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Hunter SyndromePhase 2/3NCT00630747

Extension of Study TKT024 Evaluating Long-Term Safety and Clinical Outcomes in MPS II Patients Receiving Idursulfase

A Phase 2/3 study testing Idursulfase in people with Hunter Syndrome and Mucopolysaccharidosis II (MPS II), run by Shire at 52 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Study TKT024EXT was a long-term, single-arm, open-label extension of Study TKT024, a one year Phase 2/Phase 3 registration study. The primary objective of this extension study was to collect long-term safety and clinical outcome data in Mucopolysaccharidosis II (MPS II), also known as Hunter Syndrome, from the Phase… Read more about this study

Who is it for?
Ages 5 years and older, men only
What is being tested?
Idursulfase
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
94 participants
Where
52 sitesin 10 countries
Study dates
13 Sep 2004to 31 Jan 2008
Phase
Phase 2/3
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 5 years and older
  • Men only
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Patient must have completed the double-blind phase of Study TKT024, defined as completing the Week 53 final evaluations.
  • Patient, patient's parent(s), or legally authorized representative must have voluntarily signed an Institutional Review Board (IRB)/Independent Ethics Committee (IEC)-approved informed consent form after all relevant aspects of the study have been explained and discussed with the patient.

Who cannot join

  • Patient has received treatment with an investigational therapy other than iduronate-2-sulfatase in Study TKT024 within the past 60 days.
  • Patient is unable to comply with the protocol (e.g., due to a medical condition such as cervical cord compression or uncooperative attitude) or is unlikely to complete the study, as determined by the investigator.
  • Patient has experienced an adverse reaction to study drug in Study TKT024, which contraindicates further treatment with idursulfase.
  • Patient with known hypersensitivity to any of the components of idursulfase.

Trial locations and contacts

52 sites in 10 countries.

52 sites in 10 countries

United States16 sites
  • Children's Hospital Boston

    Boston, Massachusetts, 02115

  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27599

  • The Children's Hospital

    Denver, Colorado, 80218

  • Baylor College of Medicine Texas Children's Hospital

    Houston, Texas, 77030

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • Franciscan Skemp Healthcare

    La Crosse, Wisconsin, 54601

  • Comprehensive Cancer Centers of Nevada

    Las Vegas, Nevada, 89109

  • Mid-Illinois Hematology and Oncology Associates

    Normal, Illinois, 61761

  • Pediatric Clinical Research Center, Children's Hospital Oakland

    Oakland, California, 94609

  • University of Nebraska Medical Center

    Omaha, Nebraska, 68198

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • St. Joseph's Hospital

    Phoenix, Arizona, 85013

  • Harbin Clinic

    Rome, Georgia, 30165

  • University of Utah Hospital

    Salt Lake City, Utah, 84113

  • Saint Louis University Cardinal Glennon Children's Hospital

    St Louis, Missouri, 63104

  • Upstate Medical University, State University of New York (SUNY)

    Syracuse, New York, 13210

Other trials in United States

Brazil8 sites
  • Clinica Casa de Saude Sao Joao

    Barreiras, Estado de Bahia, 47800-000

  • Hospital Universitario da Faculdade de Medicina da Universidade Federal de Mato Grosso do Sul

    Campo Grande, Mato Grosso do Sul, 79008-900

  • Fundacao Universidade de Ciencias da Saude de Alagoas Governador Lamenha Filho / UNCISAL

