Clinical trial • Phase III|Phase IV • Endocrinology|Rare Disease

PARIGLASGENE BRECAPARVOVEC for Glycogen storage disease type Ia (GSDIa)

Phase III|Phase IV trial of PARIGLASGENE BRECAPARVOVEC for Glycogen storage disease type Ia (GSDIa). open-label. 134 participants.

Overview

Trial Therapeutic Area
Endocrinology|Rare Disease
Trial Disease
Glycogen storage disease type Ia (GSDIa)
Trial Stage
Phase III|Phase IV
Drug Modality
Gene therapy
Paediatric Trial
Yes
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
24-05-2024
First CTIS Authorization Date
16-09-2024

Trial design

open-label Phase III|Phase IV trial in Netherlands, Germany, Spain and others.

Open Label
Yes
Target Sample Size
134
Trial Duration For Participant
3650

Eligibility

Recruits 134 paediatric patients.

Vulnerable Population
If a minor or an adult with cognitive limitations, the patient is willing and able (if possible) to provide assent and have a legally authorized representative provide informed consent after the nature of the study has been explained, and prior to any research-related assessments or procedures.

Inclusion criteria

  • {"criterion_text":"- Patient who had • DTX401 (full or partial dose) administered in a parent clinical study (Group 1) or • Prescribed DTX401 (full or partial dose) administered in a post-marketing setting (Group 2)\n- Patient is willing and able to provide informed consent after the study has been explained, and prior to any research-related assessments or procedures. If a minor or an adult with cognitive limitations, the patient is willing and able (if possible) to provide assent and have a legally authorized representative provide informed consent after the nature of the study has been explained, and prior to any research-related assessments or procedures."}

Exclusion criteria

  • {"criterion_text":"- Presence of any condition that would interfere with study participation, interpretation of results or affect patient’s safety in the opinion of the Investigator"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Incidence and severity of SAEs assessed as related to DTX401 by the Investigator","definition_or_measurement_approach":"Incidence and severity of serious adverse events (SAEs) judged by the Investigator to be related to DTX401; collected and assessed by the Investigator."}
  • {"endpoint_text":"- Incidence, relationship, severity, and seriousness of AESIs for AAV therapies (vector-induced hepatic effects [eg, increased aminotransferase levels], malignancy [new or worsening of pre-existing malignancies], thrombotic microangiopathy, dorsal root ganglion/peripheral nerve effects, and any new potential risks of AAV therapies identified over time)","definition_or_measurement_approach":"Collection of adverse events of special interest (AESIs) related to AAV therapies, including specified event types (vector-induced hepatic effects, malignancy, thrombotic microangiopathy, dorsal root ganglion/peripheral nerve effects) with assessment of incidence, relationship, severity and seriousness over time."}
  • {"endpoint_text":"- Incidence and outcomes of pregnancy in patients treated with DTX401 or patient’s partner","definition_or_measurement_approach":"Recording of pregnancy occurrences and their outcomes in patients treated with DTX401 or in partners of patients; incidence and pregnancy outcomes collected."}
  • {"endpoint_text":"- Incidence and severity of SAEs of infusion-related reactions including hypersensitivitya","definition_or_measurement_approach":"Collection and assessment of infusion-related serious adverse events, including hypersensitivity reactions; incidence and severity recorded."}
  • {"endpoint_text":"- Incidence and severity of SAEs assessed by the Investigator as related to concomitant immunomodulatory therapies (eg, steroids) including adrenal insufficiency and iatrogenic Cushing’s syndromea","definition_or_measurement_approach":"Investigator-assessed incidence and severity of SAEs related to concomitant immunomodulatory therapies (e.g., steroids), with specific interest in adrenal insufficiency and iatrogenic Cushing’s syndrome."}

Secondary endpoints

  • {"endpoint_text":"- Nutritional Assessment;Clinical/CGM/Laboratory/Imaging; Major Clinical Events (MCEs); Patient Experience Clinical Interview; HEOR:","definition_or_measurement_approach":"Includes nutritional assessments, clinical/continuous glucose monitoring (CGM), laboratory and imaging assessments, capture of major clinical events (MCEs), patient experience clinical interviews, and health economics and outcomes research (HEOR) measures."}

Recruitment

Planned Sample Size
134
Recruitment Window Months
146
Consent Approach
Patients must be willing and able to provide informed consent after the study has been explained and prior to any research-related assessments or procedures. If a minor or an adult with cognitive limitations, the patient is expected to provide assent (if possible) and a legally authorized representative will provide informed consent. Age-specific assent/consent documents are provided (examples in the dossier include forms for under 5, 5-7, 8-11, 12-14, 15-17, and adult/parent forms). Patient-facing materials and ICFs are available in multiple languages (Spanish, Dutch, Italian, German, Danish and English as indicated in the submitted documents).

