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Saturday, July 6, 2013

Phase 2 of the Extension Clinical Trial of Sialic Acid - Extended Release Tablet Recruiting Participants

For those who are interested Ultragenyx has now  opened the extension of Phase 2 study or SA-ER. Seems like you have had to participate in Phase 2 to qualify for this study.  For those interested, please contact the  sites listed.

An Open Label Phase 2 Extension Study of(SA-ER)Tablet

This study is currently recruiting participants.
Verified July 2013 by Ultragenyx Pharmaceutical Inc
Sponsor:
Information provided by (Responsible Party):
Ultragenyx Pharmaceutical Inc
ClinicalTrials.gov Identifier:
NCT01830972
First received: April 10, 2013
Last updated: July 3, 2013
Last verified: July 2013
  Purpose
GNE myopathy or hereditary inclusion body myopathy (HIBM) is a severe progressive metabolic myopathy caused by a defect in the biosynthetic pathway for sialic acid(SA). The purpose of the study is to measure long term safety and the effects of Sialic Acid-Extended Release (SA-ER) pills.


Condition Intervention Phase
GNE Myopathy
HIBM
Drug: SA-ER tabletsPhase 2

Study Type:Interventional
Study Design:Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title:An Open-label Phase 2 Extension Study to Evaluate the Long Term Safety and Efficacy of Sialic Acid-Extended Release (SA-ER) Tablets in Patients With GNE Myopathy or Hereditary Inclusion Body Myopathy


Further study details as provided by Ