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rhASA - Dose Level 1

Phase 1

Metachromatic Leukodystrophy (MLD) | Monoclonal antibody | Other |Takeda Pharmaceutical Company Limited|Last Updated: Jun 25, 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
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment13
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00418561Metazym for the Treatment of Patients With Late Infantile Metachromatic Leukodystrophy (MLD)PHASE1 COMPLETED 13Jan 22, 2007Mar 27, 2008Jun 25, 20211 Denmark
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Study Endpoints
Primary Endpoints
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
From study drug administration up to Week 28

An adverse event (AE) is any untoward, undesired, unplanned clinical event in the form of signs, symptoms, disease, or laboratory or physiological observations occurring in a participant, participating in a clinical study with study drug, regardless of causal relationship. TEAEs were AEs occurred after study drug administration that were absent before treatment or that worsened relative to pre-treatment state, up to Week 28 until evaluation (when last cohort had 26-week evaluation and data management performed within 4 weeks) completed.

Change From Baseline in Gross Motor Function Measure (GMFM) at Week 26
Baseline, Week 26

GMFM was measured using GMFM-88 item scores and summed to calculate a total GMFM-88 score. For each GMFM-88 item, the score was between 0 (minimal) to 3 (maximum). The total GMFM-88 score was between 0 (minimal) and 264 (maximum). The decrease in GMFM score over time indicates worsening of disease over time. Relative change from baseline at Week 26 was calculated as percentage change from baseline divided by the age-difference in months between first and last visit. Adjusted mean and 95 percent (%) confidence intervals were reported.

Change From Baseline in Cerebrospinal Fluid (CSF) Sulfatide at Week 26
Baseline, Week 26

Relative change from baseline at Week 26 was calculated as percentage change from baseline divided by the age-difference in months between first and last visit. Adjusted mean and 95 percent (%) confidence intervals were reported.

Number of Participants With Shift From Baseline to Week 26 in Sulfatide Levels in Urine
Baseline up to Week 26

Number of participants with shifts between negative (value=0) and positive (value=1) values in urine sulfatide levels from baseline at Week 26 is reported.

Change From Baseline in Mullen's Scales of Early Learning at Week 26
Baseline, Week 26

Mullen's Scales of Early Learning is used to assess performance and learning ability in young children. The scale consisted of 144 items that had specific scoring criteria for each item. The scores were converted to T-scores with a decrease in score indicating worsening of disease. Relative change from baseline at Week 26 was calculated as percentage change from baseline divided by the age-difference in months between first and last visit. Adjusted mean and 95 percent (%) confidence intervals were reported.

Maximum Plasma Drug Concentration (Cmax) of Recombinant Human Arylsulphatase A (rhASA)
Pre-dose and post-dose at 20, 40, 90 minutes, 3, 6 and 8 hours on Day 0, 40 minutes post-dose at Week 4, Pre-dose and post-dose at 20, 40, 90 minutes, 3, 6 and 8 hours at Week 8
Arylsulfatase A (ASA) Activity in Leukocytes
Pre-dose and post-dose at 24 hours on Day 0 and at Weeks 8 and 26
Secondary Endpoints
Change From Baseline in Nerve Conduction Velocity at Week 26
Baseline, Week 26
Number of Participants Who Had Undergone Nerve Biopsy and Had a Normal Nerve at Both Baseline and Week 26
Baseline, Week 26
Number of Participants With Shift From Baseline to Week 26 in Magnetic Resonance Imaging (MRI)-Loes Scores
Baseline up to Week 26
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelFACTORIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1EXPERIMENTALMetazym (Recombinant human arylsulfatase A (rhASA)): 25 U/kg as a single dose - hereafter 50 U/kg
Cohort 2EXPERIMENTAL100 U/kg Metazym (Recombinant human arylsulfatase A (rhASA))
Cohort 3EXPERIMENTAL200 U/kg Metazym (Recombinant human arylsulfatase A (rhASA))
Interventions
NameTypeDescription
rhASA - Dose Level 1BIOLOGICALIntravenous infusion 25 U/kg as a single dose - hereafter 50 U/kg every other week for 26 weeks
rhASA - Dose Level 2BIOLOGICALIntravenous infusion 100 U/kg every other week for 26 weeks
rhASA - Dose Level 3BIOLOGICALIntravenous infusion 200 U/kg every other week for 26 weeks
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Eligibility Criteria
Age Range1 Year — 5 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Subject's legally authorized guardian(s) must provide signed, informed consent prior to performing any study-related activities (Trial-related activities are any procedures that would not have been performed during normal management of the subject). 2. The patient must have a...

Countries:Denmark
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