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Study of UX003 Recombinant Human Beta-Glucuronidase (rhGUS) Enzyme Replacement Treatment in Mucopolysaccharidosis Type 7, Sly Syndrome (MPS 7) Patients Less Than 5 Years of Age

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: NCT02418455
Recruitment Status : Completed
First Posted : April 16, 2015
Results First Posted : October 16, 2019
Last Update Posted : October 30, 2019
Sponsor:
Information provided by (Responsible Party):
Ultragenyx Pharmaceutical Inc

Study Type Interventional
Study Design Allocation: N/A;   Intervention Model: Single Group Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Conditions Sly Syndrome
MPS VII
Mucopolysaccharidosis
Mucopolysaccharidosis VII
Intervention Drug: UX003
Enrollment 8
Recruitment Details  
Pre-assignment Details  
Arm/Group Title UX003
Hide Arm/Group Description UX003 4 mg/kg every other week (QOW). Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Period Title: 48-Week Treatment Period
Started 8
Emergency IND (eIND) [1] 1
Completed 7
Not Completed 1
Reason Not Completed
Other- Not Specified             1
[1]
Previously treated with UX003 under eIND application; did not complete the 48-Week Treatment Period.
Period Title: Continuation Period
Started 7
Completed 0
Not Completed 7
Reason Not Completed
Sponsor Decision             7
Arm/Group Title UX003
Hide Arm/Group Description UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Overall Number of Baseline Participants 8
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 8 participants
3.25  (1.197)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 8 participants
Female
3
  37.5%
Male
5
  62.5%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 8 participants
Hispanic or Latino
3
  37.5%
Not Hispanic or Latino
4
  50.0%
Unknown or Not Reported
1
  12.5%
Race/Ethnicity, Customized  
Measure Type: Count of Participants
Unit of measure:  Participants
Asian Number Analyzed 8 participants
2
  25.0%
Black or African American Number Analyzed 8 participants
1
  12.5%
White Number Analyzed 8 participants
3
  37.5%
Other, Not Specified Number Analyzed 8 participants
2
  25.0%
Urinary Glycosaminoglycans (uGAG) Excretion   [1] 
Mean (Standard Deviation)
Unit of measure:  G GAG/g creatinine
Number Analyzed 8 participants
2.092  (1.3307)
[1]
Measure Description: Liquid chromatography-mass spectrometry/mass spectrometry-dermatan sulfate (LS-MS/MS-DS) method.
Standing Height   [1] [2] 
Mean (Standard Deviation)
Unit of measure:  Cm
eIND Number Analyzed 1 participants
52.20 [3]   (NA)
non-eIND Number Analyzed 7 participants
89.34  (7.198)
[1]
Measure Description: For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
[2]
Measure Analysis Population Description: eIND and non-eIND participants were analyzed separately for this measure.
[3]
1 participant analyzed
Standing Height Z-Score   [1] [2] 
Mean (Standard Deviation)
Unit of measure:  Z-score
eIND Number Analyzed 1 participants
-5.352 [3]   (NA)
Non-eIND Number Analyzed 7 participants
-2.241  (0.4327)
[1]
Measure Description: The Z-score indicates the number of standard deviations away from a reference population (from the Centers for Disease Control [CDC] growth charts) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome.
[2]
Measure Analysis Population Description: eIND and non-eIND participants were analyzed separately for this measure.
[3]
1 participant analyzed
Head Circumference   [1] [2] 
Mean (Standard Deviation)
Unit of measure:  Cm
eIND Number Analyzed 1 participants
37.00 [3]   (NA)
Non-eIND Number Analyzed 7 participants
51.57  (2.130)
[1]
Measure Description: For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
[2]
Measure Analysis Population Description: eIND and non-eIND participants were analyzed separately for this measure.
[3]
1 participant analyzed
Head Circumference Z-Score   [1] [2] 
Mean (Standard Deviation)
Unit of measure:  Z-score
eIND Number Analyzed 1 participants
-3.329 [3]   (NA)
Non-eIND Number Analyzed 5 participants
1.465  (1.3186)
[1]
Measure Description: The Z-score indicates the number of standard deviations away from a reference population (from the CDC growth charts) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome.
[2]
Measure Analysis Population Description: eIND and non-eIND participants were analyzed separately for this measure. Participants with a non-missing baseline assessment are presented.
[3]
1 participant analyzed
Weight   [1] [2] 
Mean (Standard Deviation)
Unit of measure:  Kg
eIND Number Analyzed 1 participants
4.26 [3]   (NA)
Non-eIND Number Analyzed 7 participants
13.99  (2.274)
[1]
Measure Description: For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
[2]
Measure Analysis Population Description: eIND and non-eIND participants were analyzed separately for this measure.
[3]
1 participant analyzed
Historical Pre-Treatment (Within 2 Years) Growth Velocity   [1] [2] 
Mean (Standard Deviation)
Unit of measure:  Cm/year
Number Analyzed 5 participants
5.06  (1.885)
[1]
Measure Description: Pre-treatment data include baseline and pre-treatment data (within 2 years). For the eIND participant, the growth velocity was calculated for pre initial UX003 treatment.
