An Open-Label Extension for Subjects in Studies HGT-HIT-046 and SHP609-302 Evaluating Long-Term Safety of Intrathecal Idursulfase-IT Administered in Conjunction with Intravenous Elaprase® in Subjects with Hunter Syndrome and Cognitive Impairment

2023-504127-90-00 Protocol TAK-609-3001 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 8 Apr 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol TAK-609-3001

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 8
Countries 1
Sites 1

Hunter Syndrome and Cognitive Impairment

To collect long-term safety data in subjects with Hunter syndrome and cognitive impairment who are receiving intrathecal idursulfase-IT and IV Elaprase® enzyme replacement therapy

Key facts

Sponsor
Takeda Development Center Americas Inc.
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male
Therapeutic area
Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16]
Trial duration
8 Apr 2024 → ongoing
Decision date (initial)
2024-02-13
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Takeda Development Center Americas, Inc

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety

To collect long-term safety data in subjects with Hunter syndrome and cognitive impairment who are receiving intrathecal idursulfase-IT and IV Elaprase® enzyme replacement therapy

Conditions and MedDRA coding

Hunter Syndrome and Cognitive Impairment

VersionLevelCodeTermSystem organ class
20.0 LLT 10056917 Hunter's syndrome 10010331

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. 01. The subject must have completed end of study assessments in studies HGT-HIT-046 or SHP609-302 and received a clinical benefit from idursulfase-IT in the opinion of the investigator.
  2. 02. The subject, or subject's legally designated representative, must have been informed of the nature of this open-label extension and must have voluntarily signed an Institutional Review Board (IRB)/ Independent Ethics Committee (IEC) approved informed consent form after all relevant aspects of the study have been explained and discussed. Consent of the subject’s legally designated representative (as applicable) and the subject’s consent/assent, as relevant, must be obtained
  3. 03. The subject has continued to receive Elaprase on a regular basis in studies HGT-HIT-046 or SHP609-302

Exclusion criteria 3

  1. 01. The subject has experienced, in the opinion of the investigator, a safety or medical issue that contraindicates treatment with idursulfase-IT, including, but not limited to, uncontrolled seizure disorder, bleeding disorder, and clinically relevant hypertension
  2. 02. The subject has clinically relevant intracranial hypertension
  3. 03. The subject is enrolled in another clinical study, other than studies HGT-HIT-046 or SHP609-302, that involves clinical investigations or use of any investigational product (drug or [intrathecal/spinal] device) within 30 days prior to study enrolment or at any time during the study

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. 01. The primary endpoint of this study is the safety of intrathecal idursulfase-IT administration. Safety will be assessed by AEs (by type, severity, and relationship to treatment [idursulfase-IT, the IDDD, device surgical procedure, or IT administration process] and IV Elaprase infusion).

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Idursulfase (idursulfase-IT [HGT-2310])

PRD5483124 · Product

Active substance
Idursulfase
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRATHECAL
Max daily dose
30 mg milligram(s)
Max total dose
3600 mg milligram(s)
Max treatment duration
120 Month(s)
Authorisation status
Not Authorised
MA holder
SHIRE HUMAN GENETIC THERAPIES, INC.
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Takeda Development Center Americas Inc.

Sponsor organisation
Takeda Development Center Americas Inc.
Address
500 Kendall Street
City
Cambridge
Postcode
02142-1108
Country
United States

Scientific contact point

Organisation
Takeda Development Center Americas Inc.
Contact name
Takeda

Public contact point

Organisation
Takeda Development Center Americas Inc.
Contact name
Takeda

Third parties 1

OrganisationCity, countryDuties
Bionical Limited
ORG-100023296
Derby, United Kingdom On site monitoring, Code 10, Code 11, Code 12, Code 5, Data management, E-data capture, Code 8, Code 9

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 4 1
Rest of world
Canada
4

Investigational sites

France

1 site · Ongoing, recruiting
Hospices Civils De Lyon
Pediatrics, 3 Quai Des Celestins, Bp 2251, Lyon Cedex 02

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2024-04-08 2024-04-10

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 13 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_TAK-609-3001_Protocol_2023-504127-90-00_Redacted 4.0
Recruitment arrangements (for publication) K1_RecruitmentArrangements 1.1
Subject information and informed consent form (for publication) L1_ SIS and ICF_13 to 18yrs 2.0
Subject information and informed consent form (for publication) L1_ SIS and ICF_7 to 12yrs 2.0
Subject information and informed consent form (for publication) L1_ SIS and ICF_Adult 3.0
Subject information and informed consent form (for publication) L1_ SIS and ICF_Adult Lacking Capacity 3.0
Subject information and informed consent form (for publication) L1_ SIS and ICF_Parent 5.0
Subject information and informed consent form (for publication) L1_Other subject information material_Letter to Participants_V1_11Mar2025 1
Subject information and informed consent form (for publication) L2_ Other subject information material_Global Comparison Table 1.0
Subject information and informed consent form (for publication) L2_ Other subject information material_Participant Card 2.0
Subject information and informed consent form (for publication) L2_Other subject information material_Lay Summary 1.0
Synopsis of the protocol (for publication) D1_TAK-609-3001_Protocol synopsis_2023-504127-90-00 4.0
Synopsis of the protocol (for publication) D1_TAK-609-3001_Protocol synopsis_2023-504127-90-00_FR 4.0

Application history

4 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-10-16 France Acceptable
2024-02-12
2024-02-13
2 NON SUBSTANTIAL MODIFICATION NSM-2 2024-04-23 France Acceptable
2024-02-12
2024-04-23
3 NON SUBSTANTIAL MODIFICATION NSM-3 2025-11-20 France Acceptable
2024-02-12
2025-11-20
4 SUBSTANTIAL MODIFICATION SM-1 2025-11-28 France Acceptable
2026-02-09
2026-02-12