Mucopolysaccharidosis Type IH, MPS I, Hurler Syndrome
Conditions
Keywords
Hurler Syndrome
Brief summary
This is a standard of care treatment guideline for patients with the diagnosis of mucopolysaccharidosis type IH (MPS I, Hurler syndrome) who are being considered as candidates for first hematopoietic stem cell transplantation (HSCT) according to a University of Minnesota myeloablative HSCT protocol.
Detailed description
Laronidase Enzyme Replacement Therapy will be performed using laronidase once a week for 12 weeks prior to hematopoietic stem cell transplantation and for 8 weeks post-transplant to reduce pulmonary complications.
Interventions
Administered 0.58 mg/kg/dose intravenously (IV) once a week beginning 12 weeks before planned hematopoietic stem cell transplant (HSCT) and resume same dosing regimen for 8 weeks after HSCT.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of mucopolysaccharidosis type IH (MPS I, Hurler syndrome) and being considered as a candidate for first transplant according to a University of Minnesota myeloablative hematopoietic stem cell transplant (HSCT) protocol
Exclusion criteria
* No prior therapy with laronidase enzyme replacement therapy (ERT)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival | At 1 Year | Patients alive at 1 year post transplantation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Engraftment | 1 Year Post Transplant | The incidence of donor engraftment will be estimated by taking the simple proportion of patients achieving donor engraftment over the number of evaluable patients. Donor engraftment will be defined as achieving an absolute neutrophil count ≥ 5x10\^8/kg for three consecutive days before day 42 and maintenance of \>10% donor chimerism through one year post transplant or death. |
| Incidence of Grade III-IV Acute Graft Versus Host Disease | Day 100 | Cumulative incidence will be used to estimate grade III-IV acute GvHD, treating death as a competing risk. |
| Proportion of patients in need of ventilator support | 1 Year | Count of patients using ventilator by 1 year. |
Countries
United States