[2]
Measure Analysis Population Description: All enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline.
Pre-Treatment (Within 2 Years) Growth Velocity Z-Score   [1] [2] 
Mean (Standard Deviation)
Unit of measure:  Z-score
Number Analyzed 4 participants
-2.587  (1.4860)
[1]
Measure Description: The Z-score indicates the number of standard deviations away from a reference population (based on Tanner's standard [Tanner et al. 1985]) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome.
[2]
Measure Analysis Population Description: All enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline. Growth velocity Z-score was only calculated for participants ≥ 2.25 years.
Liver Measurement   [1] [2] 
Mean (Standard Deviation)
Unit of measure:  Cm
eIND Number Analyzed 1 participants
7.60 [3]   (NA)
Non-eIND Number Analyzed 6 participants
10.70  (1.138)
[1]
Measure Description: For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
[2]
Measure Analysis Population Description: eIND and non-eIND participants were analyzed separately for this measure. One participant in the non-eIND group did not have a baseline measurement.
[3]
1 participant analyzed
Spleen Measurement   [1] [2] 
Mean (Standard Deviation)
Unit of measure:  Cm
eIND Number Analyzed 1 participants
6.40 [3]   (NA)
Non-eIND Number Analyzed 7 participants
8.17  (1.115)
[1]
Measure Description: For all participants (including the participant previously treated with UX003 under an emergency IND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
[2]
Measure Analysis Population Description: e-IND and non-eIND participants were analyzed separately
[3]
1 participant analyzed
1.Primary Outcome
Title Percent Change From Baseline in uGAG Excretion (LC-MS/MS-DS) at Week 48
Hide Description Liquid chromatography-mass spectrometry/mass spectrometry-dermatan sulfate (LS-MS/MS-DS) method. For the participant previously treated with UX003 under an eIND, percent change from initial baseline was used.
Time Frame Baseline (Week 0), Week 48
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set: all enrolled participants who received at least one dose of UX003 during the study and had a non-missing baseline and Week 48 assessment.
Arm/Group Title UX003
Hide Arm/Group Description:
UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Overall Number of Participants Analyzed 7
Mean (Standard Deviation)
Unit of Measure: percent change
-58.17  (16.915)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection UX003
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value < 0.0001
Comments P-values are from generalized estimating equation (GEE) model including baseline value and visit as a categorical variable. The covariance structure within subjects is assumed to be exchangeable.
Method GEE model
Comments [Not Specified]
Method of Estimation Estimation Parameter LS Mean
Estimated Value -61.00
Confidence Interval (2-Sided) 95%
-73.56 to -48.44
Parameter Dispersion
Type: Standard Error of the Mean
Value: 6.409
Estimation Comments [Not Specified]
2.Primary Outcome
Title Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuations Due to TEAEs
Hide Description Adverse event (AE): any untoward medical occurrence in a participant, whether or not considered drug related. Serious AE (SAE): an AE or suspected adverse reaction that at any dose results in any of the following outcomes: death; a life-threatening AE; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions; a congenital anomaly/birth defect. Other important medical events may also, in the opinion of the Investigator, be considered SAEs. An AE was considered a TEAE if it occurred on or after the first dose, and was not present prior to the first dose, or it was present at the first dose but increased in severity during the study. Events recorded as either possibly, probably, or definitely related to treatment were categorized as related. AE severity was graded using the National Cancer Institute's Common Terminology Criteria for Adverse Events, Version 4.03.
Time Frame From first dose of study drug until 30 days after the last dose of study drug. Mean (SD) treatment duration was 98.11 (29.02) weeks
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set: all enrolled participants who received at least one dose of UX003 during the study.
Arm/Group Title UX003
Hide Arm/Group Description:
UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Overall Number of Participants Analyzed 8
Measure Type: Count of Participants
Unit of Measure: Participants
TEAEs 8
Serious TEAEs 3
Treatment-Related TEAEs 5
Treatment-Related Serious TEAEs 1
Grade 3 or 4 TEAEs 2
TEAEs Leading to Treatment Discontinuation 0
TEAEs Leading to Study Discontinuation 0
TEAEs Leading to Death 0
3.Secondary Outcome
Title Change From Baseline Over Time in Standing Height
Hide Description For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
Time Frame Baseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.
Arm/Group Title UX003: eIND UX003: Non-eIND
Hide Arm/Group Description:

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.

