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Study of UX003 Recombinant Human Beta-Glucuronidase (rhGUS) Enzyme Replacement Treatment in Mucopolysaccharidosis Type 7, Sly Syndrome (MPS 7) Patients Less Than 5 Years of Age

An Open-label Study of UX003 rhGUS Enzyme Replacement Therapy in MPS 7 Patients Less Than 5 Years Old

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02418455
Enrollment
8
Registered
2015-04-16
Start date
2015-07-21
Completion date
2019-03-26
Last updated
2019-10-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

MPS VII, Mucopolysaccharidosis, Mucopolysaccharidosis VII, Sly Syndrome

Keywords

MPS 7, Sly Syndrome, MPS VII, Enzyme Replacement Therapy, Rare Disease, Mucopolysaccharidosis type 7, Lysosomal Storage Disease, Metabolic Disorder

Brief summary

The primary objective was to evaluate the effect of UX003 treatment in pediatric MPS VII participants less than 5 years of age on safety, tolerability, and efficacy as determined by the reduction of urinary glycosaminoglycans (uGAG) excretion.

Interventions

DRUGUX003

solution for intravenous infusion

Sponsors

Ultragenyx Pharmaceutical Inc
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
1 Days to 5 Years
Healthy volunteers
No

Inclusion criteria

1. Confirmed diagnosis of MPS 7 based on leukocyte or fibroblast glucuronidase enzyme assay, or genetic testing. 2. Under 5 years of age at the time of informed consent. 3. Written informed consent of Legally Authorized Representative after the nature of the study has been explained, and prior to any research-related procedures.

Exclusion criteria

1. Undergone a successful bone marrow or stem cell transplant or has evidence of any degree of detectable chimaerism with donor cells. 2. Any known hypersensitivity to rhGUS or its excipients that, in the judgment of the Investigator, places the subject at increased risk for adverse effects. 3. Use of any investigational product (drug or device or combination) other than UX003 within 30 days prior to Screening, or requirement for any investigational agent prior to completion of all scheduled study assessments at any time during the study. 4. Has a condition of such severity and acuity, in the opinion of the Investigator, which may not allow safe study participation. For patients with hydrops fetalis, the ongoing interventions to manage fluid balance can be continued; if the addition of enzyme replacement therapy (ERT) is considered a fluid-overload risk, the individual should be excluded. 5. Has a concurrent disease or condition that, in the view of the Investigator, places the subject at high risk of poor treatment compliance or of not completing the study, or would interfere with study participation or affect safety. Since hydropic patients have a high rate of mortality, the risk of death prior to 1 year of age should not be considered sufficient to exclude the patient from the study for compliance.

Design outcomes

Primary

MeasureTime frameDescription
Percent Change From Baseline in uGAG Excretion (LC-MS/MS-DS) at Week 48Baseline (Week 0), Week 48Liquid chromatography-mass spectrometry/mass spectrometry-dermatan sulfate (LS-MS/MS-DS) method. For the participant previously treated with UX003 under an eIND, percent change from initial baseline was used.
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuations Due to TEAEsFrom first dose of study drug until 30 days after the last dose of study drug. Mean (SD) treatment duration was 98.11 (29.02) weeksAdverse event (AE): any untoward medical occurrence in a participant, whether or not considered drug related. Serious AE (SAE): an AE or suspected adverse reaction that at any dose results in any of the following outcomes: 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. Other important medical events may also, in the opinion of the Investigator, be considered SAEs. An AE was considered a TEAE if it occurred on or after the first dose, and was not present prior to the first dose, or it was present at the first dose but increased in severity during the study. Events recorded as either possibly, probably, or definitely related to treatment were categorized as related. AE severity was graded using the National Cancer Institute's Common Terminology Criteria for Adverse Events, Version 4.03.

