search
Back to results

VAL-1221 Delivered Intravenously in Ambulatory and Ventilator-free Participants With Late-Onset Pompe Disease

Primary Purpose

Pompe Disease

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
VAL-1221
RhGAA
Sponsored by
Valerion Therapeutics, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pompe Disease focused on measuring GSD-II, Pompe Disease, Glycogen Storage Diseases, GAA

Eligibility Criteria

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

Inclusion Criteria:

  • Participant is able and willing to provide informed consent prior to any study procedures are performed
  • Diagnosis of GSDII based on one of the following:

    • Endogenous cultured skin fibroblast GAA activity less than (<) 40 percent (%) of adult normal level
    • Endogenous whole blood or dried blood spot GAA activity in deficiency range
    • Genetic analysis showing pathogenic variants in both alleles
  • Onset of Pompe disease-related symptoms after 1 year of age
  • Previously treated with Myozyme or Lumizyme for at least 12 months and on a stable regimen for the past 6 months
  • Sexually active participants who are willing to use an acceptable method of contraception (abstinence, oral contraceptives, barrier method with spermicide, surgical sterilization, implanted or injectable contraceptives with a stable dose for at least 1 month prior to Baseline, hormonal intra-uterine device [IUD] inserted at least 1 month prior to Baseline) during the study and for 30 days after completion of treatment

    • If participant is female and not considered to be of childbearing potential, she is at least 2 years post-menopause, has undergone a tubal ligation, a total hysterectomy or bilateral oophorectomy
    • If participant is female and of childbearing potential, she has a negative serum pregnancy test during screening and Baseline and must be willing to undergo pregnancy testing at specific intervals during the study
  • Participant meets at least one of the following criteria: greater than (>) 30% and <80% predicted upright forced volume capacity (FVC) or participant is able to walk >20% but <80% predicted normal on 6-minute walk test with or without use of assistive devices
  • Able to comply with protocol requirements

Exclusion Criteria:

  • Cardiac involvement in first year of life
  • Anti-GAA antibody titers >1:51,200 at two time points
  • Prior use of chaperone therapy for GSD-II within the last 12 months
  • Use of immunosuppressive medication other than glucocorticoids within 6 months prior to study enrollment
  • Use of invasive ventilatory assistance other than Bilevel Positive Airway Pressure (BiPAP) at night or during periods of rest
  • Has received any investigational medication or has enrolled in any study involving investigational drugs or therapies within 30 days prior to first dose of study drug
  • Start of or change in usual regimen of albuterol or respiratory muscle training within 30 days prior to first dose of study drug
  • History of sensitivity to any of the constituents of the study drug
  • Participant is breastfeeding or planning to become pregnant or to breastfeed during the study or is currently breastfeeding
  • Participant has a medical condition or circumstance that, in the opinion of the investigator, might compromise the participant's ability to comply with the protocol or the participant's well-being or safety
  • Participant has any condition that, in the view of the investigator, places the participant at high risk of poor treatment compliance or of not completing the study

Sites / Locations

  • University of California, Irvine
  • Duke University Medical Center
  • National Hospital for Neurology and Neurosurgery

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Arm Label

VAL-1221 3 mg/kg

VAL-1221 10 mg/kg

VAL-1221 30 mg/kg

rhGAA

Arm Description

Part 1: Participants will receive VAL-1221 3 mg/kg IV infusion every other week for 12 weeks, inclusive, for a total of 7 infusions. Part 2: Participants from Part 1 of the study who were randomized to VAL-1221 3 mg/kg can enter Part 2 of the study and receive VAL-1221 at a dose of 3 mg/kg IV infusion every other week. The dose can be increased by the Investigator to 10 mg/kg and further to 30 mg/kg (after at least 12 weeks of dosing at 10 mg/kg), depending upon the pharmacodynamics, efficacy, and safety data.

Part 1: Participants will receive VAL-1221 10 mg/kg IV infusion every other week for 12 weeks, inclusive, for a total of 7 infusions. Part 2: Participants from Part 1 of the study who were randomized to VAL-1221 10 mg/kg can enter Part 2 of the study and receive VAL-1221 at a dose of 10 mg/kg IV infusion every other week. The dose can be increased by the Investigator to 30 mg/kg IV infusion, depending upon the pharmacodynamics, efficacy, and safety data.

Part 1: Participants will receive VAL-1221 30 mg/kg IV every other week for 12 weeks, inclusive, for a total of 7 infusions. Part 2: Participants from Part 1 of the study who were randomized to VAL-1221 30 mg/kg can enter Part 2 of the study and receive VAL-1221 at a dose of 30 mg/kg IV inufsion every other week.

