Clinical trial • Phase II • Musculoskeletal
RECOMBINANT HUMAN ECTONUCLEOTIDE PYROPHOSPHATASE/PHOSPHODIESTERASE 1 FUSED TO THE FC FRAGMENT OF IGG1 for Ectonucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1) deficiency | ABCC6 deficiency | Generalized arterial calcification of infancy (GACI) | Pseudoxanthoma elasticum (PXE)
Phase II trial of RECOMBINANT HUMAN ECTONUCLEOTIDE PYROPHOSPHATASE/PHOSPHODIESTERASE 1 FUSED TO THE FC FRAGMENT OF IGG1 for Ectonucleotide pyrophosphatase…
Overview
- Trial Therapeutic Area
- Musculoskeletal
- Trial Disease
- Ectonucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1) deficiency | ABCC6 deficiency | Generalized arterial calcification of infancy (GACI) | Pseudoxanthoma elasticum (PXE)
- Trial Stage
- Phase II
- Drug Modality
- Peptide/protein/enzyme
- Paediatric Trial
- Yes
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 18-06-2024
- First CTIS Authorization Date
- 30-09-2024
Trial design
open-label, none/not specified-controlled Phase II trial in Germany, France.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 186
- Trial Duration For Participant
- 2344
Eligibility
Recruits 186 paediatric patients.
- Pregnancy Exclusion
- Pregnant, trying to become pregnant, or breastfeeding
- Vulnerable Population
- The trial includes minors: "Provide assent in accordance with local regulations, if <18 years of age". Consent is required as: "Provide written or electronic informed consent after the nature of the study has been explained, and prior to any research-related procedures, per International Council for Harmonisation ... (ICH) Good Clinical Practice (GCP)". Age-specific assent and guardian/guardian ICFs are provided (assent forms for ages 10-16 and 7-9, Guardian ICF and Caregiver ICF are included among submitted subject information materials in multiple languages).
Inclusion criteria
- {"criterion_text":"- Provide written or electronic informed consent after the nature of the study has been explained, and prior to any research-related procedures, per International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) Good Clinical Practice (GCP)"}
- {"criterion_text":"- Provide assent in accordance with local regulations, if <18 years of age"}
- {"criterion_text":"- Male or female, greater than 1 year of age"}
- {"criterion_text":"- Must have completed the protocol-required safety and PK/PD and/or efficacy period(s) of the INZ-701-101, INZ701-201, INZ701-104, or INZ701-106 clinical studies in ENPP1 or ABCC6 Deficiency, as confirmed by the Sponsor"}
- {"criterion_text":"- Women of childbearing potential (WOCBP), as defined in Clinical Trials Coordination Group [CTCG 2024]) must have a negative serum pregnancy test at Screening and must not be breastfeeding"}
- {"criterion_text":"- Males who are sexually active must agree to use condoms from the period following the first dose of INZ-701 through 30 days after the last dose of INZ-701"}
- {"criterion_text":"- WOCBP and partners of fertile males who are WOCBP must be using or agree to use a highly effective form of contraception (as per CTCG 2024) from at least 1 month before the first dose of INZ-701 through 30 days after the last dose of INZ-701 (greater than 5 half-lives of INZ-701)"}
- {"criterion_text":"- In the opinion of the Investigator, able to complete all aspects of the study"}
Exclusion criteria
- {"criterion_text":"- In the opinion of the Investigator, presence of any clinically significant disease or laboratory abnormality not associated with ENPP1 Deficiency or ABCC6 Deficiency, that will preclude study participation and/or may confound interpretation of study results"}
- {"criterion_text":"- Known intolerance to INZ-701 or any of its excipients"}
- {"criterion_text":"- Concurrent participation in another interventional clinical study and/or has received an investigational drug other than INZ-701 within 5 half-lives or within 4 weeks prior to the first dose of INZ-701 in this study, whichever is longer, or use of an investigational device"}
- {"criterion_text":"- Pregnant, trying to become pregnant, or breastfeeding"}
- {"criterion_text":"- Male participants trying to father a child"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Incidence, frequency, and severity of adverse events (AEs), treatment-emergent adverse event (TEAEs), adverse events of special interest (AESIs), and serious adverse events (SAEs)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Changes in clinical laboratory tests including chemistry, hematology, and urinalysis resulting in an AE","definition_or_measurement_approach":""}
- {"endpoint_text":"- Concomitant medications","definition_or_measurement_approach":""}
- {"endpoint_text":"- Titers of anti-drug antibodies (ADA)","definition_or_measurement_approach":""}
Secondary endpoints
- {"endpoint_text":"- INZ-701 plasma PK parameters measured by immunoassay and enzymatic activity","definition_or_measurement_approach":"Plasma PK parameters measured by immunoassay and enzymatic activity"}
- {"endpoint_text":"- Plasma PPi concentrations based on a validated assay","definition_or_measurement_approach":"Plasma PPi concentrations measured using a validated assay"}
Recruitment
- Digital Remote Recruitment
- True, Primarius App and Portal materials (App and Portal screenshots and setup guide) are included; remote monitoring and e-consent/electronic informed consent options are indicated ("Provide written or electronic informed consent").
