A Dose-ranging Study of TTI-0102 in Adults and Children With Leigh Syndrome Spectrum (LSS)
NCT06990984 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 18
Last updated 2025-07-11
Summary
The goal of this clinical trial is to investigate oral TTI-0102 to evaluate its pharmacokinetics, safety, and preliminary efficacy in patients with Leigh syndrome spectrum, in three sequences. First sequence will be placebo-controlled and include 12 adolescents and adults weighing more than 40 kg. Second sequence will be open-label and include 3 adults and 3 children weighing 25-40 kg. Third sequence will also be open-label and will include 3 children weighing 20-25 kg. The main questions clinical trial aims to answer are:
* Characterize the relationship between TTI-0102 drug levels by measuring
1. cysteamine pharmacokinetic (PK) parameters
2. pharmacodynamic (PD) efficacy measures
* Generate a population PK model and determine dose level for later dosing groups
* collect data to inform the design of a subsequent phase 2b/3 study of TTI-0102 in this patient population
Participants will be asked to:
* Take the study drug twice daily for 12 weeks
* Visit the clinic for checkups and testing 7 times in total: once prior to study drug dosing, then 5 times over the 12-week treatment period and one more time a month after the last study drug dose.
Conditions
- Leigh Syndrome
Interventions
- DRUG
-
TTI-0102: cysteamine-pantetheine disulfide
TTI-0102: cysteamine-pantetheine disulfide, powder for dissolution in water for oral administration
- DRUG
-
D-Mannitol
D-Mannitol
Sponsors & Collaborators
-
Thiogenesis Therapeutics, Inc.
lead INDUSTRY
Principal Investigators
-
Zarazuela Zolkipli-Cunningham, MBChB, MRCP · Children's Hospital of Philadelphia
-
Patrice Rioux, MD, PhD · Thiogenesis Therapeutics
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 5 Years
- Max Age
- 55 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-10-31
- Primary Completion
- 2026-09-30
- Completion
- 2026-09-30
- FDA Drug
- Yes
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