Participant previously treated with UX003 under an emergency Investigational New Drug (eIND) application.

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Overall Number of Participants Analyzed 1 7
Mean (Standard Deviation)
Unit of Measure: cm
Change at Week 12 Number Analyzed 0 participants 7 participants
1.94  (1.927)
Change at Week 24 Number Analyzed 1 participants 7 participants
15.00 [1]   (NA) 3.71  (0.994)
Change at Week 36 Number Analyzed 1 participants 7 participants
20.00 [1]   (NA) 5.64  (1.725)
Change at Week 48 Number Analyzed 0 participants 7 participants
6.57  (1.058)
Change at Week 60 Number Analyzed 0 participants 7 participants
8.59  (1.318)
Change at Week 72 Number Analyzed 0 participants 6 participants
9.63  (1.451)
Change at Week 84 Number Analyzed 0 participants 6 participants
10.93  (2.095)
Change at Week 96 Number Analyzed 0 participants 5 participants
11.86  (3.146)
Change at Week 108 Number Analyzed 0 participants 3 participants
12.17  (3.329)
Change at Week 120 Number Analyzed 0 participants 3 participants
12.67  (3.617)
Change at Week 132 Number Analyzed 0 participants 1 participants
14.80 [1]   (NA)
[1]
1 participant analyzed
4.Secondary Outcome
Title Change From Baseline Over Time in Standing Height Z-Score
Hide Description

The Z-score indicates the number of standard deviations away from a reference population (from the CDC growth charts) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome.

For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.

Time Frame Baseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.
Arm/Group Title UX003: eIND UX003: Non-eIND
Hide Arm/Group Description:

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.

Participant previously treated with UX003 under an emergency Investigational New Drug (eIND) application.

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Overall Number of Participants Analyzed 1 7
Mean (Standard Deviation)
Unit of Measure: Z-score
Change at Week 12 Number Analyzed 0 participants 7 participants
0.106  (0.4938)
Change at Week 24 Number Analyzed 1 participants 7 participants
-0.481 [1]   (NA) 0.188  (0.3013)
Change at Week 36 Number Analyzed 1 participants 7 participants
0.314 [1]   (NA) 0.314  (0.4103)
Change at Week 48 Number Analyzed 0 participants 7 participants
0.196  (0.3012)
Change at Week 60 Number Analyzed 0 participants 7 participants
0.333  (0.3883)
Change at Week 72 Number Analyzed 0 participants 6 participants
0.246  (0.3299)
Change at Week 84 Number Analyzed 0 participants 6 participants
0.203  (0.3973)
Change at Week 96 Number Analyzed 0 participants 5 participants
0.237  (0.5312)
Change at Week 108 Number Analyzed 0 participants 3 participants
-0.035  (0.4531)
Change at Week 120 Number Analyzed 0 participants 3 participants
-0.176  (0.4915)
Change at Week 132 Number Analyzed 0 participants 1 participants
-0.147 [1]   (NA)
[1]
1 participant analyzed
5.Secondary Outcome
Title Change From Baseline Over Time in Head Circumference
Hide Description For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
Time Frame Baseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.
Arm/Group Title UX003: eIND UX003: Non-eIND
Hide Arm/Group Description:

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.

Participant previously treated with UX003 under an emergency Investigational New Drug (eIND) application.

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Overall Number of Participants Analyzed 1 7
Mean (Standard Deviation)
Unit of Measure: cm
Change at Week 12 Number Analyzed 0 participants 7 participants
0.36  (0.378)
Change at Week 24 Number Analyzed 1 participants 7 participants
12.50 [1]   (NA) 0.54  (0.360)
Change at Week 36 Number Analyzed 1 participants 7 participants
12.00 [1]   (NA) -0.27  (1.732)
Change at Week 48 Number Analyzed 0 participants 7 participants
0.79  (0.267)
Change at Week 60 Number Analyzed 0 participants 7 participants
0.86  (0.378)
Change at Week 72 Number Analyzed 0 participants 5 participants
1.10  (0.224)
Change at Week 84 Number Analyzed 0 participants 6 participants
0.70  (0.837)
Change at Week 96 Number Analyzed 0 participants 5 participants
0.84  (1.108)
Change at Week 108 Number Analyzed 0 participants 3 participants
1.07  (1.793)
Change at Week 120 Number Analyzed 0 participants 3 participants
1.33  (2.082)
Change at Week 132 Number Analyzed 0 participants 1 participants
2.00 [1]   (NA)
[1]
1 participant analyzed
6.Secondary Outcome
Title Change From Baseline Over Time in Head Circumference Z-Score
Hide Description

The Z-score indicates the number of standard deviations away from a reference population (from the CDC growth charts) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome.

