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New Once-Daily drug could simplify Wilson's disease treatment

NCT ID NCT07465718

Disease control Sponsor: Orphalan Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting This study
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

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

Phase 3

Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.

Participants

About 38 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Aug 2026

An estimate. Start dates often move.

Expected to finish

Feb 2028

An estimate. End dates often move.

Lead sponsor

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

8 years and older

Sex

Anyone

Healthy volunteers

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

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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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.

  1. The study's own enquiry address

    This study publishes an address for enquiries. See it below .

  2. The places running it

    10 sites in 4 countries. The list below names each one and where it is.

  3. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  4. 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

Study contacts

  • Contact

    Email: •••••@•••••

  • Contact

    Email: •••••@•••••

Locations

  • Beijing Friendship Hospital,Capital Medical University

    Beijing, Beijing Municipality, 100050, China

  • Beijing YouAn Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100000, China

  • Children's Hospital & Institute of Child Health

    Lahore, 54000, Pakistan

  • King Faisal Specialist Hospital and Research Center

    Riyadh, 11211, Saudi Arabia

  • PIMS Hospital

    Islamabad, 44000, Pakistan

  • Shifa International Hospital

    Islamabad, Pakistan

  • The Second Affiliated Hospital Zhejiang University School of Medicine

    Hangzhou, Zhengjiang Province, 310009, China

  • University of Colorado Anschutz School of Medicine

    Denver, Colorado, 80045, United States

  • University of Michigan Medical Centre

    Ann Arbor, Michigan, 48109-2029, United States

  • Yale University School of Medicine

    New Haven, Connecticut, 06519, United States

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