Prospective pilot study of L-dopa treatment in patients with a neurodevelopmental disorder linked to a pathogenic variant of the CTNNB1 gene

2024-514852-34-01 Protocol RECHMPL23_0426 Therapeutic exploratory (Phase II) Authorised, recruiting

Start 8 Apr 2026 · Status Authorised, recruiting · 1 EU/EEA countries · 1 sites · Protocol RECHMPL23_0426

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruiting
Participants planned 7
Countries 1
Sites 1

Neurodevelopmental disorders

Evaluate the effect of treatment on patients' motor skills by assessing their motor skills before and after treatment with the 88-item Gross Motor Function Measure (GMFM-88).

Key facts

Sponsor
Centre Hospitalier Universitaire De Montpellier
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
8 Apr 2026 → ongoing
Decision date (initial)
2025-08-14
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
PTC Therapeutics · Montpellier University Hospital

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Therapy

Evaluate the effect of treatment on patients' motor skills by assessing their motor skills before and after treatment with the 88-item Gross Motor Function Measure (GMFM-88).

Secondary objectives 4

  1. Evaluate the effect of treatment on cognitive development, using developmental or cognitive scales depending on the patient's age (Bayley III, WPPSI, WISC, Vineland),
  2. Evaluate the overall benefit on patient quality of life using a patient quality of life scale (CP-CHILD) and a parent quality of life scale (PedsQL TM (Pediatric Quality of Life Inventory TM)).
  3. Assessing treatment benefit using the CGI (Clinical Global Impression) scale
  4. Assess treatment tolerance.

Conditions and MedDRA coding

Neurodevelopmental disorders

VersionLevelCodeTermSystem organ class
26.0 PT 10064062 Neurodevelopmental disorder 100000004873

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
1 treatment period
start of treatment within 2 months of inclusion for a 12-month period
Not Applicable None
2 assessment of physical and cognitive abilities
évaluation de la qualité de vie : CGI – CP CHILD Évaluations motrice (échelles GMFM 88 +/-) (durée 30 – 90 min heures) Évaluations cognitive (Vineland & WPPSI/WISC Bayley III selon âge) (1h30) vineland par les parents Evaluation à l'inclusion, 6 mois et 12 mois de traitement
Not Applicable None

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-514852-34-00 Prospective pilot study of L-dopa treatment in patients with a neurodevelopmental disorder linked to a pathogenic variant of the CTNNB1 gene Centre Hospitalier Universitaire De Montpellier

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Ages 1 to 15 inclusive
  2. Carrier of a pathogenic variant of CTNNB1.
  3. Patient presenting with dystonia.
  4. Patient willing to comply with the contraception requirements outlined in the protocol

Exclusion criteria 9

  1. Contraindication to treatment with L-dopa and carbidopa or one of its excipients
  2. Current treatment with L-dopa, dopamine agonist or dopamine blocker,
  3. Failure to obtain informed consent signed by both parents or legal guardians, and to obtain the child's assent if possible.
  4. Patient not enrolled in or benefiting from a social security scheme
  5. Person participating in another research project with an exclusion period still in progress
  6. Patient presenting with a gastro-duodenal ulcer.
  7. Patient presenting with open-angle glaucoma
  8. Patient presenting with orthostatic hypotension
  9. Person who is pregnant or who wishes to become pregnant within 12 months after inclusion.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. GMFM-88 motor score before treatment (Day 1) and at 6 months

Secondary endpoints 5

  1. GMFM-88 motor score before treatment (Day 1) and at 12 months
  2. Changes in language/development/cognition assessment scores (Bayley III, WPPSI, WISC, Vineland), before treatment and at 1 year after treatment
  3. Changes in quality-of-life scores (Caregiver Priorities & Child Health Index of Life with Disabilities (CP-CHILD), Clinical Global Impression of severity scale (CGI)) before treatment, at 6 months and at 1 year after initiation of treatment
  4. Tolerance assessment (number and severity of adverse events, clinical follow-up, clinical, neurological and osteoarticular examination, patient logbook).
  5. GMFM-88 motor score between 6 and 12 months of treatment

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

Lévodopa 3mg/kg/j

PRD12273754 · Product

Active substance
Levodopa
Pharmaceutical form
CAPSULE FOR ORAL USE
Route of administration
ORAL
Max daily dose
3 mg/kg milligram(s)/kilogram
Max total dose
3 mg/kg milligram(s)/kilogram
Max treatment duration
12 Month(s)
Authorisation status
Not Authorised
ATC code
N04BA02 — LEVODOPA AND DECARBOXYLASE INHIBITOR
MA holder
UNIVERSITY HOSPITAL OF MONTPELLIER
Paediatric formulation
No
Orphan designation
No

Carbidopa 0.75mg/Kg/j

PRD12671437 · Product

Active substance
Carbidopa
Pharmaceutical form
CAPSULE FOR ORAL USE
Route of administration
ORAL
Max daily dose
0.75 mg/kg milligram(s)/kilogram
Max total dose
0.75 mg/kg milligram(s)/kilogram
Max treatment duration
12 Month(s)
Authorisation status
Not Authorised
ATC code
N04BA02 — LEVODOPA AND DECARBOXYLASE INHIBITOR
MA holder
UNIVERSITY HOSPITAL OF MONTPELLIER
Paediatric formulation
No
Orphan designation
No

