Title

Open-Label Extension Study Evaluating Long Term Safety in Patients With Type 1 Gaucher Disease Receiving DRX008A (ERT)
An Open-Label Extension of Study TKT025 Evaluating Long Term Safety in Patients With Type 1 Gaucher Disease Receiving DRX008A Enzyme Replacement Therapy
  • Phase

    Phase 1/Phase 2
  • Study Type

    Interventional
  • Study Participants

    10
Gaucher disease is a rare lysosomal storage disorder caused by the deficiency of the enzyme glucocerebrosidase (GCB). Due to the deficiency of functional GCB, glucocerebroside accumulates within macrophages leading to cellular engorgement, organomegaly, and organ system dysfunction. The purpose of this study is to evaluate the long term safety of enzyme replacement therapy with DRX008A (VPRIV®, GA-GCB; velaglucerase alfa) in patients with type 1 Gaucher disease.
Type 1 Gaucher disease, the most common form, accounts for more than 90% of all cases and does not involve the central nervous system (CNS). Typical manifestations of type 1 Gaucher disease include hepatomegaly, splenomegaly, thrombocytopenia, bleeding tendencies, anemia, hypermetabolism, skeletal pathology, growth retardation, pulmonary disease, and decreased quality of life. Gene-Activated® human glucocerebrosidase (the long term safety of enzyme replacement therapy with DRX008A (GA-GCB; velaglucerase alfa) is produced in a continuous human cell line using proprietary gene-activation technology and has an identical amino acid sequence to the naturally occurring human enzyme. GA-GCB (velaglucerase alfa) contains terminal mannose residues that target the enzyme to the macrophages-the primary target cells in Gaucher disease. This study was designed to evaluate the long term safety of GA-GCB (velaglucerase alfa) in patients with Type 1 Gaucher disease
Study Started
Sep 13
2004
Primary Completion
Jan 31
2008
Study Completion
Jan 31
2008
Results Posted
Jun 23
2014
Estimate
Last Update
Jun 22
2021

Drug GA-GCB

15-60 U/kg every other week via intravenous infusion

  • Other names: VPRIV®, velaglucerase alfa, gene-activated glucocerebrosidase, DRX008

GA-GCB Experimental

15-60 U/kg every other week via intravenous infusion

Criteria

Inclusion Criteria:

Patients who have completed through Week 41 visit in the TKT025 study.
Patients must have voluntarily signed an IRB/EC approved informed consent form after all relevant aspects of the study have been explained and discussed with the patient.
Patient must be sufficiently cooperative to participate in this clinical study as judged by the Investigator.
Female and male patients of child bearing potential must agree to use a medically acceptable method of contraception at all times during the study. Female patients must have a negative serum pregnancy test on enrollment.

Exclusion Criteria:

Patient has received treatment with non-Gaucher disease related investigational drug or device within the past 30 days prior to study entry; such use during the study is not permitted.
Patient has a clinically relevant medical condition (e.g., HIV, hepatitis B or C) that would make implementation of the protocol difficult and/or confound an assessment of the effects of the experimental therapy and its adverse events.
Patient, patient's parent(s), or patient's legal guardian is unable to understand the nature, scope and possible consequences of the study.
Patient is unable to comply with the protocol, e.g. uncooperative attitude, medical condition, inability to return for safety evaluations, or is otherwise unlikely to complete the study, as determined by the Investigator.

Summary

GA-GCB

All Events

Event Type Organ System Event Term GA-GCB

Evaluation of Long Term Safety

Overall Summary of Treatment-emergent Adverse Events-Safety Population

Number (#) Experienced no Adverse Event (AE)

# Experienced at Least 1 AE

10.0
Participants

# Experienced at Least 1 Drug-related AE

1.0
Participants

# Experienced at Least 1 Infusion-related AE

1.0
Participants

# Experienced at Least 1 Severe AE

2.0
Participants

# Experienced at Least 1 Drug-related Severe AE

# Experienced at Least 1 Life-threatening AE

# Experienced at Least 1 Serious AE

4.0
Participants

# Experienced at Least 1 Drug-related Serious AE

# Discontinued Due to an AE

# Deaths

Percent Change From Baseline in Hemoglobin Concentration

GA-GCB: 12 Months

20.91
Percent Change from Baseline (Mean)
Standard Error: 1.962

GA-GCB: 24 Months

20.74
Percent Change from Baseline (Mean)
Standard Error: 2.251

GA-GCB: 36 Months

19.17
Percent Change from Baseline (Mean)
Standard Error: 2.365

GA-GCB-48 Months

20.96
Percent Change from Baseline (Mean)
Standard Error: 3.248

GA-GCB: 60 Months

16.58
Percent Change from Baseline (Mean)
Standard Error: 2.437

GA-GCB: 72 Months

17.48
Percent Change from Baseline (Mean)
Standard Error: 2.317

GA-GCB: 84 Months

17.97
Percent Change from Baseline (Mean)
Standard Error: 2.460

Percent Change From Baseline in Platelet Counts

GA-GCB: 12 Months

78.21
Percent Change from Baseline (Mean)
Standard Error: 15.127

GA-GCB: 24 Months

99.6
Percent Change from Baseline (Mean)
Standard Error: 15.324

GA-GCB: 36 Months

111.57
Percent Change from Baseline (Mean)
Standard Error: 13.723

GA-GCB-48 Months

132.61
Percent Change from Baseline (Mean)
Standard Error: 18.461

GA-GCB: 60 Months

139.73
Percent Change from Baseline (Mean)
Standard Error: 27.890

GA-GCB: 72 Months

126.2
Percent Change from Baseline (Mean)
Standard Error: 20.445

GA-GCB: 84 Months

114.93
Percent Change from Baseline (Mean)
Standard Error: 21.783

Percent Change From Baseline in Liver Volume

GA-GCB: Month 33

-30.95
Percent Change from Baseline (Mean)
Standard Error: 3.627

GA-GCB: Month 45

-39.35
Percent Change from Baseline (Mean)
Standard Error: 4.739

GA-GCB: Month 57

-38.99
Percent Change from Baseline (Mean)
Standard Error: 4.567

GA-GCB: Month 69

-39.78
Percent Change from Baseline (Mean)
Standard Error: 4.821

GA-GCB: Month 81

-42.07
Percent Change from Baseline (Mean)
Standard Error: 4.705

GA-GCB: Month 24

-28.0
Percent Change from Baseline (Mean)
Standard Error: 4.835

Percent Change From Baseline in Spleen Size

GA-GCB: Month 24

-66.86
Percent Change from Baseline (Mean)
Standard Error: 6.286

GA-GCB: Month 33

-68.09
Percent Change from Baseline (Mean)
Standard Error: 6.204

GA-GCB: Month 45

-73.56
Percent Change from Baseline (Mean)
Standard Error: 6.717

GA-GCB: Month 57

-73.97
Percent Change from Baseline (Mean)
Standard Error: 6.663

GA-GCB: Month 69

-75.96
Percent Change from Baseline (Mean)
Standard Error: 6.819

GA-GCB: Month 81

-77.82
Percent Change from Baseline (Mean)
Standard Error: 7.002

Age, Continuous

39.8
years (Mean)
Standard Deviation: 16.34

Age, Categorical

Region of Enrollment

Sex: Female, Male

Baseline

GA-GCB

Month 14

GA-GCB

Month 50

GA-GCB

Month 84

GA-GCB

Drop/Withdrawal Reasons

GA-GCB