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Safety/Tolerability/Pharmacokinetic (PK)/Pharmacodynamics (PD) Study of BMN701 in Patients With Late-Onset Pompe Disease

Primary Purpose

Pompe Disease

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
BMN 701
Sponsored by
BioMarin Pharmaceutical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pompe Disease

Eligibility Criteria

13 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  • Patient has been diagnosed with Pompe Disease prior to or during the screening period based on 2 GAA gene mutations and either: endogenous GAA activity <75% of the lower limit of the normal adult range reported by the testing laboratory, as assessed in cultured skin fibroblasts -or- endogenous GAA activity <75% of the lower limit of the normal adult range reported by the testing laboratory, as assessed by dried blood spot or whole blood assay;
  • Patient is male or female and 13 years of age or older at the time of enrollment in the study;
  • Sexually active patients must be willing to use an acceptable method of contraception while participating in the study and for at least 4 months following the last dose of BMN 701;
  • If patient is female and not considered to be of childbearing potential, she is at least 2 years post-menopausal or had tubal ligation at least 1 year prior to screening, or who have had total hysterectomy;
  • If patient is female and of childbearing potential, she has negative urine pregnancy tests during the Screening Period and at the Baseline visit and be willing to have additional pregnancy tests during the study;
  • Patient has ≥30% predicted upright FVC and either <80% predicted upright FVC, or >10% reduction in supine FVC compared to upright FVC during the Screening Period;
  • Patient is naïve to Enzyme Replacement Therapy (ERT) with rhGAA;
  • Patient must be able to ambulate at least 40 meters (131.2 feet) on the 6MWT conducted at the Screening visit (use of assistive devices such as walker, cane, or crutches, is permitted); and
  • If subject was female, she was not lactating

Exclusion criteria:

  • Patient has a history of diabetes or other disease known to cause hypoglycemia and is currently receiving, or might anticipate receiving, hypoglycemic agents during the course of the study;
  • Patient has been on any immunosuppressive medication other than glucocorticosteroids within 1 year prior to enrollment into this study;
  • Patient requires invasive ventilatory assistance at the time of enrollment into the study;
  • Patient has received any investigational medication within 30 days prior to the first dose of study drug or is scheduled to receive any investigational drug other than BMN 701 during the course of the study;
  • Patient has previously been admitted to the study;
  • Patient is breastfeeding at screening or planning to become pregnant (self or partner) at any time during the study;
  • Patient has a medical condition or extenuating circumstance that, in the opinion of the Investigator, might compromise the patient's ability to comply with the protocol requirements or compromise the patient's well being or safety;
  • Patient has any condition that, in the view of the Investigator, places the patient at high risk of poor treatment compliance or of not completing the study.

Sites / Locations

  • Univ of California San Diego School of Medicine
  • University of Florida College of Medicine
  • University of Kansas Medical Center
  • Royal Adelaide Hospital, SA Pathology
  • Hôpital de I´Archet- Centre Hospitalier Universitaire Nice
  • Hôpital Pitié-Salpêtrière
  • Zentrum für Kinder- und Jugenmedizin
  • Old Queen Elizabeth Hospital, Department of Medicine
  • Royal Free Hospital
  • Salford Royal Hospital NHS Trust

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

BMN 701

Arm Description

IV infusion

Outcomes

Primary Outcome Measures

Number of Participants With Adverse Events
Number of Participants with Adverse Events as a Measure of Safety and Tolerability

Secondary Outcome Measures

Change From Baseline in Six Minutes Walk Test
Change from Baseline in Six Minutes Walk Test. The 6MWT measured the maximum distance the subject could walk on a flat, hard surface in a period of 6 minutes

Full Information

First Posted
October 27, 2010
Last Updated
May 8, 2018
Sponsor
BioMarin Pharmaceutical
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1. Study Identification

Unique Protocol Identification Number
NCT01230801
Brief Title
Safety/Tolerability/Pharmacokinetic (PK)/Pharmacodynamics (PD) Study of BMN701 in Patients With Late-Onset Pompe Disease
Official Title
A Phase 1/2 Open-label Study of the Safety, Tolerability, Pharmacokinetics, Pharmacodynamic and Preliminary Efficacy of BMN 701 (GILT-tagged Recombinant Human GAA) in Patients With Late-onset Pompe Disease
Study Type
Interventional

2. Study Status

Record Verification Date
May 2018
Overall Recruitment Status
Completed
Study Start Date
January 17, 2011 (Actual)
Primary Completion Date
March 6, 2013 (Actual)
Study Completion Date
March 6, 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioMarin Pharmaceutical

