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An Extension Study of JR-171-101 Study in Patients With MPS I

Primary Purpose

Mucopolysaccharidosis I

Status
Active
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
JR-171 (lepunafusp alfa)
Sponsored by
JCR Pharmaceuticals Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mucopolysaccharidosis I focused on measuring Mucopolysaccharidosis I

Eligibility Criteria

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

Inclusion Criteria:

  • Patients who have completed the Part 2 of JR-171-101 study
  • A patient from whom written informed consent can be obtained. If the patient is aged under 18 years (20 years in case of Japan) at the time of assent or willingness to participate in the study cannot be confirmed due to MPS I-related intellectual disability, informed permission from the patient's legally acceptable representative (e.g., his/her parents or guardians) need to be obtained instead of his/her consent. Even in this case, written informed consent should be obtained from the patient, wherever possible
  • Female patient or male patient whose co-partners is of child-bearing potential agree to use a medically accepted, highly effective method of contraception, such as spermatocidal gel plus condom, an intrauterine device or oral contraceptives until one month after the final administration.

Exclusion Criteria:

  • A patient who is unable to perform the study procedures, except for 6-minute walk test, neurocognitive testing, BVMT-R, HVLT-R, and T.O.V.A.
  • Judged by the principal investigator or subinvestigator as being unable to undergo lumbar puncture, including those who have difficulties in taking a position for lumbar puncture due to joint contracture or those who are likely to experience difficulty breathing during the lumbar puncture process
  • Judged by the principal investigator or subinvestigator to be ineligible to participate in the study due to a history of a serious drug allergy or hypersensitivity to any drugs
  • Otherwise judged by the principal investigator or subinvestigator to be ineligible to participate in the study in consideration of patient's safety

Sites / Locations

  • UCSF Benioff Children's Hospital Oakland
  • Hospital de Clínicas de Porto Alegre
  • Instituto de Genética e Erros Inatos do Metabolismo - IGEIM
  • Fukuoka Children's Hospital
  • National Hospital Organization Kokura Medical Center
  • Osaka Metropolitan University Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

JR-171

Arm Description

Until the dose determination, subjects will intravenously receive either the low dose or high dose of JR-171 (the same dose as at Week 12 of the JR-171-101 study). Thereafter, all subjects will receive the optimal dose of JR-171 determined based on the results of JR-171-101 study.

Outcomes

Primary Outcome Measures

Number of participants with Adverse Events
Adverse events
Incidence of abnormal laboratory test results
Hematology
Incidence of abnormal laboratory test results
Biochemistry
Incidence of abnormal laboratory test results
Serum iron tests
Incidence of abnormal laboratory test results
Urinalysis
Incidence of abnormal vital signs
Pulse rate
Incidence of abnormal vital signs
Body temperature
Incidence of abnormal vital signs
Blood pressure
Incidence of abnormal vital signs
Body weight
Incidence of abnormal EKG readings
Number of participants with Adverse Events
Anti-human-α-L-iduronidase antibodies
Number of participants with Adverse Events
Anti-JR-171 antibodies
Number of participants with Adverse Events
Infusion associated reaction (IAR)

Secondary Outcome Measures

Change From Baseline in Heparan Sulfate Levels in Cerebrospinal Fluid
Change From Baseline in Dermatan Sulfate Levels in Cerebrospinal Fluid
CSF opening pressure
Change From Baseline in Heparan Sulfate Levels in Urinary
Change From Baseline in Dermatan Sulfate Levels in Urinary
Change From Baseline in Heparan Sulfate Levels in Serum
Change From Baseline in Dermatan Sulfate Levels in Serum
Change From Baseline in Liver Volume
Change From Baseline in Spleen Volume.
Change From Baseline in Echocardiography.
Left ventricular posterior wall thickness
Change From Baseline in Echocardiography.
interventricular septal thickness
Change From Baseline in Echocardiography.
left ventricular mass index
Change From Baseline in Echocardiography.
left ventricular ejection fraction
Change From Baseline in Echocardiography.
left ventricular ejection fraction,
Change From Baseline in Echocardiography.
E/A ratio
Change From Baseline in 6-minute Walk Test Distance.
Changes from baseline in cognitive age equivalent score of neurocognitive testing
Wechsler IQ test or the Bayley scales of infant and toddler development
Changes from baseline in outcome of adaptive behavioral function
Vineland adaptive behavior scales
Changes from baseline in outcome of the Brief Visuospatial Memory Test-Revised
Changes from baseline in outcome of the Hopkins Verbal Learning Test-Revised
Changes from baseline in outcome of the Test of Variables of Attention
Changes from baseline in outcome of the Pediatric Quality of Life Inventory Family Impact Module (PedsQL-FIM)

