Intrathecal Enzyme Replacement Therapy for Spinal Cord Compression in Mucopolysaccharidosis (MPS) I

This study has been terminated.
(Due to slow enrolment.)
Sponsor:
Collaborators:
Ryan Foundation for MPS Children
University of California, Los Angeles
Information provided by (Responsible Party):
Patricia I. Dickson, M.D., Dickson, Patricia I., M.D.
ClinicalTrials.gov Identifier:
NCT00215527
First received: September 19, 2005
Last updated: February 20, 2013
Last verified: February 2013
  Purpose

The investigators are studying the use of enzyme replacement therapy into the spinal fluid for treatment of spinal cord compression in the Hurler-Scheie and Scheie forms of mucopolysaccharidosis I (MPS I). Funding source -- FDA OOPD


Condition Intervention Phase
Mucopolysaccharidosis I
Lysosomal Storage Diseases
Spinal Cord Compression
Drug: laronidase
Phase 1

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Study of Intrathecal Enzyme Replacement Therapy for Spinal Cord Compression in Mucopolysaccharidosis I

Resource links provided by NLM:


Further study details as provided by Dickson, Patricia I., M.D.:

Primary Outcome Measures:
  • safety of intrathecal enzyme treatment by blood and spinal fluid tests each month [ Time Frame: four months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • improvement in spinal cord compression due to mucopolysaccharidosis I [ Time Frame: four months ] [ Designated as safety issue: No ]

Enrollment: 4
Study Start Date: November 2005
Study Completion Date: October 2011
Primary Completion Date: October 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: intrathecal laronidase
laronidase dose 1.74 mg, route intrathecal, frequency every 30 days, duration three months
Drug: laronidase
0.58 mg/ml solution for intravenous injection, dose 1.74 mg intrathecally once per month for four injections.
Other Name: Aldurazyme

Detailed Description:

Enzyme replacement therapy (ERT) has been developed for mucopolysaccharidosis I (MPS I), a lysosomal storage disorder. ERT helps many physical ailments due to the disease, but does not treat the central nervous system, due to inability to cross the blood brain barrier. Our purpose is to test delivery of ERT to the spinal fluid via intrathecal injection in patients with MPS I. In this pilot study, we will use recombinant human α-L-iduronidase administered intrathecally once per month for four months to individuals with the Hurler-Scheie and Scheie forms of MPS I and spinal cord compression. If successful, intrathecal delivery could represent a practical, straightforward method of treating central nervous system disease due to lysosomal storage.

  Eligibility

Ages Eligible for Study:   8 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Hurler-Scheie,Scheie form of MPS I, of Hurler 2 years after hematopoietic stem cell transplantation
  • Spinal cord compression
  • Age greater than 8 years
  • Able to provide legal informed consent
  • Aware of clinical treatment option of observation without treatment or surgical decompression
  • Negative urine pregnancy test at screening (non-sterile females of child-bearing potential only)
  • Currently using two acceptable methods of birth control (non-sterile females of child-bearing potential who are sexually active only)
  • Willing and able to comply with study procedures

Exclusion Criteria:

  • Severe (Hurler) form of MPS I
  • Desires surgical or medical treatment of spinal cord compression
  • Spinal cord compression that warrants immediate surgical intervention
  • Pregnancy or lactation
  • Hematopoietic stem cell transplantation within 2 years of study enrollment
  • Receipt of an investigational drug within 30 days of enrollment
  • Infusion reactions to laronidase that required medical intervention, prophylaxis, or altered enzyme administration
  • Significant anti-iduronidase antibody titer
  • Recent initiation of intravenous laronidase (within past 6 months)
  • Presence of cervical subluxation or similar external pathology as the major cause of cord compression symptoms for which surgical intervention should be immediately undertaken
  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: NCT00215527

Locations
United States, California
Los Angeles Biomedical Research Institute at Harbor-UCLA ( LA BioMed )
Torrance, California, United States, 90502
Finland
Helsinki University Central Hospital
Helsinki, Finland, FI-00014
Sponsors and Collaborators
Patricia I. Dickson, M.D.
Ryan Foundation for MPS Children
University of California, Los Angeles
Investigators
Principal Investigator: Patricia I Dickson, M.D. Los Angeles Biomedical Research Institute at Harbor-UCLA
  More Information

No publications provided

Responsible Party: Patricia I. Dickson, M.D., Associate Professor of Pediatrics, Dickson, Patricia I., M.D.
ClinicalTrials.gov Identifier: NCT00215527     History of Changes
Other Study ID Numbers: MIRC-001, 12069-01
Study First Received: September 19, 2005
Last Updated: February 20, 2013
Health Authority: United States: Food and Drug Administration

Keywords provided by Dickson, Patricia I., M.D.:
mucopolysaccharidosis
Hurler-Scheie
Scheie
laronidase
spinal cord compression
central nervous system
enzyme replacement therapy
intrathecal
LA Biomed

Additional relevant MeSH terms:
Mucopolysaccharidosis I
Mucopolysaccharidoses
Spinal Cord Compression
Lysosomal Storage Diseases
Carbohydrate Metabolism, Inborn Errors
Metabolism, Inborn Errors
Genetic Diseases, Inborn
Mucinoses
Connective Tissue Diseases
Metabolic Diseases
Spinal Cord Diseases
Central Nervous System Diseases
Nervous System Diseases
Spinal Cord Injuries
Wounds and Injuries

ClinicalTrials.gov processed this record on September 18, 2014