Overview
Sponsor-declared trial summary
Fabry disease
To determine the long-term safety and tolerability of lucerastat in subjects with Fabry disease
Key facts
- Sponsor
- Idorsia Pharmaceuticals Ltd.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Nutritional and Metabolic Diseases [C18]
- Trial duration
- 13 Mar 2019 → ongoing
- Decision date (initial)
- 2024-11-08
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- No
- Funding sources
- Idorsia Pharmaceuticals Ltd
External identifiers
- EU CT number
- 2024-513884-20-00
- EudraCT number
- 2018-002210-12
- ClinicalTrials.gov
- NCT03737214
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Others, Pharmacodynamic, Efficacy, Safety
To determine the long-term safety and tolerability of lucerastat in subjects with Fabry disease
Secondary objectives 2
- To evaluate the effect of lucerastat on renal function and cardiac variables in subjects with Fabry disease;
- To evaluate the long-term effect of lucerastat on biomarkers of Fabry disease.
Conditions and MedDRA coding
Fabry disease
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | SOC | 10010331 | Congenital familial and genetic disorders | 21 |
| 24.1 | PT | 10016016 | Fabry´s disease | 100000004850 |
Study design 2 periods
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Treatment period The study comprises the following consecutive periods:
Stage 1: Lasts approximately 24 months. Starts with the administration of the first dose of study treatment (Day 1) and ends at Month 24.
Stage 2 (optional): Lasts approximately 24 months. Starts at Month 24 and ends at Month 48.
Stage 3 (optional): Lasts approximately 24 months. Starts at Month 48 and ends at Month 72.
Stage 4 (optional): Lasts approximately 24 months. Starts at Month 72 and ends at Month 96.
|
Not Applicable | None | Lucerastat: Dose will be based on subject's eGFR. | |
| 2 | Post-treatment safety follow-up (FU) period The 1 month FU period is applicable to all subjects. It starts on the day after the last dose of study treatment.
|
Not Applicable | None |
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency
- Plan to share IPD
- No
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 2
- Signed and dated ICF prior to any study-mandated procedure;
- Subject completed the 6-month, double-blind treatment period in study ID 069A301;
Exclusion criteria 7
- Pregnant / planning to become pregnant or lactating subject;
- Subject considered to be at high risk of developing clinical signs of organ involvement within the time period of the study, as per investigator judgment;
- Any known factor or disease that might interfere with treatment compliance, study conduct or interpretation of the results as per investigator judgment.
- If at any time during study ID-069A301, the following criteria was met: Subject’s eGFR per the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation < 15 mL/min/1.73 m2.
- If at any time during study ID-069A301, the following criteria was met: Subject experienced an event of acute kidney injury Common Terminology Criteria for Adverse Event (CTCAE) grade 2 or above;
- If at any time during study ID-069A301, the following criteria was met: Subject experienced an event of stroke CTCAE grade 3 or above;
- If at any time during study ID-069A301, the following criteria was met: Subject experienced an event of heart failure leading to in-patient hospitalization or prolongation of ongoing hospitalization.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Treatment-emergent AEs and SAEs
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD5426599 · Product
- Active substance
- Lucerastat
- Substance synonyms
- ACT-434964, N-BUTYLDEOXYGALACTONOJIRIMYCIN
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL USE
- Max daily dose
- 2000 mg milligram(s)
- Max total dose
- 2000 mg milligram(s)
- Max treatment duration
- 96 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- IDORSIA PHARMACEUTICALS LTD
- Paediatric formulation
- No
- Orphan designation
- Yes
- Orphan designation number
- EU/3/12/1033
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Idorsia Pharmaceuticals Ltd.
- Sponsor organisation
- Idorsia Pharmaceuticals Ltd.
- Address
- Hegenheimermattweg 91
- City
- Allschwil
- Postcode
- 4123
- Country
- Switzerland
Scientific contact point
- Organisation
- Idorsia Pharmaceuticals Ltd.
- Contact name
- Idorsia Clinical Trial Information
Public contact point
- Organisation
- Idorsia Pharmaceuticals Ltd.
