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Safety and Efficacy Evaluation of Repeat neoGAA Dosing in Late Onset Pompe Disease Patients.

Primary Purpose

Pompe Disease, Glycogen Storage Disease Type II (GSD II), Acid Maltase Deficiency

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
GZ402666
Sponsored by
Genzyme, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pompe Disease

Eligibility Criteria

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

Inclusion criteria :

For both Group 1 and Group 2:

  • Male or female patients with confirmed acid α-glucosidase (GAA) enzyme deficiency from any tissue source and/or confirmed GAA gene mutation and without known cardiac hypertrophy.
  • Patient willing and able to provide signed informed consent
  • Patient is able to ambulate 50 meters (approximately 160 feet) without stopping and without an assistive device. Use of assistive device for community ambulation is appropriate.
  • Patient has a forced vital capacity (FVC) in upright position of ≥50% predicted.
  • The patient, if female and of childbearing potential, must have a negative pregnancy test [urine beta-human chorionic gonadotropin (β-hCG)] at baseline.

Group 2 patients only:

- The patient has been previously treated with alglucosidase alfa for at least 9 months.

Exclusion criteria:

For both Group 1 and Group 2:

  • Patient is wheelchair dependent.
  • Patient requires invasive-ventilation (non-invasive ventilation is allowed).
  • Patient is participating in another clinical study using investigational treatment.
  • Patient, in the opinion of the Investigator, is unable to adhere to the requirements of the study.
  • Patient has clinically significant organic disease (with the exception of symptoms relating to Pompe disease), 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, precludes participation in the study or potentially decreases survival.
  • Patient cannot submit to MRI examination because of a formal contraindication such as a pacemaker, implanted ferromagnetic metals, anxiety disorder, etc.

Group 1 only:

- Patient has had previous treatment with alglucosidase alfa or any other enzyme replacement therapy (ERT) for Pompe disease.

Group 2 only:

- Patient has a high risk for a severe allergic reaction to neoGAA (i.e. previous moderate to severe anaphylactic reaction to alglucosidase alfa and/or patient has immunoglobulin (Ig) E antibodies to alglucosidase alfa, and/or a history of sustained high immunoglobulin G (IgG) antibody titers to alglucosidase alfa that in the opinion of the investigator suggest a high risk for an allergic reaction to neoGAA).

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 840006
  • Investigational Site Number 840010
  • Investigational Site Number 840001
  • Investigational Site Number 840008
  • Investigational Site Number 840002
  • Investigational Site Number 840009
  • Investigational Site Number 840003
  • Investigational Site Number 056001
  • Investigational Site Number 208001
  • Investigational Site Number 250001
  • Investigational Site Number 250003
  • Investigational Site Number 250002
  • Investigational Site Number 276003
  • Investigational Site Number 276001
  • Investigational Site Number 276002
  • Investigational Site Number 528001
  • Investigational Site Number 826003

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

GZ402666 (neoGAA) Group 1 - 5 mg

GZ402666 (neoGAA) Group 1 - 10 mg

GZ402666 (neoGAA) Group 1 - 20 mg

GZ402666 (neoGAA) Group 2 - 5 mg

GZ402666 (neoGAA) Group 2 - 10 mg

GZ402666 (neoGAA) Group 2 - 20 mg

Arm Description

Intravenous infusion of 5mg neoGAA to treatment naïve late onset Pompe disease patients once every other week for a total of 24 weeks

Intravenous infusion of 10mg neoGAA to treatment naïve late onset Pompe disease patients once every other week for a total of 24 weeks.

Intravenous infusion of 20mg neoGAA to treatment naïve late onset Pompe disease patients once every other week for a total of 24 weeks.

Intravenous infusion of 5mg neoGAA once every other week for a total of 24 weeks to late onset Pompe disease patients previously treated with alglucoside alfa.

Intravenous infusion of 10mg neoGAA once every other week for a total of 24 weeks to late onset Pompe disease patients previously treated with alglucoside alfa.

Intravenous infusion of 20mg neoGAA once every other week for a total of 24 weeks to late onset Pompe disease patients previously treated with alglucoside alfa.

