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Phase 2 N=8 Treatment

Study of UX003 Recombinant Human Beta-Glucuronidase (rhGUS) Enzyme Replacement Treatment in Mucopolysaccharidosis Type 7, Sly Syndrome (MPS 7) Patients Less Than 5 Years of Age

Sly Syndrome · MPS VII · Mucopolysaccharidosis · Mucopolysaccharidosis VII

Enrolled (actual)
8
Serious AEs
37.5%
Results posted
Oct 2019
Primary outcome: Primary: Percent Change From Baseline in uGAG Excretion (LC-MS/MS-DS) at Week 48 — -58.17 percent change — p=< 0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
UX003 (Drug)
Age
Pediatric · 0+ yrs
Sex
All
Sponsor
Ultragenyx Pharmaceutical Inc
Primary completion
Mar 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Percent Change From Baseline in uGAG Excretion (LC-MS/MS-DS) at Week 48
-58.17 < 0.0001 sig
PRIMARY
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuations Due to TEAEs
8; 3; 5; 1; 2; 0
SECONDARY
Change From Baseline Over Time in Standing Height
1.94; 15.00; 3.71; 20.00; 5.64; 6.57
SECONDARY
Change From Baseline Over Time in Standing Height Z-Score
0.106; -0.481; 0.188; 0.314; 0.314; 0.196
SECONDARY
Change From Baseline Over Time in Head Circumference
0.36; 12.50; 0.54; 12.00; -0.27; 0.79
SECONDARY
Change From Baseline Over Time in Head Circumference Z-Score
0.052; 3.804; 0.177; 3.263; -0.733; -0.218
SECONDARY
Change From Baseline Over Time in Weight
5.54; 0.69; 5.94; 1.21; 5.94; 1.46
SECONDARY
Post-UX003 Growth Velocity (cm/yr) for Participants With Both Historical Pre-UX003 (Within 2 Years) and Post-UX003 Data
6.20
SECONDARY
Change From Pre-Treatment (Within 2 Years) to Post-Treatment Growth Velocity Z-Score
2.291 0.2655
SECONDARY
Change From Baseline Over Time in Liver Measurement
-0.30; -0.87; 0.70; -1.16; -0.40; -0.85 0.0122 sig
SECONDARY
Change From Baseline Over Time in Spleen Measurement
0.00; -0.37; -0.10; -0.03; -1.60; -0.16 0.0843

Summary

The primary objective was to evaluate the effect of UX003 treatment in pediatric MPS VII participants less than 5 years of age on safety, tolerability, and efficacy as determined by the reduction of urinary glycosaminoglycans (uGAG) excretion.

Eligibility Criteria

Inclusion Criteria

  • Confirmed diagnosis of MPS 7 based on leukocyte or fibroblast glucuronidase enzyme assay, or genetic testing.
  • Under 5 years of age at the time of informed consent.
  • Written informed consent of Legally Authorized Representative after the nature of the study has been explained, and prior to any research-related procedures.

Exclusion Criteria

  • Undergone a successful bone marrow or stem cell transplant or has evidence of any degree of detectable chimaerism with donor cells.
  • Any known hypersensitivity to rhGUS or its excipients that, in the judgment of the Investigator, places the subject at increased risk for adverse effects.
  • Use of any investigational product (drug or device or combination) other than UX003 within 30 days prior to Screening, or requirement for any investigational agent prior to completion of all scheduled study assessments at any time during the study.
  • Has a condition of such severity and acuity, in the opinion of the Investigator, which may not allow safe study participation. For patients with hydrops fetalis, the ongoing interventions to manage fluid balance can be continued; if the addition of enzyme replacement therapy (ERT) is considered a fluid-overload risk, the individual should be excluded.
  • Has a concurrent disease or condition that, in the view of the Investigator, places the subject at high risk of poor treatment compliance or of not completing the study, or would interfere with study participation or affect safety. Since hydropic patients have a high rate of mortality, the risk of death prior to 1 year of age should not be considered sufficient to exclude the patient from the study for compliance.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02418455). 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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