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Sapropterin

Phase 2

Sickle Cell Disease | Small molecule | Hematology |BioMarin Pharmaceutical Inc.|Last Updated: Feb 25, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDBiomarker
Total Trials1
Total Enrollment32
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00445978A Phase 2 Study of the Effects of 6R-BH4 in Subjects With Sickle Cell DiseasePHASE2 COMPLETED 32May 1, 2007Jun 1, 2009Feb 25, 202112 United States
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Study Endpoints
Primary Endpoints
Number of Subjects With Treatment Emergent Adverse Events (TEAEs)
Up to 16 weeks

A treatment-emergent adverse events (TEAE) is any adverse events that newly appeared, increased in frequency or worsened in severity following initiation of study drug administration.

Secondary Endpoints
Change From Baseline in the Peripheral Arterial Tonometry (PAT) Scores
At Baseline, Week 4, 8, 12 and 16.
Change From Baseline in the Urine 8-Isoprostane
At Baseline, Week 4, 8, 12 and 16.
Change From Baseline in the Urine Spot Albumin to Creatinine Ratio
At Baseline, Week 4, 8, 12 and 16.
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Sapropterin dihydrochlorideEXPERIMENTAL2.5, 5, 10, 20 mg/kg/day of sapropterin dihydrochloride during a 16-week dose escalation phase, with dose levels increasing within subjects every 4 weeks, with an optional extension phase at the highest tolerated dose for up to a total of 2 years.
Interventions
NameTypeDescription
Sapropterin DihydrochlorideDRUGSubjects will receive oral, once-daily (for 2.5, 5, 10mg/kg/day doses) or twice-daily (for the 20 mg/kg/day dose) sapropterin dihydrochloride during a 16-week dose escalation phase, with dose levels increasing within subjects every 4 weeks as follows: 2.5, 5, 10, and 20 mg/kg/day. Dosing was with 100 mg tablets and rounded to the nearest whole tablet. Each dose was taken within 1 hour after the morning meal. Subjects may continue in an optional extension phase at the highest tolerated dose for up to a total of 2 years.
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Eligibility Criteria
Age Range15 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites12

Inclusion Criteria: * Diagnosis of SCD, as confirmed by hemoglobin electrophoresis. * At least 15 years of age. * Dosage of medication(s) used to treat cardiac disease, hypertension (eg, calcium-channel blockers), elevated cholesterol, iron overload (eg, desferoxamine) and type 2 diabetes must be u...

Countries:United States
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