For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.

Time Frame Baseline, Weeks 12, 24, 36, 48
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.
Arm/Group Title UX003: eIND UX003: Non-eIND
Hide Arm/Group Description:

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.

Participant previously treated with UX003 under an emergency Investigational New Drug (eIND) application.

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Overall Number of Participants Analyzed 1 1
Mean (Standard Deviation)
Unit of Measure: Z-score
Change at Week 12 Number Analyzed 0 participants 1 participants
0.052 [1]   (NA)
Change at Week 24 Number Analyzed 1 participants 1 participants
3.804 [1]   (NA) 0.177 [1]   (NA)
Change at Week 36 Number Analyzed 1 participants 1 participants
3.263 [1]   (NA) -0.733 [1]   (NA)
Change at Week 48 Number Analyzed 0 participants 1 participants
-0.218 [1]   (NA)
[1]
1 participant analyzed
7.Secondary Outcome
Title Change From Baseline Over Time in Weight
Hide Description For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
Time Frame Baseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.
Arm/Group Title UX003: eIND UX003: Non-eIND
Hide Arm/Group Description:

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.

Participant previously treated with UX003 under an emergency Investigational New Drug (eIND) application.

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Overall Number of Participants Analyzed 1 7
Mean (Standard Deviation)
Unit of Measure: kg
Change at Week 12 Number Analyzed 1 participants 7 participants
5.54 [1]   (NA) 0.69  (0.626)
Change at Week 24 Number Analyzed 1 participants 7 participants
5.94 [1]   (NA) 1.21  (0.904)
Change at Week 36 Number Analyzed 1 participants 7 participants
5.94 [1]   (NA) 1.46  (1.416)
Change at Week 48 Number Analyzed 1 participants 7 participants
6.34 [1]   (NA) 2.11  (1.110)
Change at Week 60 Number Analyzed 0 participants 7 participants
2.91  (1.447)
Change at Week 72 Number Analyzed 0 participants 7 participants
3.49  (2.084)
Change at Week 84 Number Analyzed 0 participants 7 participants
3.63  (2.170)
Change at Week 96 Number Analyzed 0 participants 5 participants
5.06  (2.889)
Change at Week 108 Number Analyzed 0 participants 3 participants
4.53  (3.415)
Change at Week 120 Number Analyzed 0 participants 3 participants
5.17  (3.968)
Change at Week 132 Number Analyzed 0 participants 1 participants
5.70 [1]   (NA)
[1]
1 participant analyzed
8.Secondary Outcome
Title Post-UX003 Growth Velocity (cm/yr) for Participants With Both Historical Pre-UX003 (Within 2 Years) and Post-UX003 Data
Hide Description The growth velocity for pre-treatment is based on standing height within 2 years prior to treatment. The growth velocity for post-treatment is based on all standing height data during the study period. For the participant previously treated with UX003 under an eIND, the growth velocity was calculated for pre initial UX003 treatment and post initial UX003 treatment.
Time Frame Pre-treatment (based on standing height within 2 years prior to treatment), Post-treatment (based on all standing height data during the study period up to 240 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with both historical pre-treatment (within 2 years) and post-treatment data.
Arm/Group Title UX003
Hide Arm/Group Description:
UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Overall Number of Participants Analyzed 5
Mean (Standard Deviation)
Unit of Measure: cm/year
6.20  (1.954)
9.Secondary Outcome
Title Change From Pre-Treatment (Within 2 Years) to Post-Treatment Growth Velocity Z-Score
Hide Description

The Z-score indicates the number of standard deviations away from a reference population (based on Tanner's standard [Tanner et al. 1985]) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome.

The growth velocity for pre-treatment is based on standing height within 2 years prior to treatment. The growth velocity for post-treatment is based on all standing height data during the study period. For the participant previously treated with UX003 under an eIND, the growth velocity was calculated for pre initial UX003 treatment and post initial UX003 treatment.

