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Glycogen Storage Disease Type IIIPhase 1/2NCT04990388

Safety, Tolerability, and Pharmacokinetics of UX053 in Patients With Glycogen Storage Disease Type III (GSD III)

A Phase 1/2 study testing UX053, Antipyretic and H2 Blocker in people with Glycogen Storage Disease Type III, run by Ultragenyx Pharmaceutical Inc at 6 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 primary objective of the study is to evaluate the safety of UX053 in adults with Glycogen Storage Disease Type III (GSD III). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Glycogen Storage Disease Type III
What is being tested?
UX053, Antipyretic and H2 Blocker
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
9 participants
Where
6 sitesin 3 countries
Study dates
18 Oct 2021to 20 Mar 2023
Phase
Phase 1/2
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed diagnosis of GSD III by gene sequencing or enzymatic testing
  • Alanine aminotransferase at or below 5 times normal during the three months prior to dosing
  • Willing and able to comply with standard dietary management of GSD III
  • Inclusion Criteria for Participants Rescreening Into OL-RD Cohorts After Treatment with UX053 in SAD Cohort:
  • If a significant rise in ALT occurs after the prior dose, ALT should show a decreasing trend toward the subject's baseline value
  • Total bilirubin, platelets and international normalized ratio (INR) is within normal limits

Who cannot join

  • History of liver transplant or currently awaiting liver transplant
  • History of cirrhosis
  • Active Hepatitis B or C
  • Severe kidney impairment
  • History of liver cancer or large liver tumors
  • History of any cancer within the past 3 years
Show all 18Show fewer
  • Known history of HIV infection
  • Known severe allergy to polyethylene glycol (PEG), polysorbate, or mRNA vaccine
  • Heart failure that causes marked limitation in physical activity
  • Poorly controlled diabetes
  • Poorly controlled hypothyroidism
  • Treatment with immunosuppressive medications such as those used to treat chronic autoimmune conditions and solid organ transplants
  • Pregnant or nursing, or planning to become pregnant during the study
  • Exclusion Criteria for Participants Rescreening Into OL-RD Cohorts After Treatment with UX053 in SAD Cohort:
  • New or worsening symptoms of liver disease (including new or worsening hepatomegaly) along with any increase in transaminase levels
  • Receipt of any blood product administration (eg, packed red blood cells, platelet, FFP) for management of consumptive coagulopathy
  • An ALT level that is ≥ 8x ULN and > 2x the participants baseline value in the absence of an alternative explanation
  • Note: Additional inclusion/exclusion criteria may apply, per protocol

Trial locations and contacts

6 sites in 3 countries.

6 sites in 3 countries

United States4 sites
  • Rare Disease Research

    Atlanta, Georgia, 30329

  • University of Texas, Health Science Center of Houston

    Houston, Texas, 77030

  • University of California, Irvine

    Orange, California, 92868

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

Other trials in United States

Italy1 site
  • Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico

    Milan, 20122

Other trials in Italy

Spain1 site
  • Hospital Universitario 12 de Octubre

    Madrid, 28041

Other trials in Spain

About this study

Official title: A Phase 1/2 First-in-human, Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Single Ascending Doses and Repeat Doses of UX053 in Patients With GSD III

The primary objective of the study is to evaluate the safety of UX053 in adults with Glycogen Storage Disease Type III (GSD III).

Read the detailed description

This study is a phase 1/2 first-in-human (FIH), study to evaluate the safety, tolerability, and pharmacokinetic (PK) of a single ascending dose (SAD) and repeat doses (RD) of UX053 in patients with GSD III. The SAD cohorts will be open-label (OL). There will be two types of RD cohorts, an open-label (OL-RD) and a randomized, double-blind (DB), and placebo-controlled (DB-RD).

