Promising drug for rare nerve disease trial pulled before start
NCT ID NCT07191912
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study was designed to test whether the drug govorestat could improve symptoms of Charcot-Marie-Tooth disease caused by sorbitol dehydrogenase deficiency (CMT-SORD), a rare nerve condition. It planned to enroll people aged 16 to 65 and compare govorestat to a placebo over 36 months. However, the trial was withdrawn before any participants were enrolled, so no data were collected.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- govorestat (AT-007)
- What this could lead to
- If it works, this could point toward a treatment that slows or improves symptoms of CMT-SORD, a rare nerve disease.
- What could go wrong
- This trial was withdrawn before any participants enrolled, so no results are available. The drug is still in early testing, and its benefits and risks are not yet proven.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Willing and able to provide signed and dated informed consent prior to any study-related procedures and willing and able to comply with all study procedures. * Male and non-pregnant, non-lactating female patients between the ages of 16 and 65 years, inclusive. * Females must be of non-childbearing potential (defined as surgically sterile \[i.e., had a bilateral tubal ligation, hysterectomy, or bilateral oophorectomy ≥6 months prior to the first dose of study drug\] or postmenopausal for ≥1 year \[confirmatory follicle stimulating hormone or FSH test results required\] prior to the first dose of study drug) or agree to use a highly effective form of birth control from Screening until 30 days after the last dose of study drug. * Males must be unable to procreate (defined as surgically sterile \[i.e., had a vasectomy ≥6 months prior to Screening\]) or must agree to use a highly effective form of birth control from Screening through 105 days (sum of 5 half-lives and 90 days interval as per CTFG guidelines) after the last dose of study drug. * Clinical diagnosis of Charcot-Marie-Tooth Type 2 (CMT2) or distal Hereditary Motor Neuropathy (dHMN) due to CMT-SORD confirmed by medical record or written communication by health care professional, elevated blood sorbitol level (\>10,000 ng/mL), and SORD gene analysis report indicating at least one pathogenic mutation. * Patient may be on concomitant medications and dietary supplements; however, they must be on stable doses for at least 1 month prior to Screening and throughout the study. In addition, all over-the-counter (OTC) and/or prescription medications must be reviewed and approved by the Investigator. Exclusion Criteria: * Absence of force generated in one or both feet with dorsiflexion (value of 0 Newton). * History or presence of clinically significant hematopoietic, renal, hepatic, endocrine (e.g. diabetes), metabolic, pulmonary, neurological (e.g. other neuropathy, myopathy or neuromuscular disorder), psychiatric, cardiovascular, immunological, dermatological, or gastrointestinal diseases that are - a priori - altering the proper evaluation of the safety and efficacy of govorestat; conditions capable of altering the absorption, metabolism, or elimination of drugs; or conditions that constitute a risk factor when taking the study drug and/or impact the conduct or results of the study. * Body Mass Index (BMI) \>35 kg/m2. * Clinically relevant underweight, weight loss suggestive of a pathology unrelated to CMT-SORD, or BMI \< 17.5 kg/m2. * Positive test for hepatitis B surface antigen, hepatitis C antibody, or human immunodeficiency virus (HIV) at Screening or previous treatment for hepatitis B, hepatitis C, or HIV infection. * Individuals who smoke or use tobacco or nicotine-containing products. * Pregnant, lactating, or not using/not willing to use appropriate means of contraception. * Any prior history of substance abuse (including alcohol) or treatment for such. * Positive urine drug screen (UDS) for drugs of abuse (amphetamines, barbiturates, benzodiazepines, cocaine, opiates) or cotinine. * Non-ambulatory disability. * Lower limb surgery such as bilateral ankle stabilization or contracture release in the past 5 years. * Impaired renal function or estimated glomerular filtration rate (eGFR) less than 90 mL/min/1.73 m2. Note: The eGFR is an estimation of renal function, and the ultimate decision of whether a patient has normal renal function (and can be included in the study) is at the discretion of the Investigator, assuming there are no safety concerns. Also, because eGFR can vary from day to day based on outside factors, patients can be re screened for eGFR multiple times to understand the renal function of the patient. * Hemoglobin (Hgb) \< 10.0 g/dL