Clinical trial • Phase IV • Musculoskeletal|Endocrinology

ALGLUCOSIDASE ALFA for Pompe disease | Glycogenosis type II | Acid maltase deficiency

Phase IV trial of ALGLUCOSIDASE ALFA for Pompe disease | Glycogenosis type II | Acid maltase deficiency. None/Not specified-controlled. 156 participants.

Overview

Trial Therapeutic Area
Musculoskeletal|Endocrinology
Trial Disease
Pompe disease | Glycogenosis type II | Acid maltase deficiency
Trial Stage
Phase IV
Drug Modality
Peptide/protein/enzyme
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
15-10-2024
First CTIS Authorization Date
16-12-2024

Trial design

None/Not specified-controlled Phase IV trial across 1 site in Netherlands.

Comparator
None/Not specified
Target Sample Size
156

Eligibility

Recruits 156 paediatric patients.

Vulnerable Population
Children are included (no age limit). The protocol states: "Written informed consent must be obtained from the patient and/or from the patient's parent/guardian if the patient is under 18 years of age (see section 6.1)." Subject information and informed consent forms are provided for 12-17 yr, adults, and parents, indicating age-specific consent/assent handling and parent/guardian consent for minors.

Inclusion criteria

  • {"criterion_text":"- Patients should have a proven diagnosis of Pompe disease, which means that the diagnosis is confirmed by deficiency of α-glucosidase activity in leukocytes, fibroblasts or skeletal muscle, or by a documented mutation in the α-glucosidase gene. A skin biopsy is required to assess the level of residual α-glucosidase activity.\n- There is no age limit for participation in the study, but the protocol for children < 12 years of age differs in the amount of blood that will be drawn (appendix 1).\n- Patients have had at least one evaluation through which the severity of the disease has been assessed and the urgency of enzyme therapy can be determined. During this evaluation at least pulmonary function and muscle strength and function will be assessed.\n- The order in which adult patients with Pompe disease will be enrolled is determined by the “indicatiecommissie” (appendix 2). For patients who show rapid progression of disease or for children the need for enzyme therapy will be discussed on a case by case basis\n- The patient must have symptoms of Pompe disease being: \tSigns of skeletal muscle weakness, or \tDecreased pulmonary function (FVC < 80% in sitting position), or \tCardiac hypertrophy\n- Start of treatment has been approved by the “indicatie commissie”\n- Written informed consent must be obtained from the patient and/or from the patient's parent/guardian if the patient is under 18 years of age (see section 6.1)."}

Exclusion criteria

  • {"criterion_text":"- Cases who are not likely to benefit from treatment."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Survival\n- Muscle strength and function\n- Motor and mental outcome\n- Pulmonary function\n- Cardiac hypertrophy and function\n- Hearing loss\n- Disease specific symptoms, handicap, quality of life and fatigue\n- Muscle mass and regeneration\n- Costs","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
156
Recruitment Window Months
216
Consent Approach
Written informed consent must be obtained from the patient and/or from the patient's parent/guardian if the patient is under 18 years of age. Subject information and informed consent forms are available for 12-17 year olds, adults, and parents (separate documents for 12-17 yr, adults, and parents are listed). Languages available are not specified.

Geography

Total Number Of Sites
1
Total Number Of Participants
156

Netherlands

Latest Decision Or Authorization Date
16-12-2024
Number Of Sites
1
Number Of Participants
156

Sites

Site Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Department Name
Pediatrics
Contact Person Name
Ans van der Ploeg
Contact Person Email
a.vanderploeg@erasmusmc.nl

Sponsor

Primary sponsor

Full Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
Myozyme 50 mg powder for concentrate for solution for infusion
Active Substance
ALGLUCOSIDASE ALFA
Modality
Peptide/protein/enzyme
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised (marketing authorisation EU/1/06/333/001)
Maximum Dose
40 mg/kg

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