Outcomes

Primary Outcome Measures

Adverse events
Laboratory assessments including hematology, biochemistry and urinalysis
Vital signs

Secondary Outcome Measures

Electrocardiogram
Immunogenicity assessments
Cmax
AUC
t1/2
Skeletal muscle glycogen content
Skeletal muscle magnetic resonance images for qualitative and quantitative muscle degenerative assessments.
Urinary Hex4
Functional assessments including 6 Minute Walk Test (6MWT)
Functional Assessment includes - pulmonary function testing (PFT) endpoints, Gait, Stair, Gower's Maneuver, Chair (GSGC), Gross Motor Function Measure-88 (GMFM-88), Quick Motor Function Test (QMFT), hand-held dynamometer testing, Pediatric Quality of Life Inventory Multidimensional Fatigue Scale (PedsQL)
Quality of life assessments

Full Information

First Posted
July 2, 2013
Last Updated
March 22, 2023
Sponsor
Genzyme, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT01898364
Brief Title
Safety and Efficacy Evaluation of Repeat neoGAA Dosing in Late Onset Pompe Disease Patients.
Official Title
An Open-label, Multicenter, Multinational, Ascending Dose Study of the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Exploratory Efficacy of Repeated Biweekly Infusions of neoGAA in naïve and Alglucosidase Alfa Treated Late-onset Pompe Disease Patients.
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
August 19, 2013 (Actual)
Primary Completion Date
February 25, 2015 (Actual)
Study Completion Date
February 25, 2015 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Primary Objective: To evaluate the safety and tolerability of neoGAA in treatment naïve and alglucosidase alfa treated late-onset Pompe disease patients. Secondary Objective: To evaluate the pharmacokinetics, pharmacodynamics of neoGAA in treatment naïve and alglucosidase alfa treated late-onset Pompe disease patients. To evaluate the effect of neoGAA on exploratory efficacy endpoints in treatment naïve and alglucosidase alfa treated late-onset Pompe disease patients.
Detailed Description
Screening: within 90 days Period of treatment: 24 weeks (including 13 bi-weekly infusions) Post treatment evaluation visit: 2 weeks after last neoGAA infusion (at Week 27) End of study visit: 4 weeks after last neoGAA infusion (at Week 29) Total duration: approximately 41 weeks

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pompe Disease, Glycogen Storage Disease Type II (GSD II), Acid Maltase Deficiency

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GZ402666 (neoGAA) Group 1 - 5 mg
Arm Type
Experimental
Arm Description
Intravenous infusion of 5mg neoGAA to treatment naïve late onset Pompe disease patients once every other week for a total of 24 weeks
Arm Title
GZ402666 (neoGAA) Group 1 - 10 mg
Arm Type
Experimental
Arm Description
Intravenous infusion of 10mg neoGAA to treatment naïve late onset Pompe disease patients once every other week for a total of 24 weeks.
Arm Title
GZ402666 (neoGAA) Group 1 - 20 mg
Arm Type
Experimental
Arm Description
Intravenous infusion of 20mg neoGAA to treatment naïve late onset Pompe disease patients once every other week for a total of 24 weeks.
Arm Title
GZ402666 (neoGAA) Group 2 - 5 mg
Arm Type
Experimental
Arm Description
Intravenous infusion of 5mg neoGAA once every other week for a total of 24 weeks to late onset Pompe disease patients previously treated with alglucoside alfa.
Arm Title
GZ402666 (neoGAA) Group 2 - 10 mg
Arm Type
Experimental
Arm Description
Intravenous infusion of 10mg neoGAA once every other week for a total of 24 weeks to late onset Pompe disease patients previously treated with alglucoside alfa.
Arm Title
GZ402666 (neoGAA) Group 2 - 20 mg
Arm Type
Experimental
Arm Description
Intravenous infusion of 20mg neoGAA once every other week for a total of 24 weeks to late onset Pompe disease patients previously treated with alglucoside alfa.
Intervention Type
Drug
Intervention Name(s)
GZ402666
Intervention Description
Pharmaceutical form:lyophilized powder reconstituted for infusion Route of administration: intravenous
Primary Outcome Measure Information:
Title
Adverse events
Time Frame
screening/baseline to Week 25
Title
Laboratory assessments including hematology, biochemistry and urinalysis
Time Frame
screening/baseline to Week 25
Title
Vital signs
Time Frame
screening/baseline to Week 25
Secondary Outcome Measure Information:
Title
Electrocardiogram
Time Frame
screening/baseline, Week 1, Week 13, Week 25
Title
Immunogenicity assessments
Time Frame
screening/baseline to Week 29
Title
Cmax
Time Frame
Week 1, Week 13, Week 25
Title
AUC
Time Frame
Week 1, Week 13, Week 25
Title
t1/2
Time Frame
Week 1, Week 13, Week 25
Title
Skeletal muscle glycogen content
Time Frame
screening/baseline, Week 27
Title
Skeletal muscle magnetic resonance images for qualitative and quantitative muscle degenerative assessments.
Time Frame
screening/baseline, Week 27
Title
Urinary Hex4
Time Frame
screening/baseline to Week 25
Title
Functional assessments including 6 Minute Walk Test (6MWT)
Description
Functional Assessment includes - pulmonary function testing (PFT) endpoints, Gait, Stair, Gower's Maneuver, Chair (GSGC), Gross Motor Function Measure-88 (GMFM-88), Quick Motor Function Test (QMFT), hand-held dynamometer testing, Pediatric Quality of Life Inventory Multidimensional Fatigue Scale (PedsQL)
Time Frame
screening/baseline, Week 13, Week 25
Title
Quality of life assessments
Time Frame
screening/baseline, Week 13, Week 25

