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Safety Study of Recombinant Human Alpha-mannosidase for the Treatment of Patients With Alpha-mannosidosis

Primary Purpose

Alpha Mannosidosis

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Lamazym
Sponsored by
Zymenex A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alpha Mannosidosis

Eligibility Criteria

5 Years - 20 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. The patient must have a confirmed diagnosis of alpha-mannosidosis as defined by alpha-mannosidase activity < 10% of normal activity in blood leukocytes
  2. The patient must have an age at the time of screening ≥ 5 year and ≤ 20 years
  3. The patient must have physical ability to perform 6-minutes walk test (6MWT), 3 minute-stair climb test (3MSCT) and pulmonary lung function test (spirometry, body plethysmography).
  4. The patient must have the ability to mentally cooperate in the cognitive and motor function tests
  5. The patient must have the ability to hear and follow a request. Hearing aids can be worn.
  6. Patient or patient's legally authorized guardian(s) must provide signed, informed consent prior to performing any study-related activities (trial-related activities are any procedures that would not have been performed during normal management of the subject)
  7. The patient and his/her guardian(s) must have the ability to comply with the protocol

Exclusion Criteria:

  1. The patient cannot walk without support.
  2. Presence of known chromosomal abnormality and syndromes affecting psychomotor development, other than alpha-mannosidosis
  3. History of bone marrow transplantation
  4. Presence of known clinically significant cardiovascular, hepatic, pulmonary or renal disease or other medical conditions that, in the opinion of the Investigator, would preclude participation in the trial
  5. Presence of an ECHO with abnormalities within half a year that, in the opinion of the Investigator, would preclude participation in the trial
  6. Any other medical condition or serious intercurrent illness, or extenuating circumstance that, in the opinion of the investigator, would preclude participation in the trial
  7. Pregnancy
  8. Psychosis within the last 3 months

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    Lamazym 6.25

    Lamazym 12.5

    Lamazym 25

    Lamazym 50

    Lamazym 100

    Arm Description

    Outcomes

    Primary Outcome Measures

    To evaluate the safety profile of rhLAMAN (Lamazym)

    Secondary Outcome Measures

    To determine the PK profile of rhLAMAN (Lamazym) in patients with alpha-mannosidosis as measured by rhLAMAN levels in plasma
    To collect baseline measurements that are to be used for efficacy evaluation in the following trial (rhLAMAN-03)

    Full Information

    First Posted
    December 29, 2010
    Last Updated
    July 30, 2020
    Sponsor
    Zymenex A/S
    Collaborators
    European Commission
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01268358
    Brief Title
    Safety Study of Recombinant Human Alpha-mannosidase for the Treatment of Patients With Alpha-mannosidosis
    Official Title
    A Single Center, Open-label, Dose Escalation Study of the Safety and Pharmacokinetics of rhLAMAN (Recombinant Human Alpha-mannosidase or Lamazym) for the Treatment of Patients With Alpha-mannosidosis.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2010 (undefined)
    Primary Completion Date
    January 2011 (Actual)
    Study Completion Date
    January 2011 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Zymenex A/S
    Collaborators
    European Commission

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This is a single-center, open-label, dose escalation study of patients with alpha-mannosidosis. 10 patients will be enrolled in this study receiving intravenous infusions of Lamazym. In order to avoid development of delayed hypersensitivity all patients will continue weekly treatment at the designated dose until the Safety Committee approves transfer to the rhLAMAN-03 protocol. It is the hypothesis that Lamazym is safe to use.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    10 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Lamazym 6.25
    Arm Type
    Experimental
    Arm Title
    Lamazym 12.5
    Arm Type
    Experimental
    Arm Title
    Lamazym 25
    Arm Type
    Experimental
    Arm Title
    Lamazym 50
    Arm Type
    Experimental
    Arm Title
    Lamazym 100
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    Lamazym
    Other Intervention Name(s)
    rhLAMAN
    Intervention Description
    Lamazym, ERT, infusion weekly
    Primary Outcome Measure Information:
    Title
    To evaluate the safety profile of rhLAMAN (Lamazym)
    Time Frame
    1-5 weeks
    Secondary Outcome Measure Information:
    Title
    To determine the PK profile of rhLAMAN (Lamazym) in patients with alpha-mannosidosis as measured by rhLAMAN levels in plasma
    Time Frame
    1 dosis
    Title
    To collect baseline measurements that are to be used for efficacy evaluation in the following trial (rhLAMAN-03)
    Time Frame
    1 week

