A Long-term Follow-up Study of Participants who Received INZ-701 in a previous clinical study

2024-512715-42-00 Protocol INZ701-304 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 8 Oct 2024 · Status Ongoing, recruiting · 2 EU/EEA countries · 3 sites · Protocol INZ701-304

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 200
Countries 2
Sites 3

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

  1. To confirm drug levels of INZ-701 with long-term use
  2. 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

VersionLevelCodeTermSystem 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

#TitleAllocationBlindingRoles blindedArms
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 numberTitleSponsor
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

  1. 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)
  2. Provide assent in accordance with local regulations, if <18 years of age
  3. Male or female, greater than 1 year of age
  4. 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
  5. 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
  6. 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
  7. 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)
  8. In the opinion of the Investigator, able to complete all aspects of the study

Exclusion criteria 5

  1. 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
  2. Known intolerance to INZ-701 or any of its excipients
  3. 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
  4. Pregnant, trying to become pregnant, or breastfeeding
  5. Male participants trying to father a child

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 4

  1. Incidence, frequency, and severity of adverse events (AEs), treatment-emergent adverse event (TEAEs), adverse events of special interest (AESIs), and serious adverse events (SAEs)
  2. Changes in clinical laboratory tests including chemistry, hematology, and urinalysis resulting in an AE
  3. Concomitant medications
  4. Titers of anti-drug antibodies (ADA)

Secondary endpoints 2

  1. INZ-701 plasma PK parameters measured by immunoassay and enzymatic activity
  2. Plasma PPi concentrations based on a validated assay

Investigational products

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

Test 1

INZ-701

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

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 7 1
Germany Ongoing, recruiting 7 2
Rest of world
United States, United Kingdom
186

Investigational sites

France

1 site · Ongoing, recruiting
CEREDIH Groupe Hospitalier Necker-Enfants Malades
Department of Pediatric Endocrinology, Gynaecology and Diabetology, 149 Rue De Sevres, 75743, Paris Cedex 15

Germany

2 sites · Ongoing, recruiting
PAREXEL International GmbH
Early Phase Clinical Unit (EPCU) Berlin, Klinikum Westend Haus 18, Spandauer Damm 130, Berlin
University Medical Center Hamburg-Eppendorf
Department of Osteology and Biomechanics, Martinistrasse 52, Eppendorf, Hamburg

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 2024-10-08 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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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