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Iduronate-2-sulfatase enzyme replacement therapy

Phase 2

Mucopolysaccharidosis II | Monoclonal antibody | Rare Disease |Takeda Pharmaceutical Company Limited|Last Updated: Jun 10, 2021

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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment96
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00069641Iduronate-2-sulfatase Enzyme Replacement Therapy in Mucopolysaccharidosis II (MPS II)PHASE2 COMPLETED 96Sep 18, 2003Mar 16, 2005Jun 10, 20219 United States, Brazil +2
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Study Endpoints
Primary Endpoints
Ranked Adjusted 2-Component Composite Variable Score Based on Change From Baseline to Week 53
Baseline, Week 53

The 2-component composite variable consists of the sum of the ranked changes from baseline to Week 53 for percent predicted Forced Vital Capacity (FVC) and 6-Minute Walking Test (6MWT) total distance walked. For the 2 treatment groups being compared, ranking occurred within the comparison treatment groups combined (idursulfase weekly and placebo treatment groups). These comparison groups were pooled and ranked for each component separately. Within each component (% predicted FVC, 6MWT), the change from baseline was then ranked. The lowest change value was assigned a rank of 1, the next lowest a rank of 2, etc. The composite score for each participant was the sum of the 2 ranked scores corresponding to the 2 individual components (% predicted FVC and 6MWT) for each participant. Thus, the greater the composite score (greater the sum of the ranks of the changes from baseline, where the lowest change was ranked as 1), the greater the improvement.

Secondary Endpoints
Change From Baseline in Mean Global Joint Range of Motion (JROM) Score at Week 53
Baseline, Week 53
Mean Combined Liver and Spleen Volume at Baseline
Baseline
Percent Change From Baseline in Mean Combined Liver and Spleen Volume at Week 53
Baseline, Week 53
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Idursulfase weekly (0.5 mg/kg)EXPERIMENTAL -
Idursulfase every other week (0.5 mg/kg)EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Interventions
NameTypeDescription
Iduronate-2-sulfatase enzyme replacement therapyBIOLOGICALPatients will receive weekly infusions of idursulfase at a dose of 0.5 mg/kg.
PlaceboBIOLOGICALPatients will receive weekly infusions of placebo.
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Eligibility Criteria
Age Range5 Years — 25 Years
SexMALE
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: To be eligible to participate in this study, patients must meet the following inclusion criteria prior to enrollment: 1. The diagnosis of MPS II will be determined by the investigator based upon both clinical and biochemical criteria. 2. All patients must have at least one of t...

Countries:United StatesBrazilGermanyUnited Kingdom
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