Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This is a multicenter, international open-label extension study of ATB200/AT2221 in adult subjects with late-onset Pompe disease (LOPD) who completed Study ATB200-03.
This is an open-label extension study for subjects who completed the ATB200-03 study. The subjects will stay in this study until regulatory approval or marketing authorization and/or commercialization in the participating subject's country.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ATB200/AT2221 | Experimental | Participants received ATB200 (cipaglucosidase alfa) co-administered with AT2221 capsule (miglustat) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AT2221 | Drug | Participants received ATB200 co-administered with AT2221 (miglustat) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment-emergent Adverse Events (TEAEs), Treatment-emergent Serious Adverse Events (TESAEs), and TEAEs Leading to Discontinuation of Study Drug | Number of subjects with TEAE, TESAE, and TEAE leading to discontinuation during this long-term extension study | Entire extension study (mean = 40.5 months on treatment) |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in 6-Minute Walk Distance (6MWD) | Motor function was measured using the 6-minute walk distance (meters) | baseline, Week 208 |
| Change From Baseline in Sitting % Predicted Forced Vital Capacity (FVC) |
Not provided
Inclusion Criteria:
1. Subject must have completed Study ATB200-03.
Note: Subjects who were forced to withdraw from Study ATB200-03 for a logistical reason not related to the efficacy or safety of cipaglucosidase alfa/miglustat (eg, hospitalization for a car accident, COVID-19 pandemic, or emergency surgery) that resulted in several consecutive missed doses may have been eligible to participate in this study upon approval by the Amicus medical monitor.
Exclusion Criteria
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Arkansas for Medical Sciences | Little Rock | Arkansas | 72205 | United States | ||
| University of California, Irvine |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41769220 | Derived | Hopkin RJ, Byrne BJ, Dimachkie MM, Kishnani PS, Mozaffar T, Roberts M, Schoser B, van der Beek NAME, van der Ploeg AT, Wenninger S, Brudvig J, Fox B, Holdbrook F, Jain V, Johnson F, Zhang J, Parenti G. Miglustat: a first-in-class enzyme stabilizer for cipaglucosidase alfa for the treatment of late-onset Pompe disease. Ther Adv Rare Dis. 2026 Feb 26;7:26330040261425686. doi: 10.1177/26330040261425686. eCollection 2026 Jan-Dec. | |
| 41631150 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Treatment Continued Group | Participants who received ATB200 (20 mg/kg) co-administered with AT2221 (260 mg) in the feeder study who continued on that dose in this long-term extension |
| FG001 | Treatment Switched Group |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Pretreatment |
|
Not provided
Not provided
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Dec 10, 2024 | Oct 23, 2025 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ATB200 | Biological | Enzyme Replacement Therapy via intravenous infusion |
|
|
Pulmonary function was measured by sitting % predicted forced vital capacity (FVC)
| baseline, Week 208 |
| Change From Baseline in Manual Muscle Testing (MMT) Lower Extremity Score | Strength was measured by manual muscle testing (MMT) using the Medical Research Council grading scale (0 to 5 points, with 5 indicating normal function). Change from baseline values >0 represent improvement. | baseline, Week 208 |
| Change From Baseline in the Total Score for Patient-reported Outcomes Measurement Information System (PROMIS®) - Physical Function | Physical Function Short Form 20a (v2.0) consisted of 20 questions. The first 14 questions were each scored on a scale from 1 to 5 as follows: 1 = unable to do; 2 = with much difficulty; 3 = with some difficulty; 4 = with a little difficulty; 5 = without any difficulty; the next 6 questions were each scored on a scale from 1 to 5 as follows: 1 = cannot do; 2 = quite a lot; 3 = somewhat; 4 = very little; 5 = not at all. The total score was calculated by summing up scores (1 to 5) across all items. Total scores range from 20 to 100. A higher score represented a better outcome. | baseline, Week 208 |
| Change From Baseline in the Total Score for PROMIS® - Fatigue | Fatigue Short Form 8a consisted of 6 questions, each scored on a scale from 1 to 5 as follows: 1 = not at all; 2 = a little bit; 3 = somewhat; 4 = quite a bit; 5 = very much; and 2 questions, each scored on a scale from 1 to 5 as follows: 1 = never; 2 = rarely; 3 = sometimes; 4 = often; 5 = always. The total score was calculated by summing up scores (1 to 5) across all items resulting in a total score range from 6 (minimum) to 30 (maximum). A lower score represented lower fatigue symptoms. | baseline, Week 208 |
