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A Study of Mucopolysaccharidosis Type IIIB (MPS IIIB)

This study is currently recruiting participants. (see Contacts and Locations)
Verified October 2016 by BioMarin Pharmaceutical
Sponsor:
Information provided by (Responsible Party):
BioMarin Pharmaceutical
ClinicalTrials.gov Identifier:
NCT02493998
First received: June 22, 2015
Last updated: October 25, 2016
Last verified: October 2016
  Purpose
Mucopolysaccharidosis type IIIB (MPS IIIB, also known as Sanfilippo Syndrome Type B) is a severe neurodegenerative disorder. The purpose of this study is to learn more about the health problems in patients with MPS IIIB and how to measure these problems over time. It will particularly look at how the disease develops in young children. This is an observational study, so no experimental drug will be given. The results from this study will help us design future studies to measure whether these health problems get better when we give experimental drug for MPS IIIB.

Condition
Mucopolysaccharidosis Type IIIB
Mucopolysaccharidosis Type 3 B
MPS III B
MPS 3 B

Study Type: Observational
Study Design: Observational Model: Case-Only
Time Perspective: Prospective
Official Title: A Prospective, Observational Study of Mucopolysaccharidosis Type IIIB (MPS IIIB)

Resource links provided by NLM:


Further study details as provided by BioMarin Pharmaceutical:

Primary Outcome Measures:
  • Neurocognitive function [ Time Frame: Screening, baseline, and every 12 weeks, for up to 48-96 weeks ]
    A neurodevelopmental assessment will be performed using standardized developmental tests to provide quantifiable measures of neurocognitive function.

  • Imaging characteristics [ Time Frame: Baseline and every 24 weeks, for up to 48-96 weeks ]
    MRI will be used to assess changes in size of various organs affected by the disease, including brain, liver and spleen.

  • Behavioral function [ Time Frame: Baseline and every 12 weeks, for up to 48-96 weeks ]
    Disease-related behaviors will be assessed using an MPS III-specific behavior rating scale.

  • Hearing [ Time Frame: Baseline and every 24 weeks, for up to 48-96 weeks ]
    The function of conductive and sensorineural hearing pathways will be assessed using tympanometry and auditory brainstem response (ABR).

  • Sleep habits [ Time Frame: Baseline and every 24 weeks, for up to 48-96 weeks ]
    Patient sleep habits will be assessed using specific questionnaires.

  • Quality-of-life [ Time Frame: Baseline and every 24 weeks, for up to 48-96 weeks ]
    Multiple QOL tools will be used to capture physical, mental, and social well-being of the patient as well as to examine the impact of the patient's disease on the parent/guardian and family.

  • Biochemical, Molecular, Cellular and Genetic Markers of Disease Burden [ Time Frame: Baseline and every 24 weeks, for up to 48-96 weeks ]
    Blood, urine, and CSF samples will be used to evaluate biochemical, molecular cellular, and genetic/genomic aspects of MPS IIIB.


Estimated Enrollment: 30
Study Start Date: November 2015
Estimated Primary Completion Date: December 2018 (Final data collection date for primary outcome measure)
Detailed Description:
This is a multicenter, multinational, longitudinal, observational study in subjects 1 through 10 years of age who have been diagnosed with MPS IIIB. Data will be prospectively collected from 20 to 30 subjects to understand the clinical progression of MPS IIIB in terms of neurocognitive function, behavior, quality of life, imaging characteristics, genotype, and biochemical markers of disease burden. This information may help inform the design and interpretation of subsequent interventional studies.
  Eligibility

Ages Eligible for Study:   1 Year to 10 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Study Population: Subjects diagnosed with MPS IIIB

Males and females 1 through 10 years of age (ie, until they turn 11) with a documented diagnosis of MPS IIIB are eligible to participate in this observational study. Up to approximately 5 subjects 6 to 10 years old, inclusive, will be enrolled; the remaining subjects will be 1 to 5 years old, inclusive. Additional entry criteria follow.

