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WithdrawnNCT04581733Updated Sep 1, 2023

A Study of the Efficacy and Safety of MT1621 in Thymidine Kinase 2 (TK2) Deficiency (Treatment naïve)

A Phase 3 interventional study of MT1621 in Thymidine Kinase 2 Deficiency, sponsored by Zogenix MDS, Inc.. Withdrawn. Open to participants aged Up to 18 Years. Per ClinicalTrials.gov, last updated 2023-09-01.

Sponsored by Zogenix MDS, Inc. · Phase 3, Interventional, and Treatment

Why this study was withdrawn
Sponsor Decision
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
Up to 18 Years
Sex
All
01

Study summary

This is a Phase 3b, prospective, single-arm, multicenter, open-label treatment study of the efficacy and safety of MT1621 in pediatric and adolescent patients with thymidine kinase 2 deficiency (TK2d). In order to be eligible for this study, participants must have genetic confirmation of TK2d and must not have ever received MT1621 or nucleos(t)ides before entering the study.

Read the detailed description

Thymidine kinase 2 (TK2) is a protein involved in the normal function of mitochondria. Thymidine kinase 2 deficiency (TK2d) is a form of mitochondrial DNA depletion syndrome and is a very rare inherited genetic disorder. TK2d leads to abnormally low amounts of DNA in mitochondria and because of this defect, the mitochondria are not able to provide the energy that cells need to function properly, which causes severe muscle weakness, along with host of additional symptoms that may involve the respiration, feeding, and ambulation, and can progress until patients lose many of these abilities. There are no FDA-approved medicines to treat TK2d.

MT1621 is a therapy that targets the underlying pathophysiology of TK2d by restoring mitochondrial DNA (mtDNA) replication fidelity. MT1621 consists of a combination of deoxynucleosides (the building blocks of mtDNA) given orally. Deoxynucleoside combination therapy improves nucleotide balance, increases mtDNA copy number, improves cell function, and prolongs life in preclinical models of TK2d.

This is a Phase 3b, prospective, single-arm, multicenter, open-label treatment study to assess the efficacy and safety of MT1621 in treatment naïve pediatric and adolescent subjects \<18 years of age with TK2d. The study seeks to enroll approximately 16 subjects globally in this ultra rare disease.

02

Conditions studied

  • Thymidine Kinase 2 Deficiency

Keywords

  • TK2
  • TK2d
  • mitochondrial disorder
  • mitochondrial disease
  • Mitochondria
  • deoxythymidine/deoxythymidine substrate enhancement therapy
  • dC/dT
  • deoxythymidine/deoxythymidine
  • primary mitochondrial myopathy
  • mitochondrial depletion syndrome
  • Muscle weakness
  • Muscle atrophy
  • Loss of mobility
  • Thymidine kinase 2 deficiency
03

In context

Lead sponsor

Zogenix MDS, Inc. is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subject must be aged birth to \<18 years of age on the day of consent.
  • Diagnosis of TK2 deficiency based on confirmed disease-causing mutation(s) in the TK2 gene.
  • Onset of TK2d at ≤12 years of age as defined as the age at which the first TK2d symptom occurred.

Exclusion criteria

Exclusion Criteria:

  • Documented clinically significant central nervous system involvement.
  • ALT or AST >3 x upper limit of normal and total bilirubin > 2 x ULN or International Normalized Ratio (INR) >1.5.
  • EtCO2>45 mmHg if not on ventilatory support
  • Current or prior treatment with nucleos(t)ides for TK2d.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Single Arm

    Male and female Participants \<18 years

    Drug: MT1621

Interventions

  • DrugMT1621

    All patients will receive MT1621 up to a target dose of 400 mg/kg/day each dC and dT, as tolerated.

    Also known as: Deoxycytidine (dC) and deoxythymidine (dT)

06

What researchers measure

Primary outcomes

  1. Proportion of subjects acquiring a Motor Milestone

    Proportion of subjects acquiring a motor milestone not present at baseline after 12 months of MT1621 treatment.

    Time frame: 12 months

Secondary outcomes

  1. Time to Acquisition of a Motor Milestone

    Time to Acquisition of a Motor Milestone that was not present at baseline after 12 months of treatment.

    Time frame: 12 months

  2. Survival

    Survival after 12 months of treatment

    Time frame: 12 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04581733
Lead sponsor
Zogenix MDS, Inc.
Responsible party
Sponsor
First posted
Oct 9, 2020
Start date
Sep 30, 2022 (estimated)
Primary completion
Mar 31, 2025 (estimated)
Completion
Apr 30, 2025 (estimated)
Last update
Sep 1, 2023

Study contacts

UCB Cares
study director · 001 844 599 2273

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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