    Maceió, Alagoas, 57010-382

  • Hospital de Clinicas de Porto Alegre, Servico de Genetica Medica

    Porto Alegre, Rio Grande do Sul, 90035-003

  • Instituto de Puericultura e Pediatria Martagao Gesteira / Hospital Pediatrico

    Rio de Janeiro, Rio de Janeiro, 21941-590

  • c-HUPES/UFBA

    Salvador, Estado de Bahia, 40110-060

  • UNIFESP Instituto de Oncologia Pediatrica

    São Paulo, São Paulo, 04023-062

  • Instituto da Crianca / Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo

    São Paulo, São Paulo, 05403-000

Other trials in Brazil

United Kingdom8 sites
  • Bath and NE Somerset Primary Care Trust

    Bath, BA1 3QE

  • Addenbrooke's Hospital

    Cambridge, CB2 2QQ

  • Derbyshire Children's Hospital

    Derby, DE22 3NE

  • Royal Hospital for Sick Children

    Glasgow, G3 8SJ

  • Royal Surrey County Hospital

    Guildford, Surrey, GU2 5XX

  • Great Ormond Street Hospital for Sick Children

    London, WC1N3JH

  • Royal Manchester Children's Hospital

    Manchester, M27 4HA

  • Royal Victoria Infirmary

    Newcastle, NE1 4LP

Other trials in United Kingdom

Germany6 sites
  • Universitatsklinikum Aachen Kinderklinik

    Aachen, D-52074

  • Universitatsklinik Dusseldorf Kinderklinik

    Düsseldorf, 40225

  • Justus-Liebig Universitat

    Giessen, 35385

  • Universitatsklinikum Gottingen

    Göttingen, D-37075

  • Universitatsklinikum Hamburg Eppendorf

    Hamburg, 20246

  • Children's University Hospital Mainz AG

    Mainz, 55101

Other trials in Germany

Italy4 sites
  • Universita Milano Bicocca / Ospedale S. Gerardo

    Milan, 20052

  • Universita degli Studi di Napoli Federico II

    Naples, 80131

  • Universita di Padova

    Padova, 35121

  • Ospedale S. S. Annunziata

    Savigliano, 12038

Other trials in Italy

France3 sites
  • Hopital Edouard Herriot

    Lyon, 69003

  • Hopital de Hautepierre

    Strasbourg, 67098

  • Hospital Ducuing

    Toulouse, 31076

Other trials in France

Canada2 sites
  • University of Montreal / Hopital Ste-Justine

    Montreal, Quebec, H3T 1C5

  • The Hospital for Sick Children Research Institute

    Toronto, Ontario, M5G 1XB

Other trials in Canada

Spain2 sites
  • University Hospital Germans Trias i Pujol

    Badalona, 08916

  • Servicio de Pediatria

    Linares, Jaen, 23700

Other trials in Spain

Sweden2 sites
  • Drottning Silvias Barnsjukhus

    Gothenberg, 41685

  • Karolinska University Hospital

    Stockholm, 14186

Other trials in Sweden

Romania1 site
  • Spitalul Clinic de Copii

    Cluj-Napoca, Cluj, 400370

Other trials in Romania

About this study

Official title: An Open-Label Extension of Study TKT024 Evaluating Long-Term Safety and Clinical Outcomes in MPS II Patients Receiving Iduronate-2-Sulfatase Enzyme Replacement Therapy

Study TKT024EXT was a long-term, single-arm, open-label extension of Study TKT024, a one year Phase 2/Phase 3 registration study. The primary objective of this extension study was to collect long-term safety and clinical outcome data in Mucopolysaccharidosis II (MPS II), also known as Hunter Syndrome, from the Phase 2/Phase 3 Study TKT024. All patients enrolling into this study received weekly active treatment with idursulfase, the primary dosing regimen investigated in Study TKT024.

Hunter Syndrome is an X-linked recessive lysosomal storage disease caused by a deficiency of iduronate-2-sulfatase, an enzyme required to catabolize glycosaminoglycans (GAGS) in cells. As a result, GAGs accumulate in the lysosomes leading to cellular engorgement, organomegaly, tissue destruction, and organ system dysfunction. Hunter Syndrome is a rare disease with an estimated incidence of 1 in 162,000 live births.

Read the detailed description

Study TKT024EXT was conducted in 2 phases. The first phase ("Phase I") was 2 years (104 weeks) in duration and consisted of weekly infusions of IV idursulfase (0.5 mg/kg), and the collection of patients' safety and clinical outcomes. Week 105 defined the beginning of the second phase of the study. The second phase ("Phase II") consisted of weekly infusions of IV idursulfase (0.5 mg/kg) and the monitoring of patients for safety (via collection of adverse events, concomitant medications, and vital signs). Study completion was defined as the time a patient either transitioned to commercially available idursulfase or discontinued this study.

Idursulfase was administered to patients as a continuous IV infusion at a dose of 0.5 mg of protein per kg of body weight (0.5 mg/kg). Final evaluations from Study TKT024, the one-year predecessor Phase 2/Phase 3 registration study, served as the baseline assessments for the TKT024EXT study. Forced vital capacity (FVC) and the 6-minute walk test (6MWT) continued to be the primary clinical outcomes of TKT024EXT study. Efficacy outcomes were evaluated over the course of 2 years and were determined at 4-month intervals during the first year (ie, Weeks 18, 36, and 53) and at 6-month intervals in the second year (ie, Weeks 79 and 105). Safety outcomes were assessed throughout the duration of the study. The safety and clinical testing performed in the TKT024EXT study were identical to those performed in the double-blind phase of Study TKT024.

Being tested
Idursulfase
Keywords
Hunter syndrome, hunters syndrome, hunter's syndrome, hunter disease, hunters disease, hunter's disease, MPS II, MPSII, MPS2, MPS 2, mucopolysaccharides, lysosomal storage disease, lysosomal storage disorder, chronic ear infection, enlarged adenoids, mps symptoms, mps diagnosis, mps ii therapy, MPS II treatment, ert treatment
Medical subject headings
Mucopolysaccharidosis II, Sudden Infant Death, Lysosomal Storage Diseases

What participants receive

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

  • IdursulfaseBiological

    Also called Elaprase®, iduronate-2-sulfatase

    Solution for intravenous infusion, 0.5 mg/kg once-weekly

Study groups in NCT00630747
Study groupRoleWhat they receive
IdursulfaseExperimentalNot described
Receives: Biological: Idursulfase

What is being measured

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

  1. Change From Baseline in Mean Percent Predicted Forced Vital Capacity (FVC) at Week 105

    Determined by spirometry. The change is calculated as Week 105 minus baseline.