| Change From Baseline in Gait, Stairs, Gower, Chair (GSGC) Test | The GSGC consisted of a 10-meter walk for evaluation of gait, a 4-stair climb, Gowers' maneuver, and arising from a chair. Results of the GSGC included the time required to complete the individual tests, individual scores for each of the tests (1 to 7 points for each of gait, 4-stair climb, and Gowers' maneuver, and 1 to 6 points for arising from a chair), and a total score. GSGC total score was the sum of the component scores from the 4 functional tests. The total score ranged from a minimum of 4 points (normal performance) to a maximum of 27 points (worst performance). | baseline, Week 208 |
| Change From Baseline in EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Responses | The EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) questionnaire comprises 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: Level 1=no problems, Level 2=slight problems, Level 3=moderate problems, Level 4=severe problems, and Level 5=extreme problems. In this categorical assessment, subjects were asked to indicate their health state by ticking the box next to the most appropriate statement in each of the 5 dimensions. Outcomes for change from baseline at Week 208 include 'no change', 'worsening' relative to baseline category, or 'improvement' relative to baseline category. Changes (worsening or improvement) are shown by magnitude of change (how many Levels) in each categorical assessment. | baseline, Week 208 |
| Change From Baseline in Overall Physical Well-being (Subject's Global Impression of Change [SGIC], Question 1) | The Subject's Global Impression of Change overall physical well-being (question 1) is scored on a 7-point rating scale ranging from "very much worse" to "very much improved." | baseline, Week 208 |
| Change From Baseline in Physician's Global Impression of Change (PGIC) Overall Status | The Physician's Global Impression of Change (PGIC) is designed to record the physician's assessment of the subject's status, taking into account the subject's signs and symptoms and other neuromuscular symptoms, and signs relative to their status at the Baseline Visit. The PGIC is based on a single item that is scored on a 7-point rating scale ranging from 1 "very much worse" to 7 "very much improved." | baseline, Week 208 |
| Percent Change From Baseline in Creatine Kinase (U/L) | Percent change from baseline to Week 208 in the levels of biomarker creatine kinase (CK) | baseline, Week 208 |
| Percent Change From Baseline in Urine Hex4 (mmol/Mol Creatinine) | Percent change from baseline to Week 208 in the levels of biomarker urine Hex4. | baseline, Week 208 |
| Proportion of Subjects With Positive Anti-drug Antibodies at Baseline and Week 208 | Immunogenicity was assessed by the number (%) of subjects with positive specific anti-cipaglucosidase antibodies at baseline and at Week 208 | baseline, Week 208 |
| Irvine |
| California |
| 92868 |
| United States |
| University of Florida Clinical Research Center | Gainesville | Florida | 32610 | United States |
| Emory Clinic | Atlanta | Georgia | 30322 | United States |
| IU Health Neuroscience Center | Indianapolis | Indiana | 46202 | United States |
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
| Billings Clinic | Billings | Montana | 59101 | United States |
| Hackensack University Medical Center | Hackensack | New Jersey | 07061 | United States |
| Northwell Health | Great Neck | New York | 11021 | United States |
| NYU School of Medicine | New York | New York | 10017 | United States |
| Duke University Medical Center | Durham | North Carolina | 27710 | United States |
| University of Cincinnati Gardner Neuroscience Institute | Cincinnati | Ohio | 45219 | United States |
| Cincinnati Children's Hospital | Cincinnati | Ohio | 45229 | United States |
| The Ohio State University Wexner Medical Center | Columbus | Ohio | 43210 | United States |
| University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
| UPMC Montefiore Clinical and Translational Research Center | Pittsburgh | Pennsylvania | 15213 | United States |
| University of Utah | Salt Lake City | Utah | 84108 | United States |
| Lysosomal and Rare Disorders Research and Treatment Center, Inc. | Fairfax | Virginia | 22030 | United States |
| Hospital Universitario Austral | Buenos Aires | B1629ODT | Argentina |
| Westmead Hospital | Westmead | New South Wales | Australia |
| Royal Brisbane & Women's Hospital | Brisbane | Queensland | 4029 | Australia |
| Royal Adelaide Hospital | Adelaide | South Australia | 5000 | Australia |
| Monash Medical Centre | Clayton | Victoria | 3168 | Australia |
| Medizinische Universität Innsbruck | Innsbruck | A-6020 | Austria |
| UZ Leuven | Leuven | 3000 | Belgium |
