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Pharmacokinetic/Pharmacodynamic Study of 2 agalsidase beta Formulations in Single Dose Administered to Healthy Volunteers as intravenous infusion, at a concentration of 1 mg/kg
Volunteers will receive either one or the other agalsidase beta formulation. Drug will be administered as an intravenous 5h infusion. Plasma samples will be taken at different time points, from before infusion up to 12h later. Pharmacokinetic (PK) and pharmacodynamic (PD) profile will be determined, and bioequivalence evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Agalsidase Beta from Biosidus | Experimental | Participants received a single infusion at a dose 1 mg/kg |
|
| Fabrazyme (Sanofi-Genzyme) | Active Comparator | Participants received a single infusion at a dose 1 mg/kg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Agalsidase beta from Biosidus 1 mg/kg | Biological | Patients received an infusion of 1 mg/kg of Agalsidase Beta from Biosidus. Final infusion dose is achieved with lyophilized drug at concentration 35 mg and 5 mg |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Serum Concentration of Agalsidase Beta (Cmax) | Compare the maximum serum concentration of two formulations of agalsidase beta after intravenous infusion of 1 mg/kg:
| 0, 1, 3, 5, 5.5, 6, 7, 8, 10 and 12 hours from the beginning of the infusion |
| Area Under the Curve of Serum Concentration Between Times 0 and 12 Hours of Agalsidase Beta | Compare the area under the curve between times 0 and 12 hours of two formulations of agalsidase beta after intravenous infusion of 1 mg/kg:
| 0, 1, 3, 5, 5.5, 6, 7, 8, 10 and 12 hours from the beginning of the infusion |
| Time at Which Maximum Serum Concentration of Agalsidase Beta is Observed (Tmax) | Compare the time at which maximum serum concentration of agalsidase beta is observed of two formulations of agalsidase beta after intravenous infusion of 1 mg/kg:
| 0, 1, 3, 5, 5.5, 6, 7, 8, 10 and 12 hours from the beginning of the infusion |
| Area Under the Curve of Serum Concentration, Resulting From the Extrapolation From Time 0 to Infinite Time | Compare the area under the curve of serum concentration, resulting from the extrapolation from time 0 to infinite time of two formulations of agalsidase beta after intravenous infusion of 1 mg/kg:
| 0, 1, 3, 5, 5.5, 6, 7, 8, 10 and 12 hours from the beginning of the infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Enzymatic Activity on Plasma Samples Measured With Fluorometric Method | Comparison between enzymatic activity of both formulations of agalsidase beta, assessing the difference between the 5 hour timepoint and the basal determination, to estimate their biological activity as part of the pharmacodynamic analysis. A fluorometric assay will be used. The enzymatic activity will be measured in mU/ml. The variation of enzymatic activity between the sample taken at the end of the infusion (5 hours) and pre-infusion will be analyzed. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eduardo Pirotzky, MD | Sanatorio Nuestra Señora del Pilar | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sanatorio Nuestra Señora del Pilar | Ciudadela | Buenos Aires | 1702 | Argentina |
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| ID | Title | Description |
|---|---|---|
| FG000 | Agalsidase Beta from Biosidus | Participants received a single infusion at a dose 1 mg/kg Agalsidase beta from Biosidus 1 mg/kg: Patients received an infusion of 1 mg/kg of Agalsidase Beta from Biosidus. Final infusion dose is achieved with lyophilized drug at concentration 35 mg and 5 mg |
| FG001 | Fabrazyme (Sanofi-Genzyme) | Participants received a single infusion at a dose 1 mg/kg Fabrazyme (agalsidase beta) 1 mg/kg: Patients received an infusion of 1 mg/kg of Fabrazyme. Final infusion dose is achieved with lyophilized drug at concentration 35 mg and 5 mg |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Healthy volunteers who have no detectable enzyme activity in circulating blood.
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| ID | Title | Description |
|---|---|---|
| BG000 | Agalsidase Beta from Biosidus | Participants received a single infusion at a dose 1 mg/kg Agalsidase beta from Biosidus 1 mg/kg: Patients received an infusion of 1 mg/kg of Agalsidase Beta from Biosidus. Final infusion dose is achieved with lyophilized drug at concentration 35 mg and 5 mg |
| BG001 |
| 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 |
| 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 | Maximum Serum Concentration of Agalsidase Beta (Cmax) | Compare the maximum serum concentration of two formulations of agalsidase beta after intravenous infusion of 1 mg/kg:
| Per protocol analysis | Posted | Mean | Standard Deviation | mU/ml | 0, 1, 3, 5, 5.5, 6, 7, 8, 10 and 12 hours from the beginning of the infusion |
|
35 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 | Agalsidase Beta from Biosidus | Participants received a single infusion at a dose 1 mg/kg Agalsidase beta from Biosidus 1 mg/kg: Patients received an infusion of 1 mg/kg of Agalsidase Beta from Biosidus. Final infusion dose is achieved with lyophilized drug at concentration 35 mg and 5 mg |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Increased dyastolic blood pressure | Vascular disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director of Clinical Trials | Biosidus S.A.U. | +541149098044 | v.berstein@biosidus.com.ar |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Sep 2, 2021 | Jan 23, 2023 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D000795 | Fabry Disease |
| ID | Term |
|---|---|
| D013106 | Sphingolipidoses |
| D020140 | Lysosomal Storage Diseases, Nervous System |
| D020739 | Brain Diseases, Metabolic, Inborn |
| D001928 | Brain Diseases, Metabolic |