    Measured: Baseline and at Week 105

  2. Change From Baseline in Mean Distance Walked in the 6-minute Walk Test (6MWT) at Week 105

    Determined on a walking course. The change was calculated as Week 105 minus baseline.

    Measured: Baseline and at Week 105

Secondary outcomes (4)
  1. Change From Baseline in Mean Passive Joint Range of Motion (JROM) at Week 105

    Change was calculated as Week 105 minus baseline. Global JROM (% 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 (MCP), Proximal interphalangeal joint (PIP), Distal interphalangeal joint (DIP) motion]), Hip (Flexion/Extension, Abduction, Internal/External Rotation), Knee (Flexion/Extension), and Ankle (Dorsiflexion) divided by the normal range (American Academy of Orthopedic Surgeons and American Medical Association).

    Measured: Baseline and at Week 105

  2. Change From Baseline in Mean Combined Liver and Spleen Volume at Week 105

    Determined by Magnetic Resonance Imaging (MRI). The change was calculated as Week 105 minus baseline.

    Measured: Baseline and at Week 105

  3. Change From Baseline in Mean Normalized Urine Glycosaminoglycans (GAG) Levels at Week 105

    Determined by urine testing. The change was calculated as Week 105 minus baseline.

    Measured: Baseline and at Week 105

  4. Change From Baseline in Mean Cardiac Left Ventricular Mass Index (LVMI) at Week 105

    Determined by echocardiogram. LVMI indexed to body surface area (g/m^2). The change was calculated as Week 105 minus baseline.

    Measured: Baseline and at Week 105

Timeline

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

  1. First posted7 Mar 2008 (estimated)
  2. Study start13 Sep 2004
  3. Primary completion31 Jan 2008
  4. Study completion31 Jan 2008

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 2/3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
94 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00630747
Sponsor's protocol ID
TKT024EXT
Other IDs
2004-002743-27, 2004
Status last verified
May 2021
First submitted
28 Feb 2008
Last updated
10 Jun 2021
Data monitoring committee
Yes

Publications

  • Muenzer J, Gucsavas-Calikoglu M, McCandless SE, Schuetz TJ, Kimura A. A phase I/II clinical trial of enzyme replacement therapy in mucopolysaccharidosis II (Hunter syndrome). Mol Genet Metab. 2007 Mar;90(3):329-37. doi: 10.1016/j.ymgme.2006.09.001. Epub 2006 Dec 20.

    PubMed 17185020
  • Muenzer J, Wraith JE, Beck M, Giugliani R, Harmatz P, Eng CM, Vellodi A, Martin R, Ramaswami U, Gucsavas-Calikoglu M, Vijayaraghavan S, Wendt S, Puga AC, Ulbrich B, Shinawi M, Cleary M, Piper D, Conway AM, Kimura A. A phase II/III clinical study of enzyme replacement therapy with idursulfase in mucopolysaccharidosis II (Hunter syndrome). Genet Med. 2006 Aug;8(8):465-73. doi: 10.1097/01.gim.0000232477.37660.fb.

    PubMed 16912578
  • Muenzer J, Beck M, Eng CM, Giugliani R, Harmatz P, Martin R, Ramaswami U, Vellodi A, Wraith JE, Cleary M, Gucsavas-Calikoglu M, Puga AC, Shinawi M, Ulbrich B, Vijayaraghavan S, Wendt S, Conway AM, Rossi A, Whiteman DA, Kimura A. Long-term, open-labeled extension study of idursulfase in the treatment of Hunter syndrome. Genet Med. 2011 Feb;13(2):95-101. doi: 10.1097/GIM.0b013e3181fea459.

    PubMed 21150784
  • Beusterien KM, Yeung JE, Pang F, Brazier J. Development of the multi-attribute Adolescent Health Utility Measure (AHUM). Health Qual Life Outcomes. 2012 Aug 28;10:102. doi: 10.1186/1477-7525-10-102.

    PubMed 22929184

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Idursulfase in people with Hunter Syndrome and Mucopolysaccharidosis II (MPS II), run by Shire at 52 sites in 10 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 2 inclusion and 4 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: finished, as of the sponsor's last update on 10 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 52 sites in United States, Brazil, United Kingdom, Germany, Italy and 5 more countries. 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 combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 17 Mar 2014). 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?

Change From Baseline in Mean Percent Predicted Forced Vital Capacity (FVC) at Week 105 (time frame: Baseline and at Week 105). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00630747, which also lists 4 linked publications.

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 Jun 2021.

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