Part 1: Participants will be maintained on their current dose and regimen of Myozyme or Lumizyme. Part 2: Participants from Part 1 of the study who were randomized to rhGAA can enter Part 2 of the study and receive VAL-1221 either 3 mg/kg, 10 mg/kg, or 30 mg/kg (based on the dose of VAL-1221 in respective cohorts to which they were randomized in Part 1) IV infusion every other week.

Outcomes

Primary Outcome Measures

Number of Treatment-related Treatment-emergent Adverse Events (TEAEs)
Number of Participants With Infusion-Associated Reactions to VAL-1221
Percentage of Participants with Anti-VAL-1221 Antibodies
Percentage of Participants with GAA Antibodies

Secondary Outcome Measures

Pharmacokinetics of VAL-1221 in Plasma: Maximum Observed Concentration (Cmax)
Pharmacokinetics of VAL-1221 in Plasma: Time to Reach Maximum Concentration (Tmax)
Pharmacokinetics of VAL-1221 in Plasma: Area Under the Concentration Time Curve (AUC)
Pharmacokinetics of VAL-1221 in Plasma: Terminal Elimination Half-Life ( t1/2)
Pharmacokinetics of VAL-1221 in Plasma: Apparent Total Body Clearance (CL)
Pharmacokinetics of VAL-1221 in Plasma: Apparent Volume (V)
Change from Baseline in Urinary Hexose Tetrasaccharide (hex4) Excretion at Week 12, Months 6, 9, and 12
Change from Baseline in Serum Creatine Kinase (CK) at Week 12, Months 6, 9, and 12
Change from Baseline in the Amount of Acid Alpha Glucosidase (GAA) Activity Present in Muscle at Week 12
Change from Baseline in the Muscle Glycogen Content at Week 12
Change from Baseline in Creatinine Excretion at Months 6, 9, and 12

Full Information

First Posted
September 8, 2016
Last Updated
May 29, 2020
Sponsor
Valerion Therapeutics, LLC
search

1. Study Identification

Unique Protocol Identification Number
NCT02898753
Brief Title
VAL-1221 Delivered Intravenously in Ambulatory and Ventilator-free Participants With Late-Onset Pompe Disease
Official Title
A Three-Month, Open-Label, Randomized, Dose-escalation Study of the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Preliminary Efficacy of VAL-1221 Versus Myozyme®/Lumizyme® in Patients With Late-Onset GSD-II (Pompe Disease) Followed by Open-Label Treatment With VAL-1221 in All Patients
Study Type
Interventional

2. Study Status

Record Verification Date
May 2020
Overall Recruitment Status
Terminated
Why Stopped
Company closure due to lack of funding
Study Start Date
June 21, 2017 (Actual)
Primary Completion Date
March 25, 2020 (Actual)
Study Completion Date
March 25, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Valerion Therapeutics, LLC

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
This Phase I/II open-label, randomized, dose-escalation study will assess the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of VAL-1221 versus Myozyme®/Lumizyme® in participants with late-onset glycogen storage disease-II (GSD-II) (Pompe disease)
Detailed Description
Part 1 comprises 3 sequential cohorts of 4 patients each randomized to treatment with either VAL-1221 (at 3, 10, or 30 mg/kg) or positive control (rhGAA). Patients randomized to VAL-1221 will receive 7 intravenous (IV) infusions of VAL-1221 (one infusion every other week) over 12 weeks. Control patients will continue receiving their accustomed dose and regimen of Myozyme®. Part 2 is an uncontrolled extension to evaluate long-term effects of VAL-1221 given by IV infusion once every other week at doses up to 40 mg/kg.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pompe Disease
Keywords
GSD-II, Pompe Disease, Glycogen Storage Diseases, GAA

