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An Observational Study Evaluating Anti-Idursulfase Serum Antibody Response in Hunter Syndrome Patients
This study is currently recruiting participants.
Verified by Shire Human Genetic Therapies, Inc., April 2009
First Received: April 16, 2009   No Changes Posted
Sponsored by: Shire Human Genetic Therapies, Inc.
Information provided by: Shire Human Genetic Therapies, Inc.
ClinicalTrials.gov Identifier: NCT00882921
  Purpose

The objective of this study is to evaluate the effect of anti-idursulfase IgG, IgM & IgE antibodies on idursulfase safety (measured by infusion related adverse events) between patients who develop anti-idursulfase antibodies and patients who do not after long-term idursulfase enzyme replacement therapy.


Condition
Hunter Syndrome

Genetics Home Reference related topics: L1 syndrome mucopolysaccharidosis type II
MedlinePlus related topics: Tonsils and Adenoids
Drug Information available for: Iduronate Sulfatase
U.S. FDA Resources
Study Type: Observational
Study Design: Cohort, Prospective
Official Title: A Multi-Center Observational Study Evaluating Anti-Idursulfase Serum Antibody Response in Hunter Syndrome Patients Enrolled in the Hunter Outcome Survey (HOS) Receiving Idursulfase Enzyme Replacement Therapy

Further study details as provided by Shire Human Genetic Therapies, Inc.:

Primary Outcome Measures:
  • To evaluate the relative risk of experiencing an infusion-related adverse event given anti-idursulfase antibody positive status relative to anti-idursulfase antibody negative status. [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • To measure the mean (and percent) difference in urinary GAG level between the groups of IgG anti-idursulfase antibody positive and anti-idursulfase IgG antibody negative patients. [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Biospecimen Retention:   Samples Without DNA

Biospecimen Description:

Blood and urine


Estimated Enrollment: 100
Study Start Date: October 2008
Estimated Study Completion Date: September 2012
Estimated Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Detailed Description:

This study is being conducted to satisfy post-marketing commitments to monitor anti-idursulfase antibody development in Hunter syndrome patients after long-term idursulfase enzyme replacement therapy. The study will be conducted as a sub-study within the Hunter Outcome Survey (HOS). Hunter syndrome patients in the HOS who have previously received idursulfase as well as treatment-naive patients who will begin idursulfase treatment within 30 days of study enrollment will be included.

  Eligibility

Ages Eligible for Study:   5 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Patients with Hunter syndrome

Criteria

Inclusion Criteria:

Patients must meet all of the following criteria to be considered eligible for enrollment:

  • The patient is male and enrolled in the HOS (i.e., meets the entry criteria of a documented diagnosis of Hunter syndrome)
  • The patient is ≥ 5 years-old
  • The patient is on idursulfase treatment or scheduled to begin idursulfase treatment within 30 days of study enrollment
  • The patient, patient's parent(s), or patient's legally authorized guardian 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 with the patient, patient's parent(s), or patient's legally authorized guardian.

Exclusion Criteria:

Patients who meet any of the following criteria are not eligible for this study:

  • The patient has received biologic/ERT products other than idursulfase, or other investigational product(s) for any reason within 30 days prior to study entry.
  • The patient has a life expectancy of < 2 years
  • The patient is unable to comply with the protocol, e.g., has a clinically relevant medical condition making implementation of the protocol difficult; has an uncooperative attitude; is unable to return for safety evaluations; or is otherwise unlikely to complete the study, as determined by the Investigator.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00882921

Contacts
Contact: Tiffany Crump 484-595-8850 tcrump@shire.com

Locations
United States, California
Children's Hospital & Research Center Oakland Recruiting
Oakland, California, United States, 94609
Contact: Paul Richard Harmatz, MD     510-428-3885     pharmatz@mail.cho.org    
Contact: Jo Ann Johnson     510-428-3885 ext 5421     jajohnson@mail.cho.org    
Principal Investigator: Paul R Harmatz, MD            
Sponsors and Collaborators
Shire Human Genetic Therapies, Inc.
Investigators
Principal Investigator: Paul R Harmatz, MD Children's Hospital & Research Center Oakland
  More Information

No publications provided

Responsible Party: Shire Human Genetic Therapies, Inc. ( David AH Whiteman, MD Principal Medical Director )
Study ID Numbers: HGT-ELA-042
Study First Received: April 16, 2009
Last Updated: April 16, 2009
ClinicalTrials.gov Identifier: NCT00882921     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Shire Human Genetic Therapies, Inc.:
Hunter syndrome
hunters syndrome
hunter's syndrome
hunter disease
hunters disease
hunter's disease
MPS II
MPSII
MPS2
MPS 2
mps 2
mps ii
mucopolysaccharides
lysosomal storage disease
lysosomal storage disorder
chronic ear infection
enlarged adenoids
mps symptoms
mps diagnosis
mps ii therapy
MPS II therapy
MPS II treatment
ert treatment
elaprase
idursulfase
iduronate sulfatase
iduronate 2 sulfatase
enzyme replacement therapy
hunter syndrome treatment
hunter's syndrome treatment

Study placed in the following topic categories:
Mucopolysaccharidosis II
Metabolic Diseases
Lysosomal Storage Diseases
Mucopolysaccharidosis Type II
Mental Retardation
Metabolism, Inborn Errors
Antibodies
Mucopolysaccharidoses
Heredodegenerative Disorders, Nervous System
Genetic Diseases, Inborn
Genetic Diseases, X-Linked
Connective Tissue Diseases
Neurologic Manifestations
Metabolic Disorder
Neurobehavioral Manifestations
Immunoglobulins
Hunter-McAlpine Syndrome

Additional relevant MeSH terms:
Mucopolysaccharidosis II
Disease
Metabolic Diseases
Lysosomal Storage Diseases
Nervous System Diseases
Mucinoses
Mental Retardation
Metabolism, Inborn Errors
Mucopolysaccharidoses
Pathologic Processes
Heredodegenerative Disorders, Nervous System
Genetic Diseases, Inborn
Syndrome
Connective Tissue Diseases
Genetic Diseases, X-Linked
Neurologic Manifestations
Mental Retardation, X-Linked
Neurobehavioral Manifestations
Carbohydrate Metabolism, Inborn Errors

ClinicalTrials.gov processed this record on May 06, 2009