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Trial · NCT05168774

FRDA Investigator Initiated Study (IIS) With Elamipretide

NCT05168774, Phase 1, Phase 2, Completed, Children's Hospital of Philadelphia; results first posted 2025-12-12

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. FRDA Investigator Initiated Study (IIS) With Elamipretide. Trials, record NCT05168774. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05168774

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
FRDA Investigator Initiated Study (IIS) With Elamipretide
NCT number
NCT05168774
Status
Completed
Phases
Phase 1, Phase 2
Enrollment
20 participants, actual
Lead sponsor
Children's Hospital of Philadelphia
Conditions
Friedreich Ataxia
Interventions
Elamipretide
First posted
2021-12-23
Last updated
2025-12-12
Results first posted
2025-12-12

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange in High Contrast Visual AcuityBaseline to 52 weeks
Change in High Contrast Visual Acuity will be measured by assessing the differences in the number of letters read (binocular) on the ETDRS High Contrast Visual Acuity Chart between groups (low dose and high dose).
SecondaryChange in Low Contrast Visual AcuityBaseline to 52 weeks
Change in Low Contrast Visual Acuity will be measured by assessing the differences in the number of letters read (binocular) on the ETDRS Low Contrast Visual Acuity Chart between groups (low dose and high dose).
SecondaryChange in Low Luminescence Visual ActivityBaseline to 52 weeks
Change in Low Luminescence Visual Acuity will be measured by assessing the difference in the number of letters read (binocular) on the ETDRS High Contrast Visual Acuity Chart with Low Luminescence Filter between groups (low dose and high dose).
SecondaryChange in Retinal Nerve Fiber Layer by Optical Coherence Tomography (OCT)Baseline to 52 weeks
The change in thickness of the retinal nerve fiber layer between groups (low dose and high dose) will be measured using the OCT, a non-invasive imaging test that uses light waves to take cross-section pictures of the retina.
SecondaryChange in Visual Quality of Life by Visual Functioning Questionnaire (VFQ)Baseline to 52 weeks
The VFQ is a 25-item patient reported outcome on visual symptomology to assess change in patient self-report of visual ability over time compared to baseline between groups (low dose and high dose). The VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. Each item is then converted to a 0 to 100 scale. The summary statistic is the difference in mean values from Baseline to Week 52. A negative value represents a worsening over time and a positive value represents improvement.
SecondaryChange in Cardiac StrainBaseline to 36 weeksThe change in cardiac strain (dL/L) in each dimension per cardiac cycle between groups (low dose and high dose) is measured by speckle tracking on imaging.
SecondaryChange in Cardiac FibrosisBaseline to 36 weeksThe change in cardiac fibrosis over time by T1 mapping using late gadolinium enhancement between groups (low dose and high dose).
SecondaryChange Cardiac Stroke VolumeBaseline to 36 weeksThe change in stroke volume will be calculated by Ejection Fraction x Ventricular Volume x Pulse Rate, over time between groups (low dose and high dose).

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in High Contrast Visual AcuityBaseline to 52 weeks2 subjects in low dose and 1 subject in the high dose did not complete Week 52 study visitNumber of Letters Read on a Vision BoardMEDIAN
SECONDARYChange in Low Contrast Visual AcuityBaseline to 52 weeksAll subjects in both low dose and high dose were unable to read a single letter on the low contrast vision boardNumber of Letters Read on a Vision BoardMEDIAN
SECONDARYChange in Low Luminescence Visual ActivityBaseline to 52 weeks2 subjects in low dose and 1 subject in the high dose did not complete Week 52 study visitNumber of Letters Read on a Vision BoardMEDIAN
SECONDARYChange in Retinal Nerve Fiber Layer by Optical Coherence Tomography (OCT)Baseline to 52 weeks
6 low-dose and 7 high-dose subjects attempted to complete this procedure. However, due to disease progression (abnormal eye movements) and visual impairment (unable to focus on visual target) subjects were unable to perform the OCT exam in both low dose and high dose, thus resulting in poor quality images that were unable to be analyzed and will never be analyzed in the future.
micronMEDIAN
SECONDARYChange in Visual Quality of Life by Visual Functioning Questionnaire (VFQ)Baseline to 52 weeks2 subjects in low dose and 1 subject in the high dose did not complete Week 52 study visitUnits on a scaleMEAN
SECONDARYChange in Cardiac StrainBaseline to 36 weeks
Due to insufficient number of high quality reproducible scans we were unable to conduct a systematic analysis. The speckle tracking needed for this analysis was not done because reproducible scans were unobtainable in individuals with advanced FA due to inability to lie still for sufficient amounts of time and will never be analyzed in the future.
MEAN
SECONDARYChange in Cardiac FibrosisBaseline to 36 weeks
Due to insufficient number of high quality reproducible scans we were unable to conduct a systematic analysis. The T1 mapping using late gadolinium enhancement needed for this analysis was not done because reproducible scans were unobtainable in individuals with advanced FA due to inability to lie still for sufficient amounts of time and will never be analyzed in the future.
SECONDARYChange Cardiac Stroke VolumeBaseline to 36 weeks2 subjects in low dose and 2 subject in the high dose did not complete cardiac testing at the Week 36 study visitpercentage of change in stroke volumeMEAN