Criteria

Inclusion Criteria:

  • Individuals eligible to participate in this study must meet all of the following criteria:
  • Has deficient NAGLU enzyme activity at Screening. Blood for NAGLU enzyme activity will be collected and analyzed centrally.
  • Is ≥ 1 and ≤ 10 years of age and has an age-equivalent of ≥ 12 months on the VABS-II
  • DQ ≥ 50 (determined by BSID-III or KABC-II)
  • Has presented with signs/symptoms consistent with MPS IIIB; for individuals who have not presented with signs/symptoms of disease (e.g., siblings of known patients), the determination of eligibility will be at the discretion of the BioMarin medical monitor in conjunction with the site investigator.
  • Written informed consent from parent or legal guardian and assent from subject, if required
  • Has the ability to comply with protocol requirements, in the opinion of the investigator

Exclusion Criteria:

  • Has another neurological illness that may have caused cognitive decline (e.g., trauma, meningitis, or hemorrhage) before study entry
  • Requires ventilation support, except for noninvasive support at night
  • Has received stem cell, gene therapy or ERT for MPS IIIB
  • Has contraindications for neurosurgery (e.g., congenital heart disease, severe respiratory impairment, or clotting abnormalities)
  • Has contraindications for MRI scans (e.g., cardiac pacemaker, metal fragment or chip in the eye, or aneurysm clip in the brain)
  • Has a history of poorly controlled seizure disorder
  • Is prone to complications from intraventricular drug administration, including patients with hydrocephalus or ventricular shunts
  • Has received any investigational medication within 30 days prior to the Baseline visit or is scheduled to receive any investigational drug during the course of the study
  • Has a medical condition or extenuating circumstance that, in the opinion of the investigator, might compromise the subject's ability to comply with protocol requirements, the subject's wellbeing or safety, or the interpretability of the subject's clinical data.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02493998

Contacts
Contact: BioMarin Trial Inquiries medinfo@bmrn.com

Locations
United States, California
Children's Hospital and Research Center Oakland Recruiting
Oakland, California, United States, 94609
Australia, Victoria
Melbourne Children's Trials Centre Recruiting
Melbourne, Victoria, Australia
Brazil
Serv Genet Med HCPA / Dep Genet UFRGS Not yet recruiting
Porto Alegre, Brazil
Colombia
Fundacion Cardioinfantil-Instituto de Cardiologia Recruiting
Bogota, Colombia
Germany
University Medical Center Hamburg Eppendorf, Department of Pediatrics Recruiting
Hamburg, Germany
Spain
Hospital Clinico Universitario de Santiago Recruiting
Santiago de Compostela, Spain
Taiwan
MacKay Memorial Children's Hospital Recruiting
Taipei, Taiwan
Turkey
Gazi University Faculty of Medicine Recruiting
Ankara, Turkey
Hacettepe University Children's Hospital Not yet recruiting
Ankara, Turkey
United Kingdom
Somers Clinical Research Facility, Great Ormond Street Hospital Recruiting
London, United Kingdom
Sponsors and Collaborators
BioMarin Pharmaceutical
Investigators
Study Director: BioMarin Medical Monitor BioMarin Pharmaceutical
  More Information

Responsible Party: BioMarin Pharmaceutical
ClinicalTrials.gov Identifier: NCT02493998     History of Changes
Other Study ID Numbers: 250-901
Study First Received: June 22, 2015
Last Updated: October 25, 2016

Keywords provided by BioMarin Pharmaceutical:
Sanfilippo Syndrome Type B

Additional relevant MeSH terms:
Mucopolysaccharidoses
Mucopolysaccharidosis III
Carbohydrate Metabolism, Inborn Errors
Metabolism, Inborn Errors
Genetic Diseases, Inborn
Lysosomal Storage Diseases
Mucinoses
Connective Tissue Diseases
Metabolic Diseases

ClinicalTrials.gov processed this record on April 25, 2017