Phase 3
Completed N=170
A Study of Eliglustat Tartrate (Genz-112638) in Patients With Gaucher Disease to Evaluate Once Daily Versus Twice Daily Dosing (EDGE)
Source: ClinicalTrials.gov NCT01074944 ↗Enrolled (actual)
170
Serious AEs
23.5%
Results posted
Dec 2016
Primary outcomePrimary: PAP: Percentage of Participants Who Remained Stable for 52 Weeks During the PAP — 80.4; 83.1 percentage of participants
◆ Published Evidence
Established
26citations · ~3 / year
Once- versus twice-daily dosing of eliglustat in adults with Gaucher disease type 1: The Phase 3, randomized, double-blind EDGE trial.
Summary
The primary objective of this study was to evaluate the efficacy and safety of once daily (QD) versus twice daily (BID) dosing of eliglustat tartrate (Genz-112638) in participants with Gaucher disease type 1 who had demonstrated clinical stability on BID dosing of eliglustat tartrate (Genz-112638). The secondary objective was to evaluate the pharmacokinetics (PK) of Genz-99067 when eliglustat tartrate (Genz-112638) was administered QD and BID in participants with Gaucher disease type 1 who had demonstrated clinical stability on BID dosing of eliglustat tartrate (Genz-112638).
Linked Publications
-
Once- versus twice-daily dosing of eliglustat in adults with Gaucher disease type 1: The Phase 3, randomized, double-blind EDGE trial.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY PAP: Percentage of Participants Who Remained Stable for 52 Weeks During the PAP |
80.4; 83.1 | — |
| SECONDARY PAP: Mean Hemoglobin (Hb) Level at Baseline, Weeks 26 and 52 |
13.641; 13.691; 13.677; 13.946; 13.605; 13.824 | — |
| SECONDARY PAP: Mean Platelet Count at Baseline, Weeks 26, 52 |
204.01; 171.09; 195.75; 173.94; 207.20; 176.10 | — |
| SECONDARY PAP: Mean Spleen Volume at Baseline, Weeks 26, 52 |
3.309; 3.787; 3.066; 3.504; 3.017; 3.394 | — |
| SECONDARY PAP: Mean Liver Volume at Baseline, Weeks 26, 52 |
0.981; 1.040; 0.987; 1.024; 0.970; 1.009 | — |
| SECONDARY PAP: Mean Biomarker (Chitotriosidase) Value at Baseline, Weeks 26 and Week 52 |
1523.7; 1554.9; 1279.6; 1242.0; 1076.6; 1170.1 | — |
| SECONDARY PAP: Mean Biomarker (GL-1 on DBS) Value at Baseline, Week 26 and Week 52 |
2.257; 2.425; 2.481; 2.563; 2.853; 2.707 | — |
| SECONDARY PAP: Mean Biomarker Macrophage Inflammatory Protein-1 Beta (MIP1-beta) Value at Baseline, Weeks 26, 52 |
77.7; 118.8; 74.5; 121.0; 81.3; 117.9 | — |
| SECONDARY PAP: Bone Mineral Density (BMD) at Baseline and Week 52 |
1.073; 1.081; 1.089; 1.086; 0.979; 1.000 | — |
| SECONDARY PAP: Total T-Scores for BMD at Baseline and Week 52 |
-0.722; -0.771; -0.580; -0.717; -0.459; -0.368 | — |
| SECONDARY PAP: Total Z-scores for BMD at Baseline and Week 52 |
-0.492; -0.609; -0.324; -0.555; -0.171; -0.115 | — |
| SECONDARY PAP: Number of Participants With Mobility Status Asessments (MS) at Baseline, Weeks 26, and 52. |
49; 59; 46; 56; 50; 57 | — |
| SECONDARY PAP: Number of Participants With Bone Crises at Baseline, Weeks 26 and 52 |
55; 57; 54; 56; 56; 57 | — |
