Noonan syndrome hypertrophic cardiomyopathy MedDRA version: 14.1 Level: PT Classification code 10029748 Term: Noonan syndrome System Organ Class: 10010331 - Congenital, familial and genetic disorders MedDRA version: 14.1 Level: PT Classification code 10020871 Term: Hypertrophic cardiomyopathy System Organ Class: 10007541 - Cardiac disorders
Conditions
Sponsors
Novartis Pharma Services AG
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: - Male and female Noonan syndrome patients with confirmed cardiac hypertrophy, age 18 to 65 years of age included, and in general good health as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests at screening. - Cardiac hypertrophy is defined by left ventricular wall thickness greater than or equal to 12 mm by echocardiography or MRI, or the change in wall thickness is accompanied by an associated increase in left ventricular mass which is defined by echo or MRI as greater than 134 g/m2 and 110 g/m2 in men and women, respectively. - Subjects must weigh at least 45 kg to participate in the study, and must have a body mass index (BMI) within the range of 18 - 34 kg/m2 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Primary Long QT syndrome or a history of significant ECG abnormalities judged by the investigators to be inappropriate for participation in the current study. - History of malignancy of any organ system (other than localized basal cell carcinoma of the skin), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases. - Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless using highly effective contraception during the study and for 5 half lives after stopping treatment - Sexually active males must use a condom during intercourse while taking the drug during treatment, for 5 half lives after stopping treatment and should not father a child in this period. - Use of any prescription drugs other than beta-blockers, diuretics, CCB, amiodarone, disopyramide, herbal supplements, within four (4) weeks prior to initial dosing, and/or over-the-counter (OTC) medication, dietary supplements (vitamins included) within two (2) weeks prior to initial dosing. If needed, (i.e. an incidental and limited need) paracetamol or acetaminophen is acceptable, but must be documented in the Concomitant medications/Significant non-drug therapies page of the eCRF Other protocol-defined inclusion/exclusion criteria may apply.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the effect of MEK162 when administered b.i.d. for 6 months, on cardiac hypertrophy in Noonan syndrome patients with confirmed hypertrophic cardiomyopathy;Secondary Objective: - To evaluate the safety and tolerability of MEK162 when administered b.i.d. for 6 months in Noonan syndrome patients with confirmed hypertrophic cardiomyopathy - To evaluate the pharmacokinetics of MEK162 and metabolite (AR00426032) following multiple dose administration in the target population - To assess the effect of MEK162 on cardiac energetic improvement assessed by P-31 magnetic resonance spectroscopy (MRS) in this population following 3 and 6 months of treatment. - To assess the effect of MEK162 on cardiac function and hemodynamics after 3 and 6 months of treatment;Primary end point(s): Left ventricular mass and left ventricular mass index;Timepoint(s) of evaluation of this end point: 6 months of treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - PCr/ATP ratio - Safety (vital signs, ECG, blood tests, adverse events) - Pharmacokinetics;Timepoint(s) of evaluation of this end point: 6 months of treatment for the three secondary end points | — |
Countries
United Kingdom, United States
Contacts
Public ContactMedical Information Services
Novartis Pharmaceuticals UK Ltd
Outcome results
None listed