New Once-Daily drug could simplify Wilson's disease treatment
NCT ID NCT07465718
First seen Jun 27, 2026 · Last updated Aug 06, 2026 · Updated 2 times
Summary
This Phase 3 trial compares a new once-daily formulation of trientine tetrahydrochloride (TETA 4HCl) to the standard drug D-penicillamine for people newly diagnosed with Wilson's disease. About 38 adults and children (ages 8 and up, weighing at least 55 lbs) will be randomly assigned to one of the two treatments for 48 weeks. The study aims to see if the new pill is safe and effective at controlling copper levels in the body.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Trientine tetrahydrochloride (TETA 4HCl)
- What this could lead to
- If it works, this could offer a simpler once-daily treatment option for Wilson's disease, potentially improving adherence and quality of life.
- What could go wrong
- This is a small Phase 3 trial with only 38 participants, so results may not apply to everyone. The new drug may not be as effective as the standard treatment, and side effects are possible.
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.
- Participants
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About 38 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 2028
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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8 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: 1. Participant is aged 8 years or older and is willing and able to give informed consent for participation in the study, or by a parent/legally authorized representative (LAR) and assent obtained (in accordance with local regulations) for any participant less than the age of majority (e.g. less than 18 years of age, depending on local requirements). 2. Participant has a body weight of at least 25 kg at screening. 3. Participant has a diagnosis of WD, as defined by a Leipzig score of greater than or equal to 4. Note that historical test results can be used for the diagnosis. 4. Participant has either: 1. Received no prior prescribed therapy \[a\] for the treatment of WD (treatment-naïve), or 2. Received no prescribed chelator therapy \[a\] for the treatment of WD (chelator-naïve); zinc salts are permitted for no more than 28 days prior to the start of screening assessments, and these participants must be symptomatic. \[a\] prescribed therapy for WD refers to the authorized chelator treatments of trientine (TETA 2HCl or TETA 4HCl) and DPA, or zinc salts. 5. Able and willing to comply with study procedures and requirements, as described in the informed consent. 6. Adequate venous access to allow collection of required blood samples. 7. Willing to comply with low copper diet for the duration of the study. 8. Participant requires treatment for WD, in the opinion of the Investigator. 9. Participant is able to take the study medication as prescribed, in the opinion of the Investigator. Exclusion Criteria: 1. Any known contraindications for treatment with DPA. 2. Any known contraindications for treatment with TETA 4HCl. 3. Unable to swallow tablets/capsules independently or considered high risk for aspiration, in the opinion of the Investigator 4. Acute liver failure (ALF) or at high risk of ALF, in the opinion of the Investigator. 5. Decompensated hepatic cirrhosis, in the opinion of the Investigator. 6. Participants 12 years or older at screening, Model for End stage Liver Disease (MELD) score of greater than or equal to 12. 7. Participants 8 to 11 years at screening, Model for Pediatric End stage Liver Disease (PELD) of greater than or equal to 10 8. Hemoglobin of less than or equal to 9 g/dL. 9. Estimated glomerular filtration rate (eGFR) of less than 30 mL/min/1.73m² 10. Nephritis or nephrotic syndrome, in the opinion of the Investigator. 11. Alanine aminotransferase greater than 5 times upper limit of normal (ULN). 12. Severe pulmonary disease requiring home nebulization and/or home oxygen therapy. 13. Clinically significant gastrointestinal bleed within past 6-months. 14. Neurological disease requiring either nasogastric feeding or intensive inpatient medical care. 15. Active or history of seizures requiring anti-epileptics within 6 months prior to informed consent. 16. Active infection with hepatitis B virus (positive hepatitis B surface antigen) or C virus or seropositivity for human immunodeficiency virus (HIV). 17. Major systemic disease or other illness that would, in the opinion of the Investigator, compromise patient safety or interfere with the collection or interpretation of the study results. 18. Female participants of childbearing potential, currently pregnant, currently nursing, or planning a pregnancy during study period. 19. Female participants of childbearing potential, unable or unwilling to use a reliable form of contraceptive throughout the study. 20. Male participants, unable or unwilling to use a reliable form of contraceptive throughout the study. 21. Participant is not willing to comply with the prohibited medication requirements for the study. 22. In the opinion of the Investigator, the participant is likely to be non-compliant or uncooperative for the required study visits or study assessments, or has any disease, disability, illness or abnormal laboratory values that could compromise patient safety or interfere with the collection or interpretation of study results.
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
10 sites in 4 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
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Contact
Email: •••••@•••••
Locations
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Beijing Friendship Hospital,Capital Medical University
Beijing, Beijing Municipality, 100050, China
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Beijing YouAn Hospital, Capital Medical University
Beijing, Beijing Municipality, 100000, China
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Children's Hospital & Institute of Child Health
Lahore, 54000, Pakistan
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King Faisal Specialist Hospital and Research Center
Riyadh, 11211, Saudi Arabia
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PIMS Hospital
Islamabad, 44000, Pakistan
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Shifa International Hospital
Islamabad, Pakistan
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The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, Zhengjiang Province, 310009, China
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University of Colorado Anschutz School of Medicine
Denver, Colorado, 80045, United States
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University of Michigan Medical Centre
Ann Arbor, Michigan, 48109-2029, United States
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Yale University School of Medicine
New Haven, Connecticut, 06519, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a global patient registry unlock the mysteries of Wilson's disease?
- Can a single infusion rewrite the genetic code behind wilson disease?
- Gene therapy could free Wilson's patients from daily pills
- New blood tests could simplify Wilson's disease monitoring