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A Phase 1/2, open-label, multicenter, multiple dose escalation study of BMN 701 administered by intravenous infusion every 2 weeks over a 24-week treatment period to patients with late-onset Pompe disease.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pompe Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
22 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BMN 701
Arm Type
Experimental
Arm Description
IV infusion
Intervention Type
Biological
Intervention Name(s)
BMN 701
Intervention Description
GILT-tagged recombinant human GAA
Primary Outcome Measure Information:
Title
Number of Participants With Adverse Events
Description
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
Change From Baseline in Six Minutes Walk Test
Description
Change from Baseline in Six Minutes Walk Test. The 6MWT measured the maximum distance the subject could walk on a flat, hard surface in a period of 6 minutes
Time Frame
Baseline up to 24 weeks
Other Pre-specified Outcome Measures:
Title
Change From Baseline in Percent Predicted Upright Forced Vital Capacity
Description
Change from Baseline in Percent Predicted Upright Forced Vital Capacity. Changes in respiratory function were assessed by measurement of MEP, MIP and MVV; and percent predicted upright and supine FVC.
Time Frame
Baseline up to 24 week
Title
Change From Baseline in Percent Predicted Supine Forced Vital Capacity
Description
Change from Baseline in Percent Predicted Supine Forced Vital Capacity. Changes in respiratory function were assessed by measurement of MEP, MIP and MVV; and percent predicted upright and supine FVC.
Time Frame
Baseline up to 24 weeks
Title
Change From Baseline in Percent Predicted Upright Maximum Expiratory Pressure
Description
Change from Baseline in Percent Predicted Upright Maximum Expiratory Pressure. Changes in respiratory function were assessed by measurement of MEP, MIP and MVV; and percent predicted upright and supine FVC.
Time Frame
Baseline up to 24 weeks
Title
Change From Baseline in Percent Predicted Upright Maximum Inspiratory Pressure
Description
Change from Baseline in Percent Predicted Upright Maximum Inspiratory Pressure. Changes in respiratory function were assessed by measurement of MEP, MIP and MVV; and percent predicted upright and supine FVC.
Time Frame
Baseline up to 24 weeks
Title
Change From Baseline in Upright Maximum Ventilatory Volume
Description
Change from Baseline in Upright Maximum Ventilatory Volume. Changes in respiratory function were assessed by measurement of MEP, MIP and MVV; and percent predicted upright and supine FVC.
Time Frame
Baseline up to 24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
13 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Patient has been diagnosed with Pompe Disease prior to or during the screening period based on 2 GAA gene mutations and either: endogenous GAA activity <75% of the lower limit of the normal adult range reported by the testing laboratory, as assessed in cultured skin fibroblasts -or- endogenous GAA activity <75% of the lower limit of the normal adult range reported by the testing laboratory, as assessed by dried blood spot or whole blood assay; Patient is male or female and 13 years of age or older at the time of enrollment in the study; Sexually active patients must be willing to use an acceptable method of contraception while participating in the study and for at least 4 months following the last dose of BMN 701; If patient is female and not considered to be of childbearing potential, she is at least 2 years post-menopausal or had tubal ligation at least 1 year prior to screening, or who have had total hysterectomy; If patient is female and of childbearing potential, she has negative urine pregnancy tests during the Screening Period and at the Baseline visit and be willing to have additional pregnancy tests during the study; Patient has ≥30% predicted upright FVC and either <80% predicted upright FVC, or >10% reduction in supine FVC compared to upright FVC during the Screening Period; Patient is naïve to Enzyme Replacement Therapy (ERT) with rhGAA; Patient must be able to ambulate at least 40 meters (131.2 feet) on the 6MWT conducted at the Screening visit (use of assistive devices such as walker, cane, or crutches, is permitted); and If subject was female, she was not lactating Exclusion criteria: Patient has a history of diabetes or other disease known to cause hypoglycemia and is currently receiving, or might anticipate receiving, hypoglycemic agents during the course of the study; Patient has been on any immunosuppressive medication other than glucocorticosteroids within 1 year prior to enrollment into this study; Patient requires invasive ventilatory assistance at the time of enrollment into the study; Patient has received any investigational medication within 30 days prior to the first dose of study drug or is scheduled to receive any investigational drug other than BMN 701 during the course of the study; Patient has previously been admitted to the study; Patient is breastfeeding at screening or planning to become pregnant (self or partner) at any time during the study; Patient has a medical condition or extenuating circumstance that, in the opinion of the Investigator, might compromise the patient's ability to comply with the protocol requirements or compromise the patient's well being or safety; Patient has any condition that, in the view of the Investigator, places the patient at high risk of poor treatment compliance or of not completing the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
BioMarin Pharmaceutical
Official's Role
Study Director
Facility Information:
Facility Name
Univ of California San Diego School of Medicine
City
La Jolla
State/Province
California
ZIP/Postal Code
92103-8765
Country
United States
Facility Name
University of Florida College of Medicine
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32610
Country
United States
Facility Name
University of Kansas Medical Center
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States
Facility Name
Royal Adelaide Hospital, SA Pathology
City
Adelaide
State/Province
Adelaide, SA
ZIP/Postal Code
5006
Country
Australia
Facility Name
Hôpital de I´Archet- Centre Hospitalier Universitaire Nice
City
Nice
ZIP/Postal Code
06202
Country
France
Facility Name
Hôpital Pitié-Salpêtrière
City
Paris Cedex 13
ZIP/Postal Code
75651
Country
France
Facility Name
Zentrum für Kinder- und Jugenmedizin
City
Mainz
State/Province
Rheinland-pfalz
ZIP/Postal Code
55131
Country
Germany
Facility Name
Old Queen Elizabeth Hospital, Department of Medicine
City
Birmingham
ZIP/Postal Code
B15 2TH
Country
United Kingdom
Facility Name
Royal Free Hospital
City
London
ZIP/Postal Code
NW3 2QG
Country
United Kingdom
Facility Name
Salford Royal Hospital NHS Trust
City
Salford
ZIP/Postal Code
M6 8HD
Country
United Kingdom

12. IPD Sharing Statement

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Safety/Tolerability/Pharmacokinetic (PK)/Pharmacodynamics (PD) Study of BMN701 in Patients With Late-Onset Pompe Disease

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