| University Clinical Centre of the Republic of Srpska | Banja Luka | The Republic of Srpska | 78000 | Bosnia and Herzegovina |
| Alberta Children's Hospital, Heritage Medical Research Clinic | Calgary | Alberta | T3B 6A8 | Canada |
| McMaster University Medical Centre | Hamilton | Ontario | L8N 3Z5 | Canada |
| Aarhus Universitetshospital | Aarhus | Denmark |
| Hôpital Pierre Wertheimer | Bron | 69577 | France |
| Hôpital Raymond Poincaré | Garches | 92380 | France |
| Hôpital Salengro | Lille | 59037 | France |
| Hôpital de la Timone | Marseille | 13385 | France |
| Hôpital Pasteur 2 | Nice | 06001 | France |
| Universitätsklinikum Bonn | Bonn | 53127 | Germany |
| Friedrich-Baur Institut | München | 80336 | Germany |
| Universitätsklinikum Münster | Münster | 48149 | Germany |
| Eginition Hospital | Athens | 11528 | Greece |
| Semmelweis University | Budapest | 1085 | Hungary |
| University of Pécs | Pécs | 7623 | Hungary |
| University of Szeged | Szeged | 6725 | Hungary |
| UOC di Neurologia e Malattie Neuromuscolari | Messina | 98124 | Italy |
| Universitaria Federico II | Naples | 80131 | Italy |
| Fukuoka University Hospital | Fukuoka | 814-0180 | Japan |
| Kagoshima University Hospital | Kagashima | 890-8520 | Japan |
| Izumi City General Hospital | Osaka | 594 0073 | Japan |
| Hokkaido University Hospital | Sapporo | 060 8648 | Japan |
| The Jikei University Hospital | Tokyo | 105-8471 | Japan |
| Erasmus MC | Rotterdam | 3015 GD | Netherlands |
| University of Auckland | Auckland | 1142 | New Zealand |
| Centrum Medyczne Medyk | Rzeszów | Podkarpackie Voivodeship | 35-326 | Poland |
| University Medical Centre Ljubljana | Ljubljana | 1000 | Slovenia |
| Pusan National University | Yangsan | Gyeongsangnam-do | 50612 | South Korea |
| Hospital de la Santa Creu I Sant Pau | Barcelona | Spain |
| Sahlgrenska University Hospital | Gothenburg | 41345 | Sweden |
| National Taiwan University Hospital | Taipei | 100 | Taiwan |
| Queen Elizabeth Hospital Birmingham | Birmingham | B15 2TH | United Kingdom |
| Cambridge University Hospitals NHS Foundation Trust | Cambridge | CB2 0QQ | United Kingdom |
| Royal Free Hospital NHS Foundation Trust | London | NW3 2QG | United Kingdom |
| Salford Royal NHS Foundation Trust | Salford | M6 8HD | United Kingdom |
| Derived |
| Andersen H, Diaz-Manera J, Goker-Alpan O, Mozaffar T, Sitaraman Das S, Fox B, Amon F, O'Brien-Prince K, Goldman M, Holdbrook F, Jain V, Byrne BJ. Safety of home administration of cipaglucosidase alfa plus miglustat in late-onset Pompe disease: results from multiple clinical trials. Ther Adv Rare Dis. 2026 Jan 31;7:26330040261416943. doi: 10.1177/26330040261416943. eCollection 2026 Jan-Dec. |
| 38418563 | Derived | Schoser B, Kishnani PS, Bratkovic D, Byrne BJ, Claeys KG, Diaz-Manera J, Laforet P, Roberts M, Toscano A, van der Ploeg AT, Castelli J, Goldman M, Holdbrook F, Sitaraman Das S, Wasfi Y, Mozaffar T; ATB200-07 Study Group. 104-week efficacy and safety of cipaglucosidase alfa plus miglustat in adults with late-onset Pompe disease: a phase III open-label extension study (ATB200-07). J Neurol. 2024 May;271(5):2810-2823. doi: 10.1007/s00415-024-12236-0. Epub 2024 Feb 28. |
Participants who received alglucosidase alfa/placebo in the feeder study who were switched to ATB200 (20 mg/kg) co-administered with AT2221 (260 mg) in this long-term extension
| COMPLETED |
|
| NOT COMPLETED |
|
|
| Treatment |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Treatment Continued Group | Participants who received ATB200 (20 mg/kg) co-administered with AT2221 (260 mg) in the feeder study who continued on that dose in this long-term extension |
| BG001 | Treatment Switched Group | Participants who received alglucosidase alfa/placebo in the feeder study who were switched to ATB200 (20 mg/kg) co-administered with AT2221 (260 mg) in this long-term extension |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||||
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Enzyme Replacement Therapy (ERT)-experienced | Count of Participants | Participants |
| ||||||||||||||||||
| ERT-naive | Count of Participants | Participants |
| ||||||||||||||||||
| Age at diagnosis | Mean | Standard Deviation | years |
|
| 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), Treatment-emergent Serious Adverse Events (TESAEs), and TEAEs Leading to Discontinuation of Study Drug | Number of subjects with TEAE, TESAE, and TEAE leading to discontinuation during this long-term extension study | Open-label extension (OLE) Safety Population defined as all subjects who took at least one dose of ATB200/AT2221 combination treatment in Study ATB200-07 | Posted | Count of Participants | Participants | Entire extension study (mean = 40.5 months on treatment) |
|
