Overview
Sponsor-declared trial summary
Ectonucleotide Pyrophosphatase/Phosphodiesterase 1 (ENPP1) Deficiency and ATP-binding cassette sub-family C member 6 (ABCC6) Deficiency
To assess the long-term safety of INZ-701
Key facts
- Sponsor
- Inozyme Pharma Inc.
- Participant type
- Pediatric, Patients
- Age range
- 0-17 years, 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Musculoskeletal Diseases [C05]
- Trial duration
- 8 Oct 2024 → ongoing
- Decision date (initial)
- 2024-10-04
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- Yes
- Funding sources
- Inozyme Pharma Inc.
External identifiers
- EU CT number
- 2024-512715-42-00
- ClinicalTrials.gov
- NCT06462547
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Dose response, Pharmacokinetic, Therapy, Efficacy, Safety
To assess the long-term safety of INZ-701
Secondary objectives 2
- To confirm drug levels of INZ-701 with long-term use
- To assess the effect of long-term INZ-701 treatment on plasma PPi concentrations
Conditions and MedDRA coding
Ectonucleotide Pyrophosphatase/Phosphodiesterase 1 (ENPP1) Deficiency and ATP-binding cassette sub-family C member 6 (ABCC6) Deficiency
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | PT | 10037150 | Pseudoxanthoma elasticum | 100000004850 |
| 23.0 | HLT | 10083625 | Gene mutations and other alterations NEC | 10010331 |
| 21.0 | LLT | 10059123 | Arterial calcification | 10047065 |
| 23.0 | PT | 10083910 | Ectonucleotide pyrophosphatase/phosphodiesterase 1 deficiency | 100000004850 |
Study design 3 periods
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Screening Period The Screening Period will last up to 30 days during which assessments will be performed to determine eligibility and/or establish Baseline.
|
Not Applicable | None | ||
| 2 | Treatment Period Study participants will begin dosing with INZ-701 on Day 1 under medical supervision and may remain on INZ-701 therapy until it is commercially available in the country/region of the participant’s residence or until Inozyme chooses to discontinue development of INZ-701. Participants may be administered their 2nd, 3rd, and 4th doses (on Days 8, 15, and 22, respectively) offsite (e.g., in the home setting) by a qualified home healthcare professional with explicit approval of the Investigator. All participants will return to the clinic for the Day 29 visit and dosing. After the 5th dose (on Day 29), participants may transition to self-administration of INZ-701 or offsite administration by a caregiver/delegated healthcare provider as determined by the Investigator. INZ-701 will be administered as a once-weekly dose via SC injection; the dose will be determined by the participant’s age and weight as per protocol.
|
Not Applicable | None | ||
| 3 | Safety follow-up Study participants will return to the study site 30 days after their last designated study visit to complete an End of Study (EOS) safety follow-up visit.
|
Not Applicable | None |
Regulatory references
- Scientific advice from competent authorities
- Medicines And Healthcare Products Regulatory Agency, Agence Nationale De Sante Publique, European Medicines Agency, Federal Institute For Drugs And Medical Devices, Medicines Evaluation Board
- EMA paediatric investigation plan (PIP)
- EMEA-003232-PIP01-22
- Plan to share IPD
- No
| EU CT number | Title | Sponsor |
|---|---|---|
| 2024-512991-36-00 | The ENERGY 2 Study: An Open-Label Phase 3 Study to Evaluate the Efficacy and Safety of INZ-701 in Infants with Ectonucleotide Pyrophosphatase/Phosphodiesterase 1 (ENPP1) Deficiency | Inozyme Pharma Inc. |
| 2023-507384-20-00 | The ENERGY Study: An Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of INZ-701 in Infant Subjects with Ectonucleotide Pyrophosphatase/ Phosphodiesterase 1 (ENPP1) Deficiency | Inozyme Pharma Inc. |
| 2023-507382-26-00 | The ENERGY 3 Study: A Randomized, Controlled, Open-Label, Phase 3 Study to Evaluate the Efficacy and Safety of INZ-701 in Children with Ectonucleotide Pyrophosphatase/Phosphodiesterase 1 (ENPP1) Deficiency | Inozyme Pharma Inc. |
