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Recombinant human heparan N-sulfatase

Phase 1

Mucopolysaccharidosis (MPS) | Monoclonal antibody | Rare Disease |Takeda Pharmaceutical Company Limited|Last Updated: Jun 14, 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
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment12
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01155778Safety, Tolerability, Ascending Dose and Dose Frequency Study of rhHNS Via an IDDD in MPS IIIA PatientsPHASE1 COMPLETED 12Jun 1, 2010Sep 1, 2012Jun 14, 20212 Netherlands, United Kingdom
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Study Endpoints
Primary Endpoints
Number of Treatment Emergent Serious Adverse Events (SAE)
Baseline to week 30 (follow-up)

An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered as a pharmaceutical product that did not necessarily have a causal relationship with this treatment. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged in-patient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs (TEAEs) were defined as all adverse events (AEs) from the time of the surgery for IDDD implantation to the last follow up contact, 30 (±7) days after the end of study (EOS) procedures.

Number of Treatment Emergent Adverse Events (TEAE)
Baseline to week 30 (follow-up)

An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered as a pharmaceutical product that did not necessarily have a causal relationship with this treatment. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged in-patient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs (TEAEs) were defined as all adverse events (AEs) from the time of the surgery for IDDD implantation to the last follow up contact, 30 (±7) days after the end of study (EOS) procedures.

Summary of Anti-rhHNS Antibody Status in Cerebrospinal Fluid (CSF) by Recombinant Human Heparan N-Sulfatase (rhHNS) Dose Group
Baseline, Week 26

Participants with positive, negative and missing status were reported.

Summary of Anti-rhHNS Antibody Status in Serum by Recombinant Human Heparan N-Sulfatase (rhHNS) Dose Group
Baseline, Week 26

Participants with positive, negative and missing status were reported.

Number of Participants With Intrathecal Drug Device (IDDD) Failures at Week 26
Week 26

Participants with IDDD failures were reported.

Secondary Endpoints
Change From Baseline in Developmental Quotient (DQ) Using Bayley Scales of Infant Development Third Edition (BSID III) and Kaufman Assessment Battery for Children Second Edition (KABC II) at Week 22
Baseline, Week 22
Change From Baseline in Four Point Scoring System/Total Disability Score (FPSS/TDS) at Week 22 and Week 26 (EOS)
Baseline, Week 22, Week 26
Change From Baseline in Sanfilippo Behavioral Rating Scale (SBRS) at Week 22 and Week 26 (EOS)
Baseline, Week 22, Week 26/EOS
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
10 mg rhHNSEXPERIMENTAL10 mg monthly via an IDDD (every 28 \[±7 days\]) for a total of 6 months
45 mg rhHNSEXPERIMENTAL45 mg monthly via an IDDD (every 28 \[±7 days\]) for a total of 6 months
90 mg rhHNSEXPERIMENTALGiven IDDD as a 45 mg dose every 14 \[±2 days\] for a monthly total of 90 mg for 6 months
Interventions
NameTypeDescription
Recombinant human heparan N-sulfatase (rhHNS)BIOLOGICAL -
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Eligibility Criteria
Age Range3 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria Each patient had to meet the following criteria to be eligible for the study: 1. a.) Patients had a documented deficiency in sulfamidase enzyme activity of ≤10% of the lower limit of the normal range as measured in fibroblasts or leukocytes. AND either b or c b.) Patients ha...

Countries:NetherlandsUnited Kingdom
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