Trial Outcomes & Findings for BMN 701 Phase 3 in rhGAA Exposed Subjects With Late Onset Pompe Disease (INSPIRE Study) (NCT NCT01924845)

NCT ID: NCT01924845

Last Updated: 2018-06-14

Results Overview

Pulmonary function test: Percent Predicted Maximum Inspiratory Pressure

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

24 participants

Primary outcome timeframe

Baseline, Week 24

Results posted on

2018-06-14

Participant Flow

The study consisted of a 31-day Screening and Baseline Period (26-day Screening Period, a 5-day Baseline/Enrollment Period), a 24-week Treatment Period, and a 30-day Safety Follow-up Period. Following the Screening and Baseline assessments, qualified subjects were enrolled in the study.

Participant milestones

Participant milestones
Measure
BMN 701 20 mg/kg
BMN 701 20 mg/kg
Overall Study
STARTED
24
Overall Study
COMPLETED
18
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
BMN 701 20 mg/kg
BMN 701 20 mg/kg
Overall Study
Adverse Event
3
Overall Study
Withdrawal by Subject
2
Overall Study
Protocol Violation
1

Baseline Characteristics

BMN 701 Phase 3 in rhGAA Exposed Subjects With Late Onset Pompe Disease (INSPIRE Study)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BMN 701 20 mg/kg
n=24 Participants
BMN 701 20 mg/kg
Age, Continuous
47.9 years
STANDARD_DEVIATION 13.27 • n=5 Participants
Age, Customized
18-65
22 Participants
n=5 Participants
Age, Customized
> 65
2 Participants
n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White
24 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
0 Participants
n=5 Participants
Region of Enrollment
Belgium
1 Participants
n=5 Participants
Region of Enrollment
Germany
9 Participants
n=5 Participants
Region of Enrollment
United Kingdom
7 Participants
n=5 Participants
Region of Enrollment
United States
7 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Week 24

Population: Full Analysis Set. Please note the Overall Number of Participants reflects the number of patients in the Analysis Population, while the Number Analyzed of patients at specific visit in the Outcome Measure Table reflects the participants who had data at that visit .

Pulmonary function test: Percent Predicted Maximum Inspiratory Pressure

Outcome measures

Outcome measures
Measure
BMN701 20 mg/kg
n=18 Participants
BMN701 20 mg/kg
Percent Predicted Maximum Inspiratory Pressure (MIP)
Change from Baseline to Week 24
2.2 Percent Predicted
Standard Deviation 8.3
Percent Predicted Maximum Inspiratory Pressure (MIP)
Baseline
50.0 Percent Predicted
Standard Deviation 17.5

SECONDARY outcome

Timeframe: Baseline, Week 24

Population: Full Analysis Set. Please note the Overall Number of Participants reflects the number of patients in the Analysis Population, while the Number Analyzed of patients at specific visit in the Outcome Measure Table reflects the participants who had data at that visit .

Pulmonary function test: Percent Predicted Maximum Expiratory Pressure

Outcome measures

Outcome measures
Measure
BMN701 20 mg/kg
n=18 Participants
BMN701 20 mg/kg
Percent Predicted Maximum Expiratory Pressure (MEP)
Baseline
38.9 Percent Predicted
Standard Deviation 12.3
Percent Predicted Maximum Expiratory Pressure (MEP)
Change from Baseline to Week 24
3.1 Percent Predicted
Standard Deviation 8.7

SECONDARY outcome

Timeframe: Baseline, Week 24

Population: Full Analysis Set. Please note the Overall Number of Participants reflects the number of patients in the Analysis Population, while the Number Analyzed of patients at specific visit in the Outcome Measure Table reflects the participants who had data at that visit .

Distance walked within 6 minutes

Outcome measures

Outcome measures
Measure
BMN701 20 mg/kg
n=17 Participants
BMN701 20 mg/kg
6 Minute Walk Test (Meters)
Baseline
345.8 Meter
Standard Deviation 95.3
6 Minute Walk Test (Meters)
Change from Baseline to Week 24
26.1 Meter
Standard Deviation 40.6

SECONDARY outcome

Timeframe: Baseline, Week 24

Population: Full Analysis Set. Please note the Overall Number of Participants reflects the number of patients in the Analysis Population, while the Number Analyzed of patients at specific visit in the Outcome Measure Table reflects the participants who had data at that visit .

