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Avalglucosidase alfa

Phase 3

Glycogen Storage Disease Type II;Pompe's Disease | Small molecule | Metabolic |Sanofi|Last Updated: Apr 4, 2024

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
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment101
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02782741Study to Compare the Efficacy and Safety of Enzyme Replacement Therapies Avalglucosidase Alfa and Alglucosidase Alfa Administered Every Other Week in Patients With Late-onset Pompe Disease Who Have Not Been Previously Treated for Pompe DiseasePHASE3 COMPLETED 101Nov 2, 2016May 31, 2023Apr 4, 202469 United States, Argentina +23
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Study Endpoints
Primary Endpoints
PAP: Change From Baseline in Percent Predicted FVC in Upright Position at Week 49
Baseline, Week 49

FVC is a standard pulmonary function test used to quantify respiratory muscle weakness. FVC is the volume of air (in liters) that can be forcibly blown out after full inspiration in the upright position. Least square (LS) mean and standard error (SE) were derived from mixed model for repeated measure (MMRM) model with baseline FVC \[percent (%) predicted, as continuous\], sex, age (in years at baseline), treatment group, visit, interaction term between treatment group and visit as fixed effects. Percent of predicted FVC = (actual FVC measurement)/(predicted value of FVC) \* 100. After non-inferiority (NI) testing, a test for superiority of avalglucosidase alfa versus alglucosidase alfa was performed with an overall 2-sided 5% level of significance.

Secondary Endpoints
PAP: Change From Baseline in Total Distance Walked During Six-minute Walk Test (6MWT) at Week 49
Baseline, Week 49
PAP: Change From Baseline in Percent Predicted Maximal Inspiratory Pressure (MIP) in Upright Position at Week 49
Baseline, Week 49
PAP: Change From Baseline in Percent Predicted Maximal Expiratory Pressure (MEP) in Upright Position at Week 49
Baseline, Week 49
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
avalglucosidase alfa (GZ402666)EXPERIMENTALAdministered intravenously every 2 weeks
alglucosidase alfa (GZ419829)ACTIVE_COMPARATORAdministered intravenously every 2 weeks
Interventions
NameTypeDescription
Avalglucosidase alfa (GZ402666)DRUGPharmaceutical form: powder for concentrate for solution for infusion Route of administration: intravenous
Alglucosidase alfa (GZ419829)DRUGPharmaceutical form: powder for concentrate for solution for infusion Route of administration: intravenous
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Eligibility Criteria
Age Range3 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites69

Inclusion criteria : * The participant has confirmed acid alpha-glucosidase (GAA) enzyme deficiency from any tissue source and/or 2 confirmed GAA gene mutations. * The participant must provide signed, informed consent prior to performing any study related procedures. Consent of a legally authorized...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaCzechiaDenmarkFranceGermanyHungaryItalyJapanMexicoNetherlandsPolandPortugalRussiaSouth KoreaSpainSwitzerlandTaiwanTurkey (Türkiye)United Kingdom
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