Time Frame Pre-treatment (based on standing height within 2 years prior to treatment), Post-treatment (based on all standing height data during the study period up to Week 48)
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with both historical pre-treatment (within 2 years) and post-treatment data. Growth velocity Z-score was only calculated for participants ≥ 2.25 years.
Arm/Group Title UX003
Hide Arm/Group Description:
UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Overall Number of Participants Analyzed 4
Mean (Standard Deviation)
Unit of Measure: Z-score
2.291  (3.3555)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection UX003
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.2655
Comments [Not Specified]
Method t-test
Comments [Not Specified]
10.Secondary Outcome
Title Change From Baseline Over Time in Liver Measurement
Hide Description For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
Time Frame Baseline, Weeks 12, 24, 48, 96, 144
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.
Arm/Group Title UX003: eIND UX003: Non-eIND
Hide Arm/Group Description:

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.

Participant previously treated with UX003 under an emergency Investigational New Drug (eIND) application.

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Overall Number of Participants Analyzed 1 6
Mean (Standard Deviation)
Unit of Measure: cm
Change at Week 12 Number Analyzed 1 participants 6 participants
-0.30 [1]   (NA) -0.87  (1.873)
Change at Week 24 Number Analyzed 1 participants 5 participants
0.70 [1]   (NA) -1.16  (2.701)
Change at Week 48 Number Analyzed 1 participants 6 participants
-0.40 [1]   (NA) -0.85  (2.160)
Change at Week 96 Number Analyzed 0 participants 6 participants
-0.45  (1.868)
Change at Week 144 Number Analyzed 0 participants 2 participants
-1.50  (3.394)
[1]
1 participant analyzed
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection UX003: Non-eIND
Comments Change at Week 12
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0122
Comments From generalized estimating equation model including baseline value and visit as a categorical variable. Change from baseline in Liver Ultrasound (cm) as a dependent variable. Covariance structure within subjects is assumed to be exchangeable.
Method generalized estimating equation
Comments [Not Specified]
Method of Estimation Estimation Parameter LS Mean
Estimated Value -0.99
Confidence Interval (2-Sided) 95%
-1.77 to -0.22
Parameter Dispersion
Type: Standard Error of the Mean
Value: 0.396
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection UX003: Non-eIND
Comments Change at Week 24
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0086
Comments From generalized estimating equation model including baseline value and visit as a categorical variable. Change from baseline in Liver Ultrasound (cm) as a dependent variable. Covariance structure within subjects is assumed to be exchangeable.
Method generalized estimating equation
Comments [Not Specified]
Method of Estimation Estimation Parameter LS Mean
Estimated Value -1.21
Confidence Interval (2-Sided) 95%
-2.12 to -0.31
Parameter Dispersion
Type: Standard Error of the Mean
Value: 0.461
Estimation Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection UX003: Non-eIND
Comments Change at Week 48
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0016
Comments From generalized estimating equation model including baseline value and visit as a categorical variable. Change from baseline in Liver Ultrasound (cm) as a dependent variable. Covariance structure within subjects is assumed to be exchangeable.
Method generalized estimating equation
Comments [Not Specified]
Method of Estimation Estimation Parameter LS Mean
Estimated Value -0.98
Confidence Interval (2-Sided) 95%
-1.58 to -0.37
Parameter Dispersion
Type: Standard Error of the Mean
Value: 0.310
Estimation Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection UX003: Non-eIND
Comments Change at Week 96
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1792
Comments From generalized estimating equation model including baseline value and visit as a categorical variable. Change from baseline in Liver Ultrasound (cm) as a dependent variable. Covariance structure within subjects is assumed to be exchangeable.
Method generalized estimating equation
Comments [Not Specified]
Method of Estimation Estimation Parameter LS Mean
Estimated Value -0.57
Confidence Interval (2-Sided) 95%
-1.41 to 0.26
Parameter Dispersion
Type: Standard Error of the Mean
Value: 0.428
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection UX003: Non-eIND
Comments Change at Week 144
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1731
Comments From generalized estimating equation model including baseline value and visit as a categorical variable. Change from baseline in Liver Ultrasound (cm) as a dependent variable. Covariance structure within subjects is assumed to be exchangeable.
Method generalized estimating equation
Comments [Not Specified]
Method of Estimation Estimation Parameter LS Mean
Estimated Value -0.35
Confidence Interval (2-Sided) 95%
-0.85 to 0.15
Parameter Dispersion
Type: Standard Error of the Mean
Value: 0.255
Estimation Comments [Not Specified]
11.Secondary Outcome
Title Change From Baseline Over Time in Spleen Measurement
Hide Description For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
Time Frame Baseline, Weeks 12, 24, 48, 96, 144
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.
Arm/Group Title UX003: eIND UX003: Non-eIND
Hide Arm/Group Description:

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.