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in 6-Minute Walk Distance (6MWD) | Motor function was measured using the 6-minute walk distance (meters) | Motor function was evaluated using the Full Analysis Set (consisting of subjects in the study who had both a valid baseline and at least 1 post-baseline assessment for at least 1 of the main efficacy endpoints). Baseline and Month 208 assessment available for 39 subjects in the Treatment Continued Group and 18 subjects in the Treatment Switched Group. | Posted | Mean | Standard Deviation | meters | baseline, Week 208 |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Sitting % Predicted Forced Vital Capacity (FVC) | Pulmonary function was measured by sitting % predicted forced vital capacity (FVC) | Pulmonary function was evaluated using the Full Analysis Set (consisting of subjects in the study who had both a valid baseline and at least 1 post-baseline assessment for at least 1 of the main efficacy endpoints). Baseline and Month 208 assessment available for 41 subjects in the Treatment Continued Group and 15 subjects in the Treatment Switched Group. | Posted | Mean | Standard Deviation | percent predicted FVC | baseline, Week 208 |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Manual Muscle Testing (MMT) Lower Extremity Score | Strength was measured by manual muscle testing (MMT) using the Medical Research Council grading scale (0 to 5 points, with 5 indicating normal function). Change from baseline values >0 represent improvement. | Muscle strength was evaluated using the Full Analysis Set (consisting of subjects in the study who had both a valid baseline and at least 1 post-baseline assessment for at least 1 of the main efficacy endpoints). Baseline and Month 208 assessment available for 35 subjects in the Treatment Continued Group and 15 subjects in the Treatment Switched Group. | Posted | Mean | Standard Deviation | score on a scale | baseline, Week 208 |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the Total Score for Patient-reported Outcomes Measurement Information System (PROMIS®) - Physical Function | Physical Function Short Form 20a (v2.0) consisted of 20 questions. The first 14 questions were each scored on a scale from 1 to 5 as follows: 1 = unable to do; 2 = with much difficulty; 3 = with some difficulty; 4 = with a little difficulty; 5 = without any difficulty; the next 6 questions were each scored on a scale from 1 to 5 as follows: 1 = cannot do; 2 = quite a lot; 3 = somewhat; 4 = very little; 5 = not at all. The total score was calculated by summing up scores (1 to 5) across all items. Total scores range from 20 to 100. A higher score represented a better outcome. | PROMIS-Physical Function was evaluated using the Full Analysis Set (consisting of subjects in the study who had both a valid baseline and at least 1 post-baseline assessment for at least 1 of the main efficacy endpoints). Baseline and Month 208 assessment available for 42 subjects in the Treatment Continued Group and 19 subjects in the Treatment Switched Group. | Posted | Mean | Standard Deviation | score on a scale | baseline, Week 208 |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the Total Score for PROMIS® - Fatigue | Fatigue Short Form 8a consisted of 6 questions, each scored on a scale from 1 to 5 as follows: 1 = not at all; 2 = a little bit; 3 = somewhat; 4 = quite a bit; 5 = very much; and 2 questions, each scored on a scale from 1 to 5 as follows: 1 = never; 2 = rarely; 3 = sometimes; 4 = often; 5 = always. The total score was calculated by summing up scores (1 to 5) across all items resulting in a total score range from 6 (minimum) to 30 (maximum). A lower score represented lower fatigue symptoms. | PROMIS-Fatigue was evaluated using the Full Analysis Set (consisting of subjects in the study who had both a valid baseline and at least 1 post-baseline assessment for at least 1 of the main efficacy endpoints). Baseline and Month 208 assessment available for 42 subjects in the Treatment Continued Group and 19 subjects in the Treatment Switched Group. | Posted | Mean | Standard Deviation | score on a scale | baseline, Week 208 |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Gait, Stairs, Gower, Chair (GSGC) Test | The GSGC consisted of a 10-meter walk for evaluation of gait, a 4-stair climb, Gowers' maneuver, and arising from a chair. Results of the GSGC included the time required to complete the individual tests, individual scores for each of the tests (1 to 7 points for each of gait, 4-stair climb, and Gowers' maneuver, and 1 to 6 points for arising from a chair), and a total score. GSGC total score was the sum of the component scores from the 4 functional tests. The total score ranged from a minimum of 4 points (normal performance) to a maximum of 27 points (worst performance). | GSGC was evaluated using the Full Analysis Set (consisting of subjects in the study who had both a valid baseline and at least 1 post-baseline