Actively Recruiting
Phase III Study of N-Acetyl-L-Leucine Treatment for Niemann-Pick Disease Type C in Patients Aged 4 and Older
Led by IntraBio Inc · Updated on 2026-04-03
53
Participants Needed
14
Research Sites
24 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the safety, tolerability, and effectiveness of N-acetyl-L-leucine IB1001 compared to standard care for patients aged 4 years and older diagnosed with Niemann-Pick disease type C NPC. This is a pivotal, randomized, double-blind, placebo-controlled, multi-center study designed to provide important information on this treatments impact on NPC symptoms. The study includes a crossover design where participants receive both the study drug and placebo during separate periods. Participants will take N-acetyl-L-leucine or a placebo orally as granules suspended in water, orange juice, or almond milk. Patients aged 13 and older will receive a total daily dose of 4 grams divided into three doses, while those under 13 will receive weight-based dosing. The study consists of a baseline period followed by two treatment periods of about 12 weeks each, where participants switch from one treatment to the other. After completing the parent study, some patients may join an open-label extension phase providing up to three years of treatment. During the trial, participants will undergo assessments at several points, including before and after each treatment period. These include scales measuring ataxia severity, functional ability, disability, clinical global impressions from physicians, caregivers, and patients, and quality of life questionnaires. Researchers will monitor adherence and safety throughout the study. The trial continues until December 2030, with careful evaluation of the primary outcomes after each treatment phase and ongoing follow-up for those in the extension phase.
CONDITIONS
Brief Title
A Pivotal Study of N-Acetyl-L-Leucine on Niemann-Pick Disease Type C
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Written informed consent signed by the patient or their legal representative/parent/impartial witness
- Male or female aged 4 years or older with confirmed genetic diagnosis of Niemann-Pick disease type C at consent
- Females of childbearing potential must be sexually inactive or use highly effective contraception before and during the study
- Females of non-childbearing potential must have undergone sterilization procedures or be postmenopausal as confirmed by lab tests
- Non-vasectomized males must agree to use condoms with spermicide or abstain from sex during the study; vasectomized males have specific condom use requirements
- Male participants agree not to donate sperm from first dose until 90 days after last dose
- SARA score between 7 and 34 points and either gait subtest score within 2-7 or able to perform 9-Hole Peg Test within 20 to 150 seconds
- Weight at least 15 kg at screening
- Willingness to disclose existing NPC medications/therapies and maintain stable doses throughout study
- Understanding of study participation implications and willingness to comply with visits and instructions
You will not qualify if you...
- Known hypersensitivity to Acetyl-Leucine or ingredients in study drug or placebo sachets
- Participation in another clinical study with investigational drugs within 42 days prior to baseline
- Physical, cognitive, or psychiatric conditions that may risk patient safety or interfere with study assessments
- Known or persistent misuse or dependency on medication, drugs, or alcohol
- Current or planned pregnancy or breastfeeding
- Severe vision or hearing impairment not corrected by aids that interferes with assessments
- Diagnosed arthritis or musculoskeletal disorders affecting mobility and ability to perform assessments
- Use of prohibited medications within 42 days prior to baseline and throughout study (e.g., N-Acetyl-DL-Leucine not provided by study, Sulfasalazine, Rosuvastatin)
Research Team
M
Michael Strupp, MD
T
Taylor Fields
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