Secondary

MeasureTime frameDescription
Change From Baseline Over Time in Head CircumferenceBaseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
Change From Baseline Over Time in Head Circumference Z-ScoreBaseline, Weeks 12, 24, 36, 48The Z-score indicates the number of standard deviations away from a reference population (from the CDC growth charts) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome. For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
Change From Baseline Over Time in WeightBaseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
Change From Baseline Over Time in Standing HeightBaseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
Change From Pre-Treatment (Within 2 Years) to Post-Treatment Growth Velocity Z-ScorePre-treatment (based on standing height within 2 years prior to treatment), Post-treatment (based on all standing height data during the study period up to Week 48)The Z-score indicates the number of standard deviations away from a reference population (based on Tanner's standard \[Tanner et al. 1985\]) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome. The growth velocity for pre-treatment is based on standing height within 2 years prior to treatment. The growth velocity for post-treatment is based on all standing height data during the study period. For the participant previously treated with UX003 under an eIND, the growth velocity was calculated for pre initial UX003 treatment and post initial UX003 treatment.
Change From Baseline Over Time in Liver MeasurementBaseline, Weeks 12, 24, 48, 96, 144For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
Change From Baseline Over Time in Spleen MeasurementBaseline, Weeks 12, 24, 48, 96, 144For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.
Post-UX003 Growth Velocity (cm/yr) for Participants With Both Historical Pre-UX003 (Within 2 Years) and Post-UX003 DataPre-treatment (based on standing height within 2 years prior to treatment), Post-treatment (based on all standing height data during the study period up to 240 weeks)The growth velocity for pre-treatment is based on standing height within 2 years prior to treatment. The growth velocity for post-treatment is based on all standing height data during the study period. For the participant previously treated with UX003 under an eIND, the growth velocity was calculated for pre initial UX003 treatment and post initial UX003 treatment.
Change From Baseline Over Time in Standing Height Z-ScoreBaseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132The Z-score indicates the number of standard deviations away from a reference population (from the CDC growth charts) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome. For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.

Countries

Portugal, Spain, United States

Participant flow

Participants by arm

ArmCount
UX003
UX003 4 mg/kg QOW. Initial treatment period 48 weeks. Continuation period up to 240 weeks.
8
Total8

Withdrawals & dropouts

PeriodReasonFG000
48-Week Treatment PeriodOther- Not Specified1
Continuation PeriodSponsor Decision7

Baseline characteristics

CharacteristicUX003
Age, Continuous3.25 years
STANDARD_DEVIATION 1.197
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
Head Circumference
eIND
37.00 cm
Head Circumference
Non-eIND
51.57 cm
STANDARD_DEVIATION 2.13
Head Circumference Z-Score
eIND
-3.329 Z-score
Head Circumference Z-Score
Non-eIND
1.465 Z-score
STANDARD_DEVIATION 1.3186
Historical Pre-Treatment (Within 2 Years) Growth Velocity5.06 cm/year
STANDARD_DEVIATION 1.885
Liver Measurement
eIND
7.60 cm
Liver Measurement
Non-eIND
10.70 cm
STANDARD_DEVIATION 1.138
Pre-Treatment (Within 2 Years) Growth Velocity Z-Score-2.587 Z-score
STANDARD_DEVIATION 1.486
Race/Ethnicity, Customized
Asian
2 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants
Race/Ethnicity, Customized
Other, Not Specified
2 Participants
Race/Ethnicity, Customized
White
3 Participants
Sex: Female, Male
Female
3 Participants
Sex: Female, Male
Male
5 Participants
Spleen Measurement
eIND
6.40 cm
Spleen Measurement
Non-eIND
8.17 cm
STANDARD_DEVIATION 1.115
Standing Height
eIND
52.20 cm
Standing Height
non-eIND
89.34 cm
STANDARD_DEVIATION 7.198
Standing Height Z-Score
eIND
-5.352 Z-score
Standing Height Z-Score
Non-eIND
-2.241 Z-score
STANDARD_DEVIATION 0.4327
Urinary Glycosaminoglycans (uGAG) Excretion2.092 g GAG/g creatinine
STANDARD_DEVIATION 1.3307
Weight
eIND
4.26 kg
Weight
Non-eIND
13.99 kg
STANDARD_DEVIATION 2.274

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 8
other
Total, other adverse events
8 / 8
serious
Total, serious adverse events
3 / 8

Outcome results

Primary

Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuations Due to TEAEs

Adverse event (AE): any untoward medical occurrence in a participant, whether or not considered drug related. Serious AE (SAE): an AE or suspected adverse reaction that at any dose results in any of the following outcomes: 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. Other important medical events may also, in the opinion of the Investigator, be considered SAEs. An AE was considered a TEAE if it occurred on or after the first dose, and was not present prior to the first dose, or it was present at the first dose but increased in severity during the study. Events recorded as either possibly, probably, or definitely related to treatment were categorized as related. AE severity was graded using the National Cancer Institute's Common Terminology Criteria for Adverse Events, Version 4.03.

