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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00864851
Registration number
NCT00864851
Ethics application status
Date submitted
18/03/2009
Date registered
19/03/2009
Date last updated
9/06/2021
Titles & IDs
Public title
Safety and Efficacy Study of Several Replagal Dosing Regimens on Cardiac Function in Adults With Fabry Disease
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Scientific title
A Multi-Center, Open-Label, Randomized Study Evaluating the Safety and Efficacy of Three Dosing Regimens of Replagal Enzyme Replacement Therapy in Adult Patients With Fabry Disease
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Secondary ID [1]
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2007-005543-22
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Secondary ID [2]
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TKT028
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Fabry Disease
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Metabolic and Endocrine
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Metabolic disorders
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Metabolic and Endocrine
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Replagal
Active comparator: Replagal 0.2 mg/kg, IV, every other week - Patients randomized to receive Replagal 0.2 mg/kg via intravenous infusion every other week for 52 weeks.
Active comparator: Replagal 0.2 mg/kg, IV, weekly - Patients randomized to receive Replagal 0.2 mg/kg via intravenous infusion every week for 52 weeks.
Active comparator: Replagal 0.4 mg/kg, IV, weekly - Patients randomized to receive Replagal 0.4 mg/kg via intravenous infusion every week for 52 weeks.
Treatment: Other: Replagal
Intravenous (IV) infusion for 12 months
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline to Month 12 in Left Ventricular Mass Indexed to Height (LVMI)
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Assessment method [1]
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Left ventricular mass (LVM) was measured through echocardiography.
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Timepoint [1]
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Baseline, Month 12 (Week 53)
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Secondary outcome [1]
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Change From Baseline to Month 12 in Maximal Oxygen Consumption (VO2 Max) at Peak Exercise
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Assessment method [1]
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Exercise tolerance as measured by VO2 max at peak exercise using the standard exponential exercise protocol (STEEP).
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Timepoint [1]
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Baseline, Month 12 (Week 53)
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Secondary outcome [2]
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Change From Baseline to Month 12 in Distance Walked in 6-Minute Walk Test (6MWT)
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Assessment method [2]
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Exercise tolerance using the 6MWT was measured as the total distance walked in 6 minutes.
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Timepoint [2]
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Baseline, Month 12 (Week 53)
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Secondary outcome [3]
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Change From Baseline to Month 12 in the Minnesota Living With Heart Failure Questionnaire (MLHF-Q) Summary Score
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Assessment method [3]
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Quality of life (QoL) was evaluated using the MLHF-Q, version 2. The questionnaire is designed to assess the degree to which heart failure symptoms affect a patient's daily life. The summary score ranges from 0 to 105, with a score of 105 representing the highest adverse impact on a patient's QoL.
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Timepoint [3]
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Baseline, Month 12 (Week 53)
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Secondary outcome [4]
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Change From Baseline to Month 12 in New York Heart Association (NYHA) Functional Class
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Assessment method [4]
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The NYHA functional classification system relates symptoms to everyday activities and the patient's quality of life. NYHA Classification - The Stages of Heart Failure: Class I (Mild): No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea (shortness of breath). Class II (Mild): Slight limitation of physical activity. Comfortable at rest, but ordinary physical activity results in fatigue, palpitation, or dyspnea. Class III (Moderate): Marked limitation of physical activity. Comfortable at rest, but less than ordinary activity causes fatigue, palpitation, or dyspnea. Class IV (Severe): Unable to carry out any physical activity without discomfort. Symptoms of cardiac insufficiency at rest. If any physical activity is undertaken, discomfort is increased.
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Timepoint [4]
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Baseline, Month 12 (Week 53)
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Secondary outcome [5]
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Change From Baseline to Month 12 in Plasma Globotriaosylceramide (GB3)
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Assessment method [5]
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Timepoint [5]
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Baseline, Month 12 (Week 53)
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Secondary outcome [6]
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Change From Baseline to Month 12 in Estimated Glomerular Filtration Rate (eGFR)
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Assessment method [6]
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Renal function was assessed by an evaluation of change from baseline to Month 12 in eGFR as calculated using the Modification of Diet for Renal Disease (MDRD) equation.
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Timepoint [6]
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Baseline, Month 12 (Week 53)
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Secondary outcome [7]
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Change From Baseline to Month 12 in Urinary Albumin/Creatinine (A/Cr) Ratio
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Assessment method [7]
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Timepoint [7]
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Baseline, Month 12 (Week 53)
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Secondary outcome [8]
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Safety Evaluation
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Assessment method [8]
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Adverse events were collected throughout the study, from the time of informed consent to approximately 30 days post-final infusion.
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Timepoint [8]
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56 Weeks
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Eligibility
Key inclusion criteria
* >18 years-old;
* Male:Fabry disease confirmed by deficiency of alfa galactosidase A activity OR Female:Fabry disease confirmed by a mutation of the alfa galactosidase A gene;
* ERT-naïve;
* LVM/h > 50g/m2.7 for males and >47 g/m2.7 for females;
* Negative pregnancy test at enrollment and contraception use required throughout study for female patients;
* Signed informed consent;
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Class IV heart failure;
* Clinically significant hypertension;
* Hemodynamically significant valvular stenosis or regurgitation;
* Morbid obesity;
* Known autosomal dominant sarcoplasmic contractile protein gene mutation;
* Treatment with any investigational drug or device within the 30 days;
* Unable to comply with the protocol as determined by the Investigator;
* Positive for hepatitis B, hepatitis C or HIV
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
29/12/2008
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
5/07/2012
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Sample size
Target
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Accrual to date
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Final
44
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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The Royal Melbourne Hospital - Parkville
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Recruitment postcode(s) [1]
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3052 - Parkville
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Arizona
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Country [2]
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United States of America
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State/province [2]
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Iowa
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Country [3]
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United States of America
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State/province [3]
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New York
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Country [4]
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United States of America
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State/province [4]
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Virginia
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Country [5]
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Czechia
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State/province [5]
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Prague
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Country [6]
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Finland
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State/province [6]
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Turku
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Country [7]
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Paraguay
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State/province [7]
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Asuncion
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Country [8]
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Poland
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State/province [8]
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Krakow
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Country [9]
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Poland
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State/province [9]
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Warsaw
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Country [10]
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Slovenia
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State/province [10]
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Slovenj Gradec
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Country [11]
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United Kingdom
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State/province [11]
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Salford
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Shire
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to compare the safety and effectiveness of various doses of Replagal in patients with cardiomyopathy due to Fabry disease.
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Trial website
https://clinicaltrials.gov/study/NCT00864851
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Trial related presentations / publications
Malek LA, Chojnowska L, Spiewak M, Klopotowski M, Misko J, Petryka J, Milosz B, Ruzyllo W. Cardiac magnetic resonance imaging in patients with Fabry's disease. Kardiol Pol. 2010 Aug;68(8):929-34.
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Public notes
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Contacts
Principal investigator
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Study Director
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Address
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Takeda
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Malek LA, Chojnowska L, Spiewak M, Klopotowski M, ...
[
More Details
]
Results are available at
https://clinicaltrials.gov/study/NCT00864851
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