Clinical trial • Phase IV • Rare Disease
Avalglucosidase alfa for Glycogen storage disease type II (Pompe disease)
Phase IV trial of Avalglucosidase alfa for Glycogen storage disease type II (Pompe disease). open-label, none/not specified-controlled. 18 participants.
Overview
- Trial Therapeutic Area
- Rare Disease
- Trial Disease
- Glycogen storage disease type II (Pompe disease)
- Trial Stage
- Phase IV
- Drug Modality
- Peptide/protein/enzyme
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 27-06-2024
- First CTIS Authorization Date
- 06-08-2024
Trial design
open-label, none/not specified-controlled Phase IV trial in France.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 18
- Trial Duration For Participant
- 1542
Eligibility
Recruits 18 paediatric patients.
- Pregnancy Exclusion
- Pregnant or breastfeeding female patient
- Vulnerable Population
- Inclusion criterion: "The patient and/or their parent/legal guardian is willing and able to provide signed informed consent, and the patient, if <18 years of age, is willing to provide assent if deemed able to do so." Assent and consent handling: parental/legal guardian consent is required for minors; patients <18 should provide assent if deemed able. Study documents include subject information and informed consent form addenda and assent forms for adolescent and child (French-language forms are present in the trial documents).
Inclusion criteria
- {"criterion_text":"- Patient with LOPD or IOPD who has previously completed Study EFC14028, LTS13769, or ACT14132 in France, and reimbursement for avalglucosidase alfa is not yet granted in France.\n- The patient and/or their parent/legal guardian is willing and able to provide signed informed consent, and the patient, if <18 years of age, is willing to provide assent if deemed able to do so.\n- The patient (and patient's legal guardian if patient is <18 years of age) must have the ability to comply with the clinical protocol.\n- The patient, if female and of childbearing potential, must have a negative pregnancy test result [urine beta-human chorionic gonadotropin (β-HCG)] at enrollment.\n- Sexually active female patients of childbearing potential and male patients are required to practice true abstinence in line with their preferred and usual lifestyle or to use 2 acceptable effective methods of contraception."}
Exclusion criteria
- {"criterion_text":"- Patient with life-threatening hypersensitivity (anaphylactic reaction) to one of avalglucosidase alfa's excipients.\n- Patient who permanently discontinued avalglucosidase alfa in a previous clinical study\n- Pregnant or breastfeeding female patient\n- The patient is concurrently participating in another clinical study of investigational treatment\n- The patient, in opinion of the Investigator, is unable to comply with the requirements of the study\n- The patient has clinically significant organic disease (with the exception of symptoms relating to Pompe disease), including clinically significant cardiovascular, hepatobiliary, 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.\n- Individuals accommodated in an institution because of regulatory or legal order; prisoners, or patients who are legally institutionalized."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Number of adverse events (AE), treatmentemergent adverse events (TEAE), including infusion associated reactions (IAR) and death","definition_or_measurement_approach":""}
Secondary endpoints
- {"endpoint_text":"- 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","definition_or_measurement_approach":"Six-minute walk test measured as distance in meters and percent predicted value"}
- {"endpoint_text":"- Assessment of quick motor function test (QMFT) for LOPD participants","definition_or_measurement_approach":"Quick Motor Function Test (QMFT) score assessment for LOPD participants"}
- {"endpoint_text":"- Pulmonary function tests (forced vital capacity [FVC] (% predicted), maximum expiratory pressure/maximum inspiratory pressure) in upright and supine positions for LOPD and IOPD participants","definition_or_measurement_approach":"Pulmonary function tests including FVC (% predicted) and maximum expiratory/inspiratory pressures in upright and supine positions"}
- {"endpoint_text":"- Quality of life evaluation: 12-item short form health survey (SF-12) for LOPD participants","definition_or_measurement_approach":"Health-related quality of life measured using SF-12 questionnaire"}
- {"endpoint_text":"- Quality of life evaluation: Pompe Disease Symptom Scale (PDSS) for LOPD participants","definition_or_measurement_approach":"Pompe Disease Symptom Scale (PDSS) score assessment for LOPD participants"}
- {"endpoint_text":"- Quality of life evaluation: Pompe Disease Impact Scale (PDIS) for LOPD participants","definition_or_measurement_approach":"Pompe Disease Impact Scale (PDIS) score assessment for LOPD participants"}
- {"endpoint_text":"- Pompe Pediatric Evaluation of Disability Inventory (Pompe-PEDI) score for IOPD participants","definition_or_measurement_approach":"Pompe-PEDI score assessment for IOPD participants"}
- {"endpoint_text":"- PedsQL score for IOPD participants","definition_or_measurement_approach":"PedsQL (Pediatric Quality of Life Inventory) score assessment for IOPD participants"}
- {"endpoint_text":"- Left Ventricular Mass Index (LVMI) Z-score in IOPD participants","definition_or_measurement_approach":"Left Ventricular Mass Index (LVMI) expressed as Z-score for IOPD participants"}
Recruitment
- Planned Sample Size
- 18
- Recruitment Window Months
- 50
- Consent Approach
- The patient and/or their parent/legal guardian must provide signed informed consent; patients <18 years must provide assent if deemed able. Subject information and informed consent forms and assent forms are provided (document titles indicate multiple ICF addenda and assent forms for adolescent and child in French).