Time frame: From first dose of study drug until 30 days after the last dose of study drug. Mean (SD) treatment duration was 98.11 (29.02) weeks

Population: Full analysis set: all enrolled participants who received at least one dose of UX003 during the study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
UX003Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuations Due to TEAEsTEAEs8 Participants
UX003Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuations Due to TEAEsSerious TEAEs3 Participants
UX003Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuations Due to TEAEsTreatment-Related TEAEs5 Participants
UX003Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuations Due to TEAEsTreatment-Related Serious TEAEs1 Participants
UX003Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuations Due to TEAEsGrade 3 or 4 TEAEs2 Participants
UX003Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuations Due to TEAEsTEAEs Leading to Treatment Discontinuation0 Participants
UX003Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuations Due to TEAEsTEAEs Leading to Study Discontinuation0 Participants
UX003Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and Discontinuations Due to TEAEsTEAEs Leading to Death0 Participants
Primary

Percent Change From Baseline in uGAG Excretion (LC-MS/MS-DS) at Week 48

Liquid chromatography-mass spectrometry/mass spectrometry-dermatan sulfate (LS-MS/MS-DS) method. For the participant previously treated with UX003 under an eIND, percent change from initial baseline was used.

Time frame: Baseline (Week 0), Week 48

Population: Full analysis set: all enrolled participants who received at least one dose of UX003 during the study and had a non-missing baseline and Week 48 assessment.

ArmMeasureValue (MEAN)Dispersion
UX003Percent Change From Baseline in uGAG Excretion (LC-MS/MS-DS) at Week 48-58.17 percent changeStandard Deviation 16.915
p-value: <0.000195% CI: [-73.56, -48.44]GEE model
Secondary

Change From Baseline Over Time in Head Circumference

For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.

Time frame: Baseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132

Population: Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.

ArmMeasureGroupValue (MEAN)Dispersion
UX003Change From Baseline Over Time in Head CircumferenceChange at Week 3612.00 cm
UX003Change From Baseline Over Time in Head CircumferenceChange at Week 2412.50 cm
UX003: Non-eINDChange From Baseline Over Time in Head CircumferenceChange at Week 36-0.27 cmStandard Deviation 1.732
UX003: Non-eINDChange From Baseline Over Time in Head CircumferenceChange at Week 480.79 cmStandard Deviation 0.267
UX003: Non-eINDChange From Baseline Over Time in Head CircumferenceChange at Week 600.86 cmStandard Deviation 0.378
UX003: Non-eINDChange From Baseline Over Time in Head CircumferenceChange at Week 721.10 cmStandard Deviation 0.224
UX003: Non-eINDChange From Baseline Over Time in Head CircumferenceChange at Week 840.70 cmStandard Deviation 0.837
UX003: Non-eINDChange From Baseline Over Time in Head CircumferenceChange at Week 960.84 cmStandard Deviation 1.108
UX003: Non-eINDChange From Baseline Over Time in Head CircumferenceChange at Week 1081.07 cmStandard Deviation 1.793
UX003: Non-eINDChange From Baseline Over Time in Head CircumferenceChange at Week 1201.33 cmStandard Deviation 2.082
UX003: Non-eINDChange From Baseline Over Time in Head CircumferenceChange at Week 120.36 cmStandard Deviation 0.378
UX003: Non-eINDChange From Baseline Over Time in Head CircumferenceChange at Week 1322.00 cm
UX003: Non-eINDChange From Baseline Over Time in Head CircumferenceChange at Week 240.54 cmStandard Deviation 0.36
Secondary

Change From Baseline Over Time in Head Circumference Z-Score

The Z-score indicates the number of standard deviations away from a reference population (from the CDC growth charts) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome. For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.

Time frame: Baseline, Weeks 12, 24, 36, 48

Population: Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.

