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NCT05058391

A Study of Elaprase in Children and Adults With Hunter Syndrome (Mucopolysaccharidosis II) in India

Completed Phase 4 Results posted Last updated 23 January 2025
What this trial tests

Phase 4 trial testing Elaprase in Hunter Syndrome in 5 participants. Completed in 18 April 2024.

Timeline
21 April 2022
Primary endpoint
6 April 2024
18 April 2024

Quick facts

Lead sponsorTakeda
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment5
Start date21 April 2022
Primary completion6 April 2024
Estimated completion18 April 2024
Sites5 locations across India

Drugs / interventions tested

Conditions studied

Sponsor

Takeda — full company profile →

Who can join

Eligibility, any sex, with Hunter Syndrome. 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, Discontinuation Due to TEAEs and Death Primary · From start of the study drug administration up to Week 53

An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory value), symptom, or disease temporally associated with the use of a drug whether or not it is considered related to the drug. A serious TEAE was defined as any untoward medical occurrence that at any dose results in: death; is life-threatening: requires inpatient hospitalizat

TEAEs
GroupValue95% CI
Elaprase 0.5 mg/kg5
Serious TEAEs
GroupValue95% CI
Elaprase 0.5 mg/kg1
Discontinuation due to TEAEs
GroupValue95% CI
Elaprase 0.5 mg/kg1
Death
GroupValue95% CI
Elaprase 0.5 mg/kg0
Number of Participants With Adverse Drug Reactions (ADRs) Primary · From start of the study drug administration up to Week 53

An ADR was defined as a response to a drug which was noxious and unintended, and which occurred at doses normally used in humans for prophylaxis, diagnosis, or therapy of disease, or for the modification of physiological function.

GroupValue95% CI
Elaprase 0.5 mg/kg1
Number of Participants With Infusion-related Reactions (IRRs) Primary · From start of the study drug administration up to Week 53

An IRR was defined as an AE that had been assessed as at least possibly related to treatment with elaprase and occurred during an infusion or up to 24 hours post-infusion.

GroupValue95% CI
Elaprase 0.5 mg/kg1
Change From Baseline in Percentage Forced Vital Capacity (%FVC) at Weeks 27 and 53 Secondary · Baseline, Weeks 27 and 53

FVC is the amount of air that can be forcibly exhaled from your lungs after taking the deepest breath possible, as measured by spirometry. FVC is a measure of respiratory function.

Week 27
GroupValue95% CI
Elaprase 0.5 mg/kg-2.0± 4.24
Week 53
GroupValue95% CI
Elaprase 0.5 mg/kg1.0± 2.83
Change From Baseline in 6 Minute Walk Test (6MWT) at Weeks 27 and 53 Secondary · Baseline, Weeks 27 and 53

6MWT is the distance covered over a time of 6 minutes and is a measure of physical functional capacity which is determined on a walking course.

Week 27
GroupValue95% CI
Elaprase 0.5 mg/kg24.3± 24.31
Week 53
GroupValue95% CI
Elaprase 0.5 mg/kg184.8± 138.96
Change From Baseline in Cardiac Left Ventricular Mass Index (LVMI) at Weeks 27 and 53 Secondary · Baseline, Weeks 27 and 53

Cardiac LVMI was measured by 2-dimensional (2D) echocardiography. Cardiac LVMI is the left ventricular mass (LVM) in grams indexed to body surface area (BSA), in square meters (m\^2). Cardiac LVMI (in grams per square meter \[g/m\^2\])=LVM divided by BSA.

Week 27
GroupValue95% CI
Elaprase 0.5 mg/kg-12.0± 20.91
Week 53
GroupValue95% CI
Elaprase 0.5 mg/kg-20.9± 15.59
Change From Baseline in Left Ventricular Ejection Fraction (LVEF) at Weeks 27 and 53 Secondary · Baseline, Weeks 27 and 53

The LVEF was measured by 2D echocardiography and considered a sufficiently sensitive measure to evaluate any changes in cardiac function.

Week 27
GroupValue95% CI
Elaprase 0.5 mg/kg4.1± 3.30
Week 53
GroupValue95% CI
Elaprase 0.5 mg/kg6.6± 7.87
Change From Baseline in Liver Volume at Weeks 27 and 53 Secondary · Baseline, Weeks 27 and 53

Liver volume was determined by Ultrasonography (USG).

