 3 subjects receiving STP1-High Dose, and 3 subjects receiving placebo. All 12 subjects (100.0%) completed treatment with 0 screen failures.
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| ID | Title | Description |
|---|---|---|
| FG000 | STP1 Low Dose | 1 capsule and 1 tablet per intake STP1: STP1 is a combination of two drugs, a PDE inhibitor and an NKCC1 inhibitor |
| FG001 | STP1 High Dose | 1 capsule and 1 tablet per intake STP1: STP1 is a combination of two drugs, a PDE inhibitor and an NKCC1 inhibitor |
| FG002 | Placebo | 1 placebo capsule and 1 placebo tablet per intake Placebo: Placebo medication (capsule and tablet) identical in appearance to active medication |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | STP1 Low Dose | 1 capsule and 1 tablet per intake STP1: STP1 is a combination of two drugs, a PDE inhibitor and an NKCC1 inhibitor |
| BG001 | STP1 High Dose | 1 capsule and 1 tablet per intake STP1: STP1 is a combination of two drugs, a PDE inhibitor and an NKCC1 inhibitor |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Safety and Tolerability | Number of Participants with Adverse Events (nature and frequency of non-serious adverse events, serious adverse events and adverse events of special interest). | All patients receiving at least 1 dose of randomised treatment. | Posted | Count of Participants | Participants | 14 days |
|
The total duration of the study for each participant was up to six weeks divided as follows: a screening phase of two weeks (from Day -14 to Day -1); a double-blind treatment phase of two weeks (from Day 1 to Day 14); and a follow-up phase of two weeks after treatment discontinuation (from Day 15 to Day 28).
As per ClinicalTrials.gov definitions.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | STP1 Low Dose | 1 capsule and 1 tablet per intake STP1: STP1 is a combination of two drugs, a PDE inhibitor and an NKCC1 inhibitor |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | MedDRA (Unspecified) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Eric Painbeni, PhD - Head of Clinical Operations | STALICLA SA | +41 (0)79 918 33 16 | clinical@stalicla.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Nov 15, 2021 | Dec 12, 2023 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Feb 17, 2022 | Dec 12, 2023 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D000067877 | Autism Spectrum Disorder |
| ID | Term |
|---|---|
| D002659 | Child Development Disorders, Pervasive |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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| Placebo | Drug | Placebo medication (capsule and tablet) identical in appearance to active medication |
|
| BG002 | Placebo | 1 placebo capsule and 1 placebo tablet per intake Placebo: Placebo medication (capsule and tablet) identical in appearance to active medication |
| BG003 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Age, Continuous | Median | Full Range | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Body Mass Index | BMI is calculated by dividing the participant's weight in kilograms by the height in metres squared. | Mean | Standard Deviation | kg/m^2 |
|
| OG002 | Placebo | 1 placebo capsule and 1 placebo tablet per intake Placebo: Placebo medication (capsule and tablet) identical in appearance to active medication |
|
|
| 0 |
| 6 |
| 0 |
| 6 |
| 5 |
| 6 |
| EG001 | STP1 High Dose | 1 capsule and 1 tablet per intake STP1: STP1 is a combination of two drugs, a PDE inhibitor and an NKCC1 inhibitor | 0 | 3 | 0 | 3 | 2 | 3 |
| EG002 | Placebo | 1 placebo capsule and 1 placebo tablet per intake Placebo: Placebo medication (capsule and tablet) identical in appearance to active medication | 0 | 3 | 0 | 3 | 2 | 3 |
| Nausea | Gastrointestinal disorders | MedDRA 23.0 | Systematic Assessment |
|
| Infection | Infections and infestations | MedDRA 23.0 | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA 23.0 | Systematic Assessment |
|
| Trichotillomania | Psychiatric disorders | MedDRA 23.0 | Systematic Assessment |
|
| Pollakiuria | Renal and urinary disorders | MedDRA 23.0 | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 23.0 | Systematic Assessment |
|
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