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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