OLE-IEDAT, version 5.0

  • Research type

    Research Study

  • Full title

    Open-label, Long-term, Extension Treatment using Intra-Erythrocyte Dexamethasone Sodium Phosphate in Patients with Ataxia Telangiectasia Who Participated in the IEDAT-02-2015 Study

  • IRAS ID

    277790

  • Contact name

    William Whitehouse

  • Contact email

    william.whitehouse@nottingham.ac.uk

  • Sponsor organisation

    EryDel S.p.A.

  • Eudract number

    2018-000338-36

  • Clinicaltrials.gov Identifier

    115929, US IND

  • Duration of Study in the UK

    1 years, 11 months, 4 days

  • Research summary

    Ataxia telangiectasia (AT) is considered a rare disease. There is no marketed drug approved to treat AT, and the progression of the neurologic problems is currently unstoppable. Neurological degeneration is the major contributor to the severe outcome of the disease. The onset of symptoms becomes evident in early childhood when children demonstrate unsteadiness while walking, or swaying when standing still or sitting.
    Early findings with administration of betamethasone demonstrated the benefit of a short-term treatment on the neurological impairment of AT patients. However, treatment discontinuation was accompanied by the reappearance of symptoms. These previous results prompted the search for steroids that could be given at low plasma concentrations for an extended period of time without the associated steroid-like effects. The trial treatment, consisting of dexamethasone sodium phosphate encapsulated in autologous erythrocytes, allows the administration of dexamethasone at low plasma concentrations without the associated steroid side effects, despite long-term use in the pediatric population.
    This open-label study allows patients who completed the full treatment period in the IEDAT-02-2015, to continue treatment as long as their physician determines they are not experiencing any adverse effects that would necessitate discontinuation of treatment and do not present safety contraindications to continuation of treatment. This study also gives patients who were receiving placebo treatment in the prior study the opportunity to start treatment with the medication. The study aims to collect information on the long-term safety and efficacy of the trial treatment.
    Patients meeting all selection criteria will receive monthly infusions. The open-label treatment period is planned for 12 months, but may be extended further and continue until patients eventually withdraw consent or the Investigator decides to discontinue treatment based on a risk/ benefit assessment.

  • REC name

    East Midlands - Nottingham 2 Research Ethics Committee

  • REC reference

    20/EM/0104

  • Date of REC Opinion

    27 May 2020

  • REC opinion

    Further Information Favourable Opinion