| SECONDARY PAP: Number of Participants With Bone Pain Levels During the Past 4 Weeks at Baseline, Weeks 26 and 52 |
42; 49; 42; 49; 41; 45 | — |
| SECONDARY PAP: Total Bone Marrow Burden Score (BMB) at Baseline and Week 52 |
8.276; 9.136; 7.971; 8.705 | — |
| SECONDARY LIP: Mean Hemoglobin (Hb) Level at Baseline, Weeks 26, 52 and 78 |
13.435; 13.443; 13.434; 13.329 | — |
| SECONDARY LIP: Mean Platelet Count at Baseline, Weeks 26, 52 and 78 |
178.653; 180.021; 176.378; 168.720 | — |
| SECONDARY LIP: Mean Liver Volume at Baseline, Weeks 26, 52 and 78 |
1.044; 1.040; 1.059; 1.062 | — |
| SECONDARY LIP: Mean Spleen Volume at Baseline, Weeks 26, 52 and 78 |
4.448; 3.840; 4.094; 4.088 | — |
| SECONDARY LIP: Mean Biomarker (Chitotriosidase) Value at Baseline, Weeks 26, 52, and 78 |
2437.92; 1802.93; 1755.70; 1677.02 | — |
| SECONDARY LIP: Mean Biomarker (GL-1 on DBS) Value at Baseline, Week 26, Week 52, and Week 78 |
4.358; 2.340; 2.279; 2.495 | — |
| SECONDARY LIP: Mean Biomarker (MIP1-beta) Value at Baseline, Week 78 |
142.433; 132.180 | — |
| SECONDARY LIP: Number of Participants With Mobility Status (MS) at Baseline, Weeks 26, 52 and 78 |
146; 153; 70; 39; 12; 6 | — |
| SECONDARY LIP: Number of Participants With Bone Crises Assessment at Baseline, Weeks 26, 52 and 78 |
151; 159; 72; 41; 8; 3 | — |
| SECONDARY LIP: Number of Participants With Bone Pain Levels During the Past 4 Weeks at Baseline, Weeks 26, 52 and 78 |
112; 125; 62; 39; 17; 14 | — |
| SECONDARY LTTP: Percentage of Participants Who Maintained a Stable Bone Criterion ,Hemoglobin Level, Platelet Count, Liver Volume and Spleen Volume at 1 Year and 2 Years |
92.3; 84.4; 92.3; 81.3; 93.3; 84.4 | — |
| SECONDARY LTTP: Number of Participants With Mobility Status (MS) at Baseline, 1 Year and 2 Years |
111; 97; 28; 7; 4; 2 | — |
| SECONDARY LTTP: Number of Participants With Bone Crises Assessment at Baseline, 1 Year and 2 Years |
119; 104; 32; 1; 0; 0 | — |
| SECONDARY LTTP: Number of Participants With Bone Pain Levels During the Past 4 Weeks at Baseline, 1 Year, and 2 Years |
91; 83; 32; 12; 9; 0 | — |
| SECONDARY LTTP: Bone Mineral Density (BMD) at Baseline, 1 Year, and 2 Years |
1.087; 1.083; 1.082; 0.986; 0.994; 0.950 | — |
| SECONDARY LTTP: Total T-Scores for BMD at Baseline, 1 Year, and 2 Years |
-0.674; -0.718; -0.750; -0.421; -0.382; -0.682 | — |
| SECONDARY LTTP: Total Z-scores for BMD at Baseline, 1 Year, and 2 Years |
-0.460; -0.512; -0.385; -0.164; -0.132; -0.264 | — |
| SECONDARY LTTP: Total Bone Marrow Burden Score (BMB) at Baseline, 1 Year, and 2 Years |
8.164; 7.853; 8.059 | — |
| SECONDARY LTTP: Mean Biomarker (Chitotriosidase) Value at Baseline, 1 Year, and 2 Years |
1188.983; 1221.753; 598.161 | — |
| SECONDARY LTTP: Mean Biomarker (GL-1 on DBS) Value at Baseline, 1 Year, and 2 Years |
2.725; 2.500; 2.238 | — |
| SECONDARY LTTP: Mean Biomarker (MIP1-beta) Value at Baseline, 1 Year, and 2 Years |
97.857; 90.398; 68.445 | — |
Eligibility Criteria
Inclusion Criteria
- The participant who was willing and provided signed informed consent prior to any study-related procedures.
