Retrophin has started dosing patients in a Phase III Fosmetpantotenate Replacement Therapy (FORT) clinical trial of RE-024 to treat patients with pantothenate kinase-associated neurodegeneration (PKAN).

RE-024 is an investigational, small molecule replacement therapy designed to restore the levels of a naturally occurring molecule called Coenzyme A (CoA) that is reduced in PKAN condition.

The product candidate is expected to pass through the blood-brain barrier and then convert to phosphopantothenic acid (PPA), which is an essential step for the CoA biosynthesis.

The international, randomised, double-blind, placebo-controlled, registrational Phase III trial will assess the safety and efficacy of RE-024 in up to 82 subjects aged six to 65 years.

"Individuals with PKAN face a life-threatening neurological disorder, for which there is no approved treatment options, and current therapeutic strategies are limited to symptom management."

Retrophin research and development senior vice-president and head Bill Rote said: "Individuals with PKAN face a life-threatening neurological disorder, for which there is no approved treatment options, and current therapeutic strategies are limited to symptom management.

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"The dosing of the first patient in the Phase III FORT Study is an important milestone for the RE-024 programme, as it continues our progress towards developing a treatment with the potential to make a meaningful difference for the PKAN community."

The FORT trial’s primary endpoint is change in score from baseline through 24 weeks as measured by the Pantothenate Kinase-Associated Neurodegeneration Activities of Daily Living (PKAN-ADL) scale.

PKAN-ADL is a PKAN-specific, patient-reported outcome scale for the measure of motor abilities to function in daily lives of PKAN patients.

A previous Phase I trial demonstrated that RE-024 is safe and well-tolerated in healthy subjects.