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Efficacy and Safety Study of BMN 110 for Morquio A Syndrome Patients Who Have Limited Ambulation

Primary Purpose

Mucopolysaccharidosis IVA, Morquio A Syndrome, MPS IVA

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
BMN 110
Sponsored by
BioMarin Pharmaceutical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mucopolysaccharidosis IVA focused on measuring Mucopolysaccharidosis IVA Type A, MPS IVA Type A, Mucopolysaccharidosis IVA, MPS IVA, Morquio A Syndrome, Lysosomal Storage Disorder, LSD, N-acetylgalactosamine-6-sulfatase, N-acetylgalactosamine-6-sulfate, sulfatase, galactose-6-sulfatase, GALNS, enzyme replacement therapy, ERT, MOR-006, CPET, Limited ambulation, Grip/ Pinch

Eligibility Criteria

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

Inclusion Criteria:

  • Is willing and able to provide written, signed informed consent (or their legally authorized representative) after the nature of the study has been explained and prior to performance of any research-related procedure. Patients who do not meet country and local age requirements for informed consent must be willing and able to provide written assent after the nature of the study has been explained and prior to performance of any research-related procedure.
  • Has documented clinical diagnosis of MPS IVA based on clinical signs and symptoms of MPS IVA and documented reduced fibroblast or leukocyte GALNS enzyme activity or genetic testing confirming diagnosis of MPS IVA.
  • Is ≥ 5 years of age.
  • If sexually active, is willing to use an acceptable method of contraception while participating in the study.
  • Females of childbearing potential must have a negative pregnancy test at the Screening Visit and be willing to have additional pregnancy tests during the study.
  • Is willing and able to perform all study procedures as physically possible.

Exclusion Criteria:

  • Is able to walk farther than a specified distance as assessed by the 6MWT.
  • Has previous hematopoietic stem cell transplant (HSCT).
  • Has received previous treatment with BMN 110.
  • Has a known hypersensitivity to any of the components of BMN 110.
  • Has had major surgery within 3 months prior to study entry or is planning to have a major surgery during the first 24 weeks of the study.
  • Has used any other investigational product or investigational medical device within 30 days prior to the Screening Visit or requires any investigational agent prior to completion of all scheduled study assessments.
  • Is pregnant or breastfeeding at the Screening Visit or planning to become pregnant (self or partner) at any time during the study.
  • Has a concurrent disease or condition, including but not limited to symptomatic cervical spine instability or severe cardiac disease or complete paralysis due to a spinal cord injury (defined as an inability to move arms and legs), that would interfere with study participation or safety as determined by the Investigator.
  • Has any condition that, in the view of the Investigator, places the patient at high risk of poor treatment compliance or of not completing the study.

Sites / Locations

  • Children's Hospital & Research Center Oakland
  • Ann & Robert H. Lurie Children's Hospital of Chicago
  • Universitätsklinikum Hamburg
  • University Medical Center Mainz, Center of Pediatric and Adolescent Medicine Villa Metabolica
  • NIHR/Wellcome Trust Birmingham CRF, Queen Elizabeth Hospital
  • Central Manchester University Hospitals NHS Foundation Trust
  • Salford Royal NHS Foundation Trust

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

BMN 110 at 2.0 mg/kg/week

Arm Description

Weekly IV infusions of BMN 110 at 2.0 mg/kg/week over a period of approximately 4 hours per infusion for up to 144 weeks.