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
VAL-1221 3 mg/kg
Arm Type
Experimental
Arm Description
Part 1: Participants will receive VAL-1221 3 mg/kg IV infusion every other week for 12 weeks, inclusive, for a total of 7 infusions. Part 2: Participants from Part 1 of the study who were randomized to VAL-1221 3 mg/kg can enter Part 2 of the study and receive VAL-1221 at a dose of 3 mg/kg IV infusion every other week. The dose can be increased by the Investigator to 10 mg/kg and further to 30 mg/kg (after at least 12 weeks of dosing at 10 mg/kg), depending upon the pharmacodynamics, efficacy, and safety data.
Arm Title
VAL-1221 10 mg/kg
Arm Type
Experimental
Arm Description
Part 1: Participants will receive VAL-1221 10 mg/kg IV infusion every other week for 12 weeks, inclusive, for a total of 7 infusions. Part 2: Participants from Part 1 of the study who were randomized to VAL-1221 10 mg/kg can enter Part 2 of the study and receive VAL-1221 at a dose of 10 mg/kg IV infusion every other week. The dose can be increased by the Investigator to 30 mg/kg IV infusion, depending upon the pharmacodynamics, efficacy, and safety data.
Arm Title
VAL-1221 30 mg/kg
Arm Type
Experimental
Arm Description
Part 1: Participants will receive VAL-1221 30 mg/kg IV every other week for 12 weeks, inclusive, for a total of 7 infusions. Part 2: Participants from Part 1 of the study who were randomized to VAL-1221 30 mg/kg can enter Part 2 of the study and receive VAL-1221 at a dose of 30 mg/kg IV inufsion every other week.
Arm Title
rhGAA
Arm Type
Active Comparator
Arm Description
Part 1: Participants will be maintained on their current dose and regimen of Myozyme or Lumizyme. Part 2: Participants from Part 1 of the study who were randomized to rhGAA can enter Part 2 of the study and receive VAL-1221 either 3 mg/kg, 10 mg/kg, or 30 mg/kg (based on the dose of VAL-1221 in respective cohorts to which they were randomized in Part 1) IV infusion every other week.
Intervention Type
Drug
Intervention Name(s)
VAL-1221
Intervention Description
VAL-1221 3, 10, or 30 mg/kg as per the dose and schedule specified in the arm group description
Intervention Type
Drug
Intervention Name(s)
RhGAA
Other Intervention Name(s)
Myozyme, Lumizyme
Intervention Description
Active comparator
Primary Outcome Measure Information:
Title
Number of Treatment-related Treatment-emergent Adverse Events (TEAEs)
Time Frame
Baseline of Study Part 1 though Month 24 of Study Part 2
Title
Number of Participants With Infusion-Associated Reactions to VAL-1221
Time Frame
Baseline of Study Part 1 though Month 24 of Study Part 2
Title
Percentage of Participants with Anti-VAL-1221 Antibodies
Time Frame
Baseline of Study Part 1 though Month 24 of Study Part 2
Title
Percentage of Participants with GAA Antibodies
Time Frame
Baseline of Study Part 1 though Month 24 of Study Part 2
Secondary Outcome Measure Information:
Title
Pharmacokinetics of VAL-1221 in Plasma: Maximum Observed Concentration (Cmax)
Time Frame
Part 1: Pre-infusion, end of infusion (EOI) (infusion duration 1 mg/kg/hour), at 0.25, 0.5, 1, 2, 4, 12, 24, 48 and 336 hours after EOI on Days 1, 2, 3 and Week 12; Part 2: Pre-infusion on Weeks 12, 14, 16, 18, 20, 22, Months 12, 24, 36
Title
Pharmacokinetics of VAL-1221 in Plasma: Time to Reach Maximum Concentration (Tmax)
Time Frame
Part 1: Pre-infusion, end of infusion (EOI) (infusion duration 1 mg/kg/hour), at 0.25, 0.5, 1, 2, 4, 12, 24, 48 and 336 hours after EOI on Days 1, 2, 3 and Week 12; Part 2: Pre-infusion on Weeks 12, 14, 16, 18, 20, 22, Months 12, 24, 36
Title
Pharmacokinetics of VAL-1221 in Plasma: Area Under the Concentration Time Curve (AUC)
Time Frame
Part 1: Pre-infusion, end of infusion (EOI) (infusion duration 1 mg/kg/hour), at 0.25, 0.5, 1, 2, 4, 12, 24, 48 and 336 hours after EOI on Days 1, 2, 3 and Week 12; Part 2: Pre-infusion on Weeks 12, 14, 16, 18, 20, 22, Months 12, 24, 36
Title
Pharmacokinetics of VAL-1221 in Plasma: Terminal Elimination Half-Life ( t1/2)
Time Frame
Part 1: Pre-infusion, end of infusion (EOI) (infusion duration 1 mg/kg/hour), at 0.25, 0.5, 1, 2, 4, 12, 24, 48 and 336 hours after EOI on Days 1, 2, 3 and Week 12; Part 2: Pre-infusion on Weeks 12, 14, 16, 18, 20, 22, Months 12, 24, 36
Title
Pharmacokinetics of VAL-1221 in Plasma: Apparent Total Body Clearance (CL)
Time Frame
Part 1: Pre-infusion, end of infusion (EOI) (infusion duration 1 mg/kg/hour), at 0.25, 0.5, 1, 2, 4, 12, 24, 48 and 336 hours after EOI on Days 1, 2, 3 and Week 12; Part 2: Pre-infusion on Weeks 12, 14, 16, 18, 20, 22, Months 12, 24, 36
Title
Pharmacokinetics of VAL-1221 in Plasma: Apparent Volume (V)
Time Frame
Part 1: Pre-infusion, end of infusion (EOI) (infusion duration 1 mg/kg/hour), at 0.25, 0.5, 1, 2, 4, 12, 24, 48 and 336 hours after EOI on Days 1, 2, 3 and Week 12; Part 2: Pre-infusion on Weeks 12, 14, 16, 18, 20, 22, Months 12, 24, 36
Title
Change from Baseline in Urinary Hexose Tetrasaccharide (hex4) Excretion at Week 12, Months 6, 9, and 12
Time Frame
Baseline of Study Part 1, Week 12 of Study Part 1, Months 12, 24, and 36 of Study Part 2
Title
Change from Baseline in Serum Creatine Kinase (CK) at Week 12, Months 6, 9, and 12
Time Frame
Baseline of Study Part 1, Week 12 of Study Part 1, Months 12, 24, and 36 of Study Part 2
Title
Change from Baseline in the Amount of Acid Alpha Glucosidase (GAA) Activity Present in Muscle at Week 12
Time Frame
Baseline of Study Part 1, Week 12 of Study Part 1
Title
Change from Baseline in the Muscle Glycogen Content at Week 12
Time Frame
Baseline of Study Part 1, Week 12 Study Part 1
Title
Change from Baseline in Creatinine Excretion at Months 6, 9, and 12
Time Frame
Baseline of Study Part 1, Months 12, 24, 36 of Study Part 2

