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Alglucosidase alfa

Phase 4FDA approved

Pompe Disease (Late-onset) | Monoclonal antibody | Rare Disease |Sanofi|Trials Updated: Apr 28, 2015

Alglucosidase alfa development status

FDA approval on record Apr 28, 2006
Approval holderGenzyme
ApplicationBLA125141
Highest phase Phase 4 (NCT01597596)
Phase scored for SNYPhase 3
Registered trials 23 across 2 sponsors since Jan 2003

Alglucosidase alfa target and mechanism

Molecular targetGAA
ModalityMonoclonal antibody

Also known as Alglucosidase alfa (GZ419829), Myozyme, Lumizyme

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials9
Total Enrollment162

FDA Designations

No designations recorded

Alglucosidase alfa clinical trials

Alglucosidase alfa · 9 trials · 9 indications

Phase 3 2Phase 2 6Phase 1 1
NCT00268944Safety and Effectiveness Study of rhGAA in Patients With Advanced Late-Onset Pompe Disease Receiving Respiratory SupportPompe Disease (Late-onset)
COMPLETED5 Analytics
NCT00158600A Placebo-Controlled Study of Safety and Effectiveness of Myozyme (Alglucosidase Alfa) in Patients With Late-Onset Pompe DiseasePompe Disease (Late-onset)
COMPLETED90 Analytics
PHASE3COMPLETED
Safety and Effectiveness Study of rhGAA in Patients With Advanced Late-Onset Pompe Disease Receiving Respiratory Support
Pompe Disease (Late-onset)Unlock trial analytics
PHASE3COMPLETED
A Placebo-Controlled Study of Safety and Effectiveness of Myozyme (Alglucosidase Alfa) in Patients With Late-Onset Pompe Disease
Pompe Disease (Late-onset)Unlock trial analytics

Study Endpoints

Primary Endpoints

Treatment effect on muscle strength and functional status.
six months and one year
Treatment effect on pulmonary function and/or ventilation conditions.
six months and one year
Treatment effect on cardiomyopathy noted at inclusion
six months and one year
Treatment effect on fatigue.
six months and one year
Treatment effect on quality of life.
six months and one year
Treatment effect on muscular atrophy.
six months and one year
Overall patient satisfaction with treatment (visual analog scale).
six months and one year
Pharmacodynamics assessment.
six months and one year
Summary of Patients Reporting Treatment-Emergent Adverse Events
weeks 0-78

Overall safety summary of patients experiencing Adverse Events (AEs), Serious Adverse Events (SAEs), treatment-related AEs, and Infusion Associated Reactions (IARs). Summary is based on Treatment-emergent AEs (TEAEs), defined as AEs that occurred following the initiation of study treatment, i.e., alglucosidase alfa or placebo.

Mean Distance Walked as Measured by Six-minute Walk Test (6MWT) at Weeks 0 and 78, and Mean Change From Baseline
weeks 0, 78

Mean distance walked gives an indication of functional endurance. The greater the distance, the greater the endurance. Mean values of distance walked in a six-minute walk test are offered for baseline, week 78 (or last available observation), and the mean change from baseline (at week 78 or last available post-baseline observation).

Percent of Predicted Forced Vital Capacity (FVC)
weeks 0, 78

Forced vital capacity is a standard pulmonary function test used to quantify respiratory muscle weakness. Forced vital capacity (FVC) is the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in liters. Predicted forced vital capacity is based on a formula using sex, age and height of a person, and is an estimate of healthy lung capacity. Percent of predicted FVC = (observed value)/(predicted value) \* 100%.

Recombinant Human Acid Alpha-Glucosidase (rhGAA) Pharmacokinetic Parameters: Area Under the Curve (AUC)
weeks 0, 12 and 52

Area under the plasma concentration versus time curve from time zero (pre-dose) to 16 hours after the end of infusion. Blood sample time points were 0 (before the start of the infusion), 1 and 2 hours after the start of infusion, end of the infusion, and then 0.25, 0.5, 1, 2, 3, 4, 8, 12,and 16 hours after the end of the infusion (with a 5-minute window for time-points after the start of infusion). Pooled figures combine the values for the three timeframes.

Recombinant Human Acid Alpha-Glucosidase (rhGAA) Pharmacokinetic Parameters: Mean Maximum Plasma Concentration(Cmax)
weeks 0, 12, 52

Maximum plasma concentration observed in blood samples taken at the following time points: 0 (before the start of the infusion), 1 and 2 hours after the start of infusion, end of the infusion, and then 0.25, 0.5, 1, 2, 3, 4, 8, 12,and 16 hours after the end of the infusion (with a 5-minute window for time-points after the start of infusion). Pooled figures combine the values for the three timeframes.

