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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