Trial Outcomes & Findings for Copper Histidine Therapy for Menkes Diseases (NCT NCT00001262)

NCT ID: NCT00001262

Last Updated: 2015-10-30

Results Overview

This was measured based on the Denver Developmental Screening Test (DDST) I or II for age-appropriate gross motor development in apparently normal healthy subjects at specific ages (in months). The DDST employs a grid to assess expected developmental milestones in relation to chronologic age.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

60 participants

Primary outcome timeframe

36 months or death

Results posted on

2015-10-30

Participant Flow

Participant milestones

Participant milestones
Measure
Early
Classic Menkes disease: Copper histidine treatment beginning within 1 month of age
Late
Classic Menkes disease: Copper histidine treatment beginning after 1 month of age and after onset of symptoms
Mild
Milder variants of Menkes disease: Copper histidine treatment beginning late (L) and after onset of (milder) symptoms
Overall Study
STARTED
35
22
3
Overall Study
COMPLETED
25
8
3
Overall Study
NOT COMPLETED
10
14
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Early
Classic Menkes disease: Copper histidine treatment beginning within 1 month of age
Late
Classic Menkes disease: Copper histidine treatment beginning after 1 month of age and after onset of symptoms
Mild
Milder variants of Menkes disease: Copper histidine treatment beginning late (L) and after onset of (milder) symptoms
Overall Study
Death
10
11
0
Overall Study
Withdrawal by Subject
0
3
0

Baseline Characteristics

Copper Histidine Therapy for Menkes Diseases

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Early
n=35 Participants
Classic Menkes disease: Copper histidine treatment beginning within 1 month of age
Late
n=22 Participants
Classic Menkes disease: Copper histidine treatment beginning after 1 month of age and after onset of symptoms
Mild
n=3 Participants
Milder variants of Menkes disease: Copper histidine treatment beginning late (L) and after onset of (milder) symptoms
Total
n=60 Participants
Total of all reporting groups
Age, Categorical
<=18 years
35 Participants
n=39 Participants
22 Participants
n=41 Participants
3 Participants
n=35 Participants
60 Participants
n=31 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
Age, Categorical
>=65 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
Sex: Female, Male
Female
1 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
1 Participants
n=31 Participants
Sex: Female, Male
Male
34 Participants
n=39 Participants
22 Participants
n=41 Participants
3 Participants
n=35 Participants
59 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
3 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
30 Participants
n=39 Participants
21 Participants
n=41 Participants
3 Participants
n=35 Participants
54 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=39 Participants
1 Participants
n=41 Participants
0 Participants
n=35 Participants
3 Participants
n=31 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
1 Participants
n=41 Participants
0 Participants
n=35 Participants
1 Participants
n=31 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Black or African American
9 Participants
n=39 Participants
1 Participants
n=41 Participants
0 Participants
n=35 Participants
10 Participants
n=31 Participants
Race (NIH/OMB)
White
22 Participants
n=39 Participants
19 Participants
n=41 Participants
3 Participants
n=35 Participants
44 Participants
n=31 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
1 Participants
n=31 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=39 Participants
1 Participants
n=41 Participants
0 Participants
n=35 Participants
4 Participants
n=31 Participants

PRIMARY outcome

Timeframe: 36 months or death

This was measured based on the Denver Developmental Screening Test (DDST) I or II for age-appropriate gross motor development in apparently normal healthy subjects at specific ages (in months). The DDST employs a grid to assess expected developmental milestones in relation to chronologic age.

Outcome measures

Outcome measures
Measure
Early
n=35 Participants
Classic Menkes disease: Copper histidine treatment beginning within 1 month of age
Late
n=22 Participants
Classic Menkes disease: Copper histidine treatment beginning after 1 month of age and after onset of symptoms
Mild
n=3 Participants
Milder variants of Menkes disease: Copper histidine treatment beginning late (L) and after onset of (milder) symptoms
Gross Motor Development at 36 Mos of Age or at Death (Mos)
13.743 Other - months
Standard Deviation 12.200
2.455 Other - months
Standard Deviation 2.154
15.667 Other - months
Standard Deviation 9.815

PRIMARY outcome

Timeframe: 36 months or death

This was measured based on the Denver Developmental Screening Test (DDST) I or II for age-appropriate fine motor development in apparently normal healthy subjects at specific ages (in months). The DDST employs a grid to assess expected developmental milestones in relation to chronologic age.

Outcome measures

Outcome measures
Measure
Early
n=35 Participants
Classic Menkes disease: Copper histidine treatment beginning within 1 month of age
Late
n=22 Participants
Classic Menkes disease: Copper histidine treatment beginning after 1 month of age and after onset of symptoms
Mild
n=3 Participants
Milder variants of Menkes disease: Copper histidine treatment beginning late (L) and after onset of (milder) symptoms
Fine Motor Adaptive Development at 36 Mos of Age or at Death (Mos)
16.200 Other - Months
Standard Deviation 12.762
2.409 Other - Months
Standard Deviation 1.652
17.667 Other - Months
Standard Deviation 13.204

PRIMARY outcome

Timeframe: 36 months or death

This was measured based on the Denver Developmental Screening Test (DDST) I or II for age-appropriate personal-social development in apparently normal healthy subjects at specific ages (in months). The DDST employs a grid to assess expected developmental milestones in relation to chronologic age.

Outcome measures

Outcome measures
Measure
Early
n=35 Participants
Classic Menkes disease: Copper histidine treatment beginning within 1 month of age
Late
n=22 Participants
Classic Menkes disease: Copper histidine treatment beginning after 1 month of age and after onset of symptoms
Mild
n=3 Participants
Milder variants of Menkes disease: Copper histidine treatment beginning late (L) and after onset of (milder) symptoms
Personal-Social Development at 36 Mos of Age or at Death (Mos)
17.657 Other - Months
Standard Deviation 13.482
3.364 Other - Months
Standard Deviation 3.499
17.667 Other - Months
Standard Deviation 15.308

PRIMARY outcome

Timeframe: 36 months or death

This was measured based on the Denver Developmental Screening Test (DDST) I or II for age-appropriate language development in apparently normal healthy subjects at specific ages (in months). The DDST employs a grid to assess expected developmental milestones in relation to chronologic age.

Outcome measures

Outcome measures
Measure
Early
n=35 Participants
Classic Menkes disease: Copper histidine treatment beginning within 1 month of age
Late
n=22 Participants
Classic Menkes disease: Copper histidine treatment beginning after 1 month of age and after onset of symptoms
Mild
n=3 Participants
Milder variants of Menkes disease: Copper histidine treatment beginning late (L) and after onset of (milder) symptoms
Language Development at 36 Mos of Age or at Death (Mos)
15.800 Other - Months
Standard Deviation 12.034
3.227 Other - Months
Standard Deviation 2.943
21.000 Other - Months
Standard Deviation 9.539

SECONDARY outcome

Timeframe: 36 months or death

Outcome measures

Outcome measures
Measure
Early
n=35 Participants
Classic Menkes disease: Copper histidine treatment beginning within 1 month of age
Late
n=22 Participants
Classic Menkes disease: Copper histidine treatment beginning after 1 month of age and after onset of symptoms
Mild
n=3 Participants
Milder variants of Menkes disease: Copper histidine treatment beginning late (L) and after onset of (milder) symptoms
Somatic Growth Percentiles at 3 Years of Age (or at Age of Death) - Weight Percentile
12.086 Other - Percentile
Standard Deviation 19.589
11.273 Other - Percentile
Standard Deviation 17.097
5.000 Other - Percentile
Standard Deviation 8.660

SECONDARY outcome

Timeframe: 36 months or death

Outcome measures

Outcome measures
Measure
Early
n=35 Participants
Classic Menkes disease: Copper histidine treatment beginning within 1 month of age
Late
n=22 Participants
Classic Menkes disease: Copper histidine treatment beginning after 1 month of age and after onset of symptoms
Mild
n=3 Participants
Milder variants of Menkes disease: Copper histidine treatment beginning late (L) and after onset of (milder) symptoms
Somatic Growth Percentiles at 3 Years of Age (or at Age of Death) - Length Percentile
8.286 Other - Percentile
Standard Deviation 13.501
15.455 Other - Percentile
Standard Deviation 23.192
28.333 Other - Percentile
Standard Deviation 40.723

SECONDARY outcome

Timeframe: 36 months or death

Outcome measures

Outcome measures
Measure
Early
n=35 Participants
Classic Menkes disease: Copper histidine treatment beginning within 1 month of age
Late
n=22 Participants
Classic Menkes disease: Copper histidine treatment beginning after 1 month of age and after onset of symptoms
Mild
n=3 Participants
Milder variants of Menkes disease: Copper histidine treatment beginning late (L) and after onset of (milder) symptoms
Somatic Growth Percentiles at 3 Years of Age (or at Age of Death) - Head Circumference Percentile
33.286 Other - Percentile
Standard Deviation 27.060
11.136 Other - Percentile
Standard Deviation 14.551
18.333 Other - Percentile
Standard Deviation 27.538

Adverse Events

Early

Serious events: 10 serious events
Other events: 0 other events
Deaths: 0 deaths

Late

Serious events: 11 serious events
Other events: 0 other events
Deaths: 0 deaths

Mild

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Early
n=35 participants at risk
Classic Menkes disease: Copper histidine treatment beginning within 1 month of age
Late
n=22 participants at risk
Classic Menkes disease: Copper histidine treatment beginning after 1 month of age and after onset of symptoms
Mild
n=3 participants at risk
Milder variants of Menkes disease: Copper histidine treatment beginning late (L) and after onset of (milder) symptoms
Nervous system disorders
Death
28.6%
10/35 • Number of events 10 • 36 months or death
50.0%
11/22 • Number of events 11 • 36 months or death
0.00%
0/3 • 36 months or death
Nervous system disorders
Dehydration
2.9%
1/35 • Number of events 1 • 36 months or death
0.00%
0/22 • 36 months or death
0.00%
0/3 • 36 months or death

Other adverse events

Adverse event data not reported

Additional Information

Kaler, Stephen G

National Institute of Child Health and Human Development

Phone: +1 301 451 6034

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place