Pulmonary function test: Percent Predicted Upright Forced Vital Capacity

Outcome measures

Outcome measures
Measure
BMN701 20 mg/kg
n=18 Participants
BMN701 20 mg/kg
Percent Predicted Upright Forced Vital Capacity (FVC)
Baseline
60.7 Percent Predicted
Standard Deviation 15.1
Percent Predicted Upright Forced Vital Capacity (FVC)
Change from Baseline to Week 24
-3.7 Percent Predicted
Standard Deviation 4.4

SECONDARY outcome

Timeframe: Baseline through Week 24 +4 weeks follow-up

Population: Full Analysis Set.

Number of participants with non-serious Adverse Events. Data is taken at final time point of Week 24, compared to baseline. For full AE data, please see AE section.

Outcome measures

Outcome measures
Measure
BMN701 20 mg/kg
n=24 Participants
BMN701 20 mg/kg
Number of Participants With Non-Serious AEs
23 Participants

Adverse Events

BMN 701 20 mg/kg

Serious events: 10 serious events
Other events: 23 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
BMN 701 20 mg/kg
n=24 participants at risk
BMN 701 20 mg/kg
Cardiac disorders
Atrial fibrillation
4.2%
1/24 • Number of events 1 • 28 weeks (24 weeks trial + 4 weeks follow up)
Gastrointestinal disorders
Abdominal pain upper
4.2%
1/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Immune system disorders
Anaphylactic reaction
4.2%
1/24 • Number of events 1 • 28 weeks (24 weeks trial + 4 weeks follow up)
Injury, poisoning and procedural complications
Fall
4.2%
1/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Investigations
Blood creatine phosphokinase increased
4.2%
1/24 • Number of events 1 • 28 weeks (24 weeks trial + 4 weeks follow up)
Metabolism and nutrition disorders
Hypoglycaemia
4.2%
1/24 • Number of events 1 • 28 weeks (24 weeks trial + 4 weeks follow up)
Musculoskeletal and connective tissue disorders
Pain in extremity
4.2%
1/24 • Number of events 1 • 28 weeks (24 weeks trial + 4 weeks follow up)
Respiratory, thoracic and mediastinal disorders
Pneumothorax
4.2%
1/24 • Number of events 1 • 28 weeks (24 weeks trial + 4 weeks follow up)
Respiratory, thoracic and mediastinal disorders
Respiratory failure
4.2%
1/24 • Number of events 1 • 28 weeks (24 weeks trial + 4 weeks follow up)
Skin and subcutaneous tissue disorders
Erythema nodosum
4.2%
1/24 • Number of events 1 • 28 weeks (24 weeks trial + 4 weeks follow up)
Vascular disorders
Hypertension
4.2%
1/24 • Number of events 1 • 28 weeks (24 weeks trial + 4 weeks follow up)