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria : For both Group 1 and Group 2: Male or female patients with confirmed acid α-glucosidase (GAA) enzyme deficiency from any tissue source and/or confirmed GAA gene mutation and without known cardiac hypertrophy. Patient willing and able to provide signed informed consent Patient is able to ambulate 50 meters (approximately 160 feet) without stopping and without an assistive device. Use of assistive device for community ambulation is appropriate. Patient has a forced vital capacity (FVC) in upright position of ≥50% predicted. The patient, if female and of childbearing potential, must have a negative pregnancy test [urine beta-human chorionic gonadotropin (β-hCG)] at baseline. Group 2 patients only: - The patient has been previously treated with alglucosidase alfa for at least 9 months. Exclusion criteria: For both Group 1 and Group 2: Patient is wheelchair dependent. Patient requires invasive-ventilation (non-invasive ventilation is allowed). Patient is participating in another clinical study using investigational treatment. Patient, in the opinion of the Investigator, is unable to adhere to the requirements of the study. Patient has clinically significant organic disease (with the exception of symptoms relating to Pompe disease), 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, precludes participation in the study or potentially decreases survival. Patient cannot submit to MRI examination because of a formal contraindication such as a pacemaker, implanted ferromagnetic metals, anxiety disorder, etc. Group 1 only: - Patient has had previous treatment with alglucosidase alfa or any other enzyme replacement therapy (ERT) for Pompe disease. Group 2 only: - Patient has a high risk for a severe allergic reaction to neoGAA (i.e. previous moderate to severe anaphylactic reaction to alglucosidase alfa and/or patient has immunoglobulin (Ig) E antibodies to alglucosidase alfa, and/or a history of sustained high immunoglobulin G (IgG) antibody titers to alglucosidase alfa that in the opinion of the investigator suggest a high risk for an allergic reaction to neoGAA). The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 840006
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85013
Country
United States
Facility Name
Investigational Site Number 840010
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32209
Country
United States
Facility Name
Investigational Site Number 840001
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160-7321
Country
United States
Facility Name
Investigational Site Number 840008
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Investigational Site Number 840002
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Investigational Site Number 840009
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
Investigational Site Number 840003
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22030
Country
United States
Facility Name
Investigational Site Number 056001
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Investigational Site Number 208001
City
København Ø
ZIP/Postal Code
2100
Country
Denmark
Facility Name
Investigational Site Number 250001
City
Marseille
ZIP/Postal Code
13385
Country
France
Facility Name
Investigational Site Number 250003
City
Nice
ZIP/Postal Code
06012
Country
France
Facility Name
Investigational Site Number 250002
City
Paris
ZIP/Postal Code
75013
Country
France
Facility Name
Investigational Site Number 276003
City
Mainz
ZIP/Postal Code
55131
Country
Germany
Facility Name
Investigational Site Number 276001
City
München
ZIP/Postal Code
80336
Country
Germany
Facility Name
Investigational Site Number 276002
City
Münster
ZIP/Postal Code
48149
Country
Germany
Facility Name
Investigational Site Number 528001
City
Rotterdam
ZIP/Postal Code
3015 GJ
Country
Netherlands
Facility Name
Investigational Site Number 826003
City
Newcastle Upon Tyne
ZIP/Postal Code
NE1 4LP
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

Safety and Efficacy Evaluation of Repeat neoGAA Dosing in Late Onset Pompe Disease Patients.

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