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A Phase 1/2 Open-label Study in Patients with Arginase I Deficiency to Investigate the Safety, Pharmacokinetics, and Pharmacodynamics of Intravenous AEB1102. This study is designed to evaluate the safety and tolerability of IV administration of AEB1102 for the treatment of pediatric and adult patients with Arginase I deficiency and hyperargininemia. This study will be conducted in 2 parts: Part 1 (Single Ascending Dose Escalation) and Part 2 (Repeated Dosing). Each part will be preceded by a baseline assessment of arginine levels. All patients who participate in Part 1 may continue AEB1102 dosing in Part 2 if they qualify for continued dosing. A data safety monitoring board (DSMB) will provide independent review of study safety data and recommend whether the sponsor should continue the study as planned, modify the study protocol, or discontinue the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AEB1102 | Experimental | AEB1102, modified human Arginase I administered IV Part 1 Each patient may receive up to 7 doses given up to every other week over a maximum of 14 weeks. Part 2 Each patient will receive up to 8 weeks of repeat-dose therapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AEB1102 | Drug | modified human arginase I |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with adverse events | Includes significant changes in hematology, chemistry and coagulation laboratory studies as well as in physical exam and vital signs | weekly throughout the study, up to 14 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with a decrease from baseline in plasma arginine level | Baseline to 2, 4, 6, 8 weeks | |
| Pharmacokinetic profile including Cmax, AUC, Tmax, T1/2 for each subject | At 15 min, 1, 2, 4, 8, 12, 24, 48, 72, and 120 hours following dose escalation |
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Inclusion Criteria:
Exclusion Criteria:
PART 2 INCLUSION CRITERION:
1. Did not experience any safety or tolerability event in Part 1 which would preclude continued participation and dosing of AEB1102
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| Name | Affiliation | Role |
|---|---|---|
| Josie Gayton | Aeglea Biotherapeutics, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stanford University School of Medicine | Stanford | California | 94305 | United States | ||
| University of Florida |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15694174 | Background | Crombez EA, Cederbaum SD. Hyperargininemia due to liver arginase deficiency. Mol Genet Metab. 2005 Mar;84(3):243-51. doi: 10.1016/j.ymgme.2004.11.004. Epub 2004 Dec 19. | |
| 21633669 | Background | Glazer ES, Stone EM, Zhu C, Massey KL, Hamir AN, Curley SA. Bioengineered human arginase I with enhanced activity and stability controls hepatocellular and pancreatic carcinoma xenografts. Transl Oncol. 2011 Jun;4(3):138-46. doi: 10.1593/tlo.10265. Epub 2011 Jun 1. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Dec 21, 2022 | |
| Reset | Jan 18, 2023 | |
| Release | Jul 25, 2023 | |
| Reset | Aug 16, 2023 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Dec 21, 2022 | Jan 18, 2023 | |||
| Jul 25, 2023 |
| ID | Term |
|---|---|
| D020162 | Hyperargininemia |
| ID | Term |
|---|---|
| D056806 | Urea Cycle Disorders, Inborn |
| D020739 | Brain Diseases, Metabolic, Inborn |
| D001928 | Brain Diseases, Metabolic |
| D001927 | Brain Diseases |
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| Number of subjects with a decrease from baseline in plasma guanidino compound levels | Baseline to 2, 4, 6, 8 weeks |
| Gainesville |
| Florida |
| 32611 |
| United States |
| Children's Hospital of Michigan | Detroit | Michigan | 48201 | United States |
| Icahn School of Medicine at Mount Sinai | New York | New York | 10029 | United States |
| UTSW | Dallas | Texas | 75390 | United States |
| Seattle Children's Hospital | Seattle | Washington | 98105 | United States |
| The Hospital for Sick Children | Toronto | Ontario | M5G 1X8 | Canada |
| Centro Hospitalar S. Joao | Porto | Portugal |
| Great Ormond Street Hospital | London | United Kingdom |
| 33325055 | Derived | Diaz GA, Schulze A, McNutt MC, Leao-Teles E, Merritt JL 2nd, Enns GM, Batzios S, Bannick A, Zori RT, Sloan LS, Potts SL, Bubb G, Quinn AG. Clinical effect and safety profile of pegzilarginase in patients with arginase 1 deficiency. J Inherit Metab Dis. 2021 Jul;44(4):847-856. doi: 10.1002/jimd.12343. Epub 2021 Jan 26. |
| Aug 16, 2023 |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D000592 | Amino Acid Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |