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Intrathecal Enzyme Replacement for Hurler Syndrome
This study is currently recruiting participants.
Study NCT00638547   Information provided by Masonic Cancer Center, University of Minnesota
First Received: March 11, 2008   Last Updated: November 19, 2009   History of Changes

March 11, 2008
November 19, 2009
December 2007
December 2012   (final data collection date for primary outcome measure)
To demonstrate the efficacy of intrathecally delivering alpha-L-iduronidase in patients with mucopolysaccharidosis type I in decreasing neurodevelopmental deterioration [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00638547 on ClinicalTrials.gov Archive Site
  • To determine the safety and toxicity of intrathecally delivering alpha-L-iduronidase in patients with mucopolysaccharidosis type I [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
  • To determine brain changes with magnetic resonance imaging [ Time Frame: 1 and 2 years ] [ Designated as safety issue: No ]
  • To determine neurocognitive changes present in patients with Hurler syndrome [ Time Frame: 6, 12, and 24 months ] [ Designated as safety issue: No ]
  • To evaluate memory/encoding [ Time Frame: 12 and 24 months after hematopoietic stem cell transplantation ] [ Designated as safety issue: No ]
  • To determine cerebral spinal fluid levels of glycosaminoglycans, cytokines and antibodies to Laronidase at baseline and at each point CSF is obtained [ Time Frame: through 1 year ] [ Designated as safety issue: Yes ]
Same as current
 
Intrathecal Enzyme Replacement for Hurler Syndrome
Intrathecal Enzyme Replacement Therapy For Patients With Mucopolysaccharidosis Type I (Hurler Syndrome)

This protocol will examine whether the enzyme -L-iduronidase, delivered into the spinal fluid of patients with Hurler syndrome at intervals before and after bone marrow transplant, is a safe and effective approach to slow the neurologic degeneration seen in Hurler patients undergoing transplantation.

Subjects will receive an infusion of Laronidase into his/her spinal fluid approximately 12 weeks before, 2 weeks before, 100 days after and 6 months after transplant (performed on another study protocol). This procedure is done by lumbar puncture (also called a "spinal tap").

Phase I
Interventional
Treatment, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
MPS IH (Hurler Syndrome)
Drug: IRT Laronidase
Experimental: All patients who have received at least one dose of Laronidase.
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
25
December 2014
December 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Patients with a diagnosis of MPS IH (Hurler syndrome) are candidates for this protocol if they are being considered for hematopoietic stem cell transplantation according the University of Minnesota guidelines.

Exclusion Criteria:

  • Patients are less than 8 months old, or older than 3 years of age.
  • There is a history of clinically-severe hypersensitivity to Laronidase.
  • There is a contraindication for repeated lumbar puncture.
  • The family is not willing to undergo the necessary procedures and evaluations inherent in the study.
  • Consent has not been signed for participation in the 2004-09 study of intravenous Laronidase administration.
Both
6 Months to 3 Years
No
Contact: Paul Orchard, MD 612-626-1926 orcha001@umn.edu
Contact: Teresa Kvisto, RN 612-273-2800 tkvist1@fairview.org
United States
 
NCT00638547
Paul Orchard, M.D., Masonic Cancer Center, University of Minnesota
0707M11762, MT2007-10
Masonic Cancer Center, University of Minnesota
 
Principal Investigator: Paul Orchard, MD University of Minnesota Medical Center
Masonic Cancer Center, University of Minnesota
November 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP