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Danon DiseaseNCT05548855

Natural History of Danon Disease

An observational study of Danon Disease, run by Rocket Pharmaceuticals Inc. at 15 sites in 5 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

This is a multicenter, international, non-interventional, natural history study designed to collect longitudinal retrospective clinical information on patients with Danon disease (DD). Read more about this study

Who is it for?
Ages 6 years and older
Conditions the study is for
Danon Disease
What is being tested?
Heart Transplant and Cardiac Assistive Device
How many people
59 participants
Where
15 sitesin 5 countries
Study dates
26 Sep 2022to 31 Oct 2023
Phase
Observational
Are there results?
None posted in the registry

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 6 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Female and male patients with confirmed diagnosis of Danon disease based on a genetic test positive for a mutation in LAMP2

Who may be able to join

  • Patients older than 6 years old and any sex.
  • Patients with a confirmed genetic mutation in LAMP2. 3a. Living patients (who have not undergone heart transplantation or placement of a cardiac assist device):
  • A minimum of 6 months of longitudinal data, including at least 2 echocardiograms or MRIs at least 6 months apart, prior to most recent follow-up visit or enrollment in Sponsor's gene therapy clinical trial.
  • 3b. Deceased patients or living patients who underwent heart transplantation or cardiac assist device placement:
  • At least 1 echocardiogram or MRI assessment prior to heart transplantation/ cardiac assist device placement or death
  • 4. Informed consent/assent by the patient and/or their legally authorized representative (if the patient is living at the time of enrollment).

Who cannot join

  • 1. Diagnosis of Danon disease without genetic testing confirmation.

Trial locations and contacts

15 sites in 5 countries.

15 sites in 5 countries

Spain7 sites
  • Hospital Clínic de Barcelona - Barnaclínic+

    Barcelona, 08907

  • Hospital Universitario de Bellvitge- Bellvitge University Hospital

    Barcelona, 08907

  • Hospital Universitario La Paz - La Paz University Hospital

    Madrid, 28046

  • Hospital Universitario Puerta de Hierro Majadahonda Puerta de Hierro Majadahonda - University Hospital

    Madrid, 28222

  • Hospital Universitario Virgen de la Victoria- Virgen de la Victoria University Hosptial

    Málaga, 29010

  • Hospital Álvaro Cunqueiro

    Pontevedra, 326312

  • Hospital Universitario y Politécnico La Fe, Instituto De Investigación Sanitaria La Fe, La Fe University and Polytechnic Hospital

    Valencia, 46026

Other trials in Spain

France3 sites
  • CHU de Nantes, Hôpital Laennec

    Nantes, 44800

  • APHP, Hôpital de la Pitié Salppêtrière - Charles Foix

    Paris, 75013

  • CHU de Rennes, Hôpital Pontchaïllou

    Rennes, 35033

Other trials in France

Italy3 sites
  • Ospedale Papa Giovanni XXIII di Bergamo ASST Pap Giovanni XXIII Hospital

    Bergamo, 24127

  • University of Florence Dept. of Experimental and Clinical Medicine

    Florence, 50134

  • IRCCS Burlo Garogolo- Hospital Burlo Garofolo

    Trieste, 34137

Other trials in Italy

Czechia1 site
  • Institut klinické a experimentální medicíny (IKEM)- Institute for Clinical and Experimental Medicine

    Prague, 14021

Other trials in Czechia

Ireland1 site
  • Mater Misericordiae University Hospital

    Dublin, D07 R2WY

Other trials in Ireland

About this study

Official title: A Retrospective, Multicenter, International Study to Characterize the Natural History of Danon Disease

This is a multicenter, international, non-interventional, natural history study designed to collect longitudinal retrospective clinical information on patients with Danon disease (DD). This study is composed of 2 parts:

  • Feasibility study: to identify participating sites, assess site and team capabilities, confirm the site and investigator qualification for taking part in the study,
  • Retrospective chart review: Data will be collected retrospectively by means of a chart review of living and/or deceased DD patients with a confirmed lysosome associated membrane protein-2 gene (LAMP2) mutation, and,
  • For living patients (who have not undergone heart transplantation or placement of a cardiac assist device), availability of at least 6-month cardiology follow-up data,
  • For living patients who underwent heart transplantation or placement of a cardiac assist device, and for deceased patients, at least 1 MRI or echo assessment prior to heart transplantation/cardiac assist device placement or death.
Read the detailed description

Danon disease (DD) is a rare X-linked dominant genetic disorder characterized by cardiomyopathy, skeletal myopathy, and neurocognitive deficits. The disease is caused by a mutation in the lysosome associated membrane protein-2 gene (LAMP2). LAMP2 functions as a lysosomal membrane receptor in autophagy. Most men and many women with LAMP2 gene mutations will develop cardiac disease that includes hypertrophic cardiomyopathy and/or dilated cardiomyopathy, cardiac pre-excitation syndrome, and a propensity for arrhythmias. The prognosis is directly related to the severity of the cardiac disease, and many patients will die from sudden cardiac death. Males are typically more severely affected than females.

