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Fabry DiseasePhase 4NCT00230607

Study of the Effects of Fabrazyme Treatment on Lactation and Infants

A Phase 4 study testing agalsidase beta in people with Fabry Disease and Alpha Galactosidase A Deficiency, run by Genzyme, a Sanofi Company at 5 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The study was planned for up to 2 years (24 months). Planned full participation for both mother and infant was 24 months, planned full participation of mother and development of infant was 24 months, while planned full participation of mother and no infant participation was 6 months. Read more about this study

Who is it for?
Any age
What is being tested?
agalsidase beta
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
7 participants
Where
5 sitesin 3 countries
Study dates
28 May 2006to 9 Feb 2024
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Mothers that met the following criteria were enrolled in this study:
  • provided signed written informed consent to participate in this study,
  • be enrolled in the Fabry Registry and received Fabrazyme while lactating,
  • agreed to adhere to the Fabry Registry recommended schedule of assessments for medical history, pregnancy outcome, genotyping, and antibody testing, and
  • agreed to adhere to the schedule of evaluations for this study.
  • Infants that met the following criteria were enrolled in this study:
Show all 10Show fewer
  • had the signed written informed consent of the parent(s)/legal guardian(s) to participate in this study,
  • born to a mother who was receiving Fabrazyme during lactation,
  • received breast milk from the mother, and
  • had the agreement of the parent(s)/legal guardian(s) to adhere to the schedule of evaluations for this study.

Who cannot join

  • The mother and infant were excluded from this study if the mother received an investigational drug within 30 days prior to study enrollment.

Trial locations and contacts

5 sites in 3 countries.

5 sites in 3 countries

United States3 sites
  • Investigational Site Number 840005

    Decatur, Georgia, 30033

  • Investigational Site Number 840006

    Fairfax, Virginia, 22030

  • investigational site number 01Rhead

    Milwaukee, Wisconsin, 53201-1997

Other trials in United States

Austria1 site
  • investigational site number 04Bodamer

    Marl

Other trials in Austria

United Kingdom1 site
  • investigational site number 03Waldek

    Salford, M6 8HD

Other trials in United Kingdom

About this study

Official title: A Multicenter, Multinational Study of the Effects of Fabrazyme (Agalsidase Beta) Treatment on Lactation and Infants

The study was planned for up to 2 years (24 months). Planned full participation for both mother and infant was 24 months, planned full participation of mother and development of infant was 24 months, while planned full participation of mother and no infant participation was 6 months.

Being tested
agalsidase beta
Keywords
alpha Galactosidase A, aGAL, r-haGAL, Fabry, GL3, Fabrazyme, Lysosomal Storage Disorder, Enzyme Replacement Therapy (ERT)
Medical subject headings
Fabry Disease, Lysosomal Storage Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • agalsidase betaDrug

    Also called r-haGAL, Fabrazyme

    Pharmaceutical form: powder for reconstitution Route of administration: intravenous

Study groups in NCT00230607
Study groupRoleWhat they receive
FabrazymeExperimentalMothers with Fabry disease who received commercially available Fabrazyme intravenous infusion as part of the standard of care while lactating/pregnant and their infants who were breastfed while the mothers were receiving Fabrazyme were enrolled in this study.
Receives: Drug: agalsidase beta

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Concentration of Alpha-galactosidase (αGAL) in Plasma

    Plasma concentration of αGAL was analyzed. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Month 1, 3, and 6

  2. Concentration of Alpha-galactosidase in Breast Milk

    Concentration of αGAL in breast milk was analyzed. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Month 1, 3, and 6

  3. Pharmacokinetics: Observed Maximum Plasma Concentration (Cmax) of Alpha-galactosidase A

    Cmax was defined as the maximum observed concentration in plasma. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Month 1, 3, and 6

  4. Pharmacokinetics: Observed Maximum Plasma Concentration of Alpha-galactosidase A in Breast Milk

    Cmax was defined as the maximum observed concentration in breast milk. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Month 1, 3 and 6

  5. Pharmacokinetics: Area Under the Plasma Alpha-galactosidase A Concentration Versus Time Curve From Time Zero to Two Hours Post End of Infusion (AUC0-2plasma) of Fabrazyme

    AUC0-2plasma was defined as the area under the plasma concentration versus time curve from time zero to 2 hours post end of infusion, calculated using the trapezoidal method. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Month 1, 3 and 6

  6. Pharmacokinetics: Area Under the Milk Alpha-galactosidase A Concentration Versus Time Curve From Time Zero to Two Hours Post End of Infusion (AUC0-2milk) of Fabrazyme

    AUC0-2milk was defined as the area under the milk concentration versus time curve from time zero to 2 hours post-end of infusion, calculated using the trapezoidal method. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Month 1, 3 and 6

  7. Pharmacokinetics: Lactation Clearance of Alpha-galactosidase A

    Lactation clearance was determined in the 0 to 2 hours interval, according to the following equation: the amount of αGAL excreted over the sampling period divided by the AUC during the sampling period. AUC was defined as area under the plasma αGAL concentration-time curve from time 0 to 2 hours post-end of infusion. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Month 1, 3 and 6

  8. Pharmacokinetics: Area Under the Concentration Versus Time Curve From Time Zero to 2 Hours (AUC0-2): Milk to Plasma Ratio

    AUC0-2milk was defined as the area under the milk concentration versus time curve from time zero to 2 hours post end of infusion, calculated using the trapezoidal method. AUC0-2plasma was defined as the area under the plasma concentration versus time curve from time zero to 2 hours post end of infusion, calculated using the trapezoidal method. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Month 1, 3 and 6

  9. Total Volume of Breast Milk

    Collected breast milk samples were analyzed for total volume. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline, Month 2, 6, and 12

  10. Total Fat Content in Breast Milk

    Collected breast milk samples were analyzed for total fat content. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline, Month 2, 6, and 12

  11. Total Protein Content in Breast Milk

    Collected breast milk samples were analyzed for total protein content. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline, Months 2, 6, and 12

  12. Lactation Status of Mothers at Baseline, Months 1, 2, 3, 4, and 6

    Lactation status of mothers was assessed by asking them the question 'Was the infant breastfed?'. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline, Months 1, 2, 3, 4, and 6

  13. Medical History of Enrolled Mothers

    Medical history of enrolled mothers collected from Fabry registry. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline

  14. Genotype of the Enrolled Mothers

    Genotype of each enrolled mother was collected from the Fabry registry. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline

  15. Pregnancy Outcome

    Pregnancy outcome of each enrolled mother collected from the Fabry registry. Baseline for mothers was defined as within 1 month prior to delivery. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline

  16. Number of Mothers Who Were Seropositive for Anti-Fabrazyme Immunoglobulin G (IgG) Antibodies at Baseline

    IgG antibodies data of the enrolled mothers were collected from the Fabry registry. Formation or continued presence of serum IgG antibodies to r-haGAL was considered seropositive. Baseline for mothers was defined as within 1 month prior to delivery. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline

  17. Medical History of Infants at Baseline

    Medical history of infants included birth difficulties (i.e., normal or caesarian birth). Baseline for infants was at birth. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline

  18. Number of Infant Participants With Abnormal Physical Examination

    Physical examination of the infants included: length, weight, head circumference, vital signs, general appearance, skin, head, ears, eyes, nose, throat, lymph nodes, heart, lungs, abdomen, extremities/joints, neurological mental status and external genitalia. Baseline for infants was at birth. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline, Months 1, 2, 4, 6, 12, 18 and 24

  19. Appearance, Pulse, Grimace, Activity, and Respiration (APGAR) Score of Infants at 1 Minute and 5 Minutes After Birth

    The Apgar score is a method to quickly summarize the health of newborn children. The Apgar score is determined by evaluating the newborn baby on five simple criteria: appearance (skin color), pulse (heart rate), grimace (reflex irritability), activity (muscle tone) and respiration on a scale from 0 to 2. Apgar total score (obtained by summing up values from all five items) ranges from 0 to 10 with a score of 0 expressing the worst neonatal status and a score of 10 the best status. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: At 1 minute and 5 minutes after birth

  20. Growth Response of Infants

    Effects of Fabrazyme on the growth response of infants born to mothers with Fabry disease, who had received fabrazyme during lactation. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Months 1, 2, 3, 6, 12, 18 and 24

  21. Development Response of Infants

    Effects of Fabrazyme on the development response of infants born to mothers with Fabry disease, who had received fabrazyme during lactation. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Months 1, 2, 3, 6, 12, 18 and 24

  22. Number of Infants Seropositive for Anti-Fabrazyme Immunoglobulin G Antibodies

    Formation or continued presence of serum IgG antibodies to r-haGAL was considered as seropositive. Baseline for infants was at birth. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline, Months 2, 6, and 12

  23. Number of Infants Seropositive for Anti-Fabrazyme Immunoglobulin M Antibodies

    Formation or continued presence of serum IgM antibodies to r-haGAL was considered as seropositive. Blood samples of umbilical cord collected immediately after birth was used for the Baseline assessment. Baseline for infants was at birth. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline, Months 2, 6, and 12

  24. Genotype of the Infants

    Genotype testing was conducted on umbilical cord blood to determine diagnosis of Fabry disease. Baseline for infants was at birth. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: Baseline

  25. Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAEs)

    Adverse event (AE): any untoward medical occurrence in a participant who received study drug and did not necessarily had to have a causal relationship with the treatment. Serious adverse event (SAE) was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: From Baseline (Mother: within 1 month prior to delivery; Infant: at birth) up to Month 24

  26. Number of Participants Who Received Concomitant Medications

    Concomitant medication was any medication, prescription or over-the-counter, taken by a participant during their participation in an investigational study. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.

    Measured: From Baseline (Mother: within 1 month prior to delivery; Infant: at birth) up to Month 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Oct 2005 (estimated)
  2. Study start28 May 2006
  3. Primary completion9 Feb 2024
  4. Study completion9 Feb 2024

Why it stopped: Per FDA decision, the 2003 Post Marketing commitment has been fulfilled.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
7 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00230607
Sponsor's protocol ID
AGAL02603
Other IDs
2006-001910-33, MSC12868
Status last verified
Mar 2024
First submitted
29 Sep 2005
Last updated
10 Apr 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing agalsidase beta in people with Fabry Disease and Alpha Galactosidase A Deficiency, run by Genzyme, a Sanofi Company at 5 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 10 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States, Austria, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 10 Apr 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Concentration of Alpha-galactosidase (αGAL) in Plasma (time frame: Month 1, 3, and 6). The study lists 26 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Apr 2024.

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