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Recombinant human heparan N-sulfatase

Phase 2

Sanfilippo Syndrome | Small molecule | Rare Disease |Takeda Pharmaceutical Company Limited|Last Updated: Jun 14, 2021

Success Probability

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Trial Design

RandomizedPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment21

FDA Designations

No designations recorded

Clinical trial landscape

Recombinant human heparan N-sulfatase · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT02060526Randomized, Controlled, Open-label, Multicenter, Safety and Efficacy Study of rhHNS Administration Via an IDDD in Pediatric Patients With Early Stage MPS IIIA DiseaseSanfilippo Syndrome
COMPLETED21 Analytics
PHASE2COMPLETED
Randomized, Controlled, Open-label, Multicenter, Safety and Efficacy Study of rhHNS Administration Via an IDDD in Pediatric Patients With Early Stage MPS IIIA Disease
Sanfilippo SyndromeUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Overall Response Using Bayley Scales of Infant Development Assessment Third Edition (BSID-III)
Baseline (Week 0) up to Week 48

The BSID--III is a series of measurements to assess the motor (fine and gross), language (receptive and expressive), and cognitive development of infants and toddlers and consists of a series of developmental play tasks. The development quotient (DQ) is a means to express a neurodevelopmental/cognitive delay which was computed as a ratio and expressed as a percentage using the age equivalent score divided by the age at testing (\[age-equivalent score/chronological age\] × 100; range: 0, 100). The BSID--III DQ score is based on the cognitive domain. A positive value indicates improvement in health and cognition. Overall response was the maximum decline in the DQ of 10 points or less over 48 weeks. Number of participants with the overall response were reported here.

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

Number of Participants With Serious Adverse Events (SAE)
Baseline (Week 0) up to Week 52
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Baseline (Week 0) up to Week 52
Number of Participants With Positive Anti-recombinant Human Heparan-N-Sulfatase (rhHNS) Antibody in Serum at Week 48
Baseline (Week 0) up to Week 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
45 mg Q2WACTIVE_COMPARATORrhHNS 45 mg administered intrathecally Q2W (once every 2 weeks ie, every 14 days), for 48 weeks via the surgically implanted IDDD (or LP)
45 mg Q4WACTIVE_COMPARATORrhHNS 45 mg administered intrathecally Q4W (once every 4 weeks ie, every 28 days), for 48 weeks via the surgically implanted IDDD (or LP)
PlaceboPLACEBO_COMPARATORThe comparator group will receive no treatment with rhHNS.
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]DRUGRecombinant human heparan N-sulfatase \[rhHNS\]
Recombinant human heparan N-sulfatase (rhHNS)BIOLOGICAL -
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Eligibility Criteria

Age Range12 Months to 48 Months
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: Each patient must meet the following criteria to be enrolled in this study. 1. Documented MPS IIIA diagnosis 2. Age ≥12 months and ≤48 months 3. The patient has a DQ score ≥60% 4. The patient is medically stable, in the opinion of the Investigator, and able to accommodate the p...

Countries:United StatesArgentinaFranceGermanyItalyNetherlandsSpainUnited Kingdom
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Frequently asked questions about Recombinant human heparan N-sulfatase

What is Recombinant human heparan N-sulfatase used for?

Recombinant human heparan N-sulfatase is used for the treatment of Mucopolysaccharidosis (MPS) and Sanfilippo Syndrome, which are rare genetic disorders. It is being developed as an enzyme replacement therapy for these conditions.

Who makes Recombinant human heparan N-sulfatase?

Recombinant human heparan N-sulfatase is being developed by Takeda Pharmaceutical Company Limited, which is listed on the stock exchange under the ticker symbol TAK.

What phase is Recombinant human heparan N-sulfatase in?

Recombinant human heparan N-sulfatase is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Clinical trials are ongoing to evaluate its safety and efficacy.

What clinical trials is Recombinant human heparan N-sulfatase in?

Recombinant human heparan N-sulfatase has been studied in clinical trials. One trial, NCT01155778, was a Phase 1 study in patients with Mucopolysaccharidosis. Another trial, NCT02060526, was a Phase 2 study in pediatric patients with Sanfilippo Syndrome. Both trials have been completed.

How does Recombinant human heparan N-sulfatase work?

Recombinant human heparan N-sulfatase is a monoclonal antibody that targets the enzyme heparan N-sulfatase. It works by replacing the deficient enzyme in patients with Mucopolysaccharidosis and Sanfilippo Syndrome, helping to break down heparan sulfate and reduce its accumulation in cells.