assessment for at least 1 of the main efficacy endpoints). Baseline and Month 208 assessment available for 33 subjects in the Treatment Continued Group and 14 subjects in the Treatment Switched Group. | Posted | Mean | Standard Deviation | score on a scale | baseline, Week 208 |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Responses | The EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) questionnaire comprises 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: Level 1=no problems, Level 2=slight problems, Level 3=moderate problems, Level 4=severe problems, and Level 5=extreme problems. In this categorical assessment, subjects were asked to indicate their health state by ticking the box next to the most appropriate statement in each of the 5 dimensions. Outcomes for change from baseline at Week 208 include 'no change', 'worsening' relative to baseline category, or 'improvement' relative to baseline category. Changes (worsening or improvement) are shown by magnitude of change (how many Levels) in each categorical assessment. | EQ-5D-5L was evaluated using the Full Analysis Set (consisting of subjects in the study who had both a valid baseline and at least 1 post-baseline assessment for at least 1 of the main efficacy endpoints). Baseline and Month 208 assessment available for 42 subjects in the Treatment Continued Group and 19 subjects in the Treatment Switched Group. | Posted | Count of Participants | Participants | baseline, Week 208 |
| ||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Overall Physical Well-being (Subject's Global Impression of Change [SGIC], Question 1) | The Subject's Global Impression of Change overall physical well-being (question 1) is scored on a 7-point rating scale ranging from "very much worse" to "very much improved." | The SGIC was evaluated using the Full Analysis Set (consisting of subjects in the study who had both a valid baseline and at least 1 post-baseline assessment for at least 1 of the main efficacy endpoints). Baseline and Month 208 assessment available for 42 subjects in the Treatment Continued Group and 19 subjects in the Treatment Switched Group. | Posted | Count of Participants | Participants | baseline, Week 208 |
|
| |||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Physician's Global Impression of Change (PGIC) Overall Status | The Physician's Global Impression of Change (PGIC) is designed to record the physician's assessment of the subject's status, taking into account the subject's signs and symptoms and other neuromuscular symptoms, and signs relative to their status at the Baseline Visit. The PGIC is based on a single item that is scored on a 7-point rating scale ranging from 1 "very much worse" to 7 "very much improved." | The PGIC was evaluated using the Full Analysis Set (consisting of subjects in the study who had both a valid baseline and at least 1 post-baseline assessment for at least 1 of the main efficacy endpoints). Baseline and Month 208 assessment available for 40 subjects in the Treatment Continued Group and 19 subjects in the Treatment Switched Group. | Posted | Count of Participants | Participants | baseline, Week 208 |
| ||||||||||||||||||||||||||||||||||||||
| Secondary | Percent Change From Baseline in Creatine Kinase (U/L) | Percent change from baseline to Week 208 in the levels of biomarker creatine kinase (CK) | The Full Analysis Set was used in analyses of biomarkers. A total of 40 subjects in the Treatment Continued Group and 18 subjects in the Treatment Switched Group had CK values at Week 208. | Posted | Mean | Standard Deviation | percent change from baseline | baseline, Week 208 |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Percent Change From Baseline in Urine Hex4 (mmol/Mol Creatinine) | Percent change from baseline to Week 208 in the levels of biomarker urine Hex4. | The Full Analysis Set was used in analyses of biomarkers. A total of 39 subjects in the Treatment Continued Group and 17 subjects in the Treatment Switched Group had urine hex4 values at Week 208. | Posted | Mean | Standard Deviation | percent change from baseline | baseline, Week 208 |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Proportion of Subjects With Positive Anti-drug Antibodies at Baseline and Week 208 | Immunogenicity was assessed by the number (%) of subjects with positive specific anti-cipaglucosidase antibodies at baseline and at Week 208 | In the Treatment Continued group, 76 subjects had immunogenicity data at baseline, and 41 subjects had data at Week 208. In the Treatment Switched group, 36 subjects had immunogenicity data at baseline and 20 subjects had data at Week 208. | Posted | Count of Participants | Participants | baseline, Week 208 |
|
|
Adverse event data collected over duration of the study. Duration of participation varied by patient (range: 1 to 58 months).