Week 27
GroupValue95% CI
Elaprase 0.5 mg/kg67.0± 245.27
Week 53
GroupValue95% CI
Elaprase 0.5 mg/kg175.3± 255.56
Change From Baseline in Spleen Volume at Weeks 27 and 53 Secondary · Baseline, Weeks 27 and 53

Spleen volume was determined by USG.

Week 27
GroupValue95% CI
Elaprase 0.5 mg/kg48.3± 129.60
Week 53
GroupValue95% CI
Elaprase 0.5 mg/kg123.7± 207.15
Change From Baseline in Normalized Urine Glycosaminoglycan (uGAG) Levels at Week 14, 27, 40, and 53 Secondary · Baseline, Weeks 14, 27, 40, and 53

Normalized uGAG was analyzed using urine testing. The uGAG levels were normalized to urine creatinine and were reported as microgram glycosaminoglycan (GAG) per milligram creatinine (μg GAG/mg creatinine).

Week 14
GroupValue95% CI
Elaprase 0.5 mg/kg33.3± 112.91
Week 27
GroupValue95% CI
Elaprase 0.5 mg/kg-28.9± 31.92
Week 40
GroupValue95% CI
Elaprase 0.5 mg/kg123.4± 222.41
Week 53
GroupValue95% CI
Elaprase 0.5 mg/kg8.6± 29.50
Change From Baseline in Global Joint Range of Motion (JROM) Score at Weeks 27 and 53 Secondary · Baseline, Weeks 27 and 53

Passive joint mobility is defined as the range of motion of the shoulder, elbow, wrist, hip, knee, and ankle joints, as assessed by one expert physician using universal goniometry method. Global JROM (% of normal range of motion) is the average of 11 ratios multiplied by 100. Ratios are left/right means of passive range of motion in shoulder (flexion/extension, abduction, internal/external rotation), elbow (flexion/extension), wrist (flexion/extension), index finger (flexion/extension \[combined metacarpophalangeal joint, proximal interphalangeal joint, distal interphalangeal joint motion\]),

Week 27
GroupValue95% CI
Elaprase 0.5 mg/kg-8.0± 7.14
Week 53
GroupValue95% CI
Elaprase 0.5 mg/kg-14.0± 0.00
Change From Baseline in Anthropometric Parameter: Height at Weeks 27 and 53 Secondary · Baseline, Weeks 27 and 53

Change from baseline in height (centimeters \[cm\]) was assessed in participants less than (\<)18 years of age.

Week 27
GroupValue95% CI
Elaprase 0.5 mg/kg3.0± 2.34
Week 53
GroupValue95% CI
Elaprase 0.5 mg/kg3.7± 3.08

Adverse events — posted to ClinicalTrials.gov

Time frame: From start of the study drug administration up to Week 53. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Elaprase 0.5 mg/kg
Serious: 1/5 (20%)
Deaths: 0/5

Serious adverse events (1 terms)

ReactionSystemElaprase 0.5 mg/kg
Lower Respiratory Tract InfectionInfections and infestations
Other adverse events (18 terms — click to expand)

ReactionSystemElaprase 0.5 mg/kg
NasopharyngitisInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
Ear PainEar and labyrinth disorders
Abdominal Pain UpperGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Mouth UlcerationGastrointestinal disorders
VomitingGastrointestinal disorders
Hernia PainGeneral disorders
Infusion Site ExtravasationGeneral disorders
SwellingGeneral disorders
ConjunctivitisInfections and infestations
Ear InfectionInfections and infestations
Limb InjuryInjury, poisoning and procedural complications
AsthmaRespiratory, thoracic and mediastinal disorders
SneezingRespiratory, thoracic and mediastinal disorders
Dermatitis AllergicSkin and subcutaneous tissue disorders
UrticariaSkin and subcutaneous tissue disorders

Most-reported serious reactions: Lower Respiratory Tract Infection.

Data from ClinicalTrials.gov NCT05058391 adverse events section.

Sponsor's own description

The main aim of this study is to learn more about the safety profile of Elaprase in Indian children and adults with hunter syndrome. Participants will receive Elaprase once per week over a 3-hour period which can be reduced to 1 hour as determined by the study doctor. Participants will need to visit the clinic weekly during the duration of the study.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of Elaprase

Trials testing the same drug.

Other recruiting trials for Hunter Syndrome

Currently open trials in the same condition.

Other Takeda trials

Trials by the same sponsor.

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