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NCT Number: NCT07837726

Pilot Study of TTI-0102 in Cystinosis

White blood cell (WBC) cystine levels serve as the primary therapeutic target for monitoring cysteamine treatment in cystinosis, with a goal of <1.9 nmol ½ cystine/mg protein as measured 5-6 hours post-dose when treated with immediate-release formulation, Cystagon® , or 11-12 hours post-dose when treated with delayed-release formulation, Procysbi®, using UCSD granulocyte assay.

Although cysteamine dosing in cystinosis has traditionally been individualized based on WBC cystine levels, the FDA-approved Cystagon® prescribing information now includes an approximate recommended maintenance dose of 1.30 g/m²/day. When this dosing strategy is plotted against body weight, it aligns with the dosing regimen of TTI-0102 that was found effective in mitochondrial diseases, demonstrating a linear relationship between dose and weight.

The main objective of this study is to demonstrate that administration of a single dose of 60 ± 5 mg/kg/day of TTI-0102 (~26 mg/kg cysteamine base equivalent) allows maintenance of WBC cystine at <1.9 nmol ½ cystine/mg protein over 24 hours as determined by UCSD granulocyte assay.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adults aged 18-65 years with a confirmed diagnosis of cystinosis based on clinical features and/or genetic testing, with or without history of kidney transplantation.
  • Currently treated with a stable dose of Cystagon® or Procysbi® for at least 3 months prior to enrollment.
  • Body weight between 50 kg and 80 kg at screening.
  • Able to attend all required study visits and comply with study procedures, including blood draws over a 24-hour period.
  • Able to provide informed consent in English.
  • The first 3 patients must have WBC cystine levels over the last year no more than 50% greater than the upper limit of target level

Exclusion criteria

  • Known hypersensitivity or allergy to cysteamine, pantetheine, TTI-0102, or any excipients in the study drug.
  • Clinically significant uncontrolled medical conditions (e.g., unstable cardiac, hepatic, or renal disease) that, in the investigator's judgment, would increase risk or interfere with study participation.
  • Participation in another interventional clinical trial within 30 days prior to screening.
  • Any condition that, in the investigator's opinion, would make the participant an unsuitable candidate (e.g., inability to comply with procedures, significant cognitive impairment, active substance use disorder).
  • Any patient who is pregnant, plans to become pregnant or is unwilling to use contraceptive measures during study participation.

Treatment and study plan

TTI-0102 (cysteamine-pantetheine disulfide)

Drug

TTI-0102 (cysteamine-pantetheine disulfide) - a prodrug of other FDA-approved forms of cysteamine

Primary outcomes

  1. White blood cell (WBC) cystine

    Time frame: Comparison of baseline, Day 1-2, Day 3-4, and treatment end (Day 7)

    The primary endpoint is the change in white blood cell (WBC) cystine levels following treatment with TTI-0102. The study will evaluate whether a weight-based dose of 60 ± 5 mg/kg/day maintains WBC cystine levels below 1 nmol ½ cystine/mg protein over 24 hours.

Secondary outcomes

  1. Pharmacokinetic parameter: Cmax

    Time frame: At specified days/timepoints during the treatment period: Day1-2, Day 3-4, Day 7

    cysteamine in plasma

  2. Pharmacokinetic parameter: Tmax

    Time frame: At specified days/timepoints during the treatment period: Day1-2, Day 3-4, Day 7

    cysteamine in plasma

  3. Pharmacokinetic parameter: AUC

    Time frame: At specified days/timepoints during the treatment period: Day1-2, Day 3-4, Day 7

    cysteamine in plasma

  4. Pharmacodynamic biomarker: lactate in plasma

    Time frame: Baseline (Day 0) to treatment end (Day 7)

  5. Pharmacodynamic biomarker: pyruvate in whole blood

    Time frame: Baseline (Day 0) to treatment end (Day 7)

  6. Pharmacodynamic biomarker: tryptophan in plasma

    Time frame: Baseline (Day 0) to treatment end (Day 7)

Interested in participating?

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Sponsors and collaborators

Lead sponsor

Thiogenesis Therapeutics, Inc.

Industry

Registry information

Important dates

Study start
2026
Primary completion
2026
Study completion
2027
First posted
Sep 23, 2026
Registry last updated
Sep 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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