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SHP611

Phase 2

Metachromatic Leukodystrophy (MLD) | Small molecule | Other |Takeda Pharmaceutical Company Limited|Last Updated: Apr 15, 2026

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
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment36
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03771898A Study of Intrathecal SHP611 in Children With Metachromatic LeukodystrophyPHASE2 ACTIVE NOT_RECRUITING 36May 13, 2019May 1, 2026Apr 15, 202630 United States, Argentina +12
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Study Endpoints
Primary Endpoints
Percent Probability of Free of Loss of Locomotion in the Last Time Interval Up to 2 Years (Week 106) Based on GMFC-MLD for SHP611 Group A and GLIA-MLD Matched External Control
Baseline up to Week 106

Loss of locomotion was estimated using interval censoring survival analysis. Survival probability free of loss of locomotion based on GMFC-MLD was estimated up to Week 106 (or two years), with associated 2-sided 95 percent (%) confidence interval (CI). GMFC-MLD scale consists of 7 categories, scores ranging from 0 (walking without support with quality of performance normal for age) to 6 (loss of any locomotion as well as loss of any head and trunk control). Higher scores mean a worse outcome. The data was reported in terms of Mean as survival function was quantified using a weighted average of percentage of participants not reaching the event of interest, with weights derived from the relative size of treated and control units in the strata used for the stratified log-rank test in the primary analysis.

Secondary Endpoints
Group A: Number of Participants Who Maintained Their Gross Motor Function Evaluated by Using the GMFC-MLD at Week 106 Compared With Matched External Control Group Data
Baseline up to Week 106
Number of Participants With Change From Baseline in Gross Motor Function Evaluated by Using the GMFC-MLD at Week 106
Baseline, Week 106
Group A: Number of Participants With Decline From Baseline in GMFC-LMD of More Than 2 Categories
Baseline, Week 106
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
SHP611EXPERIMENTALParticipants will receive 150 milligrams (mg) of SHP611 intrathecally (IT) via intrathecal drug delivery device (IDDD) or lumbar puncture (LP) once weekly for 106 weeks in six groups (Group A, B, C, D, E, and F) based on participant's age and motor dysfunction.
Interventions
NameTypeDescription
SHP611DRUGParticipants will receive 150 mg of SHP611 IT via IDDD or LP once weekly for 106 weeks.
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Eligibility Criteria
Age Range6 Months — 72 Months
SexALL
Healthy VolunteersNo
Study Sites30

Inclusion Criteria: * The participant must have a documented diagnosis of MLD (Groups A-F): 1. Low ASA activity in leukocytes (compared to laboratory normal range). 2. Elevated sulfatides in urine. * The participant must have a gait disorder due to spastic ataxia or weakness attributable to ML...

Countries:United StatesArgentinaBelgiumBrazilCanadaFranceGermanyGreeceIsraelItalyJapanNetherlandsSpainUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT03771898primaryCompletionDate: changed
LOWMay 24, 2026NCT03771898studyFirstPostDate: changed