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant is able and willing to provide informed consent prior to any study procedures are performed Diagnosis of GSDII based on one of the following: Endogenous cultured skin fibroblast GAA activity less than (<) 40 percent (%) of adult normal level Endogenous whole blood or dried blood spot GAA activity in deficiency range Genetic analysis showing pathogenic variants in both alleles Onset of Pompe disease-related symptoms after 1 year of age Previously treated with Myozyme or Lumizyme for at least 12 months and on a stable regimen for the past 6 months Sexually active participants who are willing to use an acceptable method of contraception (abstinence, oral contraceptives, barrier method with spermicide, surgical sterilization, implanted or injectable contraceptives with a stable dose for at least 1 month prior to Baseline, hormonal intra-uterine device [IUD] inserted at least 1 month prior to Baseline) during the study and for 30 days after completion of treatment If participant is female and not considered to be of childbearing potential, she is at least 2 years post-menopause, has undergone a tubal ligation, a total hysterectomy or bilateral oophorectomy If participant is female and of childbearing potential, she has a negative serum pregnancy test during screening and Baseline and must be willing to undergo pregnancy testing at specific intervals during the study Participant meets at least one of the following criteria: greater than (>) 30% and <80% predicted upright forced volume capacity (FVC) or participant is able to walk >20% but <80% predicted normal on 6-minute walk test with or without use of assistive devices Able to comply with protocol requirements Exclusion Criteria: Cardiac involvement in first year of life Anti-GAA antibody titers >1:51,200 at two time points Prior use of chaperone therapy for GSD-II within the last 12 months Use of immunosuppressive medication other than glucocorticoids within 6 months prior to study enrollment Use of invasive ventilatory assistance other than Bilevel Positive Airway Pressure (BiPAP) at night or during periods of rest Has received any investigational medication or has enrolled in any study involving investigational drugs or therapies within 30 days prior to first dose of study drug Start of or change in usual regimen of albuterol or respiratory muscle training within 30 days prior to first dose of study drug History of sensitivity to any of the constituents of the study drug Participant is breastfeeding or planning to become pregnant or to breastfeed during the study or is currently breastfeeding Participant has a medical condition or circumstance that, in the opinion of the investigator, might compromise the participant's ability to comply with the protocol or the participant's well-being or safety Participant has any condition that, in the view of the investigator, places the participant at high risk of poor treatment compliance or of not completing the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hal Landy, MD
Organizational Affiliation
Valerion Therapeutics, LLC
Official's Role
Study Director
Facility Information:
Facility Name
University of California, Irvine
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
National Hospital for Neurology and Neurosurgery
City
London
ZIP/Postal Code
WC1N 3BG
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

VAL-1221 Delivered Intravenously in Ambulatory and Ventilator-free Participants With Late-Onset Pompe Disease

We'll reach out to this number within 24 hrs