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Physician-initiated clinical trial in patients with 5-aminolevulinic acid-induced ATR-X syndrome.

Exploratory study to investigate the safety and efficacy of NPJ005 in patients with ATR-X syndrome. - IACT21003

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2051220062
Enrollment
5
Registered
2022-07-14
Start date
2022-07-14
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

ATR-X syndrome infant, intellectual disability, epigenetics, guanine quadruplex

Interventions

Containing 5-aminolevulinic acid (5-ALA) hydrochloride and sodium ferrous citrate (SFC) Tablets (25 mg 5-ALA hydrochloride/39.2 mg SFC per tablet, NPJ005) for 24 weeks
5-aminolevulinic acid,

Sponsors

Wada Takahito
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: 1) meet the Definite diagnostic criteria for the ATR-X syndrome 2) Age > 2 years at the time of enrolment 3) Weigh 10 kg or more at the time of enrolment 4) Have a parent or reliable carer 5) Have given written consent to participate in this clinical trial. (If the patient is under 18 years of age, consent should be obtained from the individual and his/her legal guardian). If the patient's intellectual disability makes it difficult to obtain consent from the individual, consent should be obtained from the legal guardian.

Exclusion criteria

Exclusion criteria: 1) Those with complications not directly related to the ATR-X syndrome (e.g. perinatal hypoxic encephalopathy, which may affect the assessment) 2) Those with serious complications (e.g. haematological, renal, hepatic, cardiac, cancer) 3) Those with a history of major illness or surgery in the past, which is judged to affect the assessment of central nervous system function 4) Those with no visual function that allows recognition of test indices 5) Those with concomitant or previous history of photosensitivity or porphyria 6) With a history of hypersensitivity to 5-ALA, porphyrins or iron preparations 7) Those with haemochromatosis 8) have taken supplements containing 5-ALA as a main ingredient within 3 months prior to enrolment (same date 3 months earlier) 9) Participating in another clinical study or trial involving an intervention within 3 months (same date 3 months earlier) prior to obtaining consent 10) Any other case that the investigator or sub-investigator deems inappropriate for the safe conduct of this clinical trial.

Design outcomes

Primary

MeasureTime frame
1 Safety: (frequency and extent of adverse events and side effects) 2 Efficacy: assessment of development using the new version of the K-type developmental test 3 Efficacy: assessment of social competence with the S-M Social Competence Test

Secondary

MeasureTime frame
1 Assessment of symptoms by M-CHAT 2 Assessment of social developmental gaze patterns using gaze measurement device, Gazefinder 3 Assessment of gastrointestinal symptoms 4 Development (body weight) 5 Blood levels of 5-ALA and PP9

Contacts

Public ContactYoshida Takeshi

Kyoto University Hospital

tayoshi@kuhp.kyoto-u.ac.jp+81-75-751-4494

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026