Recombinant Human Acid Alpha-Glucosidase (rhGAA) Pharmacokinetic Parameters: Mean Time to Maximum Plasma Concentration(Tmax)
weeks 0, 12, 52

Time to maximum plasma concentration observed in blood samples taken at the following time points: 0 (before the start of the infusion), 1 and 2 hours after the start of infusion, end of the infusion, and then 0.25, 0.5, 1, 2, 3, 4, 8, 12,and 16 hours after the end of the infusion (with a 5-minute window for time-points after the start of infusion). Pooled figures combine the values for the three timeframes.

Long-term Safety and Efficacy
52 weeks
safety and PK profile rhGAA
74 weeks
FVC
74 weeks
MMT
74 weeks
Effect of treatment on muscle function
74 weeks
Evaluate the safety profile of MZ
52 weeks
To estimate the proportion of patients treated w/ MZ who were alive and free of ventilator support at 12 months of age; compared to historical cohort
52 weeks
Determine PK/PD profile of MZ
52 weeks
Determine effect of different doses of MZ on safety and efficacy
52 weeks
The objective of this extension study was to monitor the long-term safety and efficacy
3 years
The objective of this extension study was to monitor the long-term safety and efficacy of a single patient
3 years
Evaluate safety, pharmacokinetics and pharmacodynamics
52 weeks
Evaluate differences in skeletal muscle gene expression in sibling pair with identical GAA mutations
52 weeks
Evaluate differences in skeletal muscle expression prior to and after ERT
52 weeks
Evaluate the safety of Myozyme
52 weeks
Determine proportion of patients alive over the course of treatment
52 weeks
PK profile of MZ
52 weeks
PD profile of MZ
52 weeks

Secondary Endpoints

Percent Predicted Proximal Muscle Strength of the Lower Limbs as Measured by Quantitative Muscle Testing (QMT)
weeks 0, 78
Health-related Quality of Life Survey Values Related to Physical Components as Measured by the Medical Outcomes Study (MOS) Short Form-36 Health Survey
weeks 0, 78
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTAL -
alglucosidase alfaACTIVE_COMPARATORIntravenous (IV) infusions of alglucosidase alfa at 20 milligrams (mg)/kilogram (kg) of body weight every other week (qow) for 78 weeks.
PlaceboPLACEBO_COMPARATORIntravenous (IV) infusions of placebo every other week (qow) for 78 weeks.

Interventions

NameTypeDescription
MyozymeBIOLOGICAL20 mg/kg qow
alglucosidase alfaBIOLOGICALIV infusion of 20mg/kg; qow for 78 weeks.
PlaceboDRUGPlacebo Comparator; qow for 78 weeks.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * male or female aged greater than or equal to 18 years * patient's legally authorized guardian(s) must provide signed, informed consent prior to initiation of study; patient's signature required if patient understands informed consent * patient must have a documented deficit in...

Countries:FranceUnited StatesNetherlandsGermanyIsraelItalyTaiwanUnited KingdomSouth Africa
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Frequently asked questions about Alglucosidase alfa

What is Alglucosidase alfa used for?

Alglucosidase alfa is used for Glycogen Storage Disease Type II and late-onset Pompe Disease. It is an investigational therapy being developed by Sanofi for these rare lysosomal storage disorders, which are characterized by acid maltase deficiency and glycogen accumulation.

What does Alglucosidase alfa target?

Alglucosidase alfa targets the GAA enzyme, which is deficient in patients with Pompe disease. By addressing this molecular target, the therapy aims to replace the missing enzyme activity in patients with Glycogen Storage Disease Type II and late-onset Pompe Disease.

Who makes Alglucosidase alfa?

Sanofi (ticker: SNY) is developing Alglucosidase alfa. The company is conducting clinical research on this therapy for the treatment of Glycogen Storage Disease Type II and late-onset Pompe Disease.

What phase is Alglucosidase alfa in?

Alglucosidase alfa is in Phase 2 clinical development. It remains investigational and has not been approved by regulatory authorities. The therapy is being studied for Glycogen Storage Disease Type II and late-onset Pompe Disease.

What clinical trials is Alglucosidase alfa in?

Alglucosidase alfa has been studied in two completed clinical trials: NCT00158600, a Phase 3 placebo-controlled study in 90 patients with late-onset Pompe Disease, and NCT00051935, a Phase 2 study in 2 siblings with Glycogen Storage Disease Type II.

Is Alglucosidase alfa the same as GZ419829?

Yes, Alglucosidase alfa is also known as GZ419829. Researchers and clinicians may refer to the therapy by either name when discussing its development for Glycogen Storage Disease Type II and late-onset Pompe Disease.