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| ID | Type | Description | Link |
|---|---|---|---|
| 2019-000222-21 | EudraCT Number |
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This is a long-term, Open-label Study to Evaluate the Safety, Pharmacodynamics, and Efficacy of Migalastat in Subjects > 12 Years of Age With Fabry Disease and Amenable GLA Variants
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| migalastat HCl 150 mg | Experimental | One migalastat 123 mg capsule equivalent to 150 mg migalastat HCl will be administered every other day (QOD) during the treatment period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| migalastat HCl 150 mg | Drug | migalastat HCl 150 mg capsule |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and AEs (Adverse Events) Leading to Discontinuation of Study Drug | Number of subjects with TEAE, SAE, and AE leading to discontinuation during the study period | Entire study |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline to Month 24 in Estimated Glomerular Filtration Rate (eGFR) | Estimated GFR was calculated using the modified Schwartz formula according to the standards of the central laboratory. | Baseline, Month 24 |
| Change From Baseline to Month 24 in Urine Protein Levels |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of South Florida | Tampa | Florida | 33606 | United States | ||
| The Emory Clinic |
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| ID | Title | Description |
|---|---|---|
| FG000 | Migalastat HCl 150 mg | One migalastat 123 mg capsule (equivalent to 150 mg migalastat HCl) administered every other day (QOD) during the treatment period. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Aug 19, 2021 | May 22, 2025 |
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Renal function was assessed by urine protein levels (mg/L). Urine samples were collected as part of urinalysis. |
| Baseline, Month 24 |
| Change From Baseline to Month 24 in Urine Albumin | Renal function was assessed by urine albumin levels (mg/L). Urine samples were collected as part of urinalysis | Baseline, Month 24 |
| Change From Baseline to Month 24 in Left Ventricular Mass Index (LVMi) | LVMi was assessed as a measure of cardiac impairment in the study participants. LVMi values for both M-mode and 2D views are presented. | Baseline, Month 24 |
| Change From Baseline to Month 24 in Pediatric and Quality of Life Inventory™ (PedsQL™) Scores | The Pediatric Quality of Life Inventory (PedsQL™) was a modular approach to measuring health-related quality of life (QoL) in healthy children and adolescents and those with acute and chronic health conditions. All components of the PedsQL were scored based on a scale of 0 (never) to 4 (almost always) and linearly transformed to a 0 to 100 scale as follows: 0 = 100, 1 = 75, 2 = 50, 3 = 25, 4 = 0. Psychosocial, physical, and total scores were calculated based on the response to the questions within the patient reported outcome. The psychosocial score for the PedsQL encompassed 15 questions relating to the subjects' feelings, social interaction with others, and school. The physical score was derived from answers to 8 questions about the subjects' ease of managing physical activity. Total scores were the sum of all the item scores over the number of items answered on all the scales. Change from baseline values of <0 represents worsening, 0 equals no change, and >0 represents improvement. | Baseline, Month 24 |
| Change From Baseline to Month 24 in Fabry-Specific Pediatric Health and Pain Questionnaire (FPHPQ) Score for Pain Intensity | The Fabry-specific Pediatric Health and Pain Questionnaire (FPHPQ) included questions about Fabry disease-specific symptoms. The assessment of "How bad is your pain today?" was measured on a 10- point scale from 0 (no pain) to 10 (pain as bad as you can imagine). A decrease from baseline indicates an improvement in the condition. | Baseline, Month 24 |
| Number of Subjects Who Experienced Sudden Onset of Pain As Assessed Using the Fabry-Specific Health and Pain Questionnaire (FPHPQ) | Subjects were asked "In the last 3 months how many times did you experience sudden onset of pain?" and responses were reported in the FPHPQ. Responses were categorized as 0, 1 to 3, 4 to 6, and > 6 occurrences of sudden onset of pain. | Month 24 |
| Change From Baseline to Month 24 in Plasma Levels of Lyso-Gb3 | Blood samples were collected for measurement of lyso-Gb3 levels in plasma. Plasma levels of lyso-Gb3 were measured using a validated liquid chromatography-mass spectrometry assay. | Baseline, Month 24 |
| Atlanta |
| Georgia |
| 30322 |
| United States |
| University of Minnesota Masonic Children's Hospital and Clinics | Minneapolis | Minnesota | 55454 | United States |
| Cincinnati Children's Hospital | Cincinnati | Ohio | 45229 | United States |
| Lysosomal & Rare Disorders Research & Treatment Center | Fairfax | Virginia | 22030 | United States |
| Royal Free London NHS Foundation Trust | London | United Kingdom |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Migalastat HCl 150 mg | One migalastat 123 mg capsule (equivalent to 150 mg migalastat HCl) administered every other day (QOD) during the treatment period. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Count of Participants | Participants |
| |||||||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Prior Enzyme Replacement Therapy (ERT) status | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Incidence of Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and AEs (Adverse Events) Leading to Discontinuation of Study Drug | Number of subjects with TEAE, SAE, and AE leading to discontinuation during the study period | Posted | Count of Participants | Participants | Entire study |
|
|
| |||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline to Month 24 in Estimated Glomerular Filtration Rate (eGFR) | Estimated GFR was calculated using the modified Schwartz formula according to the standards of the central laboratory. | 8 subjects had eGFR calculated at Month 24 visit | Posted | Mean | Standard Deviation | mL/min x 1.73 m2 | Baseline, Month 24 |
