Recent Updates
Recently added Catalysts

Aldurazyme

Phase 3

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
CONTROLLED
Total Trials3
Total Enrollment68
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00258011Study of Aldurazyme® Replacement Therapy in Patients With Mucopolysaccharidosis I (MPS I) DiseasePHASE3 COMPLETED 3Dec 1, 2005Oct 1, 2006Mar 7, 20142 Japan
NCT00146770Phase 3 Extension Study of the Safety and Efficacy of Aldurazyme® (Laronidase) in Mucopolysaccharidosis I (MPS I) PatientsPHASE3 COMPLETED 45May 1, 2001Mar 1, 2005Apr 3, 201525 United States, Brazil +5
NCT00146757A Study Evaluating the Safety and Pharmacokinetics of Aldurazyme® (Laronidase) in MPS I Patients Less Than 5 Years OldPHASE2 COMPLETED 20Oct 1, 2002May 1, 2005Apr 3, 20154 France, Germany +2
Unlock Drug Trial Details
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
Unlock Study Endpoints
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
Unlock Study Design Details
Eligibility Criteria
Age RangeN/A — 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
Unlock Eligibility Criteria