ArmMeasureGroupValue (MEAN)
UX003Change From Baseline Over Time in Head Circumference Z-ScoreChange at Week 243.804 Z-score
UX003Change From Baseline Over Time in Head Circumference Z-ScoreChange at Week 363.263 Z-score
UX003: Non-eINDChange From Baseline Over Time in Head Circumference Z-ScoreChange at Week 120.052 Z-score
UX003: Non-eINDChange From Baseline Over Time in Head Circumference Z-ScoreChange at Week 240.177 Z-score
UX003: Non-eINDChange From Baseline Over Time in Head Circumference Z-ScoreChange at Week 36-0.733 Z-score
UX003: Non-eINDChange From Baseline Over Time in Head Circumference Z-ScoreChange at Week 48-0.218 Z-score
Secondary

Change From Baseline Over Time in Liver Measurement

For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.

Time frame: Baseline, Weeks 12, 24, 48, 96, 144

Population: Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.

ArmMeasureGroupValue (MEAN)Dispersion
UX003Change From Baseline Over Time in Liver MeasurementChange at Week 12-0.30 cm
UX003Change From Baseline Over Time in Liver MeasurementChange at Week 240.70 cm
UX003Change From Baseline Over Time in Liver MeasurementChange at Week 48-0.40 cm
UX003: Non-eINDChange From Baseline Over Time in Liver MeasurementChange at Week 24-1.16 cmStandard Deviation 2.701
UX003: Non-eINDChange From Baseline Over Time in Liver MeasurementChange at Week 144-1.50 cmStandard Deviation 3.394
UX003: Non-eINDChange From Baseline Over Time in Liver MeasurementChange at Week 48-0.85 cmStandard Deviation 2.16
UX003: Non-eINDChange From Baseline Over Time in Liver MeasurementChange at Week 12-0.87 cmStandard Deviation 1.873
UX003: Non-eINDChange From Baseline Over Time in Liver MeasurementChange at Week 96-0.45 cmStandard Deviation 1.868
Comparison: Change at Week 12p-value: 0.012295% CI: [-1.77, -0.22]generalized estimating equation
Comparison: Change at Week 24p-value: 0.008695% CI: [-2.12, -0.31]generalized estimating equation
Comparison: Change at Week 48p-value: 0.001695% CI: [-1.58, -0.37]generalized estimating equation
Comparison: Change at Week 96p-value: 0.179295% CI: [-1.41, 0.26]generalized estimating equation
Comparison: Change at Week 144p-value: 0.173195% CI: [-0.85, 0.15]generalized estimating equation
Secondary

Change From Baseline Over Time in Spleen Measurement

For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.

Time frame: Baseline, Weeks 12, 24, 48, 96, 144

Population: Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.

ArmMeasureGroupValue (MEAN)Dispersion
UX003Change From Baseline Over Time in Spleen MeasurementChange at Week 48-1.60 cm
UX003Change From Baseline Over Time in Spleen MeasurementChange at Week 24-0.10 cm
UX003Change From Baseline Over Time in Spleen MeasurementChange at Week 120.00 cm
UX003: Non-eINDChange From Baseline Over Time in Spleen MeasurementChange at Week 48-0.16 cmStandard Deviation 1.128
UX003: Non-eINDChange From Baseline Over Time in Spleen MeasurementChange at Week 960.21 cmStandard Deviation 1.056
UX003: Non-eINDChange From Baseline Over Time in Spleen MeasurementChange at Week 144-1.12 cmStandard Deviation 0.686
UX003: Non-eINDChange From Baseline Over Time in Spleen MeasurementChange at Week 12-0.37 cmStandard Deviation 0.624
UX003: Non-eINDChange From Baseline Over Time in Spleen MeasurementChange at Week 24-0.03 cmStandard Deviation 1.493
Comparison: Change at Week 48p-value: 0.695495% CI: [-0.92, 0.61]GEE model
Comparison: Change at Week 96p-value: 0.549295% CI: [-0.5, 0.93]generalized estimating equation
Comparison: Change at Week 144p-value: 0.261895% CI: [-1.55, 0.42]generalized estimating equation
Comparison: Change at Week 12p-value: 0.084395% CI: [-0.78, 0.05]generalized estimating equation
Comparison: Change at Week 24p-value: 0.961895% CI: [-1.03, 0.98]generalized estimating equation
Secondary

Change From Baseline Over Time in Standing Height

For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.

