An Open-label, Multicenter Study to Evaluate the Long-Term Safety, Tolerability, and Efficacy of AEB1102 in Patients with Arginase I Deficiency

Recruitment & Eligibility

Status: ot Recruiting

Sex: All

Target Recruitment: 14

Inclusion Criteria

A patient must meet all of the following criteria to be enrolled in this study:
1. Completed participation in Study CAEB1102-101A without experiencing any clinically significant AE or other unmanageable drug toxicity that precludes continued dosing
2. After review of the patient’s data from the CAEB1102-101A study, the Investigator and the Sponsor confirm that it is acceptable for the patient to continue dosing with pegzilarginase and that the patient continues to meet the following criteria from the 101A study
- Is male or female: pediatric patients =2 to <18 years of age and adult patients =18 years of age
- Has documented diagnosis of Arginase 1 deficiency, with:
? Known mutation in the Arginase 1 gene
OR
? Known deficiency in red blood cells (RBCs) arginase activity
Has adequate organ function defined as follows:
? Bone Marrow: Hemoglobin =10 g/dL; absolute neutrophil count =1.5x10^9/L; platelet count =100,000/µL
? Hepatic: transaminase levels (aspartate aminotransferase/alanine aminotransferase =2.5-times upper limit of normal (ULN); total bilirubin =2.0 mg/dL
? Renal: serum creatinine <1.5 x ULN
3. If female and of child-bearing potential, has a negative serum pregnancy test within 7 days before enrollment
4. If the patient (male or female) is engaging in sexual activity that could lead to pregnancy, must be surgically sterile, post-menopausal (female), or must agree to use a highly effective method of birth control during the study and for a minimum of 30 days after the last study drug administration. Highly effective methods of contraception include: combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation; progesterone-only hormonal contraception associated with inhibition of ovulation; intrauterine device (IUD); or intrauterine hormone-releasing system (IUS).
5. Patient or legal guardian is able and willing to provide written informed consent and where required assent, and to comply with all requirements of study participation (including all study procedures and continuation of prescribed diet without modification), prior to any screening procedures
Are the trial subjects under 18? yes
Number of subjects for this age range: 9
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 5
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

A patient is excluded from this study if he/she has:
1) Clinically significant concurrent disease, serious intercurrent illness, or other extenuating circumstances that, in the opinion of the Investigator, would preclude the patient's participation in the study including:
a) Had transfusion of = 2 units of red blood cells (RBCs) within the 60 days before enrollment
b) Currently has an active infection requiring systemic treatment
c) Known infection with human immunodeficiency virus (HIV), hepatitis
B, or hepatitis C
d) Currently has uncontrolled hyperammonemia (ammonia = 100 µmol/L)
e) Is currently participating in another therapeutic clinical trial
f) Has received any investigational agent (other than pegzilarginase)
within 30 days of enrollment
g) If female, is lactating or breast feeding

Study & Design

Study Type: Interventional clinical trial of medicinal product

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method

Secondary Outcome Measures

Name	Time	Method

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