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UX007

Phase 2

Carnitine Palmitoyltransferase (CPT I or CPT II) Deficiency | Small molecule | Other |Ultragenyx Pharmaceutical Inc.|Last Updated: Aug 1, 2023

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 Enrollment94
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02214160Long-Chain Fatty Acid Oxidation Disorders (LC-FAOD) Extension Study for Subjects Previously Enrolled in Triheptanoin StudiesPHASE2 COMPLETED 94Dec 9, 2014Dec 3, 2020Aug 1, 202311 United States, United Kingdom
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Study Endpoints
Primary Endpoints
Annualized LC-FAOD Major Clinical Events (MCEs) Rate: 18 Months Pre- and Entire UX007 Period Comparison for UX007-CL201-Rollover Cohort
Pre-UX007 treatment period (up to 18 months) and post-UX007 treatment period (up to 2072 days)

The annualized LC-FAOD MCE rate, inclusive of skeletal myopathy (rhabdomyolysis), hepatic (hypoglycemia) and cardiomyopathy events, defined as any visit to the emergency room (ER)/acute care, hospitalization, emergency intervention (i.e. any unscheduled administration of therapeutics at home or in the clinic), or any similar event whether caused primarily by LC-FAOD or by an intercurrent illness complicated by LC-FAOD. The annualized event rate was calculated at the number of events divided by the duration of data collection period in days/365.25

Annualized LC-FAOD MCEs Rate: 18 Months Pre- and Entire UX007 Period Comparison for IST/Other Cohort and Triheptanoin-Naïve Cohort
Pre-UX007 treatment period (up to 18 months) and post-UX007 treatment period (up to 2072 days)

The annualized LC-FAOD MCE rate, inclusive of skeletal myopathy (rhabdomyolysis), hepatic (hypoglycemia) and cardiomyopathy events, defined as any visit to the emergency room (ER)/acute care, hospitalization, emergency intervention (i.e. any unscheduled administration of therapeutics at home or in the clinic), or any similar event whether caused primarily by LC-FAOD or by an intercurrent illness complicated by LC-FAOD. The annualized event rate was calculated at the number of events divided by the duration of data collection period in days/365.25

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) or Serious TEAEs
Post-UX007 treatment through the end of treatment (up to 2072 days) plus 30-35 days

An adverse event (AE) was defined as any untoward medical occurrence, whether or not considered drug related. A serious adverse event (SAE) results in any of the following outcomes: death; a life-threatening AE; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant incapacity or disability; a congenital anomaly/birth defect; an important medical event. AEs were graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 (mild=1, moderate=2, severe=3, life-threatening=4, death=5).

Secondary Endpoints
Change From Baseline in Echocardiogram (ECHO) Parameters Over Time: Left Ventricular Mass Index (LVMI)
Baseline, Month 12, Month 24, Month 36, Month 48, Month 60
Change From Baseline in ECHO Parameters Over Time: Left Ventricular Mass (LVM)
Baseline, Month 12, Month 24, Month 36, Month 48, Month 60
Change From Baseline in ECHO Parameters Over Time: Left Ventricular Diameter (LVD)
Baseline, Month 12, Month 24, Month 36, Month 48, Month 60
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
UX007EXPERIMENTALParticipants previously treated with UX007 or treatment-naive participants will begin or continue treatment with daily open-label UX007 while maintaining their other dietary restrictions.
Interventions
NameTypeDescription
UX007DRUGAdministered orally (PO) with food or by gastrostomy tube, at the target dose range of 25-35% of total calories.
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Eligibility Criteria
Age Range6 Months — N/A
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: 1. Male or female, 6 months of age or older 2. Prior participation in a clinical study assessing UX007/triheptanoin treatment for LC FAOD. Study Sponsors/Collaborators include: Oregon Health \& Science University, University of Pittsburgh, and Ultragenyx Pharmaceutical (Clinical...

Countries:United StatesUnited Kingdom
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