アバルグルコシダーゼ アルファ フランス語 ポンペ病の参加者のための治験後アクセス (PTA アバルグルコシダーゼ)
以前にフランスでアバルグルコシダーゼ開発研究に参加したポンペ病患者における長期的な安全性と有効性に関するフランスの多施設第 4 相非盲検延長試験
この長期非盲検安全性および有効性研究は、フォローアップを目的としており、研究 EFC14028、LTS13769、または ACT14132 を完了したフランスのポンペ病患者に、アバルグルコシダーゼ アルファによる酵素補充療法 (ERT) への治験後のアクセスを提供することを目的としています。 、市場承認からフランスでの avalglucosidase alfa の償還まで、または 2023 年 5 月のいずれか早い方まで。
- 研究訪問の頻度: 2 週間ごと
調査の概要
詳細な説明
研究の種類
入学 (実際)
段階
- フェーズ 4
連絡先と場所
研究場所
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Bordeaux、フランス、33000
- Investigational Site Number : 2500004
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Brest、フランス、29609
- Investigational Site Number : 2500005
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Clermont-Ferrand、フランス、63000
- Investigational Site Number : 2500008
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Lille、フランス、59037
- Investigational Site Number : 2500009
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Lyon、フランス、69003
- Investigational Site Number : 2500003
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Marseille、フランス、13385
- Investigational Site Number : 2500001
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Nantes、フランス、44093
- Investigational Site Number : 2500006
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Nice、フランス、06200
- Investigational Site Number : 2500007
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Paris、フランス、75013
- Investigational Site Number : 2500002
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Paris、フランス、75015
- Investigational Site Number : 2500010
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Tours、フランス、37044
- Investigational Site Number : 2500011
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
説明
包含基準:
- -フランスでのアバルグルコシダーゼアルファ研究の研究EFC14028、LTS13769、またはACT14132を以前に完了したポンペ病の患者。
- 患者および/またはその親/法定後見人は、署名されたインフォームドコンセントを提供する意思と能力があり、患者が18歳未満の場合、同意できるとみなされれば同意を提供する意思がある.
- 患者 (および患者が 18 歳未満の場合は患者の法定後見人) は、臨床プロトコルを遵守する能力がなければなりません。
- 患者は、女性で出産の可能性がある場合、登録時に妊娠検査結果[尿中ベータヒト絨毛性ゴナドトロピン(β-HCG)]が陰性でなければなりません。
- 出産の可能性のある性的に活発な女性患者と男性患者は、好みの通常のライフスタイルに沿って真の禁欲を実践するか、許容できる2つの効果的な避妊方法を使用する必要があります。
除外基準:
- アバルグルコシダーゼ アルファの賦形剤の 1 つに対する生命を脅かす過敏症 (アナフィラキシー反応) のある患者。
- -患者は、治験治療の別の臨床試験に同時に参加しています。
- 患者は臨床的に重要な器質的疾患(ポンペ病に関連する症状を除く)を有し、臨床的に重要な心血管、肝胆道、肺、神経、または腎臓の疾患、またはその他の病状、深刻な併発疾患、または酌量すべき事情を含む治験責任医師の意見に反する場合、研究への参加が妨げられるか、生存率が低下する可能性があります。
上記の情報は、患者が臨床試験に参加する可能性に関連するすべての考慮事項を含むことを意図したものではありません。
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:なし
- 介入モデル:単一グループの割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的:アバルグルコシダーゼ アルファ
隔週で静脈内投与
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剤形: 滅菌凍結乾燥粉末 投与経路: 静脈内 (IV) 注入
他の名前:
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
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Number of participants with adverse events (AE), treatment-emergent adverse events (TEAE), including infusion associated reactions (IAR) and death
時間枠:From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months
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From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Assessment of six-minute walk test (distance in meters and % predicted value) for late-onset Pompe disease (LOPD) and infantile-onset Pompe disease (IOPD) participants
時間枠:From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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The primary measurement is the distance in meters walked by the participant on a flat, hard surface in 6 minutes.
The distance walked in meters will be recorded and the corresponding percent predicted value will be calculated.
The greater the distance (that a participant could walk in 6 minutes), the greater the endurance.
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From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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Assessment of quick motor function test (QMFT) for LOPD participants
時間枠:From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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The QMFT is an observer administered test to evaluate changes in motor function.
QMFT comprises of 16 items specifically difficult for participants with Pompe disease.