Other adverse events

Other adverse events
Measure
BMN 701 20 mg/kg
n=24 participants at risk
BMN 701 20 mg/kg
Cardiac disorders
Palpitations
16.7%
4/24 • Number of events 5 • 28 weeks (24 weeks trial + 4 weeks follow up)
Gastrointestinal disorders
Abdominal discomfort
8.3%
2/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Gastrointestinal disorders
Abdominal distension
8.3%
2/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Gastrointestinal disorders
Abdominal pain upper
8.3%
2/24 • Number of events 3 • 28 weeks (24 weeks trial + 4 weeks follow up)
Gastrointestinal disorders
Diarrhoea
20.8%
5/24 • Number of events 8 • 28 weeks (24 weeks trial + 4 weeks follow up)
Gastrointestinal disorders
Nausea
33.3%
8/24 • Number of events 22 • 28 weeks (24 weeks trial + 4 weeks follow up)
Gastrointestinal disorders
Vomiting
16.7%
4/24 • Number of events 7 • 28 weeks (24 weeks trial + 4 weeks follow up)
General disorders
Chest discomfort
8.3%
2/24 • Number of events 3 • 28 weeks (24 weeks trial + 4 weeks follow up)
General disorders
Chills
16.7%
4/24 • Number of events 6 • 28 weeks (24 weeks trial + 4 weeks follow up)
General disorders
Fatigue
20.8%
5/24 • Number of events 8 • 28 weeks (24 weeks trial + 4 weeks follow up)
General disorders
Pain
8.3%
2/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Infections and infestations
Lower respiratory tract infection
12.5%
3/24 • Number of events 4 • 28 weeks (24 weeks trial + 4 weeks follow up)
Infections and infestations
Nasopharyngitis
16.7%
4/24 • Number of events 5 • 28 weeks (24 weeks trial + 4 weeks follow up)
Infections and infestations
Pharyngitis
8.3%
2/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Infections and infestations
Upper respiratory tract infection
8.3%
2/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Infections and infestations
Viral infection
12.5%
3/24 • Number of events 3 • 28 weeks (24 weeks trial + 4 weeks follow up)
Injury, poisoning and procedural complications
Fall
20.8%
5/24 • Number of events 6 • 28 weeks (24 weeks trial + 4 weeks follow up)
Injury, poisoning and procedural complications
Infusion related reaction
8.3%
2/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Metabolism and nutrition disorders
Hypoglycaemia
66.7%
16/24 • Number of events 165 • 28 weeks (24 weeks trial + 4 weeks follow up)
Musculoskeletal and connective tissue disorders
Arthralgia
8.3%
2/24 • Number of events 5 • 28 weeks (24 weeks trial + 4 weeks follow up)
Musculoskeletal and connective tissue disorders
Back pain
20.8%
5/24 • Number of events 12 • 28 weeks (24 weeks trial + 4 weeks follow up)
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
16.7%
4/24 • Number of events 4 • 28 weeks (24 weeks trial + 4 weeks follow up)
Musculoskeletal and connective tissue disorders
Myalgia
12.5%
3/24 • Number of events 5 • 28 weeks (24 weeks trial + 4 weeks follow up)
Musculoskeletal and connective tissue disorders
Neck pain
8.3%
2/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Musculoskeletal and connective tissue disorders
Pain in extremity
20.8%
5/24 • Number of events 6 • 28 weeks (24 weeks trial + 4 weeks follow up)
Nervous system disorders
Dizziness
33.3%
8/24 • Number of events 12 • 28 weeks (24 weeks trial + 4 weeks follow up)
Nervous system disorders
Headache
54.2%
13/24 • Number of events 50 • 28 weeks (24 weeks trial + 4 weeks follow up)
Nervous system disorders
Lethargy
8.3%
2/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Nervous system disorders
Tremor
16.7%
4/24 • Number of events 5 • 28 weeks (24 weeks trial + 4 weeks follow up)
Psychiatric disorders
Insomnia
8.3%
2/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Respiratory, thoracic and mediastinal disorders
Dyspnoea
25.0%
6/24 • Number of events 12 • 28 weeks (24 weeks trial + 4 weeks follow up)
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
8.3%
2/24 • Number of events 4 • 28 weeks (24 weeks trial + 4 weeks follow up)
Respiratory, thoracic and mediastinal disorders
Nasal congestion
16.7%
4/24 • Number of events 4 • 28 weeks (24 weeks trial + 4 weeks follow up)
Respiratory, thoracic and mediastinal disorders
Nasal obstruction
8.3%
2/24 • Number of events 3 • 28 weeks (24 weeks trial + 4 weeks follow up)
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
20.8%
5/24 • Number of events 5 • 28 weeks (24 weeks trial + 4 weeks follow up)
Skin and subcutaneous tissue disorders
Cold sweat
8.3%
2/24 • Number of events 3 • 28 weeks (24 weeks trial + 4 weeks follow up)
Skin and subcutaneous tissue disorders
Hyperhidrosis
8.3%
2/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Skin and subcutaneous tissue disorders
Pruritus
8.3%
2/24 • Number of events 4 • 28 weeks (24 weeks trial + 4 weeks follow up)
Skin and subcutaneous tissue disorders
Rash
8.3%
2/24 • Number of events 2 • 28 weeks (24 weeks trial + 4 weeks follow up)
Vascular disorders
Hypotension
12.5%
3/24 • Number of events 3 • 28 weeks (24 weeks trial + 4 weeks follow up)

Additional Information

Debra Lounsbury, Principal Scientist, Clinical Sciences

BioMarin Pharmaceuticals

Phone: 415-506-6348

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place