Carbidopa 0.3mg/Kg/j

PRD12273869 · Product

Active substance
Carbidopa
Pharmaceutical form
CAPSULE FOR ORAL USE
Route of administration
ORAL
Max daily dose
0.3 mg/Kg milligram(s)/kilogram
Max total dose
0.3 mg/Kg milligram(s)/kilogram
Max treatment duration
12 Month(s)
Authorisation status
Not Authorised
ATC code
N04BA02 — LEVODOPA AND DECARBOXYLASE INHIBITOR
MA holder
UNIVERSITY HOSPITAL OF MONTPELLIER
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Universitaire De Montpellier

Sponsor organisation
Centre Hospitalier Universitaire De Montpellier
Address
191 Avenue Du Doyen Gaston Giraud
City
Montpellier Cedex 5
Postcode
34295
Country
France

Scientific contact point

Organisation
Centre Hospitalier Universitaire De Montpellier
Contact name
Agathe ROUBERTIE

Public contact point

Organisation
Centre Hospitalier Universitaire De Montpellier
Contact name
Agathe ROUBERTIE

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Authorised, recruiting 7 1
Rest of world 0

Investigational sites

France

1 site · Authorised, recruiting
Centre Hospitalier Universitaire De Montpellier
Neuropédiatrie, 191 Avenue Du Doyen Gaston Giraud, 34295, Montpellier Cedex 5

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2026-04-08

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 33 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_2024-514852-34-01_PROTOCOL_FP 3
Protocol (for publication) D1_2024-514852-34-01_PROTOCOL_FP_CTNNB1 4
Protocol (for publication) D1_2024-514852-34-01_PROTOCOL_TRACK_FP 3
Protocol (for publication) D1_2024-514852-34-01_PROTOCOL_TRACK_FP_CTNNB1 4
Protocol (for publication) D1_2024-514852-34-01_PROTOCOL_TRACK_NFP 3
Recruitment arrangements (for publication) K1_2024-514852-34-01_recruitment_procedure 1
Subject information and informed consent form (for publication) D4_2024-514852-34-01_logbook_Kid_FP 1
Subject information and informed consent form (for publication) D4_2024-514852-34-01_Logbook_Kid_FP 2
Subject information and informed consent form (for publication) D4_2024-514852-34-01_Logbook_Kid_TRACK_FP 2
Subject information and informed consent form (for publication) D4_2024-514852-34-01_logbook_Parents_FP 1
Subject information and informed consent form (for publication) D4_2024-514852-34-01_Logbook_Parents_FP 2
Subject information and informed consent form (for publication) D4_2024-514852-34-01_Logbook_Parents_TRACK_FP 2
Subject information and informed consent form (for publication) D4_2024-514852-34-01_Questionnaires and scales_Track_NFP 2
Subject information and informed consent form (for publication) L1_2024-514852-34-01_InformationSheetKid 6-12_FP 2
Subject information and informed consent form (for publication) L1_2024-514852-34-01_InformationSheetKid 6-12_Track_FP 2
Subject information and informed consent form (for publication) L1_2024-514852-34-01_InformationSheetKid 6-12_Track_NFP 2
Subject information and informed consent form (for publication) L1_2024-514852-34-01_InformationSheetTeen13-15_FP 4
Subject information and informed consent form (for publication) L1_2024-514852-34-01_InformationSheetTeen13-15_Track_FP 2
Subject information and informed consent form (for publication) L1_2024-514852-34-01_InformationSheetTeen13-15_Track_FP 4
Subject information and informed consent form (for publication) L1_2024-514852-34-01_InformationSheetTeen13-15_Track_NFP 2
Subject information and informed consent form (for publication) L1_2024-514852-34-01_Informed_Consent_FP 2
Subject information and informed consent form (for publication) L1_2024-514852-34-01_Informed_Consent_TRACK_FP 2
Subject information and informed consent form (for publication) L1_2024-514852-34-01_InformedSheetLegalRepresentative_FP 4
Subject information and informed consent form (for publication) L1_2024-514852-34-01_InformedSheetLegalRepresentative_Track_FP 2
Subject information and informed consent form (for publication) L1_2024-514852-34-01_InformedSheetLegalRepresentative_TRACK_FP 4
Subject information and informed consent form (for publication) L1_2024-514852-34-01_InformedSheetLegalRepresentative_Track_NFP 2
Summary of Product Characteristics (SmPC) (for publication) E2_2024-514852-34-01_SmPC_APOTEX 1
Summary of Product Characteristics (SmPC) (for publication) E2_2024-514852-34-01_SmPC_SINEMET 1
Summary of Product Characteristics (SmPC) (for publication) E2_2024-514852-34-01_SmPC_SINEMET 1
Synopsis of the protocol (for publication) D1_2024-514852-34-01_SYNOPSIS_FP 5
Synopsis of the protocol (for publication) D1_2024-514852-34-01_SYNOPSIS_FP_CLEAN 2.0
Synopsis of the protocol (for publication) D1_2024-514852-34-01_SYNOPSIS_FP_TRACK 4
Synopsis of the protocol (for publication) D1_2024-514852-34-01_SYNOPSIS_TRACK_FP 5

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-04-30 France Acceptable
2025-08-11
2025-08-14
2 SUBSTANTIAL MODIFICATION SM-1 2025-11-14 France Acceptable
2026-01-12
2026-01-29