- Contact name
- Idorsia Clinical Trial Information
Third parties 14
| Organisation | City, country | Duties |
|---|---|---|
| Indica Labs Inc. ORG-100042961
|
Albuquerque, United States | Other |
| Almac Clinical Technologies LLC ORG-100043036
|
Souderton, United States | Interactive response technologies (IRT) |
| Oriola Finland Oy ORG-100013290
|
Espoo, Finland | On site monitoring, Other |
| Valos S.r.l. In Forma Abbreviata Va Los S.r.l. ORG-100050344
|
Genoa, Italy | Code 10 |
| Universitaetsklinikum Muenster AöR ORG-100006212
|
Muenster, Germany | Other |
| Swiss BioQuant AG ORG-100037230
|
Reinach Bl, Switzerland | Other |
| Eresearchtechnology Inc. ORG-100013039
|
Philadelphia, United States | Other |
| AnaPath Services GmbH ORG-100052234
|
Liestal, Switzerland | Other |
| Aixial UK Limited ORG-100028720
|
Horsham, United Kingdom | Data management, E-data capture |
| Bioclinica Inc. ORG-100033079
|
Princeton, United States | Other |
| Mde Services Group Limited ORG-100043621
|
Bracknell, United Kingdom | Other |
| Flying Study Team GbR ORG-100043927
|
Freiburg Im Breisgau, Germany | On site monitoring, Other |
| Precision for Medicine (HU) Kft. ORG-100040390
|
Budapest XII, Hungary | On site monitoring, Other, Code 2, Code 5 |
| Iqvia Laboratories Limited ORG-100042527
|
Reading, United Kingdom | Other |
Locations
7 EU/EEA countries · 15 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ended | 1 | 1 |
| Belgium | Ongoing, recruitment ended | 2 | 2 |
| France | Ongoing, recruitment ended | 2 | 1 |
| Germany | Ongoing, recruitment ended | 13 | 4 |
| Norway | Ongoing, recruitment ended | 2 | 1 |
| Poland | Ongoing, recruitment ended | 13 | 2 |
| Spain | Ongoing, recruitment ended | 12 | 4 |
| Rest of world
Australia, United Kingdom, Canada, United States
|
— | 58 | — |
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 |
|---|---|---|---|---|---|
| Austria | 2019-07-09 | 2025-08-12 | 2019-07-09 | 2019-07-09 | |
| Belgium | 2020-10-15 | 2020-10-15 | 2021-02-15 | ||
| France | 2021-07-19 | 2021-07-19 | 2021-07-30 | ||
| Germany | 2019-03-13 | 2019-03-13 | 2021-07-28 | ||
| Norway | 2021-05-05 | 2021-05-05 | 2021-06-16 | ||
| Poland | 2019-10-29 | 2019-10-29 | 2021-04-29 | ||
| Spain | 2021-02-19 | 2021-02-19 | 2021-07-08 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 60 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol 2024-513884-20-00_Redacted | 7.VHP.D |
| Protocol (for publication) | D1_Sub-Study Protocol 2024-513884-20-00_Redacted | 1 |
| Protocol (for publication) | D4_Patient facing document Questionnaire CESD-R_AT_de | 1.0 |
| Protocol (for publication) | D4_Patient facing document Questionnaire CESD-R_DE_de | 1.0 |
| Protocol (for publication) | D4_Patient facing document Questionnaire CESD-R_DU | 1.0 |
| Protocol (for publication) | D4_Patient facing document Questionnaire CESD-R_ES | 1.0 |
| Protocol (for publication) | D4_Patient facing document Questionnaire CESD-R_FR | 1.0 |
| Protocol (for publication) | D4_Patient facing document Questionnaire PGI_AT_de | 2.0 |
| Protocol (for publication) | D4_Patient facing document Questionnaire PGI_DE_de | 2.0 |
| Protocol (for publication) | D4_Patient facing document Questionnaire PGI_DU | 1.0 |
| Protocol (for publication) | D4_Patient facing document Questionnaire PGI_ES | 1.0 |
| Protocol (for publication) | D4_Patient facing document Questionnaire PGI_FR | 1.0 |
| Protocol (for publication) | D4_Patient facing document Questionnaire_Placeholder | 1.0 |
| Recruitment arrangements (for publication) | Placeholder for Recruitment Arrangements | N/A |
| Recruitment arrangements (for publication) | Placeholder for Recruitment Arrangements | N/A |
| Recruitment arrangements (for publication) | Placeholder for Recruitment Arrangements | N/A |
| Recruitment arrangements (for publication) | Placeholder for Recruitment Arrangements | N/A |
| Recruitment arrangements (for publication) | Placeholder for Recruitment Arrangements | N/A |
| Recruitment arrangements (for publication) | Placeholder for Recruitment Arrangements | N/A |
| Recruitment arrangements (for publication) | Placeholder for Recruitment Arrangements | N/A |
| Subject information and informed consent form (for publication) | L1_ICF and SIL_Kidney Biopsy_FR_public | 1.0 |
| Subject information and informed consent form (for publication) | L1_ICF and SIL_Stage 2 Reconsent_FR_public | 7.0 |
| Subject information and informed consent form (for publication) | L1_ICF and SIL_Stage 3_FR_public | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Additional Samples_DE_public | 4.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Additional Samples_ES_public | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Additional Samples_FR_public | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Additional Samples_PL_public | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Kidney Biopsy_DE_public | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_pregnancy_public | 2.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Procedures Stage 4_NO_public | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 2 Reconsent_DE_public | 10.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 2 Reconsent_EN_public | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 2 Reconsent_ES_public | 7.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 2 Reconsent_NL_public | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 2 Reconsent_NO_public | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 2 Reconsent_PL_public | 7.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 3 Procedures_NO_public | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 3 Reconsent_DE_Public | 6.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 3 Reconsent_DE_public | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 3 Reconsent_PL_public | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 3_DE_public | 10.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 3_EN_public | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 3_ES_public | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 3_NL_public | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 3_NO_public | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 3_PL_public | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 4_DE_public | 1.3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 4_EN_public | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 4_FR_public | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 4_NL_public | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 4_NO_public | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 4_PL_public | 2.3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Stage 4_SP_public | 1.0 |
| Synopsis of the protocol (for publication) | D1_ Lay Protocol Synopsis DU 2024-513884-20-00 | 7.VHP.D |
| Synopsis of the protocol (for publication) | D1_ Lay Protocol Synopsis ES 2024-513884-20-00 | 7.VHP.D |
| Synopsis of the protocol (for publication) | D1_ Lay Protocol Synopsis FR 2024-513884-20-00 | 7.VHP.D |
| Synopsis of the protocol (for publication) | D1_ Lay Protocol Synopsis NO 2024-513884-20-00 | 7.VHP.D |
| Synopsis of the protocol (for publication) | D1_ Lay Protocol Synopsis PL 2024-513884-20-00 | 7.VHP.D |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis DE 2024-513884-20-00 | 7.VHP.D |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Synopsis EN 2024-513884-20-00 | 7.VHP.D |
Application history
4 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-10-07 | Germany | Acceptable 2024-11-05
|
2024-11-05 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-03-03 | Germany | Acceptable 2025-05-30
|
2025-06-02 |
| 3 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2025-09-18 | Germany | Acceptable 2025-05-30
|
2025-09-18 |
| 4 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2025-11-20 | Germany | Acceptable 2025-05-30
|
2025-11-20 |