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
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
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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