Safety/Tolerability/Pharmacokinetic (PK)/Pharmacodynamics (PD) Study of BMN701 in Patients With Late-Onset Pompe Disease

Study Description

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Brief Summary:

A Phase 1/2, open-label, multicenter, multiple dose escalation study of BMN 701 administered by intravenous infusion every 2 weeks over a 24-week treatment period to patients with late-onset Pompe disease.

Condition or disease	Intervention/treatment	Phase
Pompe Disease	Biological: BMN 701	Phase 1; Phase 2

Study Design

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Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	22 participants
Intervention Model:	Single Group Assignment
Masking:	None (Open Label)
Primary Purpose:	Treatment
Official Title:	A Phase 1/2 Open-label Study of the Safety, Tolerability, Pharmacokinetics, Pharmacodynamic and Preliminary Efficacy of BMN 701 (GILT-tagged Recombinant Human GAA) in Patients With Late-onset Pompe Disease
Actual Study Start Date :	January 17, 2011
Actual Primary Completion Date :	March 6, 2013
Actual Study Completion Date :	March 6, 2013

Arms and Interventions

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Arm	Intervention/treatment
Experimental: BMN 701; IV infusion	Biological: BMN 701; GILT-tagged recombinant human GAA

Outcome Measures

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Primary Outcome Measures :

1. Number of Participants With Adverse Events [ Time Frame: 24 weeks ]
   Number of Participants with Adverse Events as a Measure of Safety and Tolerability

Secondary Outcome Measures :

1. Change From Baseline in Six Minutes Walk Test [ Time Frame: Baseline up to 24 weeks ]
   Change from Baseline in Six Minutes Walk Test. The 6MWT measured the maximum distance the subject could walk on a flat, hard surface in a period of 6 minutes

Other Outcome Measures:

1. Change From Baseline in Percent Predicted Upright Forced Vital Capacity [ Time Frame: Baseline up to 24 week ]
   Change from Baseline in Percent Predicted Upright Forced Vital Capacity. Changes in respiratory function were assessed by measurement of MEP, MIP and MVV; and percent predicted upright and supine FVC.
2. Change From Baseline in Percent Predicted Supine Forced Vital Capacity [ Time Frame: Baseline up to 24 weeks ]
   Change from Baseline in Percent Predicted Supine Forced Vital Capacity. Changes in respiratory function were assessed by measurement of MEP, MIP and MVV; and percent predicted upright and supine FVC.
3. Change From Baseline in Percent Predicted Upright Maximum Expiratory Pressure [ Time Frame: Baseline up to 24 weeks ]
   Change from Baseline in Percent Predicted Upright Maximum Expiratory Pressure. Changes in respiratory function were assessed by measurement of MEP, MIP and MVV; and percent predicted upright and supine FVC.
4. Change From Baseline in Percent Predicted Upright Maximum Inspiratory Pressure [ Time Frame: Baseline up to 24 weeks ]
   Change from Baseline in Percent Predicted Upright Maximum Inspiratory Pressure. Changes in respiratory function were assessed by measurement of MEP, MIP and MVV; and percent predicted upright and supine FVC.
5. Change From Baseline in Upright Maximum Ventilatory Volume [ Time Frame: Baseline up to 24 weeks ]
   Change from Baseline in Upright Maximum Ventilatory Volume. Changes in respiratory function were assessed by measurement of MEP, MIP and MVV; and percent predicted upright and supine FVC.