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| Secondary | Change From Baseline to Month 24 in Urine Protein Levels | Renal function was assessed by urine protein levels (mg/L). Urine samples were collected as part of urinalysis. | 7 subjects had urine protein value at Month 24 | Posted | Mean | Standard Deviation | mg/L | Baseline, Month 24 |
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| Secondary | Change From Baseline to Month 24 in Urine Albumin | Renal function was assessed by urine albumin levels (mg/L). Urine samples were collected as part of urinalysis | 6 subjects had urine albumin result at Month 24 | Posted | Mean | Standard Deviation | mg/L | Baseline, Month 24 |
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| Secondary | Change From Baseline to Month 24 in Left Ventricular Mass Index (LVMi) | LVMi was assessed as a measure of cardiac impairment in the study participants. LVMi values for both M-mode and 2D views are presented. | 8 subjects had LVMi results at Month 24 | Posted | Mean | Standard Deviation | g/m2 | Baseline, Month 24 |
|
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| Secondary | Change From Baseline to Month 24 in Pediatric and Quality of Life Inventory™ (PedsQL™) Scores | The Pediatric Quality of Life Inventory (PedsQL™) was a modular approach to measuring health-related quality of life (QoL) in healthy children and adolescents and those with acute and chronic health conditions. All components of the PedsQL were scored based on a scale of 0 (never) to 4 (almost always) and linearly transformed to a 0 to 100 scale as follows: 0 = 100, 1 = 75, 2 = 50, 3 = 25, 4 = 0. Psychosocial, physical, and total scores were calculated based on the response to the questions within the patient reported outcome. The psychosocial score for the PedsQL encompassed 15 questions relating to the subjects' feelings, social interaction with others, and school. The physical score was derived from answers to 8 questions about the subjects' ease of managing physical activity. Total scores were the sum of all the item scores over the number of items answered on all the scales. Change from baseline values of <0 represents worsening, 0 equals no change, and >0 represents improvement. | 8 subjects completed the assessment at Month 24. | Posted | Median | Full Range | score on a scale | Baseline, Month 24 |
|
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| Secondary | Change From Baseline to Month 24 in Fabry-Specific Pediatric Health and Pain Questionnaire (FPHPQ) Score for Pain Intensity | The Fabry-specific Pediatric Health and Pain Questionnaire (FPHPQ) included questions about Fabry disease-specific symptoms. The assessment of "How bad is your pain today?" was measured on a 10- point scale from 0 (no pain) to 10 (pain as bad as you can imagine). A decrease from baseline indicates an improvement in the condition. | 8 subjects completed the FPHPQ pain assessment at Month 24. | Posted | Mean | Standard Deviation | score on a scale | Baseline, Month 24 |
|
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| Secondary | Number of Subjects Who Experienced Sudden Onset of Pain As Assessed Using the Fabry-Specific Health and Pain Questionnaire (FPHPQ) | Subjects were asked "In the last 3 months how many times did you experience sudden onset of pain?" and responses were reported in the FPHPQ. Responses were categorized as 0, 1 to 3, 4 to 6, and > 6 occurrences of sudden onset of pain. | 8 subjects reported frequency of sudden onset of pain on FPHPQ at Month 24 | Posted | Count of Participants | Participants | Month 24 |
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| Secondary | Change From Baseline to Month 24 in Plasma Levels of Lyso-Gb3 | Blood samples were collected for measurement of lyso-Gb3 levels in plasma. Plasma levels of lyso-Gb3 were measured using a validated liquid chromatography-mass spectrometry assay. | 8 subjects had lyso-Gb3 results at Month 24 | Posted | Mean | Standard Deviation | ng/mL | Baseline, Month 24 |
|
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Adverse event data collected over duration of the study. Duration of participation varied by patient (range: 181 to 1457 days).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Migalastat HCl 150 mg | One migalastat 123 mg capsule (equivalent to 150 mg migalastat HCl) administered every other day (QOD) during the treatment period. | 0 | 16 | 1 | 16 | 13 | 16 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Gastroenteritis | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Covid-19 | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
| |
| Skin papilloma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 27.0 | Systematic Assessment |
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| Raynaud's phenomenon | Vascular disorders | MedDRA 27.0 | Systematic Assessment |
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| Asthenia | General disorders | MedDRA 27.0 | Systematic Assessment |
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| Fatigue | General disorders | MedDRA 27.0 | Systematic Assessment |
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| Pain | General disorders | MedDRA 27.0 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA 27.0 | Systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 27.0 | Systematic Assessment |
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| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA 27.0 | Systematic Assessment |
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| Aspartate aminotransferase increased | Investigations | MedDRA 27.0 | Systematic Assessment |
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| Blood bilirubin increased | Investigations | MedDRA 27.0 | Systematic Assessment |
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| Alanine aminotransferase increased | Investigations | MedDRA 27.0 | Systematic Assessment |
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| Blood alkaline phosphatase increased | Investigations | MedDRA 27.0 | Systematic Assessment |
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| Electrocardiogram T wave biphasic | Investigations | MedDRA 27.0 | Systematic Assessment |
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| Left ventricular mass index | Investigations | MedDRA 27.0 | Systematic Assessment |
