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A Study of Renal Function in Treatment-naïve, Young Male Patients With Fabry Disease

Primary Purpose

Fabry Disease

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Iohexol
Sponsored by
Genzyme, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Fabry Disease focused on measuring Fabry disease

Eligibility Criteria

5 Years - 25 Years (Child, Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • The patient and/or their parent/legal guardian is willing and able to provide signed informed consent. If the patient is below the age of consent per local guidelines, he is willing to provide assent, if deemed able to do so.
  • The patient must have a confirmed diagnosis of Fabry disease as documented by leukocyte α-galactosidase A (αGAL) of <4 nmol/hr/mg leukocyte (preferred assay; results from a central laboratory). If the leukocyte αGAL activity assay is difficult to obtain, the patient may be enrolled based on documented plasma αGAL <1.5 nmol/hr/mL (results from a central laboratory), with the agreement of the Genzyme Medical Monitor.

Exclusion Criteria:

  • Patient has received prior treatment with enzyme replacement therapy (ERT) or oral pharmacological chaperone therapy for Fabry disease.
  • Patient has received an investigational drug within 30 days of the screening visit.
  • Patient is receiving any of the following medications and is clinically unable or unwilling to temporarily discontinue treatment with these medications for the indicated washout period prior to the renal function assessments until completion of these assessments:

    • Angiotensin converting enzyme inhibitors or angiotensin receptor blockers (6 week washout);
    • Non-steroidal anti-inflammatory drugs (3 day washout).
    • NOTE: Patients who are on chronic dialysis or have had a kidney transplant will not be required to discontinue the above medications because renal function assessments will not be performed in these patients.
  • Patient has any contraindication mentioned in the labeling of iohexol. NOTE: patients with an eGFR <30 mL/min/1.73m^2 and patients who are on chronic dialysis or have had a kidney transplant may be enrolled irrespective of any contraindication to iohexol because iGFR will not be measured in these patients.
  • Patient has any medical condition or extenuating circumstance which, in the opinion of the Investigator, could interfere with the patient's ability to complete all study procedures, or with the interpretation of study results (e.g., diabetes mellitus).
  • The patient and/or their parent or legal guardian, in the opinion of the Investigator, is unable to adhere to the requirements of the study.

Sites / Locations

  • Investigational Site Number 840010
  • Investigational Site Number 840006
  • Investigational Site Number 840003
  • Investigational Site Number 840009
  • Investigational Site Number 840002
  • Investigational Site Number 032001
  • Investigational Site Number 040001
  • Investigational Site Number 056001
  • Investigational Site Number 076001
  • Investigational Site Number 124001
  • Investigational Site Number 124004
  • Investigational Site Number 246002
  • Investigational Site Number 250002
  • Investigational Site Number 250001
  • Investigational Site Number 348001
  • Investigational Site Number 578001
  • Investigational Site Number 616001
  • Investigational Site Number 724001
  • Investigational Site Number 724002
  • Investigational Site Number 158001
  • Investigational Site Number 826004
  • Investigational Site Number 826002

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Glomerular Filtration Rate by Plasma Iohexol Clearance (iGFR)

Arm Description

Evaluations of renal and cardiac function

Outcomes

Primary Outcome Measures

Glomerular Filtration Rate Estimated from Serum Creatinine (eGFR)
Tests are performed only for patients who are not on chronic dialysis and/or have not received a kidney transplant.
Glomerular Filtration Rate by Plasma Iohexol Clearance (iGFR)
Assessment of iGFR will NOT be performed if a patient is on chronic dialysis, has had a kidney transplant, or has a screening eGFR <30 mL/min/1.73 m^2 or presents any contraindication mentioned in the labeling of iohexol (Omnipaque™ 300).
Protein Excretion Assessed from Three First-Morning Urine Voids

