A Noninferiority Study of Alglucosidase Alfa Manufactured at the 160 L and 4000 L Scales in Treatment Naïve Patients With Infantile-Onset Pompe Disease
A Phase 3/4, Prospective, Multinational, Open-label, Noninferiority Study of Alglucosidase Alfa Manufactured at the 160 L and 4000 L Scales in Treatment Naïve Patients With Infantile-Onset Pompe Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
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Geiben, Germany
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Mainz, Germany
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Taipei, Taiwan
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Arkansas
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Little Rock, Arkansas, United States
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California
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Oakland, California, United States
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Florida
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Gainsville, Florida, United States
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Georgia
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Decatur, Georgia, United States
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Illinois
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Chicago, Illinois, United States
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Massachusetts
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Cambridge, Massachusetts, United States
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Michigan
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Detroit, Michigan, United States
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Nevada
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Las Vegas, Nevada, United States
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New Jersey
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New Brunswick, New Jersey, United States
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New York
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New York, New York, United States
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North Carolina
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Durham, North Carolina, United States
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Ohio
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Cincinnati, Ohio, United States
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Texas
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Fort Worth, Texas, United States
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Washington
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Seattle, Washington, United States
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- The participant's parent/legal guardian was willing and able to provide signed informed consent.
- The participant might be less than or equal to 12 months of age.
- The participant might have documented GAA enzyme deficiency from blood, skin, or muscle tissue.
- The participant might be naïve to treatment with alglucosidase alfa.
Exclusion Criteria:
- The participant was cross-reactive immunologic material negative.
- The participant required invasive ventilator support at the time of enrollment.
- The participant had decompensated clinical heart failure.
- The participant had a major congenital abnormality, excluding cardiac hypertrophy.
- The participant had a clinically significant organ disease (excluding the signs and symptoms of Pompe disease).
- The participant was currently receiving any investigational product.
- The participant was participating in another clinical study.
- The participant and/or the patient's parent/legal guardian was unable to adhere to the requirements of the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Alglucosidase Alfa 4000 L material (Non-US participants)
Alglucosidase alfa 4000 L material for 52 weeks.
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Intravenous (IV) infusion of alglucosidase alfa (4000 L material) 20 mg/kg every other week (QOW)
Other Names:
IV infusion of alglucosidase alfa (160 L material) 20 mg/kg QOW.
Other Names:
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Active Comparator: Alglucosidase Alfa 160 L material (US participants)
Alglucosidase alfa 160 L material for 52 weeks.
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Intravenous (IV) infusion of alglucosidase alfa (4000 L material) 20 mg/kg every other week (QOW)
Other Names:
IV infusion of alglucosidase alfa (160 L material) 20 mg/kg QOW.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Baseline in Cardiac Function at Week 52
Time Frame: Baseline, Week 52
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Cardiac function was measured by the left ventricular mass Z-score (LVM-Z).
Z-Scores indicate the number of standard deviations (SD) from the mean in a normal distribution.
A negative change from baseline indicates a decrease and positive change from baseline indicates an increase in LVM Z-score.
The normal range is -2 to 2 and greater than 2 may indicate left ventricular hypertrophy.
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Baseline, Week 52
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With Estimated Probability of Survival
Time Frame: Up to Week 52
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Up to Week 52
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Number of Participants With Invasive Ventilator-Free Survival
Time Frame: Up to Week 52
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Invasive ventilator-free survival was defined as the time during which the participant is alive and not invasively ventilated.
Number of Participants with invasive ventilator-free survival were reported.
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Up to Week 52
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Change From Baseline in Motor Development Status at Week 52
Time Frame: Baseline, Week 52
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Motor development status was assessed by the Gross Motor Function Measure - 88 Scale (GMFM-88) total percent scores.
GMFM-88 is an 88-item measure to detect gross motor function.
It consists of 5 categories: lying and rolling; sitting; crawling and kneeling; standing; walking, running and jumping.
Each item was scored on a 4-point Likert scale (0 = cannot do; 1 = initiates [<10% of the task]; 2 = partially completes [10% to <100% of the task]; 3 = task completion).
The score for each dimension was expressed as a percentage of the maximum score for that dimension.
Total score ranges from 0% to 100%, where higher scores indicate better motor functions.
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Baseline, Week 52
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Metabolic Diseases
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Genetic Diseases, Inborn
- Carbohydrate Metabolism, Inborn Errors
- Metabolism, Inborn Errors
- Lysosomal Storage Diseases
- Brain Diseases, Metabolic
- Brain Diseases, Metabolic, Inborn
- Lysosomal Storage Diseases, Nervous System
- Glycogen Storage Disease Type II
- Glycogen Storage Disease
Other Study ID Numbers
Other Study ID Numbers
- AGLU07510
- 2011-005595-42 (EudraCT Number)
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