Participant previously treated with UX003 under an emergency Investigational New Drug (eIND) application.

UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
Overall Number of Participants Analyzed 1 7
Mean (Standard Deviation)
Unit of Measure: cm
Change at Week 12 Number Analyzed 1 participants 7 participants
0.00 [1]   (NA) -0.37  (0.624)
Change at Week 24 Number Analyzed 1 participants 7 participants
-0.10 [1]   (NA) -0.03  (1.493)
Change at Week 48 Number Analyzed 1 participants 7 participants
-1.60 [1]   (NA) -0.16  (1.128)
Change at Week 96 Number Analyzed 0 participants 7 participants
0.21  (1.056)
Change at Week 144 Number Analyzed 0 participants 2 participants
-1.12  (0.686)
[1]
1 participant analyzed
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection UX003: Non-eIND
Comments Change at Week 12
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0843
Comments From generalized estimating equation model including baseline value and visit as a categorical variable. Change from baseline in Liver Ultrasound (cm) as a dependent variable. Covariance structure within subjects is assumed to be exchangeable.
Method generalized estimating equation
Comments [Not Specified]
Method of Estimation Estimation Parameter LS Mean
Estimated Value -0.37
Confidence Interval (2-Sided) 95%
-0.78 to 0.05
Parameter Dispersion
Type: Standard Error of the Mean
Value: 0.213
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection UX003: Non-eIND
Comments Change at Week 24
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.9618
Comments From generalized estimating equation model including baseline value and visit as a categorical variable. Change from baseline in Liver Ultrasound (cm) as a dependent variable. Covariance structure within subjects is assumed to be exchangeable.
Method generalized estimating equation
Comments [Not Specified]
Method of Estimation Estimation Parameter LS Mean
Estimated Value -0.02
Confidence Interval (2-Sided) 95%
-1.03 to 0.98
Parameter Dispersion
Type: Standard Error of the Mean
Value: 0.513
Estimation Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection UX003: Non-eIND
Comments Change at Week 48
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.6954
Comments From generalized estimating equation model including baseline value and visit as a categorical variable. Change from baseline in Liver Ultrasound (cm) as a dependent variable. Covariance structure within subjects is assumed to be exchangeable.
Method GEE model
Comments [Not Specified]
Method of Estimation Estimation Parameter LS Mean
Estimated Value -0.15
Confidence Interval (2-Sided) 95%
-0.92 to 0.61
Parameter Dispersion
Type: Standard Error of the Mean
Value: 0.391
Estimation Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection UX003: Non-eIND
Comments Change at Week 96
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.5492
Comments From generalized estimating equation model including baseline value and visit as a categorical variable. Change from baseline in Liver Ultrasound (cm) as a dependent variable. Covariance structure within subjects is assumed to be exchangeable.
Method generalized estimating equation
Comments [Not Specified]
Method of Estimation Estimation Parameter LS Mean
Estimated Value 0.22
Confidence Interval (2-Sided) 95%
-0.50 to 0.93
Parameter Dispersion
Type: Standard Error of the Mean
Value: 0.364
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection UX003: Non-eIND
Comments Change at Week 144
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.2618
Comments From generalized estimating equation model including baseline value and visit as a categorical variable. Change from baseline in Liver Ultrasound (cm) as a dependent variable. Covariance structure within subjects is assumed to be exchangeable.