at Screening. * Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) or total bilirubin (except in case of Gilbert's syndrome) \> 1.5 x upper limit of normal (ULN) at Screening. * Urinary albumin-to-creatinine ratio (UACR) \> 30 mg/g at Screening in the presence of elevated creatinine (\>2X ULN). * History or presence of cardiovascular disorders including myocardial infarction, stroke, uncontrolled hypertension (sitting blood pressure ≥140/90 mmHg), left ventricular (LV) hypertrophy, atrial fibrillation, or valvular heart disease considered clinically significant by the Investigator and/or Sponsor medical representative. * Abnormal findings on the Screening 12-lead ECG, such as ST/T wave changes, pathological Q wave changes, or any rhythm other than normal sinus rhythm considered clinically significant by the Investigator and/or Sponsor medical representative. * Evidence of significant active hematological disease and/or cumulative blood donation of 1 unit (500 mL) or more including blood drawn during clinical studies in the last 3 months. * History of significant drug allergy or drug hypersensitivity. * Investigators, site personnel directly affiliated with this study, and their immediate families (defined as a spouse, parent, child, or sibling, whether biological or legally adopted). * Any other condition that, in the opinion of the Investigator, precludes the patient from following and completing the protocol. * A clinically significant abnormal finding on the physical exam, medical history or clinical laboratory results at Screening. * A significantly abnormal diet (per Investigator judgment) during the 4 weeks preceding the first dose of study drug. * Participation in another clinical study of a different investigational product within 30 days prior to the first dose of study drug. * Use of any OTC medication (including nutritional or dietary supplements, herbal preparations, or vitamins) ≤7 days prior to the first dose of study drug until the last dose of study drug without evaluation and approval by the Investigator. * Use of any prescription medication, except those allowed per protocol, from 30 days prior to the first dose of study drug until the last dose of study drug without evaluation and approval by the Investigator. * Treatment with any sensitive substrates of Breast Cancer Resistance Protein (BCRP) or potent inhibitors of BCRP. * Treatment with any sensitive substrates of cytochrome P450 3A4 (CYP3A4), CYP2B6, CYP2C19, or CYP1A2. * Treatment with any sensitive substrates of Organic Anion Transporter (OAT)1 and OAT3. Treatment with any drugs potentially associated with transaminase elevations. Potentially nephrotoxic drugs are prohibited. * Consumption of beverages or foods that contain alcohol, high levels of sorbitol, grapefruit, poppy seeds, broccoli, brussels sprouts, pomegranate, star fruit, char-grilled meat, or caffeine/xanthine from 48 hours prior to the first dose of study drug through the last dose of study drug. Patients will be instructed not to consume any of the above products; however, allowance for sporadic consumption may be evaluated and approved by the Investigator based on the potential for interaction with the study drug. Not more than half cup of coffee per day should be consumed.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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CHU La Timone
Marseille, 13005, France
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Carlo Besta Neurological Institute
Milan, 20133, Italy
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Charité - Universitätsmedizin Berlin
Berlin, 10117, Germany
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Clinic for Special Children
Gordonville, Pennsylvania, 17529, United States
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Institut de Myologie
Paris, 75013, France
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Istanbul University
Istanbul, 34093, Turkey (Türkiye)
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Koç University Hospital
Istanbul, 34010, Turkey (Türkiye)
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La Fe University and Polytechnic Hospital
Valencia, 46026, Spain
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Sydney Childrens
Sydney, 2013, Australia
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Uniklinik of the RWTH Aachen University
Aachen, 52074, Germany
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University Medicine Gottingen (UMG)
Göttingen, 37075, Germany
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University of Iowa
Iowa City, Iowa, 52242, United States
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Vall d'Hebron Institut de Recerca (VHIR)
Barcelona, 08035, Spain