A study to determine the long-term safety and tolerability of oral lucerastat in adult subjects with Fabry disease

2024-513884-20-00 Protocol ID-069A302 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 13 Mar 2019 · Status Ongoing, recruitment ended · 7 EU/EEA countries · 15 sites · Protocol ID-069A302

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 103
Countries 7
Sites 15

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

  1. To evaluate the effect of lucerastat on renal function and cardiac variables in subjects with Fabry disease;
  2. To evaluate the long-term effect of lucerastat on biomarkers of Fabry disease.

Conditions and MedDRA coding

Fabry disease

VersionLevelCodeTermSystem organ class
20.0 SOC 10010331 Congenital familial and genetic disorders 21
24.1 PT 10016016 Fabry´s disease 100000004850

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
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

  1. Signed and dated ICF prior to any study-mandated procedure;
  2. Subject completed the 6-month, double-blind treatment period in study ID 069A301;

Exclusion criteria 7

  1. Pregnant / planning to become pregnant or lactating subject;
  2. 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;
  3. Any known factor or disease that might interfere with treatment compliance, study conduct or interpretation of the results as per investigator judgment.
  4. 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.
  5. 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;
  6. If at any time during study ID-069A301, the following criteria was met: Subject experienced an event of stroke CTCAE grade 3 or above;
  7. 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

  1. Treatment-emergent AEs and SAEs

Investigational products

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

Test 1

Lucerastat

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

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
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

Austria

1 site · Ended
Medical University Of Vienna
Universitätsklinik für Innere Medizin III, Klinische Abteilung für Nephrologie und Dialyse, Waehringer Guertel 18-20, Alsergrund, Vienna

Belgium

2 sites · Ongoing, recruitment ended
UZ Leuven
The Department of Gastro-enterology – Hepatology, Herestraat 49, 3000, Leuven
Universiteit Gent
Hospital - Universitair Gent __Neurology Department, Corneel Heymanslaan 10, 9000, Gent

France

1 site · Ongoing, recruitment ended
Raymond-Poincare Hospital
Université de Versailles – Saint Quentin en Yvelines Service de Génétique Médicale, 104 Boulevard Raymond Poincare, 92380, Garches

Germany

4 sites · Ongoing, recruitment ended
Nephrologicum Markgräflerland MVZ GmbH
Nephrologicum Markgräflerland MVZ GmbH, Heliosweg 1, 79379, Müllheim
SphinCS GmbH
SphinCS GmbH, Geheimrat Hummel Platz 2, 65239, Hochheim Am Main
Universitaetsklinikum Wuerzburg AöR
FAZIT – Fabry-Zentrum für interdisziplinäre Therapie, Oberduerrbacher Strasse 6, Grombuehl, Wuerzburg
Charite Universitaetsmedizin Berlin KöR
Abteilung Nephrologie und Internistische Intensivmedizin, Chariteplatz 1, Mitte, Berlin

Norway

1 site · Ongoing, recruitment ended
Helse Bergen HF
Haukeland Universitetssykehus Department of Clinical Medicine, Haukelandsveien 22, 5021, Bergen

Poland

2 sites · Ongoing, recruitment ended
Instytut Pomnik Centrum Zdrowia Dziecka
Department of Pediatric, Nutrition and Metabolic Diseases, Aleja Dzieci Polskich 20, 04-730, Warsaw
Narodowy Instytut Kardiologii Stefana Kardynala Wyszynskiego Panstwowy Instytut Badawczy
Klinika Kardiologii i Angiologii Interwencyjnej, Alpejska 42, 04-628, Warsaw

Spain

4 sites · Ongoing, recruitment ended
Hospital Universitario Ramon Y Cajal
Hospital Universitario Ramon y Cajal. Servicio de Medicina Interna, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Bellvitge University Hospital
Hospital Universitari de Bellvitge / Nephrology Dpt, Carrer De La Feixa Llarga S/N, 08907, L'Hospitalet De Llobregat
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
Unit of Inherited Metabolic Disorders and Rare Diseases, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Hospital Quironsalud Zaragoza
Quironsalud Floresta., Paseo Renovales S/n, 50006, Zaragoza

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment 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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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