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Phase 2 N=31 Treatment

Safety and Efficacy Study of Sebelipase Alfa in Participants With Lysosomal Acid Lipase Deficiency

Lysosomal Acid Lipase Deficiency

Enrolled (actual)
31
Serious AEs
22.5%
Results posted
Jan 2019
Primary outcome: Primary: Participants Experiencing Severe Treatment-emergent Adverse Events (TEAEs) — 1; 1; 2 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Sebelipase Alfa (Drug)
Age
Pediatric, Adult, Older Adult · 0+ yrs
Sex
All
Sponsor
Alexion Pharmaceuticals, Inc.
Primary completion
Dec 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Participants Experiencing Severe Treatment-emergent Adverse Events (TEAEs)
1; 1; 2
SECONDARY
Percent Change In Serum Lipids From Baseline To Week 144
-37.5; -29.2; -22.5; 76.5; 24.2; 6.1
SECONDARY
Participants Testing Positive For Anti-drug Antibodies (ADAs)
2; 0
SECONDARY
Percent Change In Body Mass Index (BMI)-For-Age Percentile From Baseline To Week 144 In Pediatric Participants
26.45
SECONDARY
Shift In Child-Pugh Status From Baseline To Week 144
16; 1; 1

Summary

This study evaluated the safety and efficacy of sebelipase alfa in a broad population of participants with lysosomal acid lipase deficiency (LAL-D).

Eligibility Criteria

Key Inclusion Criteria

  • Participant was >8 months of age at the time of dosing.
  • Confirmation of LAL-D diagnosis as determined by the central laboratory or, for participants with prior hematopoietic stem cell transplant or liver transplant, historical enzyme activity or molecular genetic testing confirming a diagnosis of LAL-D.
  • Participants >8 months but <4 years of age at Screening had at least 1 of the following documented clinical manifestations of LAL-D:
  • Dyslipidemia
  • Elevated transaminases
  • Impaired growth
  • Suspected malabsorption
  • Other clinical manifestation of LAL-D
  • Participants ≥4 years of age at Screening had at least 1 of the following documented clinical manifestations of LAL-D:
  • Evidence of advanced liver disease
  • Histologically confirmed disease recurrence in participants with past liver or hematopoietic transplant
  • Persistent dyslipidemia
  • Suspected malabsorption
  • Other clinical manifestation of LAL-D

Key Exclusion Criteria

  • Participant had known causes of active liver disease other than LAL-D, which had not been adequately treated.
  • Participant received a hematopoietic stem cell or liver transplant <2 years from the time of dosing.
  • Participant with co-morbidities other than complications due to LAL-D, which were irreversible or associated with a high mortality risk within 6 months or would interfere with study compliance or data interpretation.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02112994). 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.

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