Each item is scored separately on a 5-point ordinal scale (ranged from 0 to 4, higher score indicated better outcome).
Total QMFT score is obtained by adding the scores of all items and ranged from 0 (unable to perform motor function tests) to 64 (normal muscle function), higher score represented better outcome.
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From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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Pulmonary function tests (forced vital capacity [FVC] (% predicted), maximum expiratory pressure/maximum inspiratory pressure) in upright and supine positions for LOPD and IOPD participants
時間枠:From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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FVC is a standard pulmonary function test used to quantify respiratory muscle weakness. FVC is the volume of air (in liters) that can be forcibly blown out after full inspiration in the upright position, also tested in supine position. Percent of predicted FVC = (actual FVC measurement)/(predicted value of FVC) * 100. Maximum Inspiratory Pressure (MIP) is a quick and non-invasive test to measure strength of inspiratory muscles, primarily diaphragm, and allows for assessment of ventilatory failure, restrictive lung disease and respiratory muscle strength. MIP refers to how much air pressure force an individual creates by inhaling through the mouth as hard as possible. Maximum Expiratory Pressure (MEP) is a quick and non-invasive test to measure strength of expiratory muscles, primarily diaphragm, and allows for assessment of ventilatory failure, restrictive lung disease and respiratory muscle strength. MEP is the greater pressure generated during maximal expiration. |
From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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Quality of life evaluation: 12-item short form health survey (SF-12) for LOPD participants
時間枠:From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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SF-12, a 12 item-questionnaire, used to assess health-related quality of life in participants aged >=18 years at screening/baseline.
SF-12 consisted of 12 items, which were categorized into eight domains (subscales) of functioning and well-being: physical functioning, role-physical, role emotional, mental health, bodily pain, general health, vitality and social functioning, with each domain score ranged from 0 (poor health) to 100 (better health), higher scores indicated good health condition.
These eight domains were further summarized into 2 summary scores, physical component summary (PCS) and mental component summary (MCS).
The score range for each of these 2 summary scores was from 0 (poor health) to 100 (better health), higher scores indicated a better health-related quality of life.
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From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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Quality of life evaluation: Pompe Disease Symptom Scale (PDSS) for LOPD participants
時間枠:From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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The 24-hour recall PDSS (V1.1) is a self-administered questionnaires specifically designed to capture the symptoms impacts relevant to patients with LOPD.
The PDSS includes 12 questions with responses on a scale from 0 (none) to 10 (as bad as I can imagine) The data from PDSS scale will be analyzed separately and as a composite with PDIS scale.
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From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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Quality of life evaluation: Pompe Disease Impact Scale (PDIS) for LOPD participants
時間枠:From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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The 24-hour recall PDIS (V1.2) is a self-administered questionnaires specifically designed to capture disease impacts relevant to patients with LOPD.
The PDIS includes 15 questions with varying scales implemented depending on question type.
The data from PDIS scale will be analyzed separately and as a composite with PDSS scale.
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From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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Pompe Pediatric Evaluation of Disability Inventory (Pompe-PEDI) score for IOPD participants
時間枠:From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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The Pompe-PEDI consists of a Functional Skills Scale and a Caregiver Assistance Scale.
Both scales have 3 domains: self-care; mobility; and social function.
The Mobility Domain was selected to measure change in mobility secondary to changes in muscle strength.
The domain consists of 160 mobility items.
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From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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PedsQL score for IOPD participants
時間枠:From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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The 23item PedsQL Generic Core Scale encompasses 4 subscales including physical, emotional, school, and social functionings. Scores are transformed to a 0-100 scale, higher scores indicate better HRQOL. Infant scale will not be used since this is a scale for up to 24 months of age and patients are older now than that. |
From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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Left Ventricular Mass Index (LVMI) Z-score in IOPD participants
時間枠:From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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Left Ventricular Mass Index (LVMI) equivalent to mean age specific LVMI plus 2 standard deviations.
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From study enrolment to the final study visit/telephone contact, up to 4 years and 11 months (at enrolment and every 6 months)
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協力者と研究者
捜査官
- スタディディレクター:Clinical Sciences & Operations、Sanofi
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- PTA17333
- 2021-002590-26 (EudraCT番号)
- U1111-1266-5434 (レジストリ識別子:ICTRP)
- 2024-514773-22 (レジストリ識別子:CTIS)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。