Full Information

First Posted
June 4, 2020
Last Updated
December 12, 2022
Sponsor
JCR Pharmaceuticals Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04453085
Brief Title
An Extension Study of JR-171-101 Study in Patients With MPS I
Official Title
An Extension Study of JR-171-101 Study in Patients With Mucopolysaccharidosis Type I
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 28, 2021 (Actual)
Primary Completion Date
April 30, 2025 (Anticipated)
Study Completion Date
April 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
JCR Pharmaceuticals Co., Ltd.

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
Phase I/II, open label, multicenter, multinational (Japan, Brazil and the US) extension study of JR-171-101 for the treatment of MPS I
Detailed Description
Patients who have completed the Part2 of JR-171-101 study and fulfill all eligibility criteria can be enrolled in this JR-171-102 study. Until the dose determination in the JR-171-102 study, subjects will intravenously receive either low dose or high dose of JR-171 at the same doses received at Week 12 of the JR-171-101 study. Thereafter, all subjects will be transitioned to the optimal dose determined based on the results of JR-171-101 study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mucopolysaccharidosis I
Keywords
Mucopolysaccharidosis I

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
14 (Actual)

8. Arms, Groups, and Interventions

Arm Title
JR-171
Arm Type
Experimental
Arm Description
Until the dose determination, subjects will intravenously receive either the low dose or high dose of JR-171 (the same dose as at Week 12 of the JR-171-101 study). Thereafter, all subjects will receive the optimal dose of JR-171 determined based on the results of JR-171-101 study.
Intervention Type
Drug
Intervention Name(s)
JR-171 (lepunafusp alfa)
Intervention Description
JR-171 IV infusion
Primary Outcome Measure Information:
Title
Number of participants with Adverse Events
Description
Adverse events
Time Frame
156 weeks
Title
Incidence of abnormal laboratory test results
Description
Hematology
Time Frame
156 weeks
Title
Incidence of abnormal laboratory test results
Description
Biochemistry
Time Frame
156 weeks
Title
Incidence of abnormal laboratory test results
Description
Serum iron tests
Time Frame
156 weeks
Title
Incidence of abnormal laboratory test results
Description
Urinalysis
Time Frame
156 weeks
Title
Incidence of abnormal vital signs
Description
Pulse rate
Time Frame
156 weeks
Title
Incidence of abnormal vital signs
Description
Body temperature
Time Frame
156 weeks
Title
Incidence of abnormal vital signs
Description
Blood pressure
Time Frame
156 weeks
Title
Incidence of abnormal vital signs
Description
Body weight
Time Frame
156 weeks
Title
Incidence of abnormal EKG readings
Time Frame
156 weeks
Title
Number of participants with Adverse Events
Description
Anti-human-α-L-iduronidase antibodies
Time Frame
156 weeks
Title
Number of participants with Adverse Events
Description
Anti-JR-171 antibodies
Time Frame
156 weeks
Title
Number of participants with Adverse Events
Description
Infusion associated reaction (IAR)
Time Frame
156 weeks
Secondary Outcome Measure Information:
Title
Change From Baseline in Heparan Sulfate Levels in Cerebrospinal Fluid
Time Frame
Weeks 26, 52, 104, 156
Title
Change From Baseline in Dermatan Sulfate Levels in Cerebrospinal Fluid
Time Frame
Weeks 26, 52, 104, 156
Title
CSF opening pressure
Time Frame
Weeks 26, 52, 104, 156
Title
Change From Baseline in Heparan Sulfate Levels in Urinary
Time Frame
Weeks 13, 26, 39, 52, 65, 78, 91, 104, 130, 156
Title
Change From Baseline in Dermatan Sulfate Levels in Urinary
Time Frame
Weeks 13, 26, 39, 52, 65, 78, 91, 104, 130, 156
Title
Change From Baseline in Heparan Sulfate Levels in Serum
Time Frame
Weeks 13, 26, 39, 52, 65, 78, 91, 104, 130, 156
Title
Change From Baseline in Dermatan Sulfate Levels in Serum
Time Frame
Weeks 13, 26, 39, 52, 65, 78, 91, 104, 130, 156
Title
Change From Baseline in Liver Volume
Time Frame
Weeks 13, 26, 52, 78, 104, 156
Title
Change From Baseline in Spleen Volume.
Time Frame
Weeks 13, 26, 52, 78, 104, 156
Title
Change From Baseline in Echocardiography.
Description
Left ventricular posterior wall thickness
Time Frame
Weeks 13, 26, 52, 78, 104, 156
Title
Change From Baseline in Echocardiography.
Description
interventricular septal thickness
Time Frame
Weeks 13, 26, 52, 78, 104, 156
Title
Change From Baseline in Echocardiography.
Description
left ventricular mass index
Time Frame
Weeks 13, 26, 52, 78, 104, 156
Title
Change From Baseline in Echocardiography.
Description
left ventricular ejection fraction
Time Frame
Weeks 13, 26, 52, 78, 104, 156
Title
Change From Baseline in Echocardiography.
Description
left ventricular ejection fraction,
Time Frame
Weeks 13, 26, 52, 78, 104, 156
Title
Change From Baseline in Echocardiography.
Description
E/A ratio
Time Frame
Weeks 13, 26, 52, 78, 104, 156
Title
Change From Baseline in 6-minute Walk Test Distance.
Time Frame
Weeks 13, 26, 52, 78, 104, 156
Title
Changes from baseline in cognitive age equivalent score of neurocognitive testing
Description
Wechsler IQ test or the Bayley scales of infant and toddler development
Time Frame
Weeks 52, 104, 156
Title
Changes from baseline in outcome of adaptive behavioral function
Description
Vineland adaptive behavior scales
Time Frame
Weeks 52, 104, 156
Title
Changes from baseline in outcome of the Brief Visuospatial Memory Test-Revised
Time Frame
Weeks 13, 26, 52, 78, 104, 130, 156
Title
Changes from baseline in outcome of the Hopkins Verbal Learning Test-Revised
Time Frame
Weeks 13, 26, 52, 78, 104, 130, 156
Title
Changes from baseline in outcome of the Test of Variables of Attention
Time Frame
Weeks 13, 26, 52, 78, 104, 130, 156
Title
Changes from baseline in outcome of the Pediatric Quality of Life Inventory Family Impact Module (PedsQL-FIM)
Time Frame
Weeks 13, 26, 52, 104 156