| 2020-004000-33 | A Phase 1/2, Open-Label, Multiple Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of INZ-701 Followed by an Open-Label Long-Term Extension Period in Adults with ABCC6 Deficiency Manifesting as Pseudoxanthoma elasticum (PXE) | |
| 2020-003716-27 | A Phase 1/2, Open-Label, Multiple Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of INZ-701 in Adults with ENPP1 Deficiency |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 8
- Provide written or electronic informed consent after the nature of the study has been explained, and prior to any research-related procedures, per International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) Good Clinical Practice (GCP)
- Provide assent in accordance with local regulations, if <18 years of age
- Male or female, greater than 1 year of age
- Must have completed the protocol-required safety and PK/PD and/or efficacy period(s) of the INZ-701-101, INZ701-201, INZ701-104, or INZ701-106 clinical studies in ENPP1 or ABCC6 Deficiency, as confirmed by the Sponsor
- Women of childbearing potential (WOCBP), as defined in Clinical Trials Coordination Group [CTCG 2024]) must have a negative serum pregnancy test at Screening and must not be breastfeeding
- Males who are sexually active must agree to use condoms from the period following the first dose of INZ-701 through 30 days after the last dose of INZ-701
- WOCBP and partners of fertile males who are WOCBP must be using or agree to use a highly effective form of contraception (as per CTCG 2024) from at least 1 month before the first dose of INZ-701 through 30 days after the last dose of INZ-701 (greater than 5 half-lives of INZ-701)
- In the opinion of the Investigator, able to complete all aspects of the study
Exclusion criteria 5
- In the opinion of the Investigator, presence of any clinically significant disease or laboratory abnormality not associated with ENPP1 Deficiency or ABCC6 Deficiency, that will preclude study participation and/or may confound interpretation of study results
- Known intolerance to INZ-701 or any of its excipients
- Concurrent participation in another interventional clinical study and/or has received an investigational drug other than INZ-701 within 5 half-lives or within 4 weeks prior to the first dose of INZ-701 in this study, whichever is longer, or use of an investigational device
- Pregnant, trying to become pregnant, or breastfeeding
- Male participants trying to father a child
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 4
- Incidence, frequency, and severity of adverse events (AEs), treatment-emergent adverse event (TEAEs), adverse events of special interest (AESIs), and serious adverse events (SAEs)
- Changes in clinical laboratory tests including chemistry, hematology, and urinalysis resulting in an AE
- Concomitant medications
- Titers of anti-drug antibodies (ADA)
Secondary endpoints 2
- INZ-701 plasma PK parameters measured by immunoassay and enzymatic activity
- Plasma PPi concentrations based on a validated assay
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD10898014 · Product
- Active substance
- Recombinant Human Ectonucleotide Pyrophosphatase/Phosphodiesterase 1 Fused to the Fc Fragment of IGG1
- Pharmaceutical form
- LYOPHILIZED POWDER FOR PREPARATION FOR INJECTION (8)
- Route of administration
- SUBCUTANEOUS USE
- Max daily dose
- 2.4 mg/kg milligram(s)/kilogram
- Max total dose
- 804 mg/kg milligram(s)/kilogram
- Max treatment duration
- 2344 Day(s)
- Authorisation status
- Not Authorised
- MA holder
- INOZYME PHARMA, INC.
- Paediatric formulation
- No
- Orphan designation
- Yes
- Orphan designation number
- EU/3/18/2049
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Inozyme Pharma Inc.
- Sponsor organisation
- Inozyme Pharma Inc.
- Address
- 321 Summer Street
- City
- Boston
- Postcode
- 02210-1725
- Country
- United States
Scientific contact point
- Organisation
- Inozyme Pharma Inc.
- Contact name
- Kurt C. Gunter, MD, FASCP
Public contact point
- Organisation
- Inozyme Pharma Inc.
- Contact name
- Clinical Trial Information
Third parties 11
| Organisation | City, country | Duties |
|---|---|---|
| Voisin Consulting Life Sciences ORG-100009282
|
Boulogne Billancourt, France | Code 12, Code 8 |
| Labconnect LLC ORG-100042800
|
Johnson City, United States | Other, Laboratory analysis |
| Llx Solutions LLC ORG-100046614
|
Waltham, United States | Code 10, Data management |
| Advarra Inc. ORG-100045827
|
Columbia, United States | Other |
| Phlexglobal ORL-000008623
|
Malvern, United States | Other |
| Catalent Germany Schorndorf GmbH ORG-100011845
|
Schorndorf, Germany | Other |
| MD Group ORL-000008622
|
Bracknell, United Kingdom | Other |
| Kps Life LLC ORG-100052008
|
Malvern, United States | On site monitoring, Other |
| Medrio Inc. ORG-100045869
|
San Francisco, United States | E-data capture |
| Marken ORL-000008619
|
Doral, United States | Other |
| Resolian Bioanalytics ORL-000008614
|
Malvern, United States | Laboratory analysis |
Locations
2 EU/EEA countries · 3 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| France | Ongoing, recruiting | 7 | 1 |
| Germany | Ongoing, recruiting | 7 | 2 |
| Rest of world
United States, United Kingdom
|
— | 186 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| France | 2024-10-08 | 2024-10-28 | |||
| Germany | 2024-10-14 | 2024-10-30 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 77 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1ai_Protocol_2024-512715-42_redacted | 2.0 |
| Protocol (for publication) | D4ai_Patient facing documents_Dose Diary Self-Administration_Adults_EN | 1 |
| Protocol (for publication) | D4aii_Patient facing documents_Dose Diary Self-Administration_Adults_DE | 1 |
| Protocol (for publication) | D4aiii_Patient facing documents_Dose Diary Self-Administration_Adults_FR | 1 |
| Protocol (for publication) | D4aiv_Patient facing documents_Dose Diary Self-Administration_Paediatric_EN | 1 |
| Protocol (for publication) | D4av_Patient facing documents_Dose Diary Self-Administration_Paediatric_DE | 1 |
| Protocol (for publication) | D4avi_Patient facing documents_Dose Diary Self-Administration_Paediatric_FR | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | NA |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_FR | NA |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Certificate of translation_AR | N/A |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Certificate of translation_EN | N/A |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Certificate of translation-2_AR | N/A |
| Subject information and informed consent form (for publication) | L1a_SIS and ICF_Main ICF_AR | 2.0 |
| Subject information and informed consent form (for publication) | L1a_SIS and ICF_Main ICF_DE | 2.0 |
| Subject information and informed consent form (for publication) | L1a_SIS and ICF_Main ICF_EN | 2.0 |
| Subject information and informed consent form (for publication) | L1a_SIS and ICF_Main ICF_FR | 2.0 |
| Subject information and informed consent form (for publication) | L1b_SIS and ICF_Guardian ICF_DE | 2.0 |
| Subject information and informed consent form (for publication) | L1b_SIS and ICF_Guardian ICF_FR | 2.1 |
| Subject information and informed consent form (for publication) | L1c_SIS and ICF_Caregiver ICF_AR | 2.0 |
| Subject information and informed consent form (for publication) | L1c_SIS and ICF_Caregiver ICF_DE | 2.0 |
| Subject information and informed consent form (for publication) | L1c_SIS and ICF_Caregiver ICF_EN | 2.0 |
| Subject information and informed consent form (for publication) | L1c_SIS and ICF_Caregiver ICF_FR | 2.0 |
| Subject information and informed consent form (for publication) | L1d_SIS and ICF_PP ICF_AR | 2.0 |
| Subject information and informed consent form (for publication) | L1d_SIS and ICF_PP ICF_DE | 2.0 |
| Subject information and informed consent form (for publication) | L1d_SIS and ICF_PP ICF_EN | 2.0 |
| Subject information and informed consent form (for publication) | L1d_SIS and ICF_PP ICF_FR | 2.0 |
| Subject information and informed consent form (for publication) | L1e_SIS and ICF_Assent_Ages 10-16_DE | 2.0 |
| Subject information and informed consent form (for publication) | L1e_SIS and ICF_Assent_Ages 10-17_FR | 2.0 |
| Subject information and informed consent form (for publication) | L1f_SIS and ICF_Assent_Ages 7-9_DE | 2.0 |
| Subject information and informed consent form (for publication) | L1f_SIS and ICF_Assent_Ages 7-9_FR | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material-2_Certificate of translation_EN | N/A |
| Subject information and informed consent form (for publication) | L2a_Other subject information material_Adult Emergency Symptoms List_DE | 1 |
| Subject information and informed consent form (for publication) | L2a_Other subject information material_Adult Emergency Symptoms List_EN | 1 |
| Subject information and informed consent form (for publication) | L2a_Other subject information material_Adult Emergency Symptoms List_FR | 1 |
| Subject information and informed consent form (for publication) | L2b_Other subject information material_Adult Self Admin Guide_DE | 1 |
| Subject information and informed consent form (for publication) | L2b_Other subject information material_Adult Self Admin Guide_EN | 1 |
| Subject information and informed consent form (for publication) | L2b_Other subject information material_Adult Self Admin Guide_FR | 1 |
| Subject information and informed consent form (for publication) | L2c_Other subject information material_Adult Subject Dose Form_DE | 1 |
| Subject information and informed consent form (for publication) | L2c_Other subject information material_Adult Subject Dose Form_EN | 1 |
| Subject information and informed consent form (for publication) | L2c_Other subject information material_Adult Subject Dose Form_FR | 1 |