- Planned Sample Size
- 186
- Recruitment Window Months
- 76
- Consent Approach
- Written or electronic informed consent is required: "Provide written or electronic informed consent after the nature of the study has been explained, and prior to any research-related procedures, per International Council for Harmonisation... (ICH) Good Clinical Practice (GCP)". For minors: "Provide assent in accordance with local regulations, if <18 years of age". Age-specific assent and consent documents are available (Assent forms for ages 10-16 and 7-9; Main ICF, Guardian ICF, Caregiver ICF). Subject information materials and ICFs are provided in multiple languages (EN, DE, FR and AR translations are present among submitted documents).
Methods
- K1 Recruitment arrangements document submitted (recruitment arrangements documents present for Germany and France)
- Patient-facing materials and outreach: Patient welcome letters, Patient and Caregiver Privacy Notice, Subject ID Card, Expense Claim Form, Payment Card Letter (materials present in DE/FR/EN and other translations)
- Use of home nursing and home administration support (third party duties: MD Group listed for Home nursing, participant travel reimbursement, participant stipends)
- Site-to-patient study drug deliveries (Marken listed for site-to-patient study drug deliveries)
- Use of central and remote processes: Central ethics board for USA (Advarra), remote monitoring and site/vendor management (Kps Life LLC)
Geography
- Total Number Of Sites
- 3
- Total Number Of Participants
- 14
Germany
- Earliest CTIS Part Ii Submission Date
- 12-09-2024
- Latest Decision Or Authorization Date
- 14-08-2025
- Processing Time Days
- 336
- Number Of Sites
- 2
- Number Of Participants
- 7
Sites
- Site Name
- University Medical Center Hamburg-Eppendorf
- Department Name
- Department of Osteology and Biomechanics
- Contact Person Name
- Ralf Oheim
- Contact Person Email
- r.oheim@uke.de
- Site Name
- PAREXEL International GmbH (Klinikum Westend Haus 18)
- Department Name
- Early Phase Clinical Unit (EPCU) Berlin
- Contact Person Name
- Olga Hassan
- Contact Person Email
- olga.hassan@parexel.com
France
- Earliest CTIS Part Ii Submission Date
- 27-09-2024
- Latest Decision Or Authorization Date
- 14-08-2025
- Processing Time Days
- 321
- Number Of Sites
- 1
- Number Of Participants
- 7
Sites
- Site Name
- CEREDIH Groupe Hospitalier Necker-Enfants Malades
- Department Name
- Department of Pediatric Endocrinology, Gynaecology and Diabetology
- Contact Person Name
- Alix Besancon
- Contact Person Email
- alix.besancon@aphp.fr
Sponsor
Primary sponsor
- Full Name
- Inozyme Pharma Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- PAREXEL International GmbH
- Responsibilities
- Early Phase Clinical Unit operations / site support (listed as a trial site organization)
- Name
- Phlexglobal
- Responsibilities
- eTMF Management
- Name
- Medrio Inc.
- Responsibilities
- Electronic data capture / data management (sponsor duties code 7)
- Name
- Marken
- Responsibilities
- Site-to-patient study drug deliveries
Third parties
- {"country":"France","full_name":"Voisin Consulting Life Sciences","duties_or_roles":"Sponsor duties codes: 12, 8","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Labconnect LLC","duties_or_roles":"Lab kit build; sponsor duties code 4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Llx Solutions LLC","duties_or_roles":"Sponsor duties codes: 10, 6","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Advarra Inc.","duties_or_roles":"Central Ethics Board for the USA","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Phlexglobal","duties_or_roles":"eTMF Management","organisation_type":"Industry"}
- {"country":"Germany","full_name":"Catalent Germany Schorndorf GmbH","duties_or_roles":"Depot/Clinical Supplies","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"MD Group","duties_or_roles":"Home nursing, participant travel reimbursement, participant stipends","organisation_type":"Health care"}
- {"country":"United States","full_name":"Kps Life LLC","duties_or_roles":"Sponsor duties include code 1; Remote monitoring, site and vendor management","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Medrio Inc.","duties_or_roles":"Sponsor duties code 7","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Marken","duties_or_roles":"Site-to-patient study drug deliveries","organisation_type":"Industry"}
- {"country":"United States","full_name":"Resolian Bioanalytics","duties_or_roles":"Sponsor duties code 4","organisation_type":"Industry"}
Investigational products
- Investigational Product Name
- INZ-701
- Active Substance
- RECOMBINANT HUMAN ECTONUCLEOTIDE PYROPHOSPHATASE/PHOSPHODIESTERASE 1 FUSED TO THE FC FRAGMENT OF IGG1
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- Subcutaneous
- Route
- Subcutaneous
- Orphan Designation
- Yes
- Frequency
- Once-weekly
- Maximum Dose
- 2.4 mg/kg
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