Geography
- Total Number Of Sites
- 11
- Total Number Of Participants
- 18
France
- Earliest CTIS Part Ii Submission Date
- 12-06-2024
- Latest Decision Or Authorization Date
- 27-10-2025
- Processing Time Days
- 502
- Number Of Sites
- 11
- Number Of Participants
- 18
Sites
- Site Name
- Assistance Publique Hopitaux De Paris
- Department Name
- Unité de Métabolisme Pr de Lonlay
- Principal Investigator Name
- Anais Brassier
- Principal Investigator Email
- anais.brassier@aphp.fr
- Contact Person Name
- Anais Brassier
- Contact Person Email
- anais.brassier@aphp.fr
- Site Name
- Centre Hospitalier Universitaire De Nantes
- Department Name
- Pediatric Department, Child and Mother Hopsital
- Principal Investigator Name
- Gwenaelle Roussey
- Principal Investigator Email
- gwenaelle.roussey@chu-nantes.fr
- Contact Person Name
- Gwenaelle Roussey
- Contact Person Email
- gwenaelle.roussey@chu-nantes.fr
- Site Name
- CHU Gabriel-Montpied
- Department Name
- Service de Neurologie
- Principal Investigator Name
- Frederic Taithe
- Principal Investigator Email
- ftaithe@chu-clermontferrand.fr
- Contact Person Name
- Frederic Taithe
- Contact Person Email
- ftaithe@chu-clermontferrand.fr
- Site Name
- Centre Hospitalier Regional Et Universitaire De Brest
- Department Name
- Centre d'Investigation Clinique Pôle 1- RDC
- Principal Investigator Name
- Jean-Baptiste NOURY
- Principal Investigator Email
- jean-baptiste.noury@chu-brest.fr
- Contact Person Name
- Jean-Baptiste NOURY
- Contact Person Email
- jean-baptiste.noury@chu-brest.fr
- Site Name
- Centre Hospitalier Regional Universitaire De Tours
- Department Name
- Medecine Pédiatrique
- Principal Investigator Name
- Francois Labarthe
- Principal Investigator Email
- labarthe@med.univ-tours.fr
- Contact Person Name
- Francois Labarthe
- Contact Person Email
- labarthe@med.univ-tours.fr
- Site Name
- Centre Hospitalier Universitaire De Nice
- Department Name
- Service de neurologie
- Principal Investigator Name
- Sabrina Sacconi
- Principal Investigator Email
- sacconi.s@chu-nice.fr
- Contact Person Name
- Sabrina Sacconi
- Contact Person Email
- sacconi.s@chu-nice.fr
- Site Name
- Centre Hospitalier Universitaire De Lille
- Department Name
- Service de Neurologie A
- Principal Investigator Name
- Celine Tard
- Principal Investigator Email
- celine.tard@chu-lille.fr
- Contact Person Name
- Celine Tard
- Contact Person Email
- celine.tard@chu-lille.fr
- Site Name
- Pellegrin Hospital
- Department Name
- Centre de référence des maladies neuromusculaires
- Principal Investigator Name
- Fanny Duval
- Principal Investigator Email
- fanny.duval@chu-bordeaux.fr
- Contact Person Name
- Fanny Duval
- Contact Person Email
- fanny.duval@chu-bordeaux.fr
- Site Name
- Assistance Publique Hopitaux De Paris
- Department Name
- Institut de Myologie
- Principal Investigator Name
- Anthony BEHIN
- Principal Investigator Email
- anthony.behin@aphp.fr
- Contact Person Name
- Anthony BEHIN
- Contact Person Email
- anthony.behin@aphp.fr
- Site Name
- Centre Hospitalier Regional De Marseille
- Department Name
- Centre de référence des pathologies neuro musculaires et de la SLA
- Principal Investigator Name
- Shahram Attarian
- Principal Investigator Email
- shahram.attarian@ap-hm.fr
- Contact Person Name
- Shahram Attarian
- Contact Person Email
- shahram.attarian@ap-hm.fr
- Site Name
- Hospices Civils De Lyon
- Department Name
- Service EMG - Pathologies neuromusculaires
- Principal Investigator Name
- FRANCOISE BOUHOUR
- Principal Investigator Email
- francoise.bouhour@chu-lyon.fr
- Contact Person Name
- FRANCOISE BOUHOUR
- Contact Person Email
- francoise.bouhour@chu-lyon.fr
Sponsor
Primary sponsor
- Full Name
- Sanofi Winthrop Industrie
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- France
Third parties
- {"country":"France","full_name":"Unite Paramedicale Ambulatoire De Recherche Clinique","duties_or_roles":"Home nursing (product infusion)","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Labcorp Bedford LLC","duties_or_roles":"","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United Kingdom","full_name":"ESMS Global Limited","duties_or_roles":"Other, Centralized 24-Hour Emergency System: eSMS","organisation_type":"Pharmaceutical company"}
- {"country":"France","full_name":"ICTA Project Management En Abrege ICTA P.M.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Nexviadyme 100 mg powder for concentrate for solution for infusion
- Active Substance
- Avalglucosidase alfa
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- Intravenous
- Route
- Intravenous
- Authorisation Status
- Authorised (marketing authorisation EU/1/21/1579)
- Maximum Dose
- 40 mg/kg (max daily dose amount)
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