NCT03135197已完成不适用
German Observational Multicenter Study of Patients With Fabry Disease Under Chaperone Therapy With Migalastat-HCl.
University Hospital Muenster1 个研究点 分布在 1 个国家目标入组 75 人开始时间: 2017年6月8日最近更新:
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- LVMI
研究概览
简要总结
The objective of the study is to document long term data on treatment with Migalastat under "real world" conditions. The selection of patients is based on the SmPC/Fachinformation. The study duration/patient will be 2 years.
详细描述
Phase 3 data should be confirmed in this study with long-term data.
- LVMI is expected to remain stable or to be ameliorated over an average of 24 months treatment duration. The LVMI reduction observed in patients followed up to 24 months is expected to be significantly reduced with a mean change of -6.6 g/m2 (-11.0, -2.1, 95% CI).
- eGFR [CKD-EPI] is expected to remain stable over an average of 24 months treatment duration. The long-term effect of Migalastat on eGFR is expected to be comparable to the decline over time in healthy adults. The annualized rate of change over this period is expected to be ≤1 mL/min/1.73 m2 in females and ≤3 mL/min/1.73 m2 in males.
- Significant reduction is expected in plasma lyso-Gb3 concentration at month 6, month 12 and month 24 following treatment with Migalastat.
- ERT-naïve patients treated with Migalastat are expected to show an improvement of GI symptoms (diarrhea) over 24 months.
- No progression of White Matter Lesions (WML) during treatment duration is expected.
- No higher frequency of stroke/transient cerebral ischemia during treatment duration is expected.
- Severity of neuropathic pain is expected to remain stable or to improve during treatment duration.
- Dosing/amount of symptomatic medications of neuropathic symptoms is expected to decrease during treatment duration.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 16 Years 至 74 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Males and females, 16 to 74 years, diagnosed with Fabry disease.
- •Amenable GLA mutation.
- •Treatment with Migalastat (initiation of therapy according to recommendations for initiation and cessation of enzyme replacement therapy in patients with Fabry disease: the European Fabry Working Group consensus document. Biegstraaten et al, Orphanet J Rare Dis. 2015;10:
- •AWMF-Leitlinien Morbus Fabry, Diagnose und Therapie, Registernummer 030-134).
- •The following Inclusion criteria refer to the time of Migalastat initiation (T0):
- •ERT naïve (patients with signs of organ involvement (kidney, heart and/or CNS signs) to be considered for ERT following the European Consensus Guidelines on ERT (Biegstraaten et al 2015) or patients with neuropathic pain not controlled with pain medication or patients with GI symptoms not relieved with standard medication or ERT switch patients (under ERT for ≥12 months).
- •Estimated GFR (eGFR, CKD-EPI formula) at screening ≥30 ml/min/1.73 m2
- •Subjects taking no ACE inhibitors, ARBs, or renin inhibitors or are on a stable dose for at least 4 weeks before screening.
- •Subjects taking no analgesics/antidepressants or are on a stable dose for at least 4 weeks before screening.
排除标准
- •Patient has a non-amenable GLA mutation or the mutation A143T or D313Y (for verification of amenable mutations please refer to: www.GalafoldAmenablityTable.com or to the "Fachinformation").
- •Patient is unwilling to give informed consent.
- •Patient is unable to comply with the clinical protocol.
- •Patients on co-medication: Galafold plus Enzyme Replacement Therapy (ERT)
- •Pregnant or breast feeding women.
- •The following Exclusion criteria refer to the time of Migalastat initiation (T0):
- •Patients on dialysis
- •Patient has a clinically significant organ disease (e.g. cancer in the past 5 years) that in the opinion of the investigator would preclude participation in the trial.
- •Patients with a history of organ transplantation.
结局指标
主要结局
LVMI
时间窗: two years
Primary endpoint of the observational study is the change in left ventricular mass index (LVMI) over two years.
次要结局
- Cerebral ischemia or stroke.(24 months)
- Fabry Disease Severity (DS3)(24 months)
- Fabry Disease Severity (MSSI)(24 months)
- Neuropathic Pain (GCPS)(24 months)
- Neuropathic Pain (NPSI)(24 months)
- GFR(24 months)
- Lyso-Gb3(24 months)
- White Matter Lesion load(24 months)
- Cerebral microbleeds/hemorrhagic lesions.(24 months)
- Gastrointestinal symptoms(24 months)
- Quality of life (SF-36)(24 months)
研究者
研究点 (1)
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