Being tested
UX053, Placebo, Antipyretic, H2 Blocker, H1 Blocker
Medical subject headings
Glycogen Storage Disease Type III

What participants receive

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

  • UX053Biological

    mRNA-based biologic

  • PlaceboOther

    consists of the same components as the formulation buffer for UX053

  • AntipyreticDrug

    Also called paracetamol, acetaminophen, ibuprofen

    participants will receive oral premedication prior to infusion

  • H2 BlockerDrug

    Also called famotidine

    participants will receive oral premedication prior to infusion

  • H1 BlockerDrug

    Also called cetirizine

    participants will receive oral premedication prior to infusion

Study groups in NCT04990388
Study groupRoleWhat they receive
UX053 Dose Level 1S ->OL-1RExperimentalParticipants receive a single, peripheral intravenous (IV) infusion of UX053. After completion of the 90-day Follow up Period, participants can enter the open label repeat dose (OL-RD) cohort where they will receive UX053 every 4 weeks (Q4W) for 4 doses. Participants will also receive premedication, consisting of oral paracetamol/acetaminophen or ibuprofen, an H2 blocker, and an H1 blocker.
Receives: Biological: UX053; Drug: Antipyretic; Drug: H2 Blocker; Drug: H1 Blocker
UX053 Dose Level 2S->OL-2RExperimentalParticipants receive a single, peripheral intravenous (IV) infusion of UX053. After completion of the 90-day Follow up Period, participants can enter the open label repeat dose (OL-RD) cohort where they will receive UX053 every 4 weeks (Q4W) for 4 doses. Participants will also receive premedication, consisting of oral paracetamol/acetaminophen or ibuprofen, an H2 blocker, and an H1 blocker.
Receives: Biological: UX053; Drug: Antipyretic; Drug: H2 Blocker; Drug: H1 Blocker
UX053 Dose Level 3S->OL-3RExperimentalParticipants receive a single, peripheral intravenous (IV) infusion of UX053. After completion of the 90-day Follow up Period, participants can enter the open label repeat dose (OL-RD) cohort where they will receive UX053 every 4 weeks (Q4W) for 4 doses. Participants will also receive premedication, consisting of oral paracetamol/acetaminophen or ibuprofen, an H2 blocker, and an H1 blocker.
Receives: Biological: UX053; Drug: Antipyretic; Drug: H2 Blocker; Drug: H1 Blocker
UX053 or Placebo Dose Level DB-1RExperimentalParticipants randomized to receive a single, peripheral IV infusion of UX053 or Placebo every 2 weeks (Q2W) for 5 doses. Participants will also receive premedication, consisting of oral paracetamol/acetaminophen or ibuprofen, an H2 blocker, and an H1 blocker.
Receives: Biological: UX053; Other: Placebo; Drug: Antipyretic; Drug: H2 Blocker; Drug: H1 Blocker
UX053 Dose Level DB-2RExperimentalParticipants randomized to receive a single, peripheral IV infusion of UX053 or Placebo every 2 weeks (Q2W) for 5 doses. Participants will also receive premedication, consisting of oral paracetamol/acetaminophen or ibuprofen, an H2 blocker, and an H1 blocker.
Receives: Biological: UX053; Other: Placebo; Drug: Antipyretic; Drug: H2 Blocker; Drug: H1 Blocker
UX053 Dose Level DB-3RExperimentalParticipants randomized to receive a single, peripheral IV infusion of UX053 or Placebo every 2 weeks (Q2W) for 5 doses. Participants will also receive premedication, consisting of oral paracetamol/acetaminophen or ibuprofen, an H2 blocker, and an H1 blocker.
Receives: Biological: UX053; Other: Placebo; Drug: Antipyretic; Drug: H2 Blocker; Drug: H1 Blocker

What is being measured

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

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Deaths, Discontinuations, and/or Dose Changes

    An AE is defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A TEAE is defined as any AE not present prior to the initiation of the drug treatment or any AE already present that worsens in either intensity or frequency following exposure to the drug treatment. An SAE is an AE that meets any of the following criteria in the view of either the Investigator or Ultragenyx: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; disability/Incapacity; congenital anomaly/birth defect not present at screening; other important medical events. Severity of events were graded as mild (grade1), moderate (grade 2), severe (grade 3), life-threatening (grade 4), or death (grade 5).

