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Phase 3 N=118 Randomized Quadruple-blind Treatment

Efficacy and Safety of Lucerastat Oral Monotherapy in Adult Subjects With Fabry Disease

Fabry Disease

Enrolled (actual)
118
Serious AEs
5.1%
Results posted
Aug 2024
Primary outcome: Primary: Neuropathic Pain Monthly Score: Change From Baseline to Month 6 — -1.64; -2.05 score on a scale — p=0.3189

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Lucerastat (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Idorsia Pharmaceuticals Ltd.
Primary completion
Aug 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Neuropathic Pain Monthly Score: Change From Baseline to Month 6
-1.64; -2.05 0.3189
SECONDARY
Plasma Globotriaosylceramide (Gb3; in ng/ml): Change From Baseline to Month 6
-672.68; 200.84 <0.0001 sig
SECONDARY
Abdominal Pain Monthly Score: Change From Baseline to Month 6
-1.37; -1.68 0.4676
SECONDARY
Number of Days With Diarrhea: Change From Baseline to Month 6
-3.45; -3.95 0.8986

Summary

This study aimed to determine the efficacy and safety of lucerastat oral monotherapy in adult subjects with Fabry disease.

Eligibility Criteria

Inclusion Criteria

  • Signed and dated ICF prior to any study-mandated procedure;
  • Male or female adult subjects;
  • FD diagnosis confirmed with local genetic test results;
  • Fabry-associated neuropathic pain, as defined by the subject, in the last 3 months prior to screening;
  • Enzyme replacement therapy (ERT) status:
  • Subject never treated with ERT; or
  • Subject has not received ERT for at least 6 months prior to screening; or
  • Subject treated with ERT since at least 12 months at the time of the screening visit, and agreeing to stop ERT for approximately 8 months.
  • A woman of childbearing potential is eligible only under certain conditions, e.g. taking contraceptive measures.
  • Subjects with moderate or severe neuropathic pain during the screening period.

Exclusion Criteria

  • Pregnant, planning to be become pregnant, or lactating subject.
  • Severe renal insufficiency (eGFR < 30 mL/min/1.73 m2) at screening.
  • Subject on regular dialysis for the treatment of chronic kidney disease.
  • Known and documented transient ischemic attack, stroke, unstable angina, or myocardial infarction within 6 months prior to screening.
  • Clinically significant unstable cardiac disease (e.g. uncontrolled symptomatic arrhythmia, congestive heart failure NYHA class III or IV).
  • Any known factor or disease that might interfere with treatment compliance, study conduct or interpretation of the results.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03425539). 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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