A Study to Assess the Long-term Safety and Efficacy of ATB200/AT2221 in Adult Subjects With LOPD
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT04138277 |
Recruitment Status :
Active, not recruiting
First Posted : October 24, 2019
Last Update Posted : June 13, 2022
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Condition or disease | Intervention/treatment | Phase |
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Pompe Disease (Late-onset) | Drug: AT2221 Biological: ATB200 | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 110 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase 3 Open-label Extension Study to Assess the Long-term Safety and Efficacy of Intravenous ATB200 Co-administered With Oral AT2221 in Adult Subjects With Late Onset Pompe Disease |
Actual Study Start Date : | December 18, 2019 |
Estimated Primary Completion Date : | December 2023 |
Estimated Study Completion Date : | December 2023 |

Arm | Intervention/treatment |
---|---|
Experimental: ATB200/AT2221
Participants received ATB200 co-administered with AT2221 capsule (Miglustat)
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Drug: AT2221
Participants received ATB200 co-administered with AT2221 (Miglustat)
Other Name: Miglustat Biological: ATB200 Enzyme Replacement Therapy via intravenous infusion |
- Proportion of participants with Treatment Emergent Adverse Events (TEAE) [ Time Frame: baseline, up to approximately 4 years ]
- 6-Minute Walk Test [ Time Frame: baseline, up to approximately 4 years ]Change in 6MWD from baseline to assess the efficacy of ATB200/AT2221 co-administration
- Pulmonary Function - Forced vital capacity (FVC) [ Time Frame: baseline, up to approximately 4 years ]Change from baseline in FVC (sitting) to assess the efficacy of ATB200/AT2221 co-administration
- Change from baseline in muscle strength measured by Quantitative Muscle Strength testing [ Time Frame: baseline, up to approximately 4 years ]
- Change from baseline in muscle strength measured by Manual Muscle Strength testing [ Time Frame: baseline, up to approximately 4 years ]
- The Rasch-built Pompe-specific activity (R-PAct) questionnaires [ Time Frame: baseline, up to approximately 4 years ]Change in R-Pact from baseline to assess the efficacy of ATB200/AT2221 co-administration
- EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) questionnaires [ Time Frame: baseline, up to approximately 4 years ]Change from baseline in scores of EQ-5D-5L questionnaire to assess the efficacy of ATB200/AT2221 co-administration.
- Change from baseline in scores of PROMIS - physical function questionnaire [ Time Frame: baseline, up to approximately 4 years ]
- Change from baseline in scores of PROMIS - fatigue questionnaire [ Time Frame: baseline, up to approximately 4 years ]
- Change from baseline in scores of PROMIS - dyspnea questionnaire [ Time Frame: baseline, up to approximately 4 years ]
- Change from baseline in scores of PROMIS - upper extremity questionnaire [ Time Frame: baseline, up to approximately 4 years ]
- Motor Function - Gait, Stairs, Gower, Chair (GSGC) test [ Time Frame: baseline, up to approximately 4 years ]Change from baseline in GSGC score to assess the efficacy of ATB200/AT2221 co-administration.
- Physician's Global Impression of Change [ Time Frame: baseline, up to approximately 4 years ]Change in the Physician's Global Impression of Change (PGIC) evaluation to assess the efficacy of ATB200/AT2221 co-administration.
- Subject's Global Impression of Change [ Time Frame: baseline, up to approximately 4 years ]Change from baseline in scores of Subject's Global Impression of Change (SGIC) questionnaire to assess the efficacy of ATB200/AT2221 co-administration.
- Change from baseline Biomarker -CK [ Time Frame: baseline, up to approximately 4 years ]
- Change from baseline Biomarker -uHex4 [ Time Frame: baseline, up to approximately 4 years ]
- Immunogenicity: Incidence of neutralizing [ Time Frame: baseline, up to approximately 4 years ]
- Immunogenicity: anti-drug antibodies [ Time Frame: baseline, up to approximately 4 years ]

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, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
1. Subject must have completed Study ATB200-03.
Exclusion Criteria
- Subject plans to receive gene therapy or participate in another interventional study for Pompe disease.
- Subject, if female, is pregnant or breastfeeding.
- Subject, whether male or female, is planning to conceive a child during the study.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04138277

Responsible Party: | Amicus Therapeutics |
ClinicalTrials.gov Identifier: | NCT04138277 |
Other Study ID Numbers: |
ATB200-07 |
First Posted: | October 24, 2019 Key Record Dates |
Last Update Posted: | June 13, 2022 |
Last Verified: | June 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Pompe rhGAA |
Glycogen Storage Disease Type II Lysosomal Storage Diseases, Nervous System Brain Diseases, Metabolic, Inborn Brain Diseases, Metabolic Brain Diseases Central Nervous System Diseases Nervous System Diseases Genetic Diseases, Inborn Glycogen Storage Disease Lysosomal Storage Diseases Metabolic Diseases Metabolism, Inborn Errors |
Carbohydrate Metabolism, Inborn Errors Miglustat Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Anti-HIV Agents Anti-Retroviral Agents Antiviral Agents Anti-Infective Agents Glycoside Hydrolase Inhibitors Hypoglycemic Agents Physiological Effects of Drugs |