    Measured: From first dose of study drug through the end of study (up to Day 90)

Secondary outcomes (7)
  1. Pharmacokinetics (PK) of Amylo-α-1,6-glucosidase 4-alpha-glucanotransferase Messenger Ribonucleic Acid (AGL mRNA) and the Excipient ATX95: Maximum Blood/Plasma Concentration (Cmax)

    Measured: Pre-infusion; 1, 3, 4, 4.5, 5 hr (± 10 min), 6 hr (± 20 min), 8, 10 hr (± 30 min), 24 hr (± 2 hr), 96, 168 hr (± 24 hr), 336, 504, 672 hr (± 48 hr) post-start of infusion

  2. PK of AGL mRNA and the Excipient ATX95: Time to Peak Drug Concentration (Tmax)

    Measured: Pre-infusion; 1, 3, 4, 4.5, 5 hr (± 10 min), 6 hr (± 20 min), 8, 10 hr (± 30 min), 24 hr (± 2 hr), 96, 168 hr (± 24 hr), 336, 504, 672 hr (± 48 hr) post-start of infusion

  3. PK of AGL mRNA and the Excipient ATX95: Total Drug Exposure to the Last Measurable Concentration (AUC0-last)

    Measured: Pre-infusion; 1, 3, 4, 4.5, 5 hr (± 10 min), 6 hr (± 20 min), 8, 10 hr (± 30 min), 24 hr (± 2 hr), 96, 168 hr (± 24 hr), 336, 504, 672 hr (± 48 hr) post-start of infusion

  4. PK of AGL mRNA and the Excipient ATX95: Total Drug Exposure to Infinity (AUC0-inf)

    Measured: Pre-infusion; 1, 3, 4, 4.5, 5 hr (± 10 min), 6 hr (± 20 min), 8, 10 hr (± 30 min), 24 hr (± 2 hr), 96, 168 hr (± 24 hr), 336, 504, 672 hr (± 48 hr) post-start of infusion

  5. PK of AGL mRNA and the Excipient ATX95: Elimination Half-life (t½)

    Measured: Pre-infusion; 1, 3, 4, 4.5, 5 hr (± 10 min), 6 hr (± 20 min), 8, 10 hr (± 30 min), 24 hr (± 2 hr), 96, 168 hr (± 24 hr), 336, 504, 672 hr (± 48 hr) post-start of infusion

  6. PK of AGL mRNA and the Excipient ATX95: Clearance (CL)

    Measured: Pre-infusion; 1, 3, 4, 4.5, 5 hr (± 10 min), 6 hr (± 20 min), 8, 10 hr (± 30 min), 24 hr (± 2 hr), 96, 168 hr (± 24 hr), 336, 504, 672 hr (± 48 hr) post-start of infusion

  7. PK of AGL mRNA and the Excipient ATX95: Volume of Distribution at Steady State (Vss)

    Measured: Pre-infusion; 1, 3, 4, 4.5, 5 hr (± 10 min), 6 hr (± 20 min), 8, 10 hr (± 30 min), 24 hr (± 2 hr), 96, 168 hr (± 24 hr), 336, 504, 672 hr (± 48 hr) post-start of infusion

Timeline

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

  1. First posted4 Aug 2021
  2. Study start18 Oct 2021
  3. Primary completion20 Mar 2023
  4. Study completion20 Mar 2023

Why it stopped: Sponsor decision not related to safety concerns

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04990388
Sponsor's protocol ID
UX053-CL101
Other IDs
2021-000903-19
Status last verified
Apr 2024
First submitted
26 Jul 2021
Last updated
16 Apr 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing UX053, Antipyretic and H2 Blocker in people with Glycogen Storage Disease Type III, run by Ultragenyx Pharmaceutical Inc at 6 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 6 inclusion and 18 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 16 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 6 sites in United States, Italy, Spain. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

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 16 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?

Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Deaths, Discontinuations, and/or Dose Changes (time frame: From first dose of study drug through the end of study (up to Day 90)). 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 16 Apr 2024.

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