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rhGAA in Patients With Infantile-onset Glycogen Storage Disease-II (Pompe Disease)

Primary Purpose

Glycogen Storage Disease Type II, Pompe Disease, Acid Maltase Deficiency Disease

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

About this trial

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

Eligibility Criteria

6 Months - 36 Months (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria: The patient or the patient's legal guardian(s) must provide written informed consent prior to any study-related procedures being performed The patient must have a clinical diagnosis of infantile GSD-II as defined by: (a) the patient has/had documented (in a medical record) onset of symptoms compatible with GSD-II by 12 months of age; (b) the patient has documented GAA deficiency as illustrated by an endogenous GAA activity less than or equal to 2% of the mean of the normal range as assessed in cultured skin fibroblasts; AND (c) the patient has a Left Ventricular Mass Index greater than 2 standard deviations above the mean for age The patient is greater than 6 months old and less than or equal to 36 months old at the time of the first dose of rhGAA The patient and his/her legal guardian(s) must have the ability to comply with the clinical protocol Exclusion Criteria: Signs and symptoms of cardiac failure and an ejection fraction less than 40% Major congenital abnormality Clinically significant organic disease (with the exception of symptoms relating to GSD-II), including clinically significant cardiovascular, hepatic, pulmonary, neurologic, or renal disease, or other medical condition, serious intercurrent illness, or extenuating circumstance that, in the opinion of the Investigator, would preclude participation in the trial or potentially decrease survival Use of any investigational product within 30 days prior to study enrollment Received enzyme replacement therapy with GAA from any source

Sites / Locations

  • University of Florida College of Medicine
  • Duke University Medical Center
  • Children's Hospital Medical Center
  • Pediatrique Hopital de Brousse
  • Rambam Medical Center
  • Royal Manchester Children's Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

1

Arm Description

Outcomes

Primary Outcome Measures

Evaluate the safety of Myozyme
Determine proportion of patients alive over the course of treatment
PK profile of MZ
PD profile of MZ

Secondary Outcome Measures

Full Information

First Posted
January 31, 2003
Last Updated
February 4, 2014
Sponsor
Genzyme, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT00053573
Brief Title
rhGAA in Patients With Infantile-onset Glycogen Storage Disease-II (Pompe Disease)
Official Title
An Open-Label, Multicenter, Multinational, Study of the Safety, Efficacy, Pharmacokinetics, and Pharmacodynamics of rhGAA Treatment in Patients Greater Than 6 Months and Less Than or Equal to 36 Months Old With Infantile-Onset GSD-II
Study Type
Interventional

2. Study Status

Record Verification Date
February 2014
Overall Recruitment Status
Completed
Study Start Date
February 2003 (undefined)
Primary Completion Date
July 2006 (Actual)
Study Completion Date
November 2006 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Genzyme, a Sanofi Company

4. Oversight

5. Study Description

Brief Summary
Glycogen Storage Disease Type II ("GSD-II"; also known as Pompe disease) is caused by a deficiency of a critical enzyme in the body called acid alpha-glucosidase (GAA). Normally, GAA is used by the body's cells to break down glycogen (a stored form of sugar) within specialized structures called lysosomes. In patients with GSD-II, an excessive amount of glycogen accumulates and is stored in various tissues, especially heart and skeletal muscle, which prevents their normal function. This study is being conducted to evaluate the safety and effectiveness of recombinant human acid alpha-glucosidase (rhGAA) as a potential enzyme replacement therapy for GSD-II. Patients diagnosed with infantile-onset GSD-II who are greater than 6 months old, but less than or equal to 36 months old will be studied.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Glycogen Storage Disease Type II, Pompe Disease, Acid Maltase Deficiency Disease, Glycogenosis 2
Keywords
Glycogen Storage Disease Type II, GSD-II, Pompe Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
Myozyme
Other Intervention Name(s)
Alglucosidase alfa
Intervention Description
20 mg/kg to 40 mg/kg qow
Primary Outcome Measure Information:
Title
Evaluate the safety of Myozyme
Time Frame
52 weeks
Title
Determine proportion of patients alive over the course of treatment
Time Frame
52 weeks
Title
PK profile of MZ
Time Frame
52 weeks
Title
PD profile of MZ
Time Frame
52 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
36 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patient or the patient's legal guardian(s) must provide written informed consent prior to any study-related procedures being performed The patient must have a clinical diagnosis of infantile GSD-II as defined by: (a) the patient has/had documented (in a medical record) onset of symptoms compatible with GSD-II by 12 months of age; (b) the patient has documented GAA deficiency as illustrated by an endogenous GAA activity less than or equal to 2% of the mean of the normal range as assessed in cultured skin fibroblasts; AND (c) the patient has a Left Ventricular Mass Index greater than 2 standard deviations above the mean for age The patient is greater than 6 months old and less than or equal to 36 months old at the time of the first dose of rhGAA The patient and his/her legal guardian(s) must have the ability to comply with the clinical protocol Exclusion Criteria: Signs and symptoms of cardiac failure and an ejection fraction less than 40% Major congenital abnormality Clinically significant organic disease (with the exception of symptoms relating to GSD-II), including clinically significant cardiovascular, hepatic, pulmonary, neurologic, or renal disease, or other medical condition, serious intercurrent illness, or extenuating circumstance that, in the opinion of the Investigator, would preclude participation in the trial or potentially decrease survival Use of any investigational product within 30 days prior to study enrollment Received enzyme replacement therapy with GAA from any source
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
University of Florida College of Medicine
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32610
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Children's Hospital Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Facility Name
Pediatrique Hopital de Brousse
City
Lyon
Country
France
Facility Name
Rambam Medical Center
City
Haifa
ZIP/Postal Code
31096
Country
Israel
Facility Name
Royal Manchester Children's Hospital
City
Manchester
ZIP/Postal Code
M27 4 HA
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
19775921
Citation
Kishnani PS, Goldenberg PC, DeArmey SL, Heller J, Benjamin D, Young S, Bali D, Smith SA, Li JS, Mandel H, Koeberl D, Rosenberg A, Chen YT. Cross-reactive immunologic material status affects treatment outcomes in Pompe disease infants. Mol Genet Metab. 2010 Jan;99(1):26-33. doi: 10.1016/j.ymgme.2009.08.003.
Results Reference
derived

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rhGAA in Patients With Infantile-onset Glycogen Storage Disease-II (Pompe Disease)

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