Mercaptamine-Pantetheine Disulfide Acetate

Clinical trials are studying Mercaptamine-Pantetheine Disulfide Acetate in patients with mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS). These studies aim to assess safety, tolerability, and efficacy in people with this rare condition. The available trial data describe a randomized Phase 2 study in adults with MELAS.

Table of Contents

Trial overview

The available data describe one interventional study of Mercaptamine-Pantetheine Disulfide Acetate listed as oral TTI-0102 in the trial record.[1] It studied patients with mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS), a rare condition that affects energy-making parts of cells and can cause brain and muscle problems.[1]

The study was Phase 2, which means it was an early clinical research stage focused on signs of benefit and continued safety testing in a small group of people.[1] The trial status was completed, and it enrolled 12 participants.[1]

Study design and treatment groups

This study was randomized, so people were assigned to a study group by chance rather than by choice.[1] It was also double-blind and placebo-controlled, meaning neither the participants nor the study team knew who received the study treatment and who received the placebo, which is a look-alike treatment with no active drug.[1]

The title says the study aimed to assess the efficacy, safety, tolerability, pharmacokinetics, and pharmacodynamics of oral TTI-0102 compared with placebo for up to 6 months in patients with MELAS.[1] In simple terms, the researchers wanted to see whether the treatment may help, whether it was acceptable to take, and how the body handled it and responded to it.[1]

The intervention list includes oral TTI-0102 and Pearlitol® 100 SD (mannitol), which was used as the placebo comparator in the source data.[1]

Who could participate

The trial targeted patients with MELAS.[1] The source data do not provide more detailed entry rules such as age limits, disease severity, or other medical requirements.[1]

Because the study was small, only a limited number of people could take part.[1] This kind of study is often used to learn more about a treatment in a carefully selected group before larger trials are done.[1]

What was measured

The main outcome was change in functional capacity, measured with the 12-minute walking test (12-MWT) from Day 1 or baseline to Week 24 or study exit.[1] Functional capacity means how well a person can do physical tasks in daily life, and the walking test is a simple way to measure that ability.[1]

Safety and tolerability were also measured.[1] The study tracked the number, severity, and relationship of adverse events, which are unwanted health problems that happen during a trial, whether or not they are caused by the study treatment.[1]

Other safety checks included changes in laboratory tests, physical exam findings, vital signs, 12-lead electrocardiography, and seizure activity.[1] A 12-lead ECG is a heart tracing test, and seizure activity refers to episodes of abnormal electrical activity in the brain.[1]

Why this trial matters

This trial focuses on a rare disease with serious symptoms, so even a small study can help researchers learn whether a treatment deserves further study.[1] The design used a placebo comparison and blinded assignment, which helps make the results more reliable.[1]

Because the study measured both walking ability and safety markers, it looked at whether the treatment might help patients function better while also checking for harm.[1] The completed Phase 2 design shows that the trial was meant to give early answers about possible benefit in people with MELAS.[1]

Trial ID Phase Condition studied Status Enrollment
2023-506723-28-00 Phase 2 Mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS) Completed 12

Ongoing Clinical Trials on Mercaptamine-Pantetheine Disulfide Acetate

  • Study on the Effects of TTI-0102 for Patients with MELAS Syndrome

    Not recruiting

    Investigated diseases:
    France The Netherlands

Glossary

  • Mitochondrial encephalomyopathy: A disorder that affects the brain and muscles because of problems in the cell structures that make energy.
  • Lactic acidosis: A buildup of lactic acid in the blood that can happen when the body cannot make energy normally.
  • Stroke-like episodes: Events that can look like a stroke, with sudden problems such as weakness, vision changes, or speech trouble.
  • MELAS: Short name for mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes.
  • Randomized: Participants are assigned by chance to a study group, which helps make the results fairer.
  • Double-blind: Neither the participants nor the study team know who gets the study treatment and who gets placebo during the trial.
  • Placebo: A look-alike treatment with no active study drug, used for comparison.
  • Phase 2: A trial stage that looks at early signs of benefit and continues safety testing in a small group of patients.
  • Pharmacokinetics: How the body absorbs, moves, and removes a treatment.
  • Pharmacodynamics: How a treatment affects the body.
  • Adverse event: Any unwanted health problem that happens during a study, whether or not it is caused by the treatment.
  • Electrocardiography (ECG): A test that records the electrical activity of the heart.

References

  1. https://clinicaltrials.gov/study/2023-506723-28-00