Pearson Syndrome
Conditions
Keywords
Pearson, EPI743, EPI-743, Vincerinone, Mitochondrial disorder, Mitochondrial disease
Brief summary
Treatment of Pediatric Subjects with Pearson syndrome
Detailed description
If effective, treatment with EPI-743 should result in a significant reduction in occurrence of sepsis, metabolic crisis, hepatic failure and transfusion dependence.
Interventions
EPI-743 is the quinone oxidation product of alpha-tocotrienol
Sponsors
Study design
Eligibility
Inclusion criteria
* Genetically confirmed diagnosis of Pearson syndrome * Age less than 18 * Availability of medical history for 12 months prior to enrollment * Abstention from use of CoQ10, vitamin E, lipoic acid and Idebenone 14 days prior to treatment with EPI-743
Exclusion criteria
* Allergy to EPI-743, sesame oil or vitamin E * Clinical history of bleeding/ abnormal PT/PTT * Concurrent inborn errors of metabolism * Use of anticoagulant medications * Participation in any interventional study within 30 days of treatment * Use of erythropoietin 30 days prior to trial enrollment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Occurence of episodes of sepsis, metabolic crisis or hepatic faillure | 1 year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neuromuscular function | 1 year | Neuromuscular function as assessed by Gross Motor Function Measure |
| Disease severity | 1 year | Disease severity as assessed by Newcastle Pediatric Mitochondrial Disease Scale |
| Renal function | 1 year | — |
| Hepatic function | 1 year | — |
| Hematologic function | 1 year | — |
| Hospitalizations | 1 year | — |
| Pancreatic function | 1 year | Pancreatic function as assessed by insulin requirement and hemoglobin A1c |
| Mortality | 1 year | — |
| Transfusion avoidance | 1 year | — |
| Weight gain | 1 year | — |
Other
| Measure | Time frame | Description |
|---|---|---|
| Number of Dose Limiting SAEs | 1 year | Any adverse event greater than or equal to grade 3 that is deemed related to treatment with EPI-743 and not related to underlying disease |
Countries
United States