New pill aims to ease fatigue in rare mitochondrial disease
NCT ID NCT07514338
First seen Jun 27, 2026 · Last updated Sep 17, 2026 · Updated 2 times
Summary
This study is for people who completed a previous trial of KL1333 (napazimone) for primary mitochondrial disease. It will test the drug's long-term safety and whether it helps with fatigue and daily activities. About 140 participants will take the pill twice daily for an extended period. The goal is to see if KL1333 can be a safe, long-term treatment option.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- KL1333 (napazimone) taken as a pill twice daily
- What this could lead to
- If it works, this could offer a long-term treatment option to reduce fatigue and improve daily living for people with primary mitochondrial disease.
- What could go wrong
- This is an early-phase extension study with no placebo group, so results may not prove effectiveness. Side effects or tolerability issues could limit its use.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 140 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Mar 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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18 years and older
- 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: * Completed the FALCON study (age 18 years or older), and in the opinion of the investigator and sponsor has been compliant with the study requirements * Willingness and ability to attend study appointments within the specified time windows * Willingness and ability to complete electronic patient-reported outcomes * Concomitant medications likely to remain stable throughout participation in the study where clinically possible * Willingness to suspend treatment with idebenone during the study Exclusion Criteria: * The subject is, in the investigator's opinion, unlikely to comply with the protocol, e.g., due to cognitive impairment, or is unsuitable for any reason. * Any medical, psychiatric, laboratory or other condition that may negatively affect the benefit-risk considerations of study participation or interfere with the interpretation of study results and, in the judgment of the investigator and/or the medical monitor, would make the subject inappropriate for entry into this study. Subjects not enrolling directly at the FALCON study completion visit (FALCON Week 48) or the safety follow-up visit (FALCON Week 53) study will be required to fulfill the additional exclusion criteria below during the screening visit: • General fatigue or muscle weakness due to causes other than mitochondrial disease, in the opinion of the investigator.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
23 sites in 9 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Akron Children's Hospital
RECRUITINGAkron, Ohio, 44308, United States
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Azienda Ospedaliera Universitaria Gaetano Martino Messina
RECRUITINGMessina, 98125, Italy
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Azienda Ospedaliero Universitaria Pisana
RECRUITINGPisa, 56126, Italy
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CHU de NICE - Hôpital Archet 2
RECRUITINGNice, France
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Centre Hospitalier Universitaire (CHU) de Bordeaux - Groupe Hospitalier Pellegrin
RECRUITINGBordeaux, France
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Centre Hospitalier Universitaire d'Angers
RECRUITINGAngers, 49933, France
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Centre Hospitalier Universitaire de Nantes
RECRUITINGNantes, 44093, France
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Centre Hospitalier Universitaire de Nice, Hopital Pasteur 2
RECRUITINGNice, France
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Charles University and General University Hospital
RECRUITINGPrague, 128 08, Czechia
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Copenhagen Neuromuscular Center, Rigshospitalet
RECRUITINGCopenhagen, Denmark
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Fondazione IRCCS Istituto Neurologico Carlo Besta
RECRUITINGMilan, 20133, Italy
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Hopital Roger Salengro, CHRU de Lille
RECRUITINGLille, France
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Hopital Universitaire de Bruxelles (H.U.B)/ Academisch Ziekenhuis Brussel
RECRUITINGBrussels, Belgium
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Hopitaux Universitaires de Strasbourg
RECRUITINGStrasbourg, 67091, France
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Hospital Erasme
RECRUITINGBrussels, 1070, Belgium
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Hospital General Universitario de Catalunya
RECRUITINGBarcelona, Spain
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, Spain
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Radboud University Medical Center
RECRUITINGNijmegen, 6525, Netherlands
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Universitaetsklinikum Halle
RECRUITINGHalle, 6120, Germany
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Universitair Ziekenhuis Gent
RECRUITINGGhent, Belgium
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Universitair Ziekenhuis Leuven Gasthuisberg Campus
RECRUITINGLeuven, Belgium
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University Hospital
RECRUITINGGhent, 9000, Belgium
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University Hospital
RECRUITINGLeuven, 3000, Belgium
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