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Treatment Continued Group | Participants who received ATB200 (20 mg/kg) co-administered with AT2221 (260 mg) in the feeder study who continued on that dose in this long-term extension | 1 | 81 | 17 | 81 | 80 | 81 |
| EG001 | Treatment Switched Group | Participants who received alglucosidase alfa/placebo in the feeder study who were switched to ATB200 (20 mg/kg) co-administered with AT2221 (260 mg) in this long-term extension | 0 | 37 | 10 | 37 | 37 | 37 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders | Non-systematic Assessment |
| ||
| Acute myocardial infarction | Cardiac disorders | Non-systematic Assessment |
| ||
| Conduction disorder | Cardiac disorders | Non-systematic Assessment |
| ||
| Arrhythmia | Cardiac disorders | Non-systematic Assessment |
| ||
| Conjunctival hemorrhage | Eye disorders | Non-systematic Assessment |
| ||
| Intestinal perforation | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Pancreatitis | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Chills | General disorders | Non-systematic Assessment |
| ||
| Chest pain | General disorders | Non-systematic Assessment |
| ||
| Bile duct stone | Hepatobiliary disorders | Non-systematic Assessment |
| ||
| Cholecystitis acute | Hepatobiliary disorders | Non-systematic Assessment |
| ||
| Hypersensitivity | Immune system disorders | Non-systematic Assessment |
| ||
| Anaphylactic reaction | Immune system disorders | Non-systematic Assessment |
| ||
| COVID-19 | Infections and infestations | Non-systematic Assessment |
| ||
| COVID-19 pneumonia | Infections and infestations | Non-systematic Assessment |
| ||
| Pneumonia | Infections and infestations | Non-systematic Assessment |
| ||
| Urinary tract infection | Infections and infestations | Non-systematic Assessment |
| ||
| Tibia fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Ankle fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Femur fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Fibula fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Fractured sacrum | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Hip fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Limb injury | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Traumatic fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Pulmonary contusion | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Road traffic accident | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Back pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| B-cell small lymphocytic lymphoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Dementia with Lewy bodies | Nervous system disorders | Non-systematic Assessment |
| ||
| Hypoesthesia | Nervous system disorders | Non-systematic Assessment |
| ||
| Lumbosacral radiculopathy | Nervous system disorders | Non-systematic Assessment |
| ||
| Transient ischemic attack | Nervous system disorders | Non-systematic Assessment |
| ||
| Delirium | Psychiatric disorders | Non-systematic Assessment |
| ||
| Hypoxia | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Urticaria | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Hypotension | Vascular disorders | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders | Non-systematic Assessment |
| ||
| Ear pain | Ear and labyrinth disorders | Non-systematic Assessment |
| ||
| Diarrhea | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Abdominal pain | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Toothache | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Gastroesophageal reflux disease | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Vomiting | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Abdominal pain upper | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Abdominal discomfort | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Dyspepsia | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Constipation | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Irritable bowel syndrome | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Fatigue | General disorders | Non-systematic Assessment |
| ||
| Pyrexia | General disorders | Non-systematic Assessment |
| ||
| Edema peripheral | General disorders | Non-systematic Assessment |
| ||
| Pain | General disorders | Non-systematic Assessment |
| ||
| Gait disturbance | General disorders | Non-systematic Assessment |
| ||
| Adverse drug reaction | General disorders | Non-systematic Assessment |
| ||
| COVID-19 | Infections and infestations | Non-systematic Assessment |
| ||
| Nasopharyngitis | Infections and infestations | Non-systematic Assessment |
| ||
| Urinary tract infection | Infections and infestations | Non-systematic Assessment |
| ||
| Upper respiratory tract infection | Infections and infestations | Non-systematic Assessment |
| ||
| Sinusitis | Infections and infestations | Non-systematic Assessment |
| ||