There is currently no therapy available to cure, or even prevent disease progression. DD treatment is thus primarily supportive therapy, and survival beyond 25 years without a cardiac transplantation is improbable for afflicted male patients.

Rocket Pharmaceuticals, a clinical-stage company advancing an integrated and sustainable pipeline of genetic therapies for rare pediatric disorders, is developing Rocket Pharmaceuticals Adeno-associated- vector-501 (RP-A501) (AAV9.LAMP2B), an investigational gene therapy product for DD and the first potential gene therapy for monogenic heart failure.

This retrospective, multicenter, international, longitudinal, non- interventional study of DD patients with confirmed LAMP2 mutation aims at characterizing the Natural History of disease in males and females. The Real-world data collected from patients in this natural history study will help support the overall development and protocol design of the RP-A501 gene therapy pivotal trial to be submitted to the health authorities.

Additionally, this study will allow identification of the core centers managing DD patients in several countries as well as the description of the disease characteristics, diagnosis pathway and disease progression. This will inform the development of patient profiles for future studies, including a potential prospective observational study to investigate the burden of disease among DD patients and an international patient registry for Danon disease.

The overarching goal of this retrospective, multicenter, international study is to gain a better understanding of the Natural History of Danon disease, by collecting de-identified information from patients with this condition treated.

Primary objective: Determine how specific cardiac manifestations in patients diagnosed with Danon disease change over time. Essential echocardiography and/or MRI-based parameters include: thickness of the Left Ventricular Posterior Wall at end-diastole (LVPWd); thickness of the Interventricular Septum at end-diastole (IVSd); Left Ventricular mass (LVmass); Left Ventricular Ejection Fraction (LVEF).

Secondary objectives: Describe the progression of other cardiac and extracardiac manifestations in patients diagnosed with Danon disease, including, but not limited to: serologic markers of heart failure, serologic markers of muscle injury, risk and frequency of arrhythmias, comprehensive echocardiogram and MRI-based assessments of cardiomyopathy, overall survival, and event-free survival (as defined subsequently).

Exploratory objectives:

  1. Describe the diagnostic pathway of Danon disease, therapeutic management and local centers' approaches to genetic testing for LAMP2 mutations.
  2. Identify key Natural History trends to inform a prospective European Union (EU) natural history study and plan for a potential gene therapy trial for DD patients in the EU.
Conditions
Danon Disease
Being tested
Heart Transplant, Cardiac Assistive Device
Keywords
Danon Disease, Observational
Medical subject headings
Glycogen Storage Disease Type IIb

What participants receive

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

  • Heart TransplantProcedure or surgery

    Patients who have undergone a heart transplant as standard of care (SOC) procedure

  • Cardiac Assistive DeviceDevice

    Patients who have undergone a placement of a cardiac assistive device

Study groups in NCT05548855
Study groupRoleWhat they receive
Heart Transplant or Cardiac Assist DeviceFemale and male patients with confirmed diagnosis of Danon disease based on a genetic test positive for a mutation in LAMP2 For living patients who underwent heart transplantation or placement of a cardiac assist device, and for deceased patients, at least 1 MRI or echo assessment prior to heart transplantation/cardiac assist device placement or death.
Receives: Procedure: Heart Transplant; Device: Cardiac Assistive Device
No InterventionFemale and male patients with confirmed diagnosis of Danon disease based on a genetic test positive for a mutation in LAMP2 for living patients (who have not undergone heart transplantation or placement of a cardiac assist device), availability of at least 6-month cardiology follow-up data

What is being measured

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

  1. Cardiac Manifestations- LVPWd

    Descriptive analysis will be conducted to characterize specific cardiac manifestations in patients diagnosed with Danon disease, and changes over time. Data collected will be analyzed by 6-month intervals and by the changes from initial evaluation over each 6-month interval. This includes the following cardiac parameters obtained from echocardiogram and/or MRI assessments: thickness of the left ventricular posterior wall end diastole and end systole (LVPWd).

    Measured: Retrospective minimum of 6 months

  2. Cardiac Manifestations- lVSd

    Descriptive analysis will be conducted to characterize specific cardiac manifestations in patients diagnosed with Danon disease, and changes over time. Data collected will be analyzed by 6-month intervals and by the changes from initial evaluation over each 6-month interval. This includes the following cardiac parameters obtained from echocardiogram and/or MRI assessments including thickness of the left ventricular systolic dysfunction (IVSd).

    Measured: Retrospective minimum of 6 months

  3. Cardiac Manifestations- LVmass

    Descriptive analysis will be conducted to characterize specific cardiac manifestations in patients diagnosed with Danon disease, and changes over time. Data collected will be analyzed by 6-month intervals and by the changes from initial evaluation over each 6-month interval. This includes the following cardiac parameters obtained from echocardiogram and/or MRI assessments including left ventricular mass (LVmass).

    Measured: Retrospective minimum of 6 months

  4. Cardiac Manifestations - LVEF

    Descriptive analysis will be conducted to characterize specific cardiac manifestations in patients diagnosed with Danon disease, and changes over time. Data collected will be analyzed by 6-month intervals and by the changes from initial evaluation over each 6-month interval. This includes the following cardiac parameters obtained from echocardiogram and/or MRI assessments including left ventricular ejection fraction (LVEF).

    Measured: Retrospective minimum of 6 months

Secondary outcomes (16)
  1. Serologic Markers & Imaging - BNP

    Mean values, standard deviations, medians and changes in means will be provided for serologic markers of heart failure which include B-type natriuretic peptide (BNP).

    Measured: Retrospective minimum of 6 months

  2. Serologic Markers & Imaging Pro-BNP

    Mean values, standard deviations, medians and changes in means will be provided for serologic markers of heart failure which include Pro- B-type natriuretic peptide (Pro-BNP).

    Measured: Retrospective minimum of 6 months

  3. Serologic Markers & Imaging- CK-MB

    Mean values, standard deviations, medians and changes in means will be provided for serologic markers of heart failure which include creatine kinase - MB (CK-MB).

    Measured: Retrospective minimum of 6 months

  4. Serologic Markers & Imaging- Troponin

    Mean values, standard deviations, medians and changes in means will be provided for serologic markers of heart failure which include Troponin

    Measured: Retrospective minimum of 6 months

  5. Serologic Markers & Imaging- CPK

    Mean values, standard deviations, medians and changes in means will be provided for serologic markers of muscle injury, which include creatine phosphokinase (CPK).

    Measured: Retrospective minimum of 6 months

  6. Serologic Markers & Imaging- transaminases

    Mean values, standard deviations, medians and changes in means will be provided for serologic markers of muscle injury, which include transaminases

    Measured: Retrospective minimum of 6 months

  7. Serologic Markers & Imaging- Echo/MRI

    Mean values, standard deviations, medians and changes in means will be provided for the echocardiogram- and MRI-based assessments of cardiomyopathy, which include measures of cardiac hypertrophy or dilation

    Measured: Retrospective minimum of 6 months

  8. Serologic Markers & Imaging- BP

    Mean values, standard deviations, medians and changes in means will be provided for the echocardiogram- and MRI-based assessments of cardiomyopathy, which include measures of systolic and diastolic function

    Measured: Retrospective minimum of 6 months

  9. Serologic Markers & Imaging- GLS

    Mean values, standard deviations, medians and changes in means will be provided for the echocardiogram- and MRI-based assessments of cardiomyopathy, which include measures of Global Longitudinal Strain (GLS)

    Measured: Retrospective minimum of 6 months

  10. Serologic Markers & Imaging- E/A

    Mean values, standard deviations, medians and changes in means will be provided for the echocardiogram- and MRI-based assessments of cardiomyopathy, which include measures of mitral inflow ratio of the early (E) to late (A) (ventricular filling velocities (E/A))

    Measured: Retrospective minimum of 6 months

  11. Arrhythmias

    Time to event (risk of arrhythmia), for each of the following: supraventricular arrhythmias and non-sustained ventricular arrhythmias on Holter or similar monitoring, treatment with anti-arrhythmic medications

    Measured: Retrospective minimum of 6 months

  12. Wolf-Parkinson-White syndrome

    Time to event of Wolf-Parkinson-White syndrome (WPW) on electrocardiogram

    Measured: Retrospective minimum of 6 months

  13. ICD Placement

    Time to event of Implantable cardioverter-defibrillators (ICD) placement

    Measured: Retrospective minimum of 6 months

  14. Reason for ICD Placement

    Reasoning for ICD placement will be summarized by frequency of the reasons

    Measured: Retrospective minimum of 6 months

  15. Overall Survival

    Overall survival will be analyzed using Kaplan-Meier estimates. Patients lost to follow-up or who complete the study will be censored at the last follow-up time.

    Measured: Retrospective minimum of 6 months

  16. Event-free survival

    Event-free survival (EFS) will be analyzed using Kaplan-Meier estimates. EFS will be provided for Tier 1 events, Tier 1 + Tier 2 events, and Tier 1 + Tier 2 +Tier 3 events. Patients lost to follow-up or who complete the study will be censored at the last follow-up time.

    Measured: Retrospective minimum of 6 months

Timeline

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

  1. First posted22 Sep 2022
  2. Study start26 Sep 2022
  3. Primary completion31 Oct 2023
  4. Study completion31 Oct 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
59 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05548855
Sponsor's protocol ID
RP-NI-A501-0122
Status last verified
Oct 2023
First submitted
29 Jul 2022
Last updated
21 Nov 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Danon Disease, run by Rocket Pharmaceuticals Inc. at 15 sites in 5 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 1 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 21 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in Spain, France, Italy, Czechia, Ireland. 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.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Cardiac Manifestations- LVPWd (time frame: Retrospective minimum of 6 months). The study lists 4 primary outcomes in all. 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 21 Nov 2023.

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