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| ID | Term |
|---|---|
| C459420 | agalsidase beta |
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| Fabrazyme (agalsidase beta) 1 mg/kg | Biological | Patients received an infusion of 1 mg/kg of Fabrazyme. Final infusion dose is achieved with lyophilized drug at concentration 35 mg and 5 mg |
|
| Pre-infusion and 5 hours post administration (end of infusion) |
| Number of Patients With Adverse Events | Evaluation of the product safety with analysis of incidence of adverse events and tolerance. | From infusion to 35 days after |
| Number of Participants With Positive Results for the Presence of Neutralizing Antibodies Against Agalsidase Beta | The presence of neutralizing antibodies to agalsidase beta activity was analyzed in serum samples from 24 volunteers (0h, 12h and 35 days), by biological activity neutralization method. The percentage of inhibition in the samples was calculated by comparing the activity value of 1 ng of agalsidase beta alone with that of agalsidase treated with the serum samples. Those samples with percentage inhibition >50% were defined as positive. | 0 hours,12 hours and 35 days after the end of the infusion. |
| Fabrazyme (Sanofi-Genzyme) |
Participants received a single infusion at a dose 1 mg/kg Fabrazyme (agalsidase beta) 1 mg/kg: Patients received an infusion of 1 mg/kg of Fabrazyme. Final infusion dose is achieved with lyophilized drug at concentration 35 mg and 5 mg |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Weight | Mean | Standard Deviation | Kilograms |
|
| Height | Mean | Standard Deviation | Centimeters |
|
| Body Mass Index (BMI) | Mean | Standard Deviation | Kg/m2 |
|
| Fabrazyme (Sanofi-Genzyme) |
Participants received a single infusion at a dose 1 mg/kg Fabrazyme (agalsidase beta) 1 mg/kg: Patients received an infusion of 1 mg/kg of Fabrazyme. Final infusion dose is achieved with lyophilized drug at concentration 35 mg and 5 mg |
|
|
| Primary | Area Under the Curve of Serum Concentration Between Times 0 and 12 Hours of Agalsidase Beta | Compare the area under the curve between times 0 and 12 hours of two formulations of agalsidase beta after intravenous infusion of 1 mg/kg:
| Posted | Mean | Standard Deviation | mU*h/ml | 0, 1, 3, 5, 5.5, 6, 7, 8, 10 and 12 hours from the beginning of the infusion |
|
|
|
| Primary | Time at Which Maximum Serum Concentration of Agalsidase Beta is Observed (Tmax) | Compare the time at which maximum serum concentration of agalsidase beta is observed of two formulations of agalsidase beta after intravenous infusion of 1 mg/kg:
| Posted | Mean | Standard Deviation | h | 0, 1, 3, 5, 5.5, 6, 7, 8, 10 and 12 hours from the beginning of the infusion |
|
|
|
| Primary | Area Under the Curve of Serum Concentration, Resulting From the Extrapolation From Time 0 to Infinite Time | Compare the area under the curve of serum concentration, resulting from the extrapolation from time 0 to infinite time of two formulations of agalsidase beta after intravenous infusion of 1 mg/kg:
| Per protocol population | Posted | Mean | Standard Deviation | mU*h/ml | 0, 1, 3, 5, 5.5, 6, 7, 8, 10 and 12 hours from the beginning of the infusion |
|
|
|
| Secondary | Enzymatic Activity on Plasma Samples Measured With Fluorometric Method | Comparison between enzymatic activity of both formulations of agalsidase beta, assessing the difference between the 5 hour timepoint and the basal determination, to estimate their biological activity as part of the pharmacodynamic analysis. A fluorometric assay will be used. The enzymatic activity will be measured in mU/ml. The variation of enzymatic activity between the sample taken at the end of the infusion (5 hours) and pre-infusion will be analyzed. | Posted | Mean | 90% Confidence Interval | mU/ml | Pre-infusion and 5 hours post administration (end of infusion) |
|
|
|
| Secondary | Number of Patients With Adverse Events | Evaluation of the product safety with analysis of incidence of adverse events and tolerance. | Posted | Count of Participants | Participants | From infusion to 35 days after |
|
|
|
| Secondary | Number of Participants With Positive Results for the Presence of Neutralizing Antibodies Against Agalsidase Beta | The presence of neutralizing antibodies to agalsidase beta activity was analyzed in serum samples from 24 volunteers (0h, 12h and 35 days), by biological activity neutralization method. The percentage of inhibition in the samples was calculated by comparing the activity value of 1 ng of agalsidase beta alone with that of agalsidase treated with the serum samples. Those samples with percentage inhibition >50% were defined as positive. | Posted | Number | Participants with positive result | 0 hours,12 hours and 35 days after the end of the infusion. |
|
|
|
| 0 |
| 12 |
| 0 |
| 12 |
| 7 |
| 12 |
| EG001 | Fabrazyme (Sanofi-Genzyme) | Participants received a single infusion at a dose 1 mg/kg Fabrazyme (agalsidase beta) 1 mg/kg: Patients received an infusion of 1 mg/kg of Fabrazyme. Final infusion dose is achieved with lyophilized drug at concentration 35 mg and 5 mg | 0 | 12 | 0 | 12 | 9 | 12 |
| Headache | General disorders | Non-systematic Assessment |
|
| Increased proteinuria | Renal and urinary disorders | Non-systematic Assessment |
|
| Increased erythrocyte sedimentation rate | Blood and lymphatic system disorders | Non-systematic Assessment |
|
| COVID-19 | Infections and infestations | Non-systematic Assessment |
|
| Hypotension | Vascular disorders | Non-systematic Assessment |
|
| Hypertension | Vascular disorders | Non-systematic Assessment |
|
| Increased GTP | Hepatobiliary disorders | Non-systematic Assessment |
|
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| 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 |
| 35 days after the end of the infusion |
|