Results by group10

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change in High Contrast Visual AcuityLow Dose (20-30mg)5.5Inter-Quartile Range 0 to 6Number of Letters Read on a Vision Board
Change in High Contrast Visual AcuityHigh Dose (40-60 mg)0Inter-Quartile Range -5 to 6Number of Letters Read on a Vision Board
Change in Low Contrast Visual AcuityLow Dose (20-30mg)0Inter-Quartile Range 0 to 0Number of Letters Read on a Vision Board
Change in Low Contrast Visual AcuityHigh Dose (40-60 mg)0Inter-Quartile Range 0 to 0Number of Letters Read on a Vision Board
Change in Low Luminescence Visual ActivityLow Dose (20-30mg)0.5Inter-Quartile Range 0 to 2Number of Letters Read on a Vision Board
Change in Low Luminescence Visual ActivityHigh Dose (40-60 mg)0Inter-Quartile Range 0 to 0Number of Letters Read on a Vision Board
Change in Visual Quality of Life by Visual Functioning Questionnaire (VFQ)Low Dose (20-30mg)-2.42Standard Deviation 3.85Units on a scale
Change in Visual Quality of Life by Visual Functioning Questionnaire (VFQ)High Dose (40-60 mg)2.08Standard Deviation 5.77Units on a scale
Change Cardiac Stroke VolumeLow Dose (20-30mg)0.12Standard Deviation 0.16percentage of change in stroke volume
Change Cardiac Stroke VolumeHigh Dose (40-60 mg)-0.02Standard Deviation 0.29percentage of change in stroke volume

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDLow Dose (20-30mg)8
Overall StudySTARTEDHigh Dose (40-60 mg)8
Overall StudyCOMPLETEDLow Dose (20-30mg)4
Overall StudyCOMPLETEDHigh Dose (40-60 mg)4
Overall StudyNOT COMPLETEDLow Dose (20-30mg)4
Overall StudyNOT COMPLETEDHigh Dose (40-60 mg)4

Adverse events84

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherInjection Site Reaction: Pain, Tenderness, or BurningSkin and subcutaneous tissue disordersLow Dose (20-30mg)383
otherInjection Site Reaction: Pain, Tenderness, or BurningSkin and subcutaneous tissue disordersHigh Dose (40-60 mg)181
otherInjection Site Reaction: Erythema or RednessSkin and subcutaneous tissue disordersLow Dose (20-30mg)383
otherInjection Site Reaction: Erythema or RednessSkin and subcutaneous tissue disordersHigh Dose (40-60 mg)686
otherInjection Site Reaction: Induration or SwellingSkin and subcutaneous tissue disordersLow Dose (20-30mg)484
otherInjection Site Reaction: Induration or SwellingSkin and subcutaneous tissue disordersHigh Dose (40-60 mg)686
otherInjection Site Reaction: Pruritus or ItchingSkin and subcutaneous tissue disordersLow Dose (20-30mg)686
otherInjection Site Reaction: Pruritus or ItchingSkin and subcutaneous tissue disordersHigh Dose (40-60 mg)686
otherInjection Site Reaction: Urticaria or HivesSkin and subcutaneous tissue disordersLow Dose (20-30mg)383
otherInjection Site Reaction: Urticaria or HivesSkin and subcutaneous tissue disordersHigh Dose (40-60 mg)282

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityLow Dose (20-30mg)08
Total, all-cause mortalityHigh Dose (40-60 mg)08
Total, other adverse eventsLow Dose (20-30mg)88
Total, other adverse eventsHigh Dose (40-60 mg)88
Total, serious adverse eventsLow Dose (20-30mg)28
Total, serious adverse eventsHigh Dose (40-60 mg)28

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Low Dose (20-30mg) vs High Dose (40-60 mg): deaths from any causeTrial comparisons
Low Dose (20-30mg) vs High Dose (40-60 mg): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05168774

GET https://conductscience.org/api/trials/v1/NCT05168774/events?page=2