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Aldurazyme

Phase 3

Mucopolysaccharidosis I | Monoclonal antibody | Rare Disease |Sanofi|Last Updated: Apr 3, 2015

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials3
Total Enrollment68

FDA Designations

No designations recorded

Clinical trial landscape

Aldurazyme · 3 trials · 5 indications

Phase 3 2Phase 2 1
NCT00258011Study of Aldurazyme® Replacement Therapy in Patients With Mucopolysaccharidosis I (MPS I) DiseaseMucopolysaccharidosis I
COMPLETED3 Analytics
NCT00146770Phase 3 Extension Study of the Safety and Efficacy of Aldurazyme® (Laronidase) in Mucopolysaccharidosis I (MPS I) PatientsMucopolysaccharidosis I
COMPLETED45 Analytics
PHASE3COMPLETED
Study of Aldurazyme® Replacement Therapy in Patients With Mucopolysaccharidosis I (MPS I) Disease
Mucopolysaccharidosis IUnlock trial analytics
PHASE3COMPLETED
Phase 3 Extension Study of the Safety and Efficacy of Aldurazyme® (Laronidase) in Mucopolysaccharidosis I (MPS I) Patients
Mucopolysaccharidosis IUnlock trial analytics

Study Endpoints

Primary Endpoints

Safety Evaluation
Up to 73 Weeks

Overall Safety Summary of Adverse Events (AEs) during Treatment Safety assessment was based on the incidence of AE reports.

Change From Baseline to Week 182 in Percent Predicted Forced Vital Capacity (FVC)
Baseline to Week 182

Percent Predicted Forced Vital Capacity: the maximal exhaled breath volume following a maximal inhaled breath. Overall change from Baseline to Week 182 in percent predicted FVC = (observed value)/(predicted value) \* 100%). A higher value indicates a greater response.

Change From Baseline to Week 182 in Six Minute Walk Test (6MWT)
Baseline to Week 182

Six Minute Walk Test: Distance walked (measured in Meters) in 6 minutes. A longer distance indicates a greater response.

Pharmacokinetics - Area Under the (Plasma Concentration-time) Curve (AUC∞)
52 weeks

AUC∞ is a measure of the total exposure to a drug.

Pharmacokinetics - Elimination Half Life (t1/2)
52 weeks

Half-life is the time it takes for the concentration of drug in plasma to decline by 50%.

Pharmacokinetics - Total Plasma Clearance (CL)
52 weeks

CL is volume of the body fluid cleared of the drug per unit of time.

Pharmacokinetics - Volume of Distribution (Vz)
52 weeks

Vz is the volume that relates the amount of drug in the body after absorption is complete to the concentration of drug in the plasma.

Secondary Endpoints

Urinary Glycosaminoglycan (GAG) Excretion
Up to 73 Weeks
Change From Baseline to Week 182 in Apnea/Hypopnea Index (AHI)
Baseline to Week 182
Change From Baseline to Week 182 in Liver Volume
Baseline to Week 182
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Aldurazyme (laronidase) treatmentEXPERIMENTALPatients received weekly infusions of JC0498 (laronidase) at an intravenous dose of 100 Units/kg (0.58 mg/kg) body weight for up to 73 weeks.
Placebo/AldurazymeACTIVE_COMPARATORPatients received placebo for 26 weeks in the Double-Blind Study then received 182 weeks of Aldurazyme (0.58 mg/kg every week) in this Extension Study; patients received a total of 182 weeks of Aldurazyme.
Aldurazyme/AldurazymeACTIVE_COMPARATORPatients received 26 weeks of Aldurazyme in the Double-Blind Study and then received 182 weeks of Aldurazyme in this Extension Study; patients received a total of 208 weeks of Aldurazyme.
Aldurazyme (rhIDU) 100 U/kg ONLY every weekEXPERIMENTALPatients received Aldurazyme (recombinant human alpha-L-iduronidase (rhIDU)) once per week at a dose of 100 Units/kg (approximately 0.58 mg/kg) for up to 52 weeks - labeled dose.
Aldurazyme (rhIDU) 100-200 U/kg every weekEXPERIMENTALAfter receiving 100 Units/kg dose of Aldurazyme (rhIDU) for the first 25 weeks, patients enrolling after January 1, 2004 were eligible to receive an increased dose of 200 Units/kg from Week 26 onwards if the patient's urinary glycosaminoglycan (uGAG) levels were \>200µg/mg creatinine at Week 22.

Interventions

NameTypeDescription
Aldurazyme (Recombinant Human Alpha-L-Iduronidase)BIOLOGICAL0.58 mg/kg every week
AldurazymeBIOLOGICALPlacebo for 26 weeks then 0.58 mg/kg Aldurazyme every week for 182 weeks
placeboBIOLOGICALPlacebo for 26 weeks
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Eligibility Criteria

Age RangeN/A to 5 Years
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Written informed consent/assent of the patient or written informed consent of the parent(s) or the legal guardian(s), depending on the age of the patient, is required prior to any protocol-related procedures being performed; this includes information regarding hematopoietic st...

Countries:JapanUnited StatesBrazilCanadaGermanyItalyNetherlandsUnited KingdomFrance
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Frequently asked questions about Aldurazyme

What is Aldurazyme used for?

Aldurazyme (laronidase) is used for the treatment of Mucopolysaccharidosis I (MPS I), a rare inherited lysosomal storage disease. It is an enzyme replacement therapy developed by Sanofi (SNY) for patients with Hurler, Hurler-Scheie, and Scheie syndromes, which are the clinical forms of MPS I.

How does Aldurazyme work?

Aldurazyme is a recombinant form of the human enzyme alpha-L-iduronidase. It works by replacing the deficient enzyme in patients with Mucopolysaccharidosis I, thereby helping to break down glycosaminoglycans that accumulate in tissues and cause the symptoms of the disease.

Who makes Aldurazyme?

Aldurazyme is developed by Sanofi, a multinational pharmaceutical company traded on the stock exchange under the ticker SNY. Sanofi is responsible for the clinical development and commercialization of this enzyme replacement therapy for Mucopolysaccharidosis I.

What phase is Aldurazyme in?

Aldurazyme has completed Phase 3 clinical trials for Mucopolysaccharidosis I. All three clinical trials listed for the drug are completed, including two Phase 3 studies and one Phase 2 study. There are no active or ongoing trials currently listed for Aldurazyme.

What clinical trials has Aldurazyme been in?

Aldurazyme has been studied in three completed clinical trials. NCT00146757 was a Phase 2 study in MPS I patients under 5 years old. NCT00146770 was a Phase 3 extension study in MPS I patients. NCT00258011 was a Phase 3 study of Aldurazyme replacement therapy in Japanese patients with MPS I.

Is Aldurazyme the same as laronidase?

Yes, Aldurazyme is the brand name for laronidase. The drug is referred to as Aldurazyme (laronidase) in clinical trial records, and both names refer to the same enzyme replacement therapy used for the treatment of Mucopolysaccharidosis I.