Outcomes

Primary Outcome Measures

Percent Change From Baseline in Speed as Measured in Functional Dexterity Test (FDT)
FDT assesses the ability to use the hand in daily tasks. The test involves turning 16 wooden pegs over as quickly as possible on a hardwood pegboard with one hand requiring a three-jaw chuck prehension pattern between the fingers and thumb within a two-minute time limit. Hand function is evaluated by how fast a patient can turn over pegs in the given time limit, i.e. speed (number of pegs/minute).
Change From Baseline in Strength as Assessed by Grip and Pinch Test (GPT)
A grip-strength dynamometer and a pinch meter were used to measure grip strength and pinch strength. The results report change from baseline in strength for dominant and non-dominant hand in a forearm and wrist supported position.
Percent Change From Baseline in Speed as Measured in Timed 25-Foot Walk Test (25FWT)
The timed 25-Foot Walk Test (25FWT) is an assessment of mobility and performance of leg function. The patient was instructed to walk a marked 25-foot course as quickly as possible in a time limit of 3 minutes and immediately walk back the same distance when reaching one end.The patient is allowed to use any ambulation method to move. The outcome measures the speed (feet / min) of moving.

Secondary Outcome Measures

Percent Change From Baseline in Normalized Urine Keratan Sulfate (uKS)
Urinary keratan sulfate and urinary creatinine were measured through quantitative analysis. uKS is normalized to creatinine.

Full Information

First Posted
September 17, 2012
Last Updated
December 8, 2015
Sponsor
BioMarin Pharmaceutical
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1. Study Identification

Unique Protocol Identification Number
NCT01697319
Brief Title
Efficacy and Safety Study of BMN 110 for Morquio A Syndrome Patients Who Have Limited Ambulation
Official Title
A Phase 2, Open-label, Multinational Study to Evaluate the Efficacy and Safety of BMN 110 in Patients With Mucopolysaccharidosis IVA (Morquio A Syndrome) Who Have Limited Ambulation
Study Type
Interventional

2. Study Status

Record Verification Date
December 2015
Overall Recruitment Status
Terminated
Study Start Date
August 2012 (undefined)
Primary Completion Date
October 2014 (Actual)
Study Completion Date
October 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioMarin Pharmaceutical

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective of this study is to evaluate the effect of 2.0 mg/kg/week BMN 110 in a patient population that has limited ambulation, in a period of up to 144 weeks.
Detailed Description
Effect is defined by the following key domains: Upper extremity function and dexterity Mobility

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mucopolysaccharidosis IVA, Morquio A Syndrome, MPS IVA
Keywords
Mucopolysaccharidosis IVA Type A, MPS IVA Type A, Mucopolysaccharidosis IVA, MPS IVA, Morquio A Syndrome, Lysosomal Storage Disorder, LSD, N-acetylgalactosamine-6-sulfatase, N-acetylgalactosamine-6-sulfate, sulfatase, galactose-6-sulfatase, GALNS, enzyme replacement therapy, ERT, MOR-006, CPET, Limited ambulation, Grip/ Pinch

