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Long-Term Study on Oxytocin for Children with Prader-Willi Syndrome Up to Age 4

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What is this trial about?

A plain-language summary of the goals, design and what participants do

This clinical trial focuses on children with Prader-Willi Syndrome (PWS), a genetic condition that affects growth, metabolism, and development. The study involves a treatment using a nasal spray solution called Otwillo, which contains the active substance oxytocin. Oxytocin is a hormone that plays a role in social bonding and behavior. The purpose of the study is to confirm the long-term safety of this treatment in children who have previously participated in the OTBB3 study.

The study will follow children with Prader-Willi Syndrome up to the age of four. It will compare those who have been treated with Otwillo in the previous OTBB3 study to those who have not received this treatment. The study will monitor the occurrence of any adverse events, which are unwanted effects that may happen during the study, as well as any serious adverse events. It will also track the development of other health conditions that often occur alongside Prader-Willi Syndrome, known as comorbidities.

Throughout the study, information will be collected on any medications, surgeries, or rehabilitation therapies the children may undergo. This will include details such as the type of treatment, the age at which it started and stopped, and how often it was given. The study aims to provide valuable insights into the long-term effects and safety of using oxytocin nasal spray in managing Prader-Willi Syndrome in young children.

The research process

The trial runs in 4 steps – from screening to follow-up. Each step says what happens and what the team monitors.

  1. Step 1

    Initial visit

    The child with a confirmed diagnosis of Prader-Willi syndrome is included in the study. The inclusion visit is scheduled during the next routine consultation.

    For the treated cohort, the child must have participated in the OTBB3 study and be aged 16±4 months at the time of inclusion.

    For the untreated cohort, the child must have never received oxytocin and be aged 30±6 months at the time of inclusion.

  2. Step 2

    Treatment administration

    The treated cohort receives Otwillo 44.44 IU/mL, a nasal spray solution containing oxytocin, administered via intranasal use.

    The dosage, frequency, and duration of administration are determined based on the study protocol and the child's specific needs.

  3. Step 3

    Monitoring and follow-up

    The primary objective is to confirm the long-term safety profile, including associated main comorbidities, in children treated in the OTBB3 study.

    Regular monitoring is conducted to track the number and percentage of patients with adverse events and serious adverse events.

    The occurrence of main comorbidities, medications, surgeries, and rehabilitations is documented, including type, age at start and stop, dosing, or frequency.

  4. Step 4

    Study duration

    The study is a long-term follow-up, continuing until the child reaches 4 years of age.

    The estimated end date for the study is June 1, 2025.

Who can join the trial?

5 criteria

  • The child must be a boy or girl with a genetically confirmed diagnosis of Prader-Willi syndrome (PWS). This means that a genetic test has shown they have PWS.
  • The child's parents or legal representative must have signed a consent form. This is a document that shows they agree to let the child participate in the study.
  • If the child was part of the previous OTBB3 study, they should be 16 months old, plus or minus 4 months, at the time of joining this study. This means they can be between 12 and 20 months old.
  • If the child has never received the treatment being studied (OT), they should be 30 months old, plus or minus 6 months, at the time of joining this study. This means they can be between 24 and 36 months old.
  • The child who has never received the treatment should be living in France and will have their inclusion visit during their next routine consultation.

Who cannot join the trial?

5 criteria

  • Children who have not been treated in the previous OTBB3 study cannot participate.
  • Children who are not within the specified age range for the study cannot participate.
  • Children with medical conditions other than Prader-Willi syndrome may not be eligible.
  • Children who have any health issues that the study team considers unsafe for participation cannot join the study.
  • Children who are unable to follow the study procedures or attend required visits may not be eligible.
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Investigated drugs

OTBB3 is a medication being studied for its long-term safety in children with Prader-Willi Syndrome (PWS). The trial aims to observe the effects of this treatment over several years, focusing on its safety and any related health conditions in children who have previously participated in the OTBB3 study.

What is already known about the treatment

OTBB3 – This medication is administered orally and is currently being studied in clinical trials for its long-term effects on children with Prader-Willi syndrome. It is not yet widely recognized in medical literature as it is still under investigation. The main therapeutic indication for OTBB3 is to manage symptoms associated with Prader-Willi syndrome, a genetic disorder. The medication works by targeting specific pathways in the body to help regulate appetite and metabolism, although the exact molecular mechanism is still being researched. It is classified under investigational drugs, as it is not yet approved for general medical use.

Investigated diseases

Prader-Willi Syndrome – This is a rare genetic disorder that affects many parts of the body. It is characterized by weak muscle tone, feeding difficulties, poor growth, and delayed development in infancy. As children grow older, they often develop an insatiable appetite, which can lead to chronic overeating and obesity. Individuals with this syndrome may also experience intellectual disabilities, behavioral problems, and sleep disturbances. Hormonal deficiencies, such as low levels of sex hormones and growth hormone, are common. The syndrome is caused by the loss of function of specific genes on chromosome 15.
Trial detailsLast updated 2 Oct 2026
Age0-17PhasePhase IITrial ID2024-517925-25-00Protocol codeRC31/20/0421Estimated enrolment65 patientsSponsorCentre Hospitalier Universitaire De Toulouse

sourced from the EU Clinical Trials Register and site verification

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