Treat Wolfram

  • Research type

    Research Study

  • Full title

    A pivotal, international, randomised, double-blind, efficacy and safety trial of sodium valporate in paediatric and adult patients with Wolfram Syndrome

  • IRAS ID

    222620

  • Contact name

    Timothy Barrett

  • Contact email

    t.g.barrett@bham.ac.uk

  • Sponsor organisation

    University of Birmingham

  • Eudract number

    2017-001215-37

  • ISRCTN Number

    10176118

  • Clinicaltrials.gov Identifier

    NCT03717909

  • Duration of Study in the UK

    5 years, 2 months, 0 days

  • Research summary

    Wolfram syndrome is a rare, (1:700,000) genetic life limiting disease. It causes diabetes and blindness in children, then deafness, loss of bladder control, loss of balance, sleep disorders, and sometimes depression. Death is in mid-life from damage to brain cells and brain shrinkage. There is no cure, and nothing to prevent or slow down the disease. The goal of our research is to develop a treatment that will prevent or delay the disease progressing.

    We have found a medicine, Sodium Valproate, that treats the disease in our cell models of Wolfram. Sodium Valproate is already used to treat epilepsy in children. However, it should not be used in people with liver disorders, or in pregnancy, and it can cause side effects including nausea, anaemia, tremor, and mood disturbances. Therefore, we need to test its safety and effectiveness for Wolfram patients, in a clinical trial.

    We have been awarded a grant from the UK Medical Research Council to lead the first clinical trial of a treatment for Wolfram syndrome. The grant was awarded after rigorous review from many scientists and doctors. The aim of the trial is to show that Sodium Valproate is safe, and effective, in slowing the disease process. We will invite 70 people to take part, from the UK, Spain, France, and Poland. For every 1 person who receives placebo (dummy medicine), 2 will receive the active treatment.

    The trial period is 36 months. Participants will be closely monitored for any side effects; for changes in vision; and for changes in brain scans. At the end of the trial, we will know if Sodium Valproate is safe, and slows the progress of the disease. We hope this will allow us to prescribe Sodium Valproate as the first treatment for Wolfram.

  • REC name

    West of Scotland REC 1

  • REC reference

    18/WS/0020

  • Date of REC Opinion

    19 Mar 2018

  • REC opinion

    Further Information Favourable Opinion