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BMN 110 at 2.0 mg/kg/week
Arm Type
Experimental
Arm Description
Weekly IV infusions of BMN 110 at 2.0 mg/kg/week over a period of approximately 4 hours per infusion for up to 144 weeks.
Intervention Type
Drug
Intervention Name(s)
BMN 110
Other Intervention Name(s)
N-acetylgalactosamine-6-sulfatase, N-acetylgalactosamine-6-sulfate, sulfatase, galactose-6-sulfatase, GALNS, enzyme replacement therapy, ERT, elosulfase alfa
Intervention Description
Drug will be delivered through a 4 hour (approximate) IV infusion at a dosage amount of 2.0 mg/kg/week for up to 144 weeks of treatment.
Primary Outcome Measure Information:
Title
Percent Change From Baseline in Speed as Measured in Functional Dexterity Test (FDT)
Description
FDT assesses the ability to use the hand in daily tasks. The test involves turning 16 wooden pegs over as quickly as possible on a hardwood pegboard with one hand requiring a three-jaw chuck prehension pattern between the fingers and thumb within a two-minute time limit. Hand function is evaluated by how fast a patient can turn over pegs in the given time limit, i.e. speed (number of pegs/minute).
Time Frame
Up to 96 weeks
Title
Change From Baseline in Strength as Assessed by Grip and Pinch Test (GPT)
Description
A grip-strength dynamometer and a pinch meter were used to measure grip strength and pinch strength. The results report change from baseline in strength for dominant and non-dominant hand in a forearm and wrist supported position.
Time Frame
Up to 96 weeks
Title
Percent Change From Baseline in Speed as Measured in Timed 25-Foot Walk Test (25FWT)
Description
The timed 25-Foot Walk Test (25FWT) is an assessment of mobility and performance of leg function. The patient was instructed to walk a marked 25-foot course as quickly as possible in a time limit of 3 minutes and immediately walk back the same distance when reaching one end.The patient is allowed to use any ambulation method to move. The outcome measures the speed (feet / min) of moving.
Time Frame
Up to 96 weeks
Secondary Outcome Measure Information:
Title
Percent Change From Baseline in Normalized Urine Keratan Sulfate (uKS)
Description
Urinary keratan sulfate and urinary creatinine were measured through quantitative analysis. uKS is normalized to creatinine.
Time Frame
Up to 96 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
5 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Is willing and able to provide written, signed informed consent (or their legally authorized representative) after the nature of the study has been explained and prior to performance of any research-related procedure. Patients who do not meet country and local age requirements for informed consent must be willing and able to provide written assent after the nature of the study has been explained and prior to performance of any research-related procedure. Has documented clinical diagnosis of MPS IVA based on clinical signs and symptoms of MPS IVA and documented reduced fibroblast or leukocyte GALNS enzyme activity or genetic testing confirming diagnosis of MPS IVA. Is ≥ 5 years of age. If sexually active, is willing to use an acceptable method of contraception while participating in the study. Females of childbearing potential must have a negative pregnancy test at the Screening Visit and be willing to have additional pregnancy tests during the study. Is willing and able to perform all study procedures as physically possible. Exclusion Criteria: Is able to walk farther than a specified distance as assessed by the 6MWT. Has previous hematopoietic stem cell transplant (HSCT). Has received previous treatment with BMN 110. Has a known hypersensitivity to any of the components of BMN 110. Has had major surgery within 3 months prior to study entry or is planning to have a major surgery during the first 24 weeks of the study. Has used any other investigational product or investigational medical device within 30 days prior to the Screening Visit or requires any investigational agent prior to completion of all scheduled study assessments. Is pregnant or breastfeeding at the Screening Visit or planning to become pregnant (self or partner) at any time during the study. Has a concurrent disease or condition, including but not limited to symptomatic cervical spine instability or severe cardiac disease or complete paralysis due to a spinal cord injury (defined as an inability to move arms and legs), that would interfere with study participation or safety as determined by the Investigator. Has any condition that, in the view of the Investigator, places the patient at high risk of poor treatment compliance or of not completing the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Celeste Decker, M.D.
Organizational Affiliation
BioMarin Pharmaceutical
Official's Role
Study Director
Facility Information:
Facility Name
Children's Hospital & Research Center Oakland
City
Oakland
State/Province
California
Country
United States
Facility Name
Ann & Robert H. Lurie Children's Hospital of Chicago
City
Chicago
State/Province
Illinois
Country
United States
Facility Name
Universitätsklinikum Hamburg
City
Hamburg
Country
Germany
Facility Name
University Medical Center Mainz, Center of Pediatric and Adolescent Medicine Villa Metabolica
City
Mainz
Country
Germany
Facility Name
NIHR/Wellcome Trust Birmingham CRF, Queen Elizabeth Hospital
City
Birmingham
Country
United Kingdom
Facility Name
Central Manchester University Hospitals NHS Foundation Trust
City
Manchester
Country
United Kingdom
Facility Name
Salford Royal NHS Foundation Trust
City
Salford
Country
United Kingdom

12. IPD Sharing Statement

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Efficacy and Safety Study of BMN 110 for Morquio A Syndrome Patients Who Have Limited Ambulation

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