Eligibility Criteria

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Ages Eligible for Study:	13 Years and older (Child, Adult, Older Adult)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion criteria:

• Patient has been diagnosed with Pompe Disease prior to or during the screening period based on 2 GAA gene mutations and either: endogenous GAA activity <75% of the lower limit of the normal adult range reported by the testing laboratory, as assessed in cultured skin fibroblasts -or- endogenous GAA activity <75% of the lower limit of the normal adult range reported by the testing laboratory, as assessed by dried blood spot or whole blood assay;
• Patient is male or female and 13 years of age or older at the time of enrollment in the study;
• Sexually active patients must be willing to use an acceptable method of contraception while participating in the study and for at least 4 months following the last dose of BMN 701;
• If patient is female and not considered to be of childbearing potential, she is at least 2 years post-menopausal or had tubal ligation at least 1 year prior to screening, or who have had total hysterectomy;
• If patient is female and of childbearing potential, she has negative urine pregnancy tests during the Screening Period and at the Baseline visit and be willing to have additional pregnancy tests during the study;
• Patient has ≥30% predicted upright FVC and either <80% predicted upright FVC, or >10% reduction in supine FVC compared to upright FVC during the Screening Period;
• Patient is naïve to Enzyme Replacement Therapy (ERT) with rhGAA;
• Patient must be able to ambulate at least 40 meters (131.2 feet) on the 6MWT conducted at the Screening visit (use of assistive devices such as walker, cane, or crutches, is permitted); and
• If subject was female, she was not lactating

Exclusion criteria:

• Patient has a history of diabetes or other disease known to cause hypoglycemia and is currently receiving, or might anticipate receiving, hypoglycemic agents during the course of the study;
• Patient has been on any immunosuppressive medication other than glucocorticosteroids within 1 year prior to enrollment into this study;
• Patient requires invasive ventilatory assistance at the time of enrollment into the study;
• Patient has received any investigational medication within 30 days prior to the first dose of study drug or is scheduled to receive any investigational drug other than BMN 701 during the course of the study;
• Patient has previously been admitted to the study;
• Patient is breastfeeding at screening or planning to become pregnant (self or partner) at any time during the study;
• Patient has a medical condition or extenuating circumstance that, in the opinion of the Investigator, might compromise the patient's ability to comply with the protocol requirements or compromise the patient's well being or safety;
• Patient has any condition that, in the view of the Investigator, places the patient at high risk of poor treatment compliance or of not completing the study.

Contacts and Locations

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Locations

United States, California
Univ of California San Diego School of Medicine
La Jolla, California, United States, 92103-8765
United States, Florida
University of Florida College of Medicine
Gainesville, Florida, United States, 32610
United States, Kansas
University of Kansas Medical Center
Kansas City, Kansas, United States, 66160
Australia, Adelaide, SA
Royal Adelaide Hospital, SA Pathology
Adelaide, Adelaide, SA, Australia, 5006
France
Hôpital de I´Archet- Centre Hospitalier Universitaire Nice
Nice, France, 06202
Hôpital Pitié-Salpêtrière
Paris Cedex 13, France, 75651
Germany
Zentrum für Kinder- und Jugenmedizin
Mainz, Rheinland-pfalz, Germany, 55131
United Kingdom
Old Queen Elizabeth Hospital, Department of Medicine
Birmingham, United Kingdom, B15 2TH
Royal Free Hospital
London, United Kingdom, NW3 2QG
Salford Royal Hospital NHS Trust
Salford, United Kingdom, M6 8HD

Sponsors and Collaborators

BioMarin Pharmaceutical

Investigators

Study Director:	Medical Monitor	BioMarin Pharmaceutical

More Information

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Responsible Party:	BioMarin Pharmaceutical
ClinicalTrials.gov Identifier:	NCT01230801 History of Changes
Other Study ID Numbers:	POM-001; 2010-023561-22 ( EudraCT Number )
First Posted:	October 29, 2010
Results First Posted:	June 11, 2018
Last Update Posted:	June 11, 2018
Last Verified:	May 2018

Studies a U.S. FDA-regulated Drug Product:		Yes
Studies a U.S. FDA-regulated Device Product:		No

Additional relevant MeSH terms:

Brain Diseases, Metabolic, Inborn; Glycogen Storage Disease Type II; Lysosomal Storage Diseases, Nervous System; Brain Diseases, Metabolic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases	Metabolism, Inborn Errors; Genetic Diseases, Inborn; Glycogen Storage Disease; Carbohydrate Metabolism, Inborn Errors; Lysosomal Storage Diseases; Metabolic Diseases