Clinical trial

An Open-Label, Fixed-Sequence, Ascending-Dose, First-in-Human Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of Intravenous Infusions of ATB200 Co-Administered With Oral AT2221 in Adult Subjects With Pompe Disease

Name
ATB200-02
Description
This study is an international, multi-center, study of Pompe disease patients that are currently receiving enzyme-replacement therapy (ERT). The purpose of this study is to find out if the co-administration of investigational new drugs ATB200 and AT2221 is safe in adults with Pompe disease.
Trial arms
Trial start
2016-01-01
Estimated PCD
2024-06-01
Trial end
2024-06-01
Status
Active (not recruiting)
Phase
Early phase I
Treatment
ATB200
Arms:
ATB200, ATB200 + AT2221
AT2221
Arms:
ATB200 + AT2221
Other names:
Miglustat
Size
32
Primary endpoint
Plasma GAA activity levels as measured by maximum observed plasma concentration (Cmax).
18 Weeks
Plasma GAA activity levels as measured by time to reach the maximum observed plasma concentration (tmax).
18 Weeks
Plasma GAA activity levels as measured by area under the plasma-drug concentration time curve.
18 Weeks
Safety and tolerability as measured by counts of Treatment Emergent Adverse Events (TEAEs), including Infusion Associated Reactions (IARs).
18 weeks
Eligibility criteria
Key Inclusion Criteria: * Male and female subjects between 18 and 75years of age, inclusive * Diagnosis of Pompe disease Enzyme Replacement Therapy (ERT)-experienced subject (ambulatory): * Has received ERT with alglucosidase alfa for the previous 2-6 years, inclusive * Subject is currently receiving alglucosidase alfa (Myozyme/Lumizyme), at a frequency of once every other week * Must be able to walk 200-500 meters on the 6-Minute Walk Test (6MWT ) * Has upright Forced Vial Capacity (FVC) 30% to 80% of predicted normal value ERT-experienced subjects (non-ambulatory): * Has received ERT with alglucosidase alfa (Myozyme/Lumizyme) for ≥2 years * Is wheelchair-bound ERT-naïve subjects (ambulatory): * Must be able to walk 200-500 meters on the 6MWT * Has upright FVC must be 30% to 80% of predicted normal value * Subject has never received alglucosidase alfa Enzyme Replacement Therapy (ERT)-experienced subject (ambulatory): * Has received ERT with alglucosidase alfa for \>7years, inclusive * Subject is currently receiving alglucosidase alfa (Myozyme/Lumizyme), at a frequency of once every other week * Must be able to walk 200-500 meters on the 6-Minute Walk Test (6MWT ) * Has upright Forced Vial Capacity (FVC) 30% to 80% of predicted normal value Exclusion Criteria: * Subject has received treatment with prohibited medications within 30 days of Baseline Visit * Subject, if female, is pregnant or breastfeeding at screening * Subject, whether male or female, planning to conceive a child during the study * Subject has a medical or any other extenuating condition or circumstance that may, in opinion of investigator, pose an undue safety risk to the subject or compromise his/her ability to comply with protocol requirements * Subject has a history of allergy or sensitivity to miglustat or other iminosugars * Subjects with active systemic autoimmune disease such as lupus, scleroderma, or rheumatoid arthritis. All subjects with autoimmune disease must be discussed with the Amicus Medical Monitor * Subjects with active bronchial asthma. All subjects with bronchial asthma must be discussed with the Amicus Medical Monitor
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1', 'PHASE2'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 32, 'type': 'ESTIMATED'}}
Updated at
2024-04-04

1 organization

2 products

1 indication

Product
ATB200
Indication
Pompe Disease
Product
AT2221