10. Eligibility

Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients who have completed the Part 2 of JR-171-101 study A patient from whom written informed consent can be obtained. If the patient is aged under 18 years (20 years in case of Japan) at the time of assent or willingness to participate in the study cannot be confirmed due to MPS I-related intellectual disability, informed permission from the patient's legally acceptable representative (e.g., his/her parents or guardians) need to be obtained instead of his/her consent. Even in this case, written informed consent should be obtained from the patient, wherever possible Female patient or male patient whose co-partners is of child-bearing potential agree to use a medically accepted, highly effective method of contraception, such as spermatocidal gel plus condom, an intrauterine device or oral contraceptives until one month after the final administration. Exclusion Criteria: A patient who is unable to perform the study procedures, except for 6-minute walk test, neurocognitive testing, BVMT-R, HVLT-R, and T.O.V.A. Judged by the principal investigator or subinvestigator as being unable to undergo lumbar puncture, including those who have difficulties in taking a position for lumbar puncture due to joint contracture or those who are likely to experience difficulty breathing during the lumbar puncture process Judged by the principal investigator or subinvestigator to be ineligible to participate in the study due to a history of a serious drug allergy or hypersensitivity to any drugs Otherwise judged by the principal investigator or subinvestigator to be ineligible to participate in the study in consideration of patient's safety
Facility Information:
Facility Name
UCSF Benioff Children's Hospital Oakland
City
Oakland
State/Province
California
ZIP/Postal Code
94609
Country
United States
Facility Name
Hospital de Clínicas de Porto Alegre
City
Porto Alegre
Country
Brazil
Facility Name
Instituto de Genética e Erros Inatos do Metabolismo - IGEIM
City
São Paulo
Country
Brazil
Facility Name
Fukuoka Children's Hospital
City
Fukuoka
Country
Japan
Facility Name
National Hospital Organization Kokura Medical Center
City
Kitakyushu
Country
Japan
Facility Name
Osaka Metropolitan University Hospital
City
Osaka
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

An Extension Study of JR-171-101 Study in Patients With MPS I

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