Secondary Outcome Measures

Cardiovascular Function
Assessed by electrocardiogram (ECG) and echocardiography

Full Information

First Posted
April 11, 2013
Last Updated
December 11, 2020
Sponsor
Genzyme, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT01839526
Brief Title
A Study of Renal Function in Treatment-naïve, Young Male Patients With Fabry Disease
Official Title
A Cross-sectional Study of Renal Function in Treatment-naïve, Young Male Patients With Fabry Disease
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Terminated
Why Stopped
Enrollment period not extended and screening stopped for slow recruitment and in accordance with provisions of the protocol. Not linked to any safety concern
Study Start Date
May 2013 (undefined)
Primary Completion Date
September 2016 (Actual)
Study Completion Date
September 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genzyme, a Sanofi Company

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
No investigational drug will be administered in this study for the treatment of Fabry disease. This will be a multicenter, multinational, non-treatment, cross-sectional study of young male patients with Fabry disease who have not yet initiated interventional treatment for this disease. The study will consist of a screening visit(s), a clinical investigation visit(s), and a follow-up phone contact. The objectives of the study are: To document renal function and other Fabry disease manifestations across age in treatment-naïve, young male patients with Fabry disease. To provide a reference group for comparison with interventional clinical trials of Fabry disease. The duration of each patient's participation in the study, inclusive of the screening visit and follow-up phone contact, will be approximately 12 weeks.
Detailed Description
Patients who meet all eligibility criteria based on screening assessments will be scheduled to return to the clinic for assessments of renal function and other disease-related parameters, which may be scheduled over one or more clinical investigation visits. The clinical investigation visit(s) will be scheduled such that renal and cardiac assessments occur after the required medication washout (see exclusion criterion); other procedures may be performed either before or after the medication washout, at the discretion of the investigator. Up to 100 patients will be enrolled in the study, including a minimum of 15 patients in each of the following age groups (based on age at screening): 5 to 11 years, 12 to 17 years, and 18 to 25 years. All patients will be encouraged to enroll in the Fabry Registry (NCT00196742) for continued follow-up after completion of the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Fabry Disease
Keywords
Fabry disease

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
39 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Glomerular Filtration Rate by Plasma Iohexol Clearance (iGFR)
Arm Type
Other
Arm Description
Evaluations of renal and cardiac function
Intervention Type
Drug
Intervention Name(s)
Iohexol
Intervention Description
Evaluations of renal and cardiac function are standard-of-care in young patients with Fabry disease. This study uses the more precise iGFR measurement of renal function. No investigational drug will be administered in this study for the treatment of Fabry disease.
Primary Outcome Measure Information:
Title
Glomerular Filtration Rate Estimated from Serum Creatinine (eGFR)
Description
Tests are performed only for patients who are not on chronic dialysis and/or have not received a kidney transplant.
Time Frame
Day 1 to Week 8
Title
Glomerular Filtration Rate by Plasma Iohexol Clearance (iGFR)
Description
Assessment of iGFR will NOT be performed if a patient is on chronic dialysis, has had a kidney transplant, or has a screening eGFR <30 mL/min/1.73 m^2 or presents any contraindication mentioned in the labeling of iohexol (Omnipaque™ 300).
Time Frame
Day 1 to Week 8
Title
Protein Excretion Assessed from Three First-Morning Urine Voids
Time Frame
Day 1 to Week 12
Secondary Outcome Measure Information:
Title
Cardiovascular Function
Description
Assessed by electrocardiogram (ECG) and echocardiography
Time Frame
Day 1 to Week 8

