Tolerability and Safety Study of Recombinant Human Acid Sphingomyelinase in Acid Sphingomyelinase Deficiency Patients

NCT ID: NCT01722526

Last Updated: 2015-07-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2014-01-31

Brief Summary

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To evaluate the safety, tolerability, pharmacokinetic, and pharmacodynamic profile of rhASM in adult patients with Acid Sphingomyelinase Deficiency (ASMD) following repeated-dose administration.

Detailed Description

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Conditions

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Human Acid Sphingomyelinase Deficiency

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Recombinant human acid sphingomyelinase

Participants will receive rhASM of an initial dose of 0.1 mg/kg, followed by several dose escalations, as tolerated, up to 3.0 mg/kg. All doses are given 2 weeks apart.

Group Type EXPERIMENTAL

Recombinant human acid sphingomyelinase

Intervention Type DRUG

Administered intravenously every 2 weeks for 26 weeks

Interventions

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Recombinant human acid sphingomyelinase

Administered intravenously every 2 weeks for 26 weeks

Intervention Type DRUG

Other Intervention Names

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GZ402665

Eligibility Criteria

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Inclusion Criteria

* Patients with documented non-neuronopathic acid sphingomyelinase deficiency
* The patient has a diffusing capacity of carbon monoxide (DLco) \>20% and ≤80% of the predicted normal value.
* The patient has a spleen volume ≥6 multiples of normal(MN). A partial splenectomy will be permitted if performed ≥1 year prior to Screening/Baseline and residual spleen volume is ≥6 MN.
* The patient who is receiving lipid lowering therapy should be on a stable dose and regimen of lipid-lowering therapy(ies) for at least 12 weeks prior to Screening/Baseline, with the patient expected to remain on the same dose and regimen throughout the 26-week treatment period.
* The patient who is female and of childbearing potential must have a negative serum pregnancy test for β-HCG.

Exclusion Criteria

* The patient is female and pregnant or lactating.
* The patient has a Body Mass Index(BMI)\>30.
* The patient has received an investigational drug within 30 days prior to study enrollment
* The patient has a medical condition or any extenuating circumstance that may significantly interfere with study compliance, including all prescribed evaluations and follow-up activities.
* The patient has had a major organ transplant
* ALT or AST \>250 IU/L or total bilirubin \>1.5 mg/dL.
* The patient is unwilling or unable to abstain from the use of alcohol for 1 day prior to and 3 days after each rhASM infusion for the duration of the study.
* The patient requires medications that may decrease rhASM
* The patient is unwilling or unable to avoid the use of medications or herbal supplements that may cause or prolong bleeding, or have potential hepatotoxicity within 10 days prior to and 3 days after liver biopsy
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genzyme, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Monitor

Role: STUDY_DIRECTOR

Genzyme, a Sanofi Company

Locations

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Mount Sinai School of Medicine

New York, New York, United States

Site Status

St. Mary's Hospital

Manchester, , United Kingdom

Site Status

Countries

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United States United Kingdom

References

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Thurberg BL, Diaz GA, Lachmann RH, Schiano T, Wasserstein MP, Ji AJ, Zaher A, Peterschmitt MJ. Long-term efficacy of olipudase alfa in adults with acid sphingomyelinase deficiency (ASMD): Further clearance of hepatic sphingomyelin is associated with additional improvements in pro- and anti-atherogenic lipid profiles after 42 months of treatment. Mol Genet Metab. 2020 Sep-Oct;131(1-2):245-252. doi: 10.1016/j.ymgme.2020.06.010. Epub 2020 Jun 24.

Reference Type DERIVED
PMID: 32620536 (View on PubMed)

Thurberg BL, Wasserstein MP, Jones SA, Schiano TD, Cox GF, Puga AC. Clearance of Hepatic Sphingomyelin by Olipudase Alfa Is Associated With Improvement in Lipid Profiles in Acid Sphingomyelinase Deficiency. Am J Surg Pathol. 2016 Sep;40(9):1232-42. doi: 10.1097/PAS.0000000000000659.

Reference Type DERIVED
PMID: 27340749 (View on PubMed)

Wasserstein MP, Jones SA, Soran H, Diaz GA, Lippa N, Thurberg BL, Culm-Merdek K, Shamiyeh E, Inguilizian H, Cox GF, Puga AC. Successful within-patient dose escalation of olipudase alfa in acid sphingomyelinase deficiency. Mol Genet Metab. 2015 Sep-Oct;116(1-2):88-97. doi: 10.1016/j.ymgme.2015.05.013. Epub 2015 May 30.

Reference Type DERIVED
PMID: 26049896 (View on PubMed)

Other Identifiers

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2012-003542-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SPHINGO00812

Identifier Type: OTHER

Identifier Source: secondary_id

DFI13412

Identifier Type: -

Identifier Source: org_study_id

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