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Human evidence record · Elamipretide

TAZPOWER Barth syndrome crossover trial

Blinded primary endpoints were not significantly different; longer open-label extension produced signals used in the broader rare-disease evidence package.

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Human evidence record

What this study tells us

Participants were assigned to comparison groups by chance, usually with placebo and/or blinding to reduce bias. This is a strong design for testing cause and effect, but the population, duration and endpoints still limit what can be concluded.

Who was studied?

Barth syndrome

How many?

n=12

What happened?

Blinded primary endpoints were not significantly different; longer open-label extension produced signals used in the broader rare-disease evidence package.

What stops us overclaiming?

Extremely small rare-disease sample; open-label extension is vulnerable to bias and should be separated from blinded results.

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Key result

Blinded primary endpoints were not significantly different; longer open-label extension produced signals used in the broader rare-disease evidence package.

Study details

Study designRandomized double-blind placebo-controlled crossover study
PhasePhase II/III rare disease
PopulationBarth syndrome
Sample size12
RouteSubcutaneous
Regimen / exposure40 mg once daily
Duration12 weeks per blinded period, followed by extension
ComparatorPlacebo
Primary endpoint / question6-minute walk test and symptom measures
Safety resultInjection-site reactions reported; small programme limits certainty.
Key limitationsExtremely small rare-disease sample; open-label extension is vulnerable to bias and should be separated from blinded results.
Registry / identifierPMID 33077895