Development and delivery of personalized 3D-printed drugs to improve treatment adherence in children with rare diseases.

2024-519378-37-00 Protocol IMPRIMIDO Therapeutic confirmatory (Phase III) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites · Protocol IMPRIMIDO

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruitment pending
Participants planned 14
Countries 1
Sites 1

Metilcrotonilglicinuria

The aim is to compare the tolerability of the commercial biotin drug prescribed as usual treatment in pediatric patients at the Hospital Clínico Universitario de Santiago de Compostela with respect to the biotin master formula (chewable formulation) prepared in the Pharmacy Service of the same center, in order to impro…

Key facts

Sponsor
Fundacion Publica Galega Instituto De Investigacion Sanitaria De Santiago De Compostela
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18]
Decision date (initial)
2025-03-12
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others

The aim is to compare the tolerability of the commercial biotin drug prescribed as usual treatment in pediatric patients at the Hospital Clínico Universitario de Santiago de Compostela with respect to the biotin master formula (chewable formulation) prepared in the Pharmacy Service of the same center, in order to improve the care and adherence of pediatric patients diagnosed with the rare hereditary metabolic disease

Secondary objectives 2

  1. Assess acceptability and adherence to treatment
  2. To evaluate the safety of chewable master formulations prepared by 3D printing

Conditions and MedDRA coding

Metilcrotonilglicinuria

VersionLevelCodeTermSystem organ class
20.0 PT 10071434 Biotinidase deficiency 100000004850

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Treatment of study
Patient was randomization in two arm and started treatment during 4 month and them cross ther treatment with the other arm during 4 month more.
Randomised Controlled None Medebiotin comprimidos o solucion inyectable: Medebiotin comprimidos o solucion inyectable
Formula magistral masticable de biotina: Formula magistral masticable de biotina

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Outpatients of both sexes, between 3-18 years of age (both ages included within the range). Diagnosis of one of the two rare metabolic diseases under study: methylcrotonylglycinuria treated with Medebiotin tablets or injectable solution, biotinidase deficiency treated with Medebiotin tablets or injectable solution. The patient has no swallowing problems at the time of signing the informed consent document by the parent(s) or guardian(s). Good compliance with the treatment prescribed by the specialist for each patient during the last year (Medebiotin tablets or injectable solution). This implies that the patient has not presented any metabolic decompensation in the last year.

Exclusion criteria 1

  1. Known hypersensitivity to any of the excipients of the biotin master formulation. Any disorder or situation (severe metabolic decompensation) which, in the opinion of the investigating physician, would pose a risk for the subject not to comply with the prescribed treatment.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. visual scale and in the collection of subjective symptoms reported by the patient.

Secondary endpoints 2

  1. Determination of organic acids
  2. plasma biotin levels

Investigational products

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

Test 1

Biotin

SUB05841MIG · Substance

Active substance
Biotin
Pharmaceutical form
CHEWABLE TABLET
Route of administration
ORAL USE
Max daily dose
15 mg milligram(s)
Max total dose
15 mg milligram(s)
Max treatment duration
8 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 2

Medebiotin Fuerte solución inyectable

PRD345970 · Product

Active substance
Biotin Sodium
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
ORAL USE
Max daily dose
15 mg milligram(s)
Max total dose
15 mg milligram(s)
Max treatment duration
8 Month(s)
Authorisation status
Authorised
ATC code
A11HA05 — BIOTIN
Marketing authorisation
34.236
MA holder
LABORATORIO REIG JOFRE, S.A.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Medebiotín Fuerte Comprimidos

PRD345969 · Product

Active substance
Biotin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
15 mg milligram(s)
Max total dose
15 mg milligram(s)
Max treatment duration
8 Month(s)
Authorisation status
Authorised
ATC code
A11HA05 — BIOTIN
Marketing authorisation
24616
MA holder
LABORATORIO REIG JOFRE, S.A.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fundacion Publica Galega Instituto De Investigacion Sanitaria De Santiago De Compostela

2 Total trials 1 Recruiting
Academic / Non-commercial
Sponsor organisation
Fundacion Publica Galega Instituto De Investigacion Sanitaria De Santiago De Compostela
Address
Travesia Da Choupana S/N
City
Santiago De Compostela
Postcode
15706
Country
Spain

Scientific contact point

Organisation
Fundacion Publica Galega Instituto De Investigacion Sanitaria De Santiago De Compostela
Contact name
Dra Maria Luz Couce Pico

Public contact point

Organisation
Fundacion Publica Galega Instituto De Investigacion Sanitaria De Santiago De Compostela
Contact name
Dra Maria Luz Couce Pico

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Authorised, recruitment pending 14 1
Rest of world 0

Investigational sites

Spain

1 site · Authorised, recruitment pending
Complexo Hospitalario Universitario De Santiago
Unidad de Enfermedades Metabólicas Congénitas, Calle Choupana Da S/n, 15706, Santiago De Compostela

Results and documents

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

Documents 17 files

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

TypeTitleVersion
Protocol (for publication) Biotine Protocolo_v06_18022025 clean 6
Protocol (for publication) Biotine Protocolo_v06_18022025 con cambios 6
Protocol (for publication) Protocolo_EUCT 2024-519378-37-00_ v05 04112024 5
Recruitment arrangements (for publication) Recruitment material description v1 1
Subject information and informed consent form (for publication) IMPRIMIDO Asentimiento 12 a 17 anos v6 de 18022025 clean 6
Subject information and informed consent form (for publication) IMPRIMIDO Asentimiento 12 a 17 anos v6 de 18022025 Con cambios 6
Subject information and informed consent form (for publication) IMPRIMIDO HIPCI Adultos v6 de 18022025 clean 6
Subject information and informed consent form (for publication) IMPRIMIDO HIPCI Adultos v6 de 18022025 con cambios 6
Subject information and informed consent form (for publication) IMPRIMIDO HIPCI Padrestutores v6 de 18022025 con cambios 6
Subject information and informed consent form (for publication) IMPRIMIDO HIPCI Padrestutores v6 de18022025 clean 6
Subject information and informed consent form (for publication) SIC and ICF adult tutors v5 04112024 5
Subject information and informed consent form (for publication) SIC and ICF adults v5 04112024 5
Subject information and informed consent form (for publication) SIC and ICF Assent 12 to 17 years v5 04112024 5
Summary of Product Characteristics (SmPC) (for publication) SmPC_Biotina Acofarma 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_Medebiotin comprimidos 2019 02 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_Medebiotin solucion inyectable 2005 07 01 1
Synopsis of the protocol (for publication) Protocolo Sinopsis_EUCT 2024-519378-37-00_ v05 04112024 5

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-11-27 Spain Acceptable with conditions
2025-03-12
2025-03-12