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Brief Title: An Efficacy and Safety Study of Palovarotene for the Treatment of MO
Official Title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled Efficacy and Safety Study of Palovarotene in Subjects With Multiple Osteochondromas
Study ID: NCT03442985
Brief Summary: This is a randomized, double-blind, placebo-controlled study comparing the safety and efficacy of 2 dosage regimens of palovarotene versus placebo in preventing disease progression in pediatric subjects with multiple osteochondromas (MO).
Detailed Description: Multiple osteochondromas is a rare condition where children develop multiple benign cartilage-capped bony tumors called osteochondromas on bones throughout the body, resulting in pain, deformity, limb length discrepancy, disability, and eventually arthritis and possible malignancy. The primary objective is to compare the efficacy of two dosage regimens of palovarotene with placebo to prevent the formation of new osteochondromas in pediatric MO subjects with exostosin 1 or exostosin 2 gene mutations. Osteochondroma formation was assessed by whole body magnetic resonance imaging (MRI). Secondary efficacy objectives were to compare the effects of palovarotene with placebo on the volume of osteochondromas as assessed by MRI; the proportion of subjects with no new osteochondromas as assessed by whole-body MRI; the annualized rate of new or worsening deformities; the annualized rate of MO-related surgeries; and palatability. The overall safety and pharmacokinetics of palovarotene and the effects of palovarotene on linear growth, bone growth plates, bone mineral density, quality of life, and pain due to osteochondromas was also studied.
Minimum Age: 2 Years
Eligible Ages: CHILD
Sex: ALL
Healthy Volunteers: No
Children's Orthopaedic Center, Los Angeles, California, United States
Shriners Hospital for Children - Sacramento, Sacramento, California, United States
University of California-San Francisco, San Francisco, California, United States
Children's National Medical Center, Washington, District of Columbia, United States
The Paley Institute, West Palm Beach, Florida, United States
Shriners Hospital for Children - Chicago, Chicago, Illinois, United States
Johns Hopkins University, Baltimore, Maryland, United States
Boston Children's Hospital, Boston, Massachusetts, United States
Mayo Clinic - PPDS, Rochester, Minnesota, United States
Shriners Hospitals for Children - Portland, Portland, Oregon, United States
The Children's Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania, United States
Shriners Hospital for Children - Philadelphia, Philadelphia, Pennsylvania, United States
Memorial Hermann Hospital, Houston, Texas, United States
Westmead Children's Hospital, Westmead, New South Wales, Australia
UZ Antwerpen, Edegem, Antwerp, Belgium
Hospital for Sick Children, Toronto, Ontario, Canada
Centre Hospitalier Universitaire Sainte-Justine, Montréal, Quebec, Canada
Shriners Hospital for Children - Canada, Montréal, Quebec, Canada
Hôpital universitaire Necker - Enfants Malades, Paris, , France
Hôpital des Enfants, CHU de Toulouse, Toulouse, , France
Istituti Ortopedici Rizzoli, Bologna, Emilia-Romagna, Italy
Nagoya University Hospital, Nagoya, Aiti, Japan
Osaka University Hospital, Suita, Osaka, Japan
OLVG locatie Oost, Amsterdam, Noord-Holland, Netherlands
Hospital Pediátrico de Coimbra, Coimbra, , Portugal
Hospital Universitario La Paz, Madrid, , Spain
Ege University Medical Faculty Hospital, Bornova, Izmir, Turkey
Bezmialem Vakif University Medical Faculty Hospital, Istanbul, , Turkey
Evelina London Children's Hospital, London, , United Kingdom
Royal Manchester Childrens Hospital, Manchester, , United Kingdom
Royal National Orthopaedic Hospital, Stanmore, , United Kingdom
Name: Ipsen Medical Director
Affiliation: Ipsen
Role: STUDY_DIRECTOR