An Exploratory Study of the Safety and Efficacy of Prophylactic Immunomodulatory Treatment in Myozyme-naive CRIM(-)( Cross- Reactive Immunologic Material) Patients With Infantile-Onset Pompe Disease
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Purpose
An exploratory, open-labeled study of patients with Infantile-Onset Pompe disease to evaluate the efficacy, clinical benefit and safety of prophylactic immunomodulatory regimen of Rituximab and Methotrexate prior to Myozyme (alglucosidase alfa) infusion. Eligible patients who are determined to be cross-reacting immunologic material (CRIM)-negative will be enrolled into the study, and will be followed for a minimum of 18 months on treatment or, if a patient is less than 6 months of age at the time of enrollment, until the patient is 2 years of age. Following study completion, patients may continue on commercial Myozyme treatment as prescribed by their treating physicians. To facilitate long-term data collection, patients will be asked to enroll in the Pompe Disease Registry after study completion.
| Condition | Intervention | Phase |
|---|---|---|
|
Pompe Disease Glycogen Storage Disease Type II |
Drug: alglucosidase alfa |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Exploratory Study of the Safety and Efficacy of Prophylactic Immunomodulatory Treatment in Myozyme-naive, CRIM(-) Patients With Pompe Disease |
- Efficacy of a prophylactic immunomodulatory regimen given prior to first treatment with Myozyme (alglucosidase alfa), as assessed by anti-recombinant human acid α-glucosidase (rhGAA) antibody titers [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Clinical benefit of this regimen as measured by overall survival [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Clinical benefit of this regimen as measured by ventilator-free survival [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]
- Left ventricular mass index (LVMI) as measured by echocardiogram (ECHO) [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Gross motor function and development assessed through the administration of the GMFM-88 (Gross Motor Function Measure) and AIMS (Alberta Infantile Motor Scale) [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Disability index as measured by the Pompe PEDI (Evaluation of Disability Inventory) [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Summary of Adverse Events [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]
| Enrollment: | 4 |
| Study Start Date: | September 2009 |
| Study Completion Date: | March 2013 |
| Primary Completion Date: | March 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Myozyme® (alglucosidase alfa) |
Drug: alglucosidase alfa
Intravenous (IV) infusion of 20 mg/kg; qow (every other week) or optionally 20 mg/kg; qw (every week)
Other Name: Myozyme
|
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- The patient(and/or patient's legal guardian if patient is <18 years) must provide written informed consent prior to any study-related procedures that are performed.
- The patient must have a confirmed diagnosis of Pompe disease defined as documented acid α-glucosidase (GAA) enzyme deficiency from any tissue source or GAA gene mutations.
- The patient (and/or legal guardian) must have ability to comply with clinical protocol.
- The patient has not received Myozyme (alglucosidase alfa) or any other recombinant human acid α-glucosidase therapies prior to enrollment.
- The patient must be CRIM (-).
Exclusion Criteria:
- The patient has a clinical condition unrelated to Pompe disease that would interfere with program assessments.
- The patient is at risk of reactivation or is a carrier of Hepatitis B or Hepatitis C.
- The patient is at risk of reactivation or has positive serology suggestive of active infection cytomegalovirus, Herpes simplex, JC virus, parvovirus and Epstein Barr virus.
- The patient is at risk of reactivation of tuberculosis or has regular contact with individuals who are being actively treated for tuberculosis.
- The patient has a major congenital abnormality.
- The patient has used any investigational product within 30 days prior to study enrollment.
- The patient has had or is required to have any live vaccination within one month prior to enrollment.
Contacts and Locations| United States, District of Columbia | |
| Washington, District of Columbia, United States | |
| United States, Kentucky | |
| Louisville, Kentucky, United States | |
| United States, Michigan | |
| Detroit, Michigan, United States | |
| United States, North Carolina | |
| Durham, North Carolina, United States | |
| United States, Ohio | |
| Cincinnati, Ohio, United States | |
| Israel | |
| Haifa, Israel | |
| Study Director: | Medical Monitor | Genzyme Coorporation |
More Information
No publications provided
| Responsible Party: | Genzyme |
| ClinicalTrials.gov Identifier: | NCT00701129 History of Changes |
| Other Study ID Numbers: | AGLU03807 |
| Study First Received: | June 17, 2008 |
| Last Updated: | April 5, 2013 |
| Health Authority: | United States: Food and Drug Administration Israel: Ministry of Health |
Keywords provided by Genzyme:
|
Glycogenesis 2 Acid Maltase Deficiency |
Additional relevant MeSH terms:
|
Glycogen Storage Disease Glycogen Storage Disease Type II Carbohydrate Metabolism, Inborn Errors Metabolism, Inborn Errors Genetic Diseases, Inborn Metabolic Diseases Lysosomal Storage Diseases, Nervous System |
Brain Diseases, Metabolic, Inborn Brain Diseases, Metabolic Brain Diseases Central Nervous System Diseases Nervous System Diseases Lysosomal Storage Diseases |
ClinicalTrials.gov processed this record on June 18, 2013