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    5 Years
    Maximum Age & Unit of Time
    20 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: The patient must have a confirmed diagnosis of alpha-mannosidosis as defined by alpha-mannosidase activity < 10% of normal activity in blood leukocytes The patient must have an age at the time of screening ≥ 5 year and ≤ 20 years The patient must have physical ability to perform 6-minutes walk test (6MWT), 3 minute-stair climb test (3MSCT) and pulmonary lung function test (spirometry, body plethysmography). The patient must have the ability to mentally cooperate in the cognitive and motor function tests The patient must have the ability to hear and follow a request. Hearing aids can be worn. Patient or patient's legally authorized guardian(s) must provide signed, informed consent prior to performing any study-related activities (trial-related activities are any procedures that would not have been performed during normal management of the subject) The patient and his/her guardian(s) must have the ability to comply with the protocol Exclusion Criteria: The patient cannot walk without support. Presence of known chromosomal abnormality and syndromes affecting psychomotor development, other than alpha-mannosidosis History of bone marrow transplantation Presence of known clinically significant cardiovascular, hepatic, pulmonary or renal disease or other medical conditions that, in the opinion of the Investigator, would preclude participation in the trial Presence of an ECHO with abnormalities within half a year that, in the opinion of the Investigator, would preclude participation in the trial Any other medical condition or serious intercurrent illness, or extenuating circumstance that, in the opinion of the investigator, would preclude participation in the trial Pregnancy Psychosis within the last 3 months
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Allan M. Lund, MD
    Organizational Affiliation
    Department of Clinical Genetics, Juliane Marie Centre, Region Hovedstaden, Copenhagen University hospital, Denmark
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Jens Fogh
    Organizational Affiliation
    Zymenex A/S
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    26016802
    Citation
    Borgwardt L, Thuesen AM, Olsen KJ, Fogh J, Dali CI, Lund AM. Cognitive profile and activities of daily living: 35 patients with alpha-mannosidosis. J Inherit Metab Dis. 2015 Nov;38(6):1119-27. doi: 10.1007/s10545-015-9862-4. Epub 2015 May 28.
    Results Reference
    background
    PubMed Identifier
    23494656
    Citation
    Borgwardt L, Dali CI, Fogh J, Mansson JE, Olsen KJ, Beck HC, Nielsen KG, Nielsen LH, Olsen SO, Riise Stensland HM, Nilssen O, Wibrand F, Thuesen AM, Pearl T, Haugsted U, Saftig P, Blanz J, Jones SA, Tylki-Szymanska A, Guffon-Fouiloux N, Beck M, Lund AM. Enzyme replacement therapy for alpha-mannosidosis: 12 months follow-up of a single centre, randomised, multiple dose study. J Inherit Metab Dis. 2013 Nov;36(6):1015-24. doi: 10.1007/s10545-013-9595-1. Epub 2013 Mar 14.
    Results Reference
    result
    PubMed Identifier
    26048034
    Citation
    Borgwardt L, Stensland HM, Olsen KJ, Wibrand F, Klenow HB, Beck M, Amraoui Y, Arash L, Fogh J, Nilssen O, Dali CI, Lund AM. Alpha-mannosidosis: correlation between phenotype, genotype and mutant MAN2B1 subcellular localisation. Orphanet J Rare Dis. 2015 Jun 6;10:70. doi: 10.1186/s13023-015-0286-x.
    Results Reference
    result
    Links:
    URL
    https://www.clinicaltrialsregister.eu/ctr-search/search?query=2010-022084-36
    Description
    Study Record on EU Clinical Trials Register including results

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    Safety Study of Recombinant Human Alpha-mannosidase for the Treatment of Patients With Alpha-mannosidosis

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