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NCT01830972

An Open Label Phase 2 Extension Study of Higher Dose Sialic Acid-Extended Release (SA-ER) Tablets and Sialic Acid-Immediate Release (SA-IR) Capsules in Patients With Glucosamine (UDP-N-acetyl)-2-Epimerase (GNE) Myopathy

Completed Phase 2 Results posted Last updated 11 April 2018
What this trial tests

Phase 2 trial testing SA-ER 500 mg in GNE Myopathy in 59 participants. Completed in 14 February 2017.

Timeline
4 June 2013
Primary endpoint
14 February 2017
14 February 2017

Quick facts

Lead sponsorUltragenyx Pharmaceutical Inc
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designcrossover
Maskingnone
Primary purposetreatment
Enrollment59
Start date4 June 2013
Primary completion14 February 2017
Estimated completion14 February 2017
Sites4 locations across United States, Israel

Drugs / interventions tested

Conditions studied

Sponsor

Ultragenyx Pharmaceutical Inc — full company profile →

Who can join

Adults 18 to 65, any sex, with GNE Myopathy or Hereditary Inclusion Body Myopathy (HIBM). Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs Leading to Discontinuation Primary · From first dose of study drug until up to 30 days after the last dose of study drug. Mean (SD) duration of treatment was 1170.0 (170.2) days for Crossover Participants and 897 (380) days for Naïve Participants

An adverse event (AE) is defined as any untoward medical occurrence, whether or not considered drug related. A serious AE (SAE) is an AE that at any dose results in any of the following: death, a life-threatening AE; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions; a congenital anomaly/birth defect. TEAEs include all adverse events that start on or after the first dose of study medication, or adverse events that are present prior to the first dose of study medic

>/= 1 TEAE
GroupValue95% CI
Crossover Participants; 6 g/Day43
Crossover Participants: 12 g/Day46
Crossover Participants: Any Dose46
Naïve Participants: 6 g/Day1
Naïve Participants: 12 g/Day13
Overall: Any Dose59
TEAE Maximum Severity = Grade 1
GroupValue95% CI
Crossover Participants; 6 g/Day19
Crossover Participants: 12 g/Day23
Crossover Participants: Any Dose15
Naïve Participants: 6 g/Day0
Naïve Participants: 12 g/Day5
Overall: Any Dose20
TEAE Maximum Severity = Grade 2
GroupValue95% CI
Crossover Participants; 6 g/Day22
Crossover Participants: 12 g/Day23
Crossover Participants: Any Dose29
Naïve Participants: 6 g/Day1
Naïve Participants: 12 g/Day7
Overall: Any Dose36
TEAE Maximum Severity = Grade 3
GroupValue95% CI
Crossover Participants; 6 g/Day2
Crossover Participants: 12 g/Day0
Crossover Participants: Any Dose2
Naïve Participants: 6 g/Day0
Naïve Participants: 12 g/Day1
Overall: Any Dose3
TEAE Maximum Severity = Grade 4
GroupValue95% CI
Crossover Participants; 6 g/Day0
Crossover Participants: 12 g/Day0
Crossover Participants: Any Dose0
Naïve Participants: 6 g/Day0
Naïve Participants: 12 g/Day0
Overall: Any Dose0
TEAE Maximum Severity = Grade 5
GroupValue95% CI
Crossover Participants; 6 g/Day0
Crossover Participants: 12 g/Day0
Crossover Participants: Any Dose0
Naïve Participants: 6 g/Day0
Naïve Participants: 12 g/Day0
Overall: Any Dose0
Treatment Related TEAEs
GroupValue95% CI
Crossover Participants; 6 g/Day26
Crossover Participants: 12 g/Day40
Crossover Participants: Any Dose45
Naïve Participants: 6 g/Day1
Naïve Participants: 12 g/Day11
Overall: Any Dose56
Serious TEAEs
GroupValue95% CI
Crossover Participants; 6 g/Day2
Crossover Participants: 12 g/Day0
Crossover Participants: Any Dose2
Naïve Participants: 6 g/Day0
Naïve Participants: 12 g/Day1
Overall: Any Dose3
Interval History: Has the Participant Experienced Any New Conditions or Exacerbations of an Existing Condition Since Last Study Visit? Primary · Part I: Baseline (Study UX001-CL201 Week 48), Month 6; Part II-IV: Baseline, Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 33, 36, study termination

Each interval history was intended to record any signs, symptoms, or events (e.g., falls, changes in medications or therapies) experienced by the participant since the prior study visit that were not related to study procedure(s) performed at prior study visits or study drug. Interval history may have included exacerbation or improvement in existing medical conditions (including the clinical manifestations of GNE myopathy) that might have interfered with study participation, safety, and/or positively or negatively impact performance of functional assessments.

Part I Baseline (Study UX001-CL201 Week 48): Yes
GroupValue95% CI
Crossover Participants29
Part I Baseline (Study UX001-CL201 Week 48): No
GroupValue95% CI
Crossover Participants17
Part I Month 6: Yes
GroupValue95% CI
Crossover Participants6
Part I Month 6: No
GroupValue95% CI
Crossover Participants0
Part II-IV Baseline: Yes
GroupValue95% CI
Crossover Participants28
Naïve Participants0
Part II-IV Baseline: No
GroupValue95% CI
Crossover Participants18
Naïve Participants1
Part II-IV Month 1: Yes
GroupValue95% CI
Crossover Participants36
Naïve Participants12
Part II-IV Month 1: No
GroupValue95% CI
Crossover Participants10
Naïve Participants1
Interval History: Has the Participant Started Taking Any New Medications or Discontinued Any Medications Since the Study Visit? Primary · Part I: Baseline (Study UX001-CL201 Week 48), Month 6; Part II-IV: Baseline, Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 33, 36, study termination

Each interval history was intended to record any signs, symptoms, or events (e.g., falls, changes in medications or therapies) experienced by the participant since the prior study visit that were not related to study procedure(s) performed at prior study visits or study drug. Interval history may have included exacerbation or improvement in existing medical conditions (including the clinical manifestations of GNE myopathy) that might have interfered with study participation, safety, and/or positively or negatively impact performance of functional assessments.

Part I Baseline (Study UX001-CL201 Week 48): Yes
GroupValue95% CI
Crossover Participants21
Part I Baseline (Study UX001-CL201 Week 48): No
GroupValue95% CI
Crossover Participants25
Part I Month 6: Yes
GroupValue95% CI
Crossover Participants4
Part I Month 6: No
GroupValue95% CI
Crossover Participants2
Part II-IV Baseline: Yes
GroupValue95% CI
Crossover Participants23
Naïve Participants0
Part II-IV Baseline: No
GroupValue95% CI
Crossover Participants23
Naïve Participants1
Part II-IV Month 1: Yes
GroupValue95% CI
Crossover Participants15
Naïve Participants4
Part II-IV Month 1: No
GroupValue95% CI
Crossover Participants31
Naïve Participants9
Interval History: Has the Participant Started Receiving Any New Therapy or Discontinued Any Therapies Since Last Study Visit? Primary · Part I: Baseline (Study UX001-CL201 Week 48), Month 6; Part II-IV: Baseline, Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 33, 36, study termination

Each interval history was intended to record any signs, symptoms, or events (e.g., falls, changes in medications or therapies) experienced by the participant since the prior study visit that were not related to study procedure(s) performed at prior study visits or study drug. Interval history may have included exacerbation or improvement in existing medical conditions (including the clinical manifestations of GNE myopathy) that might have interfered with study participation, safety, and/or positively or negatively impact performance of functional assessments.