Time frame: Baseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132

Population: Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.

ArmMeasureGroupValue (MEAN)Dispersion
UX003Change From Baseline Over Time in Standing HeightChange at Week 3620.00 cm
UX003Change From Baseline Over Time in Standing HeightChange at Week 2415.00 cm
UX003: Non-eINDChange From Baseline Over Time in Standing HeightChange at Week 365.64 cmStandard Deviation 1.725
UX003: Non-eINDChange From Baseline Over Time in Standing HeightChange at Week 486.57 cmStandard Deviation 1.058
UX003: Non-eINDChange From Baseline Over Time in Standing HeightChange at Week 608.59 cmStandard Deviation 1.318
UX003: Non-eINDChange From Baseline Over Time in Standing HeightChange at Week 729.63 cmStandard Deviation 1.451
UX003: Non-eINDChange From Baseline Over Time in Standing HeightChange at Week 8410.93 cmStandard Deviation 2.095
UX003: Non-eINDChange From Baseline Over Time in Standing HeightChange at Week 9611.86 cmStandard Deviation 3.146
UX003: Non-eINDChange From Baseline Over Time in Standing HeightChange at Week 10812.17 cmStandard Deviation 3.329
UX003: Non-eINDChange From Baseline Over Time in Standing HeightChange at Week 12012.67 cmStandard Deviation 3.617
UX003: Non-eINDChange From Baseline Over Time in Standing HeightChange at Week 121.94 cmStandard Deviation 1.927
UX003: Non-eINDChange From Baseline Over Time in Standing HeightChange at Week 13214.80 cm
UX003: Non-eINDChange From Baseline Over Time in Standing HeightChange at Week 243.71 cmStandard Deviation 0.994
Secondary

Change From Baseline Over Time in Standing Height Z-Score

The Z-score indicates the number of standard deviations away from a reference population (from the CDC growth charts) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome. For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.

Time frame: Baseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132

Population: Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.

ArmMeasureGroupValue (MEAN)Dispersion
UX003Change From Baseline Over Time in Standing Height Z-ScoreChange at Week 360.314 Z-score
UX003Change From Baseline Over Time in Standing Height Z-ScoreChange at Week 24-0.481 Z-score
UX003: Non-eINDChange From Baseline Over Time in Standing Height Z-ScoreChange at Week 360.314 Z-scoreStandard Deviation 0.4103
UX003: Non-eINDChange From Baseline Over Time in Standing Height Z-ScoreChange at Week 480.196 Z-scoreStandard Deviation 0.3012
UX003: Non-eINDChange From Baseline Over Time in Standing Height Z-ScoreChange at Week 600.333 Z-scoreStandard Deviation 0.3883
UX003: Non-eINDChange From Baseline Over Time in Standing Height Z-ScoreChange at Week 720.246 Z-scoreStandard Deviation 0.3299
UX003: Non-eINDChange From Baseline Over Time in Standing Height Z-ScoreChange at Week 840.203 Z-scoreStandard Deviation 0.3973
UX003: Non-eINDChange From Baseline Over Time in Standing Height Z-ScoreChange at Week 960.237 Z-scoreStandard Deviation 0.5312
UX003: Non-eINDChange From Baseline Over Time in Standing Height Z-ScoreChange at Week 108-0.035 Z-scoreStandard Deviation 0.4531
UX003: Non-eINDChange From Baseline Over Time in Standing Height Z-ScoreChange at Week 120-0.176 Z-scoreStandard Deviation 0.4915
UX003: Non-eINDChange From Baseline Over Time in Standing Height Z-ScoreChange at Week 120.106 Z-scoreStandard Deviation 0.4938
UX003: Non-eINDChange From Baseline Over Time in Standing Height Z-ScoreChange at Week 132-0.147 Z-score
UX003: Non-eINDChange From Baseline Over Time in Standing Height Z-ScoreChange at Week 240.188 Z-scoreStandard Deviation 0.3013
Secondary

Change From Baseline Over Time in Weight

For all participants (including the participant previously treated with UX003 under an eIND), the last non-missing study assessment prior to the first dose in this study was used as baseline.

Time frame: Baseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132

Population: Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with a non-missing assessment at baseline and given time point.

ArmMeasureGroupValue (MEAN)Dispersion
UX003Change From Baseline Over Time in WeightChange at Week 245.94 kg
UX003Change From Baseline Over Time in WeightChange at Week 486.34 kg
UX003Change From Baseline Over Time in WeightChange at Week 365.94 kg
UX003Change From Baseline Over Time in WeightChange at Week 125.54 kg
UX003: Non-eINDChange From Baseline Over Time in WeightChange at Week 482.11 kgStandard Deviation 1.11
UX003: Non-eINDChange From Baseline Over Time in WeightChange at Week 602.91 kgStandard Deviation 1.447
UX003: Non-eINDChange From Baseline Over Time in WeightChange at Week 723.49 kgStandard Deviation 2.084
UX003: Non-eINDChange From Baseline Over Time in WeightChange at Week 843.63 kgStandard Deviation 2.17
UX003: Non-eINDChange From Baseline Over Time in WeightChange at Week 965.06 kgStandard Deviation 2.889
UX003: Non-eINDChange From Baseline Over Time in WeightChange at Week 1084.53 kgStandard Deviation 3.415
UX003: Non-eINDChange From Baseline Over Time in WeightChange at Week 1205.17 kgStandard Deviation 3.968
UX003: Non-eINDChange From Baseline Over Time in WeightChange at Week 1325.70 kg
UX003: Non-eINDChange From Baseline Over Time in WeightChange at Week 120.69 kgStandard Deviation 0.626
UX003: Non-eINDChange From Baseline Over Time in WeightChange at Week 241.21 kgStandard Deviation 0.904
UX003: Non-eINDChange From Baseline Over Time in WeightChange at Week 361.46 kgStandard Deviation 1.416
Secondary

Change From Pre-Treatment (Within 2 Years) to Post-Treatment Growth Velocity Z-Score

The Z-score indicates the number of standard deviations away from a reference population (based on Tanner's standard \[Tanner et al. 1985\]) in the same age range and with the same sex. A Z-score of 0 is equal to the mean with negative numbers indicating values lower than the mean and positive values higher. Higher Z-scores indicate a better outcome. The growth velocity for pre-treatment is based on standing height within 2 years prior to treatment. The growth velocity for post-treatment is based on all standing height data during the study period. For the participant previously treated with UX003 under an eIND, the growth velocity was calculated for pre initial UX003 treatment and post initial UX003 treatment.

Time frame: Pre-treatment (based on standing height within 2 years prior to treatment), Post-treatment (based on all standing height data during the study period up to Week 48)

Population: Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with both historical pre-treatment (within 2 years) and post-treatment data. Growth velocity Z-score was only calculated for participants ≥ 2.25 years.

ArmMeasureValue (MEAN)Dispersion
UX003Change From Pre-Treatment (Within 2 Years) to Post-Treatment Growth Velocity Z-Score2.291 Z-scoreStandard Deviation 3.3555
p-value: 0.2655t-test
Secondary

Post-UX003 Growth Velocity (cm/yr) for Participants With Both Historical Pre-UX003 (Within 2 Years) and Post-UX003 Data

The growth velocity for pre-treatment is based on standing height within 2 years prior to treatment. The growth velocity for post-treatment is based on all standing height data during the study period. For the participant previously treated with UX003 under an eIND, the growth velocity was calculated for pre initial UX003 treatment and post initial UX003 treatment.

Time frame: Pre-treatment (based on standing height within 2 years prior to treatment), Post-treatment (based on all standing height data during the study period up to 240 weeks)

Population: Full analysis set: all enrolled participants who received at least one dose of UX003 during the study with both historical pre-treatment (within 2 years) and post-treatment data.

ArmMeasureValue (MEAN)Dispersion
UX003Post-UX003 Growth Velocity (cm/yr) for Participants With Both Historical Pre-UX003 (Within 2 Years) and Post-UX003 Data6.20 cm/yearStandard Deviation 1.954

Source: ClinicalTrials.gov · Data processed: Mar 3, 2026