German Observational Multicenter Study of Patients With Fabry Disease Under Chaperone Therapy With Migalastat-HCl.

NCT ID: NCT03135197

Last Updated: 2021-01-05

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 75 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2017-06-08
• Study Completion Date: 2020-06-30

Brief Summary

The objective of the study is to document long term data on treatment with Migalastat under "real world" conditions. The selection of patients is based on the SmPC/Fachinformation. The study duration/patient will be 2 years.

Detailed Description

Phase 3 data should be confirmed in this study with long-term data.

• LVMI is expected to remain stable or to be ameliorated over an average of 24 months treatment duration. The LVMI reduction observed in patients followed up to 24 months is expected to be significantly reduced with a mean change of -6.6 g/m2 (-11.0, -2.1, 95% CI).
• eGFR [CKD-EPI] is expected to remain stable over an average of 24 months treatment duration. The long-term effect of Migalastat on eGFR is expected to be comparable to the decline over time in healthy adults. The annualized rate of change over this period is expected to be ≤1 mL/min/1.73 m2 in females and ≤3 mL/min/1.73 m2 in males.
• Significant reduction is expected in plasma lyso-Gb3 concentration at month 6, month 12 and month 24 following treatment with Migalastat.
• ERT-naïve patients treated with Migalastat are expected to show an improvement of GI symptoms (diarrhea) over 24 months.
• No progression of White Matter Lesions (WML) during treatment duration is expected.
• No higher frequency of stroke/transient cerebral ischemia during treatment duration is expected.
• Severity of neuropathic pain is expected to remain stable or to improve during treatment duration.
• Dosing/amount of symptomatic medications of neuropathic symptoms is expected to decrease during treatment duration.

Conditions

Fabry Disease

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

Migalastat

Migalastat administered according to SmPC

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

• Males and females, 16 to 74 years, diagnosed with Fabry disease.
• Amenable GLA mutation.
• Treatment with Migalastat (initiation of therapy according to recommendations for initiation and cessation of enzyme replacement therapy in patients with Fabry disease: the European Fabry Working Group consensus document. Biegstraaten et al, Orphanet J Rare Dis. 2015;10:36. AWMF-Leitlinien Morbus Fabry, Diagnose und Therapie, Registernummer 030-134).

• ERT naïve (patients with signs of organ involvement (kidney, heart and/or CNS signs) to be considered for ERT following the European Consensus Guidelines on ERT (Biegstraaten et al 2015) or patients with neuropathic pain not controlled with pain medication or patients with GI symptoms not relieved with standard medication or ERT switch patients (under ERT for ≥12 months).
• Estimated GFR (eGFR, CKD-EPI formula) at screening ≥30 ml/min/1.73 m2
• Subjects taking no ACE inhibitors, ARBs, or renin inhibitors or are on a stable dose for at least 4 weeks before screening.
• Subjects taking no analgesics/antidepressants or are on a stable dose for at least 4 weeks before screening.

Exclusion Criteria

• Patient has a non-amenable GLA mutation or the mutation A143T or D313Y (for verification of amenable mutations please refer to: www.GalafoldAmenablityTable.com or to the "Fachinformation").
• Patient is unwilling to give informed consent.
• Patient is unable to comply with the clinical protocol.
• Patients on co-medication: Galafold plus Enzyme Replacement Therapy (ERT)
• Pregnant or breast feeding women.

• Patients on dialysis
• Patient has a clinically significant organ disease (e.g. cancer in the past 5 years) that in the opinion of the investigator would preclude participation in the trial.
• Patients with a history of organ transplantation.

• Minimum Eligible Age: 16 Years
• Maximum Eligible Age: 74 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Amicus Therapeutics

INDUSTRY

Sponsor Role: collaborator

University Hospital Muenster

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Eva Brand, Prof.

Role: PRINCIPAL_INVESTIGATOR

University Hospital Muenster

Locations

Universtiy Hospital Münster

Münster, , Germany

Countries

Germany

Other Identifiers

Fabry_Migalastat

Identifier Type: -

Identifier Source: org_study_id