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| Weight increased | Investigations | MedDRA 27.0 | Systematic Assessment |
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| Contusion | Injury, poisoning and procedural complications | MedDRA 27.0 | Systematic Assessment |
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| Road traffic accident | Injury, poisoning and procedural complications | MedDRA 27.0 | Systematic Assessment |
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| Skin laceration | Injury, poisoning and procedural complications | MedDRA 27.0 | Systematic Assessment |
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| Vaccination complication | Injury, poisoning and procedural complications | MedDRA 27.0 | Systematic Assessment |
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| Atrioventricular block first degree | Cardiac disorders | MedDRA 27.0 | Systematic Assessment |
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| Left ventricular hypertrophy | Cardiac disorders | MedDRA 27.0 | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA 27.0 | Systematic Assessment |
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| Paraesthesia | Nervous system disorders | MedDRA 27.0 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 27.0 | Systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | MedDRA 27.0 | Systematic Assessment |
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| Haematemesis | Gastrointestinal disorders | MedDRA 27.0 | Systematic Assessment |
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| Impaired gastric emptying | Gastrointestinal disorders | MedDRA 27.0 | Systematic Assessment |
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| Tooth impacted | Gastrointestinal disorders | MedDRA 27.0 | Systematic Assessment |
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| Toothache | Gastrointestinal disorders | MedDRA 27.0 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA 27.0 | Systematic Assessment |
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| Hepatic steatosis | Hepatobiliary disorders | MedDRA 27.0 | Systematic Assessment |
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| Acne | Skin and subcutaneous tissue disorders | MedDRA 27.0 | Systematic Assessment |
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| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA 27.0 | Systematic Assessment |
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| Ingrowing nail | Skin and subcutaneous tissue disorders | MedDRA 27.0 | Systematic Assessment |
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| Haematuria | Renal and urinary disorders | MedDRA 27.0 | Systematic Assessment |
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| Pollakiuria | Renal and urinary disorders | MedDRA 27.0 | Systematic Assessment |
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| Renal pain | Renal and urinary disorders | MedDRA 27.0 | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 27.0 | Systematic Assessment |
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| Acute sinusitis | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
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| Anal abscess | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
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| Bronchitis | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
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| Ear infection | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
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| Influenza | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
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| Laryngitis | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
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| Paronychia | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
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| Pharyngitis streptococcal | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
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| Sinusitis | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 27.0 | Systematic Assessment |
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| Decreased appetite | Metabolism and nutrition disorders | MedDRA 27.0 | Systematic Assessment |
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| Obesity | Metabolism and nutrition disorders | MedDRA 27.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Information | Amicus Therapeutics, Inc. | 001 609-662-2000 | MedInfo@amicusrx.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 6, 2021 | May 22, 2025 | SAP_001.pdf |
| ID | Term |
|---|---|
| D000795 | Fabry Disease |
| ID | Term |
|---|---|
| D013106 | Sphingolipidoses |
| D020140 | Lysosomal Storage Diseases, Nervous System |
| D020739 | Brain Diseases, Metabolic, Inborn |
| D001928 | Brain Diseases, Metabolic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D059345 | Cerebral Small Vessel Diseases |
| D002561 | Cerebrovascular Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D040181 | Genetic Diseases, X-Linked |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008661 | Metabolism, Inborn Errors |
| D008064 | Lipidoses |
| D008052 | Lipid Metabolism, Inborn Errors |
| D016464 | Lysosomal Storage Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D052439 | Lipid Metabolism Disorders |
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| ID | Term |
|---|---|
| C090092 | migalastat |
| C525167 | larazotide acetate |
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| Unknown or Not Reported |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| Title | Measurements |
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| Title | Denominators | Categories | ||||
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| Title | Denominators | Categories | ||||
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| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| 2D-mode View |
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| M-mode View |
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| Participants |
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