Part I Baseline (Study UX001-CL201 Week 48): Yes
GroupValue95% CI
Crossover Participants5
Part I Baseline (Study UX001-CL201 Week 48): No
GroupValue95% CI
Crossover Participants41
Part I Month 6: Yes
GroupValue95% CI
Crossover Participants3
Part I Month 6: No
GroupValue95% CI
Crossover Participants3
Part II-IV Baseline: Yes
GroupValue95% CI
Crossover Participants9
Naïve Participants0
Part II-IV Baseline: No
GroupValue95% CI
Crossover Participants37
Naïve Participants1
Part II-IV Month 1: Yes
GroupValue95% CI
Crossover Participants4
Naïve Participants0
Part II-IV Month 1: No
GroupValue95% CI
Crossover Participants42
Naïve Participants13
Interval History: Typical Number of Falls Per Year Primary · Part I: Baseline (Study UX001-CL201 Week 48), Month 6; Part II-IV: Baseline, Months 1, 6, 12, 18, 24, 30, 36, study termination

Each interval history was intended to record any signs, symptoms, or events (e.g., falls, changes in medications or therapies) experienced by the participant since the prior study visit that were not related to study procedure(s) performed at prior study visits or study drug. Interval history may have included exacerbation or improvement in existing medical conditions (including the clinical manifestations of GNE myopathy) that might have interfered with study participation, safety, and/or positively or negatively impact performance of functional assessments.

Part I Baseline (Study UX001-CL201 Week 48)
GroupValue95% CI
Crossover Participants11.0± 53.63
Part I Month 6
GroupValue95% CI
Crossover Participants3.8± 3.54
Part II-IV Baseline
GroupValue95% CI
Crossover Participants14.1± 53.66
Naïve Participants6.0± 6.19
Part II-IV Month 1
GroupValue95% CI
Crossover Participants6.8± 9.60
Naïve Participants7.3± 6.31
Part II-IV Month 6
GroupValue95% CI
Crossover Participants8.0± 11.87
Naïve Participants5.6± 6.39
Part II-IV Month 12
GroupValue95% CI
Crossover Participants5.4± 8.94
Naïve Participants5.1± 3.51
Part II-IV Month 18
GroupValue95% CI
Crossover Participants7.8± 14.58
Naïve Participants6.0± 4.15
Part II-IV Month 24
GroupValue95% CI
Crossover Participants9.4± 28.23
Naïve Participants4.5± 3.05

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug until up to 30 days after the last dose of study drug. Mean (SD) duration of treatment was 1170.0 (170.2) days for Crossover Participants and 897 (380) days for Naive Participants.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Crossover Participants; 6 g/Day
Serious: 2/46 (4%)
Deaths: 0/46
Crossover Participants: 12 g/Day
Serious: 0/46 (0%)
Deaths: 0/46
Crossover Participants: Any Dose
Serious: 2/46 (4%)
Deaths: 0/46
Naïve Participants: 6 g/Day
Serious: 0/1 (0%)
Deaths: 0/1
Naïve Participants: 12 g/Day
Serious: 1/13 (8%)
Deaths: 0/13
Overall: Any Dose
Serious: 3/59 (5%)
Deaths: 0/59

Serious adverse events (4 terms)

ReactionSystemCrossover Participants; 6 …Crossover Participants: 12…Crossover Participants: An…Naïve Participants: 6 g/DayNaïve Participants: 12 g/DayOverall: Any Dose
Chest painGeneral disorders
Femur fractureInjury, poisoning and procedural complications
QuadriparesisNervous system disorders
Deep vein thrombosisVascular disorders
Other adverse events (124 terms — click to expand)

