Trial Outcomes & Findings for An Efficacy and Safety Study of 24 Week Treatment With Mavodelpar (REN001) in Primary Mitochondrial Myopathy Patients (NCT NCT04535609)

NCT ID: NCT04535609

Last Updated: 2024-05-08

Results Overview

Distance walked in meters

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

213 participants

Primary outcome timeframe

Baseline to Week 24

Results posted on

2024-05-08

Participant Flow

One subject completed all screening procedures, was randomized in error and was removed from the study before any study procedures were completed.

Participant milestones

Participant milestones
Measure
Mavodelpar
100 mg Once Daily
Matched Placebo
Once Daily
Overall Study
STARTED
108
104
Overall Study
COMPLETED
100
98
Overall Study
NOT COMPLETED
8
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

An Efficacy and Safety Study of 24 Week Treatment With Mavodelpar (REN001) in Primary Mitochondrial Myopathy Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mavodelpar
n=108 Participants
100 mg Once Daily
Matched Placebo
n=104 Participants
Once Daily
Total
n=212 Participants
Total of all reporting groups
Age, Customized
18-25 years
12 Participants
n=39 Participants
6 Participants
n=41 Participants
18 Participants
n=35 Participants
Age, Customized
26-45 years
34 Participants
n=39 Participants
44 Participants
n=41 Participants
78 Participants
n=35 Participants
Age, Customized
46-64 years
51 Participants
n=39 Participants
49 Participants
n=41 Participants
100 Participants
n=35 Participants
Age, Customized
=>65 years
11 Participants
n=39 Participants
5 Participants
n=41 Participants
16 Participants
n=35 Participants
Sex: Female, Male
Female
75 Participants
n=39 Participants
76 Participants
n=41 Participants
151 Participants
n=35 Participants
Sex: Female, Male
Male
33 Participants
n=39 Participants
28 Participants
n=41 Participants
61 Participants
n=35 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=39 Participants
7 Participants
n=41 Participants
8 Participants
n=35 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
101 Participants
n=39 Participants
93 Participants
n=41 Participants
194 Participants
n=35 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
6 Participants
n=39 Participants
4 Participants
n=41 Participants
10 Participants
n=35 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=39 Participants
3 Participants
n=41 Participants
4 Participants
n=35 Participants
Race/Ethnicity, Customized
White
99 Participants
n=39 Participants
95 Participants
n=41 Participants
194 Participants
n=35 Participants
Race/Ethnicity, Customized
Not Reported
4 Participants
n=39 Participants
3 Participants
n=41 Participants
7 Participants
n=35 Participants
Race/Ethnicity, Customized
Other
4 Participants
n=39 Participants
3 Participants
n=41 Participants
7 Participants
n=35 Participants
Region of Enrollment
North America
17 participants
n=39 Participants
15 participants
n=41 Participants
32 participants
n=35 Participants
Region of Enrollment
Australia
7 participants
n=39 Participants
10 participants
n=41 Participants
17 participants
n=35 Participants
Region of Enrollment
Europe
84 participants
n=39 Participants
79 participants
n=41 Participants
163 participants
n=35 Participants

PRIMARY outcome

Timeframe: Baseline to Week 24

Population: The full analysis set includes all subjects in the randomized set who received at least one dose of study drug and were not subsequently discontinued from the study for failing eligibility criteria. Subjects were analysed according to the treatment they were assigned at randomization. The FAS was used for baseline analyses and was the primary analysis set for efficacy.

Distance walked in meters

Outcome measures

Outcome measures
Measure
Mavodelpar
n=106 Participants
100 mg Once Daily
Matched Placebo
n=104 Participants
Once Daily
Change in Distance Walked During a 12 Minute Walk Test
26.75 meters
Interval 12.97 to 40.53
30.89 meters
Interval 15.03 to 46.74

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: The full analysis set includes all subjects in the randomized set who received at least one dose of study drug and were not subsequently discontinued from the study for failing eligibility criteria. Subjects were analysed according to the treatment they were assigned at randomization. The FAS was used for baseline analyses and was the primary analysis set for efficacy.

The PROMIS is a 13-item questionnaire to describe fatigue and its impact upon daily activities and function. Each item is scored between 1=Not At All and 5=Very Much

Outcome measures

Outcome measures
Measure
Mavodelpar
n=106 Participants
100 mg Once Daily
Matched Placebo
n=104 Participants
Once Daily
Change in PROMIS Short Form - Fatigue 13a (FACIT-fatigue) Scores
-0.98 score on a scale
Interval -2.03 to 0.08
-2.60 score on a scale
Interval -3.8 to -1.4

Adverse Events

Mavodelpar

Serious events: 8 serious events
Other events: 85 other events
Deaths: 1 deaths

Matched Placebo

Serious events: 7 serious events
Other events: 81 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Mavodelpar
n=108 participants at risk
100 mg Once Daily
Matched Placebo
n=104 participants at risk
Once Daily
Nervous system disorders
Cerebrovascular Accident
1.9%
2/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Nervous system disorders
Epilepsy
0.93%
1/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Nervous system disorders
Seizure
0.93%
1/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Infections and infestations
Pneumonia
0.93%
1/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Infections and infestations
Pyelonephritis Acute
0.93%
1/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Infections and infestations
COVID-19
0.00%
0/108 • 24 weeks
Regular Investigator assessment
0.96%
1/104 • 24 weeks
Regular Investigator assessment
Infections and infestations
Pneumonia Influenza
0.00%
0/108 • 24 weeks
Regular Investigator assessment
0.96%
1/104 • 24 weeks
Regular Investigator assessment
Cardiac disorders
Angina Pectoris
0.93%
1/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Cardiac disorders
Atrioventricular Block
0.00%
0/108 • 24 weeks
Regular Investigator assessment
0.96%
1/104 • 24 weeks
Regular Investigator assessment
Cardiac disorders
Coronary Artery Disease
0.00%
0/108 • 24 weeks
Regular Investigator assessment
0.96%
1/104 • 24 weeks
Regular Investigator assessment
Cardiac disorders
Nodal Rhythm
0.00%
0/108 • 24 weeks
Regular Investigator assessment
0.96%
1/104 • 24 weeks
Regular Investigator assessment
Gastrointestinal disorders
Pancreatitis
0.93%
1/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Gastrointestinal disorders
Haematemesis
0.00%
0/108 • 24 weeks
Regular Investigator assessment
0.96%
1/104 • 24 weeks
Regular Investigator assessment
General disorders
Death
0.93%
1/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Injury, poisoning and procedural complications
Concussion
0.93%
1/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Injury, poisoning and procedural complications
Humerus Fracture
0.93%
1/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Injury, poisoning and procedural complications
Cervical Vertebral Fracture
0.00%
0/108 • 24 weeks
Regular Investigator assessment
0.96%
1/104 • 24 weeks
Regular Investigator assessment
Injury, poisoning and procedural complications
Limb Injury
0.00%
0/108 • 24 weeks
Regular Investigator assessment
0.96%
1/104 • 24 weeks
Regular Investigator assessment
Injury, poisoning and procedural complications
Rib Fracture
0.00%
0/108 • 24 weeks
Regular Investigator assessment
0.96%
1/104 • 24 weeks
Regular Investigator assessment
Metabolism and nutrition disorders
Diabetic Ketoacidosis
0.93%
1/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Surgical and medical procedures
Hospitalization
0.93%
1/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Surgical and medical procedures
Cranial Operation
0.00%
0/108 • 24 weeks
Regular Investigator assessment
0.96%
1/104 • 24 weeks
Regular Investigator assessment

Other adverse events

Other adverse events
Measure
Mavodelpar
n=108 participants at risk
100 mg Once Daily
Matched Placebo
n=104 participants at risk
Once Daily
Infections and infestations
COVID-19
18.5%
20/108 • 24 weeks
Regular Investigator assessment
12.5%
13/104 • 24 weeks
Regular Investigator assessment
Gastrointestinal disorders
Diarrhea
9.3%
10/108 • 24 weeks
Regular Investigator assessment
2.9%
3/104 • 24 weeks
Regular Investigator assessment
Gastrointestinal disorders
Nausea
9.3%
10/108 • 24 weeks
Regular Investigator assessment
3.8%
4/104 • 24 weeks
Regular Investigator assessment
Gastrointestinal disorders
Vomiting
8.3%
9/108 • 24 weeks
Regular Investigator assessment
4.8%
5/104 • 24 weeks
Regular Investigator assessment
Eye disorders
Refraction Disorder
18.5%
20/108 • 24 weeks
Regular Investigator assessment
14.4%
15/104 • 24 weeks
Regular Investigator assessment
General disorders
Fatigue
6.5%
7/108 • 24 weeks
Regular Investigator assessment
8.7%
9/104 • 24 weeks
Regular Investigator assessment
Nervous system disorders
Headache
9.3%
10/108 • 24 weeks
Regular Investigator assessment
12.5%
13/104 • 24 weeks
Regular Investigator assessment
Nervous system disorders
Dizziness
6.5%
7/108 • 24 weeks
Regular Investigator assessment
2.9%
3/104 • 24 weeks
Regular Investigator assessment
Musculoskeletal and connective tissue disorders
Back Pain
8.3%
9/108 • 24 weeks
Regular Investigator assessment
3.8%
4/104 • 24 weeks
Regular Investigator assessment
Musculoskeletal and connective tissue disorders
Myalgia
8.3%
9/108 • 24 weeks
Regular Investigator assessment
5.8%
6/104 • 24 weeks
Regular Investigator assessment
Skin and subcutaneous tissue disorders
Rash
7.4%
8/108 • 24 weeks
Regular Investigator assessment
0.00%
0/104 • 24 weeks
Regular Investigator assessment
Investigations
Blood Creatine Phosphokinase Increased
10.2%
11/108 • 24 weeks
Regular Investigator assessment
2.9%
3/104 • 24 weeks
Regular Investigator assessment
Injury, poisoning and procedural complications
Fall
5.6%
6/108 • 24 weeks
Regular Investigator assessment
0.96%
1/104 • 24 weeks
Regular Investigator assessment
Metabolism and nutrition disorders
Vitamin D Deficiency
5.6%
6/108 • 24 weeks
Regular Investigator assessment
2.9%
3/104 • 24 weeks
Regular Investigator assessment

Additional Information

Alex Dorenbaum, MD, Chief Medical Officer

Reneo Pharmaceuticals, Inc.

Phone: (415) 328-9115

Results disclosure agreements

  • Principal investigator is a sponsor employee Material for public dissemination will be submitted to the Sponsor for review at least 60 days prior to submission for publication, public dissemination, or review by a publication committee. During this period, the Sponsor shall be entitled to make a reasoned request that publication be delayed for a period of up to 6 months from the date of first submission to the Sponsor in order to enable the protection of proprietary information and/or Intellectual Property Rights.
  • Publication restrictions are in place

Restriction type: OTHER