| Influenza | Infections and infestations | Non-systematic Assessment |
| ||
| Gastroenteritis | Infections and infestations | Non-systematic Assessment |
| ||
| Lower respiratory tract infection | Infections and infestations | Non-systematic Assessment |
| ||
| Rhinitis | Infections and infestations | Non-systematic Assessment |
| ||
| Bronchitis | Infections and infestations | Non-systematic Assessment |
| ||
| Pyuria | Infections and infestations | Non-systematic Assessment |
| ||
| Subcutaneous abscess | Infections and infestations | Non-systematic Assessment |
| ||
| Fall | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Vaccination complication | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Contusion | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Ligament sprain | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Limb injury | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Muscle strain | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Skin abrasion | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Skin laceration | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Procedural pain | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| SARS-CoV-2 test positive | Investigations | Non-systematic Assessment |
| ||
| Hemoglobin decreased | Investigations | Non-systematic Assessment |
| ||
| Vitamin D deficiency | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Arthralgia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Back pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Myalgia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Pain in extremity | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Muscle spasms | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Neck pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Osteoarthritis | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Muscular weakness | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Joint swelling | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Arthritis | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Musculoskeletal stiffness | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Headache | Nervous system disorders | Non-systematic Assessment |
| ||
| Dizziness | Nervous system disorders | Non-systematic Assessment |
| ||
| Paraesthesia | Nervous system disorders | Non-systematic Assessment |
| ||
| Tremor | Nervous system disorders | Non-systematic Assessment |
| ||
| Somnolence | Nervous system disorders | Non-systematic Assessment |
| ||
| Depression | Psychiatric disorders | Non-systematic Assessment |
| ||
| Insomnia | Psychiatric disorders | Non-systematic Assessment |
| ||
| Pollakiuria | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Cough | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Dyspnea | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Rash | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Dermal cyst | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Urticaria | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Hypertension | Vascular disorders | Non-systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| MedInfo | Amicus Therapeutics, Inc. | 001 609-662-2000 | MedInfoUSA@amicusrx.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 30, 2025 | Oct 23, 2025 | SAP_001.pdf |
| ID | Term |
|---|---|
| D006009 | Glycogen Storage Disease Type II |
| ID | Term |
|---|---|
| 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 |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D006008 | Glycogen Storage Disease |
| D002239 | Carbohydrate Metabolism, Inborn Errors |
| D016464 | Lysosomal Storage Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C059896 | miglustat |
Not provided
Not provided
Not provided
| Pregnancy |
|
| COVID-19 pandemic |
|
| Withdrawal by Subject |
|
| Sponsor decision |
|
| Physician Decision |
|
| Worsening of condition |
|
| >=65 years |
|
| Male |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Subjects with TEAEs leading to discontinuation |
|
| Subjects with TEAE leading to death |
|
|
|
| Participants |
|
|
|
|
|
|
|
|
Participants who received alglucosidase alfa/placebo in the feeder study who were switched to ATB200 (20 mg/kg) co-administered with AT2221 (260 mg) in this long-term extension
|
|
| Participants |
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
|
|
| Worsening (2 levels) |
|
| Worsening (3 or 4 levels) |
|
| Improvement (1 level) |
|
| Improvement (2 levels) |
|
| Improvement (3 or 4 levels) |
|
| Worsening (2 levels) |
|
| Worsening (3 or 4 levels) |
|
| Improvement (1 level) |
|
| Improvement (2 levels) |
|
| Improvement (3 or 4 levels) |
|
| Worsening (2 levels) |
|
| Worsening (3 or 4 levels) |
|
| Improvement (1 level) |
|
| Improvement (2 levels) |
|
| Improvement (3 or 4 levels) |
|
| Worsening (2 levels) |
|
| Worsening (3 or 4 levels) |
|
| Improvement (1 level) |
|
| Improvement (2 levels) |
|
| Improvement (3 or 4 levels) |
|