| Subject information and informed consent form (for publication) | L2d_Other subject information material_Travel_Privacy Notice_Adult_DE | 1 |
| Subject information and informed consent form (for publication) | L2d_Other subject information material_Travel_Privacy Notice_Adult_EN | 1.1 |
| Subject information and informed consent form (for publication) | L2d_Other subject information material_Travel_Privacy Notice_Adult_FR | 1.1 |
| Subject information and informed consent form (for publication) | L2e_Other subject information material_Pediatric Emergency Symptoms List_DE | 1.1 |
| Subject information and informed consent form (for publication) | L2e_Other subject information material_Pediatric Emergency Symptoms List_FR | 1 |
| Subject information and informed consent form (for publication) | L2f_Other subject information material_Pediatric administration guideline_DE | 1 |
| Subject information and informed consent form (for publication) | L2f_Other subject information material_Pediatric Administration Guidelines_FR | 1 |
| Subject information and informed consent form (for publication) | L2g_Other subject information material_Pediatric Subject Dose Form_DE | 1 |
| Subject information and informed consent form (for publication) | L2g_Other subject information material_Pediatric Subject Dosing Form_FR | 1 |
| Subject information and informed consent form (for publication) | L2h_Other subject information material_Travel_Privacy Notice_Child and Adult_DE | 1 |
| Subject information and informed consent form (for publication) | L2h_Other subject information material_Travel_Privacy Notice_Child and Adult_FR | 1.1 |
| Subject information and informed consent form (for publication) | L2i_Other subject information material_Subject ID Card_DE | 1.1 |
| Subject information and informed consent form (for publication) | L2i_Other subject information material_Subject ID Card_EN | 1 |
| Subject information and informed consent form (for publication) | L2i_Other subject information material_Subject ID Card_FR | 1 |
| Subject information and informed consent form (for publication) | L2j_Other subject information material_Expense Claim Form and Guidelines_EN | 1 |
| Subject information and informed consent form (for publication) | L2j_Other subject information material_Expense Claim Form and Guidelines_FR | 1 |
| Subject information and informed consent form (for publication) | L2j_Other subject information material_Patient welcome letter_DE | 1 |
| Subject information and informed consent form (for publication) | L2k_Other subject information material_Patient and Caregiver Privacy Notice | 2 |
| Subject information and informed consent form (for publication) | L2k_Other subject information material_Personal Data Consent Form_EN | 1 |
| Subject information and informed consent form (for publication) | L2k_Other subject information material_Personal Data Consent Form_FR | 1 |
| Subject information and informed consent form (for publication) | L2l_Other subject information material_Expense Claim Form_DE | 1 |
| Subject information and informed consent form (for publication) | L2l_Other subject information material_Patient Welcome Letter_EN | 1 |
| Subject information and informed consent form (for publication) | L2l_Other subject information material_Patient Welcome Letter_FR | 1 |
| Subject information and informed consent form (for publication) | L2m_Other subject information material_Payment Card Letter_DE | 1 |
| Subject information and informed consent form (for publication) | L2m_Other subject information material_Payment Card Letter_EN | 1 |
| Subject information and informed consent form (for publication) | L2m_Other subject information material_Payment Card Letter_FR | 1 |
| Subject information and informed consent form (for publication) | L2n_Other subject information material_Email regarding MR001 Regulation | NA |
| Subject information and informed consent form (for publication) | L2n_Other subject information material_Personal Data Consent Form_DE | 1 |
| Subject information and informed consent form (for publication) | L2o_Other subject information material_IP Transit Letter_EN | 1 |
| Subject information and informed consent form (for publication) | L2o_Other subject information material_IP Transit Letter_FR | 1 |
| Subject information and informed consent form (for publication) | L2o_Other subject information material_Primarius App and Portal Screenshots_DE | 4 |
| Subject information and informed consent form (for publication) | L2p_Other subject information material_Primarius App Setup Guide_DE | 3 |
| Subject information and informed consent form (for publication) | L2q_Other subject information material_IP Transit Letter_DE | 1 |
| Subject information and informed consent form (for publication) | L3_Declaration_Non-German patients_redacted | N/A |
| Synopsis of the protocol (for publication) | D1bi_Protocol Synopsis DE_2024-512715-42_Redacted | 2.0 |
| Synopsis of the protocol (for publication) | D1biii_Protocol Synopsis EN_2024-512715-42_Redacted | 2.0 |
| Synopsis of the protocol (for publication) | D1bv_Protocol Synopsis FR_2024-512715-42_Redacted | 2.0 |
Application history
5 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-06-18 | France | Acceptable 2024-09-29
|
2024-09-30 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2025-01-07 | France | Acceptable 2024-09-29
|
2025-01-07 |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-03-21 | France | Acceptable 2025-05-23
|
2025-05-23 |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-06-05 | France | Acceptable 2025-07-30
|
2025-07-30 |
| 5 | NON SUBSTANTIAL MODIFICATION | NSM-4 | 2025-08-14 | France | Acceptable 2025-07-30
|
2025-08-14 |