Method generalized estimating equation
Comments [Not Specified]
Method of Estimation Estimation Parameter LS Mean
Estimated Value -0.56
Confidence Interval (2-Sided) 95%
-1.55 to 0.42
Parameter Dispersion
Type: Standard Error of the Mean
Value: 0.503
Estimation Comments [Not Specified]
Time Frame From first dose of study drug until until 30 days after the last dose of study drug (treatment emergent events). Mean (SD) treatment duration was 98.11 (29.02) weeks.
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title UX003
Hide Arm/Group Description UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
All-Cause Mortality
UX003
Affected / at Risk (%)
Total   0/8 (0.00%) 
Hide Serious Adverse Events
UX003
Affected / at Risk (%)
Total   3/8 (37.50%) 
Cardiac disorders   
Bradycardia  1  1/8 (12.50%) 
General disorders   
Device Fastener Issue  1  1/8 (12.50%) 
Infections and infestations   
Otitis Media  1  1/8 (12.50%) 
Investigations   
Oxygen Saturation Decreased  1  1/8 (12.50%) 
Musculoskeletal and connective tissue disorders   
Cervical Spinal Stenosis  1  1/8 (12.50%) 
Spinal Column Stenosis  1  1/8 (12.50%) 
Spinal Instability  1  1/8 (12.50%) 
Nervous system disorders   
Cervical Cord Compression  1  1/8 (12.50%) 
Febrile Convulsion  1  1/8 (12.50%) 
Respiratory, thoracic and mediastinal disorders   
Adenoidal Hypertrophy  1  2/8 (25.00%) 
1
Term from vocabulary, MedDRA 18.1
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
UX003
Affected / at Risk (%)
Total   8/8 (100.00%) 
Blood and lymphatic system disorders   
Anaemia  1  1/8 (12.50%) 
Lymphadenitis  1  1/8 (12.50%) 
Microcytosis  1  1/8 (12.50%) 
Thrombocytopenia  1  1/8 (12.50%) 
Cardiac disorders   
Bradycardia  1  1/8 (12.50%) 
Pulmonary Valve Stenosis  1  1/8 (12.50%) 
Right Ventricular Hypertension  1  1/8 (12.50%) 
Supraventricular Extrasystoles  1  1/8 (12.50%) 
Tachycardia  1  1/8 (12.50%) 
Congenital, familial and genetic disorders   
Mucopolysaccharidosis Vii  1  1/8 (12.50%) 
Pectus Carinatum  1  1/8 (12.50%) 
Ear and labyrinth disorders   
Cerumen Impaction  1  1/8 (12.50%) 
Ear Pain  1  2/8 (25.00%) 
Eye disorders   
Corneal Deposits  1  1/8 (12.50%) 
Myopia  1  1/8 (12.50%) 
Strabismus  1  1/8 (12.50%) 
Gastrointestinal disorders   
Abdominal Pain  1  1/8 (12.50%) 
Abdominal Pain Upper  1  1/8 (12.50%) 
Constipation  1  1/8 (12.50%) 
Diarrhoea  1  4/8 (50.00%) 
Gingival Bleeding  1  1/8 (12.50%) 
Gingival Pain  1  1/8 (12.50%) 
Lip Haemorrhage  1  1/8 (12.50%) 
Nausea  1  2/8 (25.00%) 
Oral Papule  1  1/8 (12.50%) 
Vomiting  1  4/8 (50.00%) 
General disorders   
Device Defective  1  1/8 (12.50%) 
Device Malfunction  1  1/8 (12.50%) 
Discomfort  1  1/8 (12.50%) 
Extravasation  1  1/8 (12.50%) 
Inflammation  1  1/8 (12.50%) 
Infusion Site Extravasation  1  1/8 (12.50%) 
Pyrexia  1  5/8 (62.50%) 
Secretion Discharge  1  1/8 (12.50%) 
Tenderness  1  1/8 (12.50%) 
Hepatobiliary disorders   
Hepatomegaly  1  1/8 (12.50%) 
Immune system disorders   
Anaphylactoid Reaction  1  1/8 (12.50%) 
Infections and infestations   
Adenoiditis  1  1/8 (12.50%) 
Bacterial Disease Carrier  1  1/8 (12.50%) 
Device Related Infection  1  1/8 (12.50%) 
Ear Infection  1  2/8 (25.00%) 
Enterovirus Infection  1  1/8 (12.50%) 
Eye Infection  1  1/8 (12.50%) 
Fungal Infection  1  1/8 (12.50%) 
Fungal Skin Infection  1  1/8 (12.50%) 
Gastroenteritis  1  4/8 (50.00%) 
Gastroenteritis Viral  1  1/8 (12.50%) 
Gastrointestinal Infection  1  1/8 (12.50%) 
Gingival Abscess  1  1/8 (12.50%) 
Nasopharyngitis  1  1/8 (12.50%) 
Otitis Media  1  3/8 (37.50%) 
