VAL-1221 Delivered Intravenously in Ambulatory and Ventilator-free Participants With Late-Onset Pompe Disease
Pompe Disease
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
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
Experimental
Experimental
Experimental
Active Comparator
VAL-1221 3 mg/kg
VAL-1221 10 mg/kg
VAL-1221 30 mg/kg
rhGAA
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.