ReactionSystemCrossover Participants; 6 …Crossover Participants: 12…Crossover Participants: An…Naïve Participants: 6 g/DayNaïve Participants: 12 g/DayOverall: Any Dose
FlatulenceGastrointestinal disorders
Procedural painInjury, poisoning and procedural complications
HeadacheNervous system disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Influenza like illnessGeneral disorders
Back painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
DyspepsiaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
ContusionInjury, poisoning and procedural complications
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
FatigueGeneral disorders
FallInjury, poisoning and procedural complications
NauseaGastrointestinal disorders
PyrexiaGeneral disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
NasopharyngitisInfections and infestations
PharyngitisInfections and infestations
MyalgiaMusculoskeletal and connective tissue disorders
VomitingGastrointestinal disorders
PainGeneral disorders
SinusitisInfections and infestations
LacerationInjury, poisoning and procedural complications
Skin abrasionInjury, poisoning and procedural complications
AnxietyPsychiatric disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
Ear painEar and labyrinth disorders
Abdominal distensionGastrointestinal disorders
Peripheral swellingGeneral disorders
Upper respiratory tract infectionInfections and infestations
Vitamin D deficiencyMetabolism and nutrition disorders
Abdominal discomfortGastrointestinal disorders
ToothacheGastrointestinal disorders

Most-reported serious reactions: Chest pain, Femur fracture, Quadriparesis, Deep vein thrombosis.

Data from ClinicalTrials.gov NCT01830972 adverse events section.

Sponsor's own description

The safety objectives of the study are to: evaluate additional long-term safety of SA-ER treatment of participants with GNE myopathy previously treated with SA-ER at dose of 6g/day (Part I); evaluate the safety of 12g /day SA (delivered by 1.5g of SA-ER tablets and 1.5g of SA-IR capsules 4 times per day) in the treatment of participants with GNE myopathy (Part II) over a 6 month treatment period; evaluate the safety of SA treatment at both 6g/day and 12 g/day (Part III \[SA-ER/SA-IR\] and Part IV \[SA-ER\]).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. GNE myopathy: current update and future therapy.
    Nishino I, Carrillo-Carrasco N, Argov Z. · · 2015 · cited 121× · PMID 25002140 · DOI 10.1136/jnnp-2013-307051
  2. Mutation update for GNE gene variants associated with GNE myopathy.
    Celeste FV, Vilboux T, Ciccone C, de Dios JK, et al · · 2014 · cited 95× · PMID 24796702 · DOI 10.1002/humu.22583
  3. GNE Myopathy: Etiology, Diagnosis, and Therapeutic Challenges.
    Carrillo N, Malicdan MC, Huizing M. · · 2018 · cited 69× · PMID 30338442 · DOI 10.1007/s13311-018-0671-y
  4. CDG Therapies: From Bench to Bedside.
    Brasil S, Pascoal C, Francisco R, Marques-da-Silva D, et al · · 2018 · cited 66× · PMID 29702557 · DOI 10.3390/ijms19051304
  5. Phenotypic stratification and genotype-phenotype correlation in a heterogeneous, international cohort of GNE myopathy patients: First report from the GNE myopathy Disease Monitoring Program, registry portion.
    Pogoryelova O, Cammish P, Mansbach H, Argov Z, et al · · 2018 · cited 46× · PMID 29305133 · DOI 10.1016/j.nmd.2017.11.001
  6. GNE myopathy: from clinics and genetics to pathology and research strategies.
    Pogoryelova O, González Coraspe JA, Nikolenko N, Lochmüller H, et al · · 2018 · cited 38× · PMID 29720219 · DOI 10.1186/s13023-018-0802-x
  7. Characterization of Strength and Function in Ambulatory Adults With GNE Myopathy.
    Argov Z, Bronstein F, Esposito A, Feinsod-Meiri Y, et al · · 2017 · cited 12× · PMID 28827485 · DOI 10.1097/cnd.0000000000000181
  8. Patient reported outcomes in GNE myopathy: incorporating a valid assessment of physical function in a rare disease.
    Slota C, Bevans M, Yang L, Shrader J, et al · · 2018 · cited 10× · PMID 28637129 · DOI 10.1080/09638288.2017.1283712

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01830972.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing