Late-onset Pompe Disease
Conditions
Keywords
LOPD, Pompe, acid maltase deficiency, glycogen storage disease type II, ERT, enzyme replacement therapy
Brief summary
This is a Phase 1, multicenter, open-label study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of DNL952 in adult participants with late-onset Pompe disease. The principal aim of this study is to obtain safety and tolerability data across varous dose levels of DNL952 in participants with late-onset Pompe disease (LOPD).
Interventions
Intravenous repeating dose
Sponsors
Study design
Eligibility
Inclusion criteria
Key Inclusion Criteria: * Body weight ≥40 kg * Diagnosis of LOPD * Upright FVC ≥ 30% of predicted normal value * Able to ambulate ≥ 40 meters (use of assistive devices is acceptable) * \[Cohorts A1-A4 only\] Have received avalglucosidase alfa or cipaglucosidase alfa at a dose of 20 mg/kg every 2 weeks for at least 12 months prior to screening * \[Cohorts B1-B2 only\] Must not have received any enzyme-replacement therapy for Pompe disease in the 12 months prior to screening Key
Exclusion criteria
* Any ongoing, clinically significant, unstable, or poorly controlled neurological, psychiatric, endocrine, pulmonary, cardiovascular, gastrointestinal, hepatic, pancreatic, renal, metabolic, hematological, immunological, allergic, or ophthalmic disease not related to Pompe disease, or other major disorders. Well-controlled conditions are permitted if investigator and Sponsor agree. * Wheelchair-dependent * Require noninvasive ventilation for an average of more than 6 hours per day while awake or any invasive ventilation. Use of noninvasive ventilation during sleep is acceptable. * Received an experimental gene therapy at any time or participation in any other investigational drug trial or use of investigational drug within 60 days or 5 half-lives, whichever is longer, before screening
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence, severity, and seriousness of treatment-emergent adverse events (TEAEs) | 48 weeks |
| Incidence and severity of infusion-related reacations (IRRs) | 48 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PK parameter: Maximum concentration (Cmax) of DNL952 in serum | 48 weeks | — |
| PK Parameter: Time to reach maximum concentration (tmax) of DNL952 in serum | 48 weeks | — |
| PK Parameter: Area under the concentration-time curve (AUC) from time zero to time of last measurable concentration (AUClast) of DNL952 in serum | 48 weeks | — |
| PK Parameter: AUC from time 0 to infinity (AUC∞) of DNL952 in serum | 48 weeks | single dose only |
| PK parameter: AUC from time zero to time t (AUCt) of DNL952 in serum | 48 weeks | multiple doses only |
| PK Parameter: terminal elimination half-life (t1/2) of DNL952 in serum | 48 weeks | — |
Countries
United States
Contacts
Denali Therapeutics Inc.