Otitis Media Acute  1  2/8 (25.00%) 
Otitis Media Chronic  1  1/8 (12.50%) 
Pharyngitis  1  2/8 (25.00%) 
Pharyngitis Streptococcal  1  1/8 (12.50%) 
Pharyngotonsillitis  1  1/8 (12.50%) 
Pneumonia Viral  1  1/8 (12.50%) 
Respiratory Tract Infection Viral  1  1/8 (12.50%) 
Rhinitis  1  1/8 (12.50%) 
Rhinovirus Infection  1  1/8 (12.50%) 
Sinusitis  1  2/8 (25.00%) 
Tracheitis  1  1/8 (12.50%) 
Upper Respiratory Tract Infection  1  3/8 (37.50%) 
Injury, poisoning and procedural complications   
Contusion  1  1/8 (12.50%) 
Fall  1  2/8 (25.00%) 
Gastrostomy Tube Site Complication  1  1/8 (12.50%) 
Limb Injury  1  1/8 (12.50%) 
Procedural Pain  1  1/8 (12.50%) 
Scar  1  1/8 (12.50%) 
Scratch  1  1/8 (12.50%) 
Skin Abrasion  1  2/8 (25.00%) 
Sunburn  1  1/8 (12.50%) 
Investigations   
Alanine Aminotransferase Increased  1  1/8 (12.50%) 
Blood Calcium Decreased  1  1/8 (12.50%) 
Blood Creatinine Decreased  1  1/8 (12.50%) 
Blood Pressure Increased  1  1/8 (12.50%) 
Body Temperature Increased  1  1/8 (12.50%) 
Body Temperature Abnormal  1  1/8 (12.50%) 
Gamma-Glutamyltransferase Increased  1  1/8 (12.50%) 
Hepatic Enzyme Increased  1  2/8 (25.00%) 
Oxygen Saturation Decreased  1  2/8 (25.00%) 
Right Ventricular Systolic Pressure Increased  1  1/8 (12.50%) 
Vitamin D Decreased  1  1/8 (12.50%) 
Musculoskeletal and connective tissue disorders   
Arthralgia  1  2/8 (25.00%) 
Bone Deformity  1  1/8 (12.50%) 
Muscle Spasms  1  1/8 (12.50%) 
Muscular Weakness  1  1/8 (12.50%) 
Musculoskeletal Chest Pain  1  1/8 (12.50%) 
Musculoskeletal Pain  1  1/8 (12.50%) 
Pain In Extremity  1  2/8 (25.00%) 
Spinal Deformity  1  1/8 (12.50%) 
Nervous system disorders   
Cerebellar Microhaemorrhage  1  1/8 (12.50%) 
Enlarged Cerebral Perivascular Spaces  1  1/8 (12.50%) 
Headache  1  1/8 (12.50%) 
Lethargy  1  1/8 (12.50%) 
Myelopathy  1  1/8 (12.50%) 
Periodic Limb Movement Disorder  1  1/8 (12.50%) 
Psychiatric disorders   
Attention Deficit/Hyperactivity Disorder  1  1/8 (12.50%) 
Irritability  1  1/8 (12.50%) 
Sleep Disorder  1  1/8 (12.50%) 
Renal and urinary disorders   
Bladder Disorder  1  1/8 (12.50%) 
Haematuria  1  1/8 (12.50%) 
Respiratory, thoracic and mediastinal disorders   
Asthma  1  1/8 (12.50%) 
Cough  1  3/8 (37.50%) 
Hypoxia  1  1/8 (12.50%) 
Nasal Congestion  1  2/8 (25.00%) 
Nasal Mucosal Disorder  1  1/8 (12.50%) 
Oropharyngeal Pain  1  1/8 (12.50%) 
Pneumonia Aspiration  1  1/8 (12.50%) 
Rhinitis Allergic  1  1/8 (12.50%) 
Rhinorrhoea  1  3/8 (37.50%) 
Tonsillar Hypertrophy  1  1/8 (12.50%) 
Upper Respiratory Tract Congestion  1  1/8 (12.50%) 
Wheezing  1  1/8 (12.50%) 
Skin and subcutaneous tissue disorders   
Alopecia  1  1/8 (12.50%) 
Blood Blister  1  1/8 (12.50%) 
Dermatitis  1  1/8 (12.50%) 
Ecchymosis  1  1/8 (12.50%) 
Intertrigo  1  1/8 (12.50%) 
Keloid Scar  1  1/8 (12.50%) 
Papule  1  1/8 (12.50%) 
Rash  1  1/8 (12.50%) 
Rash Papular  1  1/8 (12.50%) 
Rash Pruritic  1  1/8 (12.50%) 
Skin Irritation  1  1/8 (12.50%) 
Urticaria  1  1/8 (12.50%) 
Vascular disorders   
Hypotension  1  1/8 (12.50%) 
1
Term from vocabulary, MedDRA 18.1
Indicates events were collected by systematic assessment
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Medical Information
Organization: Ultragenyx Pharmaceutical Inc
Phone: 1-888-756-8567
EMail: medinfo@ultragenyx.com
Layout table for additonal information
Responsible Party: Ultragenyx Pharmaceutical Inc
ClinicalTrials.gov Identifier: NCT02418455    
Other Study ID Numbers: UX003-CL203
2015-000104-26 ( EudraCT Number )
First Submitted: April 12, 2015
First Posted: April 16, 2015
Results First Submitted: September 22, 2019
Results First Posted: October 16, 2019
Last Update Posted: October 30, 2019