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
5 Years
Maximum Age & Unit of Time
25 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patient and/or their parent/legal guardian is willing and able to provide signed informed consent. If the patient is below the age of consent per local guidelines, he is willing to provide assent, if deemed able to do so. The patient must have a confirmed diagnosis of Fabry disease as documented by leukocyte α-galactosidase A (αGAL) of <4 nmol/hr/mg leukocyte (preferred assay; results from a central laboratory). If the leukocyte αGAL activity assay is difficult to obtain, the patient may be enrolled based on documented plasma αGAL <1.5 nmol/hr/mL (results from a central laboratory), with the agreement of the Genzyme Medical Monitor. Exclusion Criteria: Patient has received prior treatment with enzyme replacement therapy (ERT) or oral pharmacological chaperone therapy for Fabry disease. Patient has received an investigational drug within 30 days of the screening visit. Patient is receiving any of the following medications and is clinically unable or unwilling to temporarily discontinue treatment with these medications for the indicated washout period prior to the renal function assessments until completion of these assessments: Angiotensin converting enzyme inhibitors or angiotensin receptor blockers (6 week washout); Non-steroidal anti-inflammatory drugs (3 day washout). NOTE: Patients who are on chronic dialysis or have had a kidney transplant will not be required to discontinue the above medications because renal function assessments will not be performed in these patients. Patient has any contraindication mentioned in the labeling of iohexol. NOTE: patients with an eGFR <30 mL/min/1.73m^2 and patients who are on chronic dialysis or have had a kidney transplant may be enrolled irrespective of any contraindication to iohexol because iGFR will not be measured in these patients. Patient has any medical condition or extenuating circumstance which, in the opinion of the Investigator, could interfere with the patient's ability to complete all study procedures, or with the interpretation of study results (e.g., diabetes mellitus). The patient and/or their parent or legal guardian, in the opinion of the Investigator, is unable to adhere to the requirements of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Genzyme, a Sanofi Company
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 840010
City
La Jolla
State/Province
California
ZIP/Postal Code
92093
Country
United States
Facility Name
Investigational Site Number 840006
City
Decatur
State/Province
Georgia
ZIP/Postal Code
30033
Country
United States
Facility Name
Investigational Site Number 840003
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229-3039
Country
United States
Facility Name
Investigational Site Number 840009
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84132
Country
United States
Facility Name
Investigational Site Number 840002
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22030
Country
United States
Facility Name
Investigational Site Number 032001
City
Capital Federal
ZIP/Postal Code
1425
Country
Argentina
Facility Name
Investigational Site Number 040001
City
Wien
ZIP/Postal Code
1090
Country
Austria
Facility Name
Investigational Site Number 056001
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Facility Name
Investigational Site Number 076001
City
Porto Alegre
ZIP/Postal Code
90035 003
Country
Brazil
Facility Name
Investigational Site Number 124001
City
Montreal
ZIP/Postal Code
H4J 1C5
Country
Canada
Facility Name
Investigational Site Number 124004
City
Toronto
ZIP/Postal Code
M5G 1X8
Country
Canada
Facility Name
Investigational Site Number 246002
City
Vaasa
ZIP/Postal Code
65130
Country
Finland
Facility Name
Investigational Site Number 250002
City
Bron Cedex
ZIP/Postal Code
69677
Country
France
Facility Name
Investigational Site Number 250001
City
Garches
ZIP/Postal Code
92380
Country
France
Facility Name
Investigational Site Number 348001
City
Pécs
ZIP/Postal Code
7623
Country
Hungary
Facility Name
Investigational Site Number 578001
City
Bergen
ZIP/Postal Code
5021
Country
Norway
Facility Name
Investigational Site Number 616001
City
Warszawa
ZIP/Postal Code
04-730
Country
Poland
Facility Name
Investigational Site Number 724001
City
Badalona
ZIP/Postal Code
08916
Country
Spain
Facility Name
Investigational Site Number 724002
City
Girona
ZIP/Postal Code
17007
Country
Spain
Facility Name
Investigational Site Number 158001
City
Taipai
ZIP/Postal Code
10043
Country
Taiwan
Facility Name
Investigational Site Number 826004
City
London
ZIP/Postal Code
NW1 2PJ
Country
United Kingdom
Facility Name
Investigational Site Number 826002
City
London
ZIP/Postal Code
WC1N 3JH
Country
United Kingdom

12. IPD Sharing Statement

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A Study of Renal Function in Treatment-naïve, Young Male Patients With Fabry Disease

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