Geography

Total Number Of Sites
6
Total Number Of Participants
14

Netherlands

Earliest CTIS Part Ii Submission Date
09-09-2024
Latest Decision Or Authorization Date
09-02-2026
Processing Time Days
518
Number Of Sites
1
Number Of Participants
4

Sites

Site Name
Universitair Medisch Centrum Groningen
Department Name
Dept. of Metabolic Diseases
Principal Investigator Name
Terry Derks
Principal Investigator Email
t.g.j.derks@umcg.nl
Contact Person Name
Terry Derks
Contact Person Email
t.g.j.derks@umcg.nl

Germany

Earliest CTIS Part Ii Submission Date
10-02-2025
Latest Decision Or Authorization Date
03-02-2026
Processing Time Days
358
Number Of Sites
1
Number Of Participants
2

Sites

Site Name
University Medical Center Hamburg-Eppendorf
Department Name
pediatric and adolescent medicine
Principal Investigator Name
Nicole Muschol
Principal Investigator Email
muschol@uke.de
Contact Person Name
Nicole Muschol
Contact Person Email
muschol@uke.de

Spain

Earliest CTIS Part Ii Submission Date
19-08-2024
Latest Decision Or Authorization Date
29-01-2026
Processing Time Days
528
Number Of Sites
1
Number Of Participants
2

Sites

Site Name
Universidade De Santiago De Compostela
Department Name
Unit for Diagnosis and Treatment of Metabolic Diseases
Principal Investigator Name
Maria Luz Couce Pico
Principal Investigator Email
Maria.Luz.Couce.Pico@sergas.es
Contact Person Name
Maria Luz Couce Pico
Contact Person Email
Maria.Luz.Couce.Pico@sergas.es

Italy

Earliest CTIS Part Ii Submission Date
04-02-2025
Latest Decision Or Authorization Date
03-02-2026
Processing Time Days
364
Number Of Sites
2
Number Of Participants
4

Sites

Site Name
Azienda Ospedaliera Universitaria Federico II Di Napoli
Department Name
Mother Child Department
Principal Investigator Name
Alessandro Rossi
Principal Investigator Email
alessandro.rossi@unina.it
Contact Person Name
Alessandro Rossi
Contact Person Email
alessandro.rossi@unina.it
Site Name
IRCCS Istituto Giannina Gaslini
Department Name
Pediatric gastroenterology and digestive endoscopy Unit
Principal Investigator Name
Alessandro La Rosa
Principal Investigator Email
alessandrolarosa@gaslini.org
Contact Person Name
Alessandro La Rosa
Contact Person Email
alessandrolarosa@gaslini.org

Denmark

Earliest CTIS Part Ii Submission Date
06-03-2025
Latest Decision Or Authorization Date
29-01-2026
Processing Time Days
329
Number Of Sites
1
Number Of Participants
2

Sites

Site Name
Rigshospitalet
Department Name
Department of Paediatrics and Clinical Genetics
Principal Investigator Name
Allan Meldgaard Lund
Principal Investigator Email
allan.lundh@regionh.dk
Contact Person Name
Allan Meldgaard Lund
Contact Person Email
allan.lundh@regionh.dk

Sponsor

Primary sponsor

Full Name
Ultragenyx Pharmaceutical Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Third parties

  • {"country":"Croatia","full_name":"Primevigilance Zagreb d.o.o.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Netherlands","full_name":"Stichting EuroQol Research Foundation","duties_or_roles":"Provides EQ-5D-5L/Y questionnaire (paper)","organisation_type":"Patient organisation/association"}
  • {"country":"United Kingdom","full_name":"Dietary Assessment Limited","duties_or_roles":"Myfood24 is a robust nutrition platform enabling accurate tracking and monitoring of dietary intake.","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Pariglasgene brecaparvovec
Active Substance
PARIGLASGENE BRECAPARVOVEC
Modality
Gene therapy
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Authorisation Status
Authorised
Orphan Designation
Yes

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