- The participant was ≥18 years of age.
- The participant diagnosed with GD 1 confirmed by a documented deficiency of acid β-glucosidase activity by enzyme assay.
- Female participants of childbearing potential had a documented negative pregnancy test prior to administration of the first dose of eliglustat tartrate (Genz-112638) in this study. In addition, all female participants of childbearing potential used a medically accepted form of contraception throughout the study, i.e., either a barrier method or hormonal contraceptive with norethindrone and ethinyl estradiol or similar active components
- The participant met all of the following criteria at the time of screening: hemoglobin level ≥9 g/dL (mean of 2 measurements); platelet count ≥70,000/mm^3 (mean of 2 measurements); spleen volume ≤25 multiples of normal (MN); liver volume ≤2.0 MN.
- The participant consented to provide a blood sample for genotyping for Gaucher disease and for CYP2D6 to categorize the participant's predicted rate of metabolism, if these genotyping results were not already available for the participant.
- The participant was willing to abstain from consumption of grapefruit, grapefruit juice, or grapefruit products for 72 hours prior to administration of the first dose of Genz-112638 and throughout the duration of the study.
Exclusion Criteria
- The participant was participating in GZGD02607 study, "A Phase 3, Randomized, Multi-Center, Multi-National, Open-Label, Active Comparator Study to Evaluate the Efficacy and Safety of Genz-112638 in Participants with GD1 who have been Stabilized with Cerezyme ® ," or was eligible for inclusion in GZGD02607 (while enrollment was ongoing) and had access to a physician participating in GZGD02607, or the participant was participating in GZGD02507 study, "A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study Confirming the Efficacy and Safety of Genz-112638 in Participants with GD1," or was eligible for inclusion in GZGD02507 (while enrollment was ongoing) and had access to a physician participating in GZGD02507.
- The participant received miglustat within 6 months prior to administration of the first dose of Genz-112638 in this study.
- The participant had a partial or total splenectomy within 3 years prior to randomization.
- The participant received pharmacological chaperones or miglustat within 6 months prior to administration of the first dose of eliglustat tartrate (Genz-112638) in this study.
- The participant had any evidence of neurologic disorder (e.g., peripheral neuropathy, tremor, seizures, Parkinsonism or cognitive impairment) or pulmonary involvement (e.g., pulmonary hypertension) as related to Gaucher disease.
- The participant was transfusion-dependent.
- The participant had a documented deficiency of iron, vitamin B-12, or folate that requires treatment not yet initiated or, if initiated, the participant had not been stable under treatment for at least 3 months prior to administration of the first dose of Genz-112638 in this study.
- The participant had documented prior esophageal varices or clinically significant liver infarction or current liver enzymes (alanine transaminase [ALT]/aspartate aminotransferase [AST]) or total bilirubin >2 times the upper limit of normal (ULN), unless the participant had a diagnosis of Gilbert Syndrome.
- The participant had any clinically significant disease, other than Gaucher disease, including cardiovascular, renal, hepatic, gastrointestinal, pulmonary, neurologic, endocrine, metabolic (including hypokalaemia or hypomagnesemia), or psychiatric disease, other medical conditions, or serious intercurrent illnesses that, in the opinion of the Investigator, precluded participation in the study.
- The participant was known to have any of the following: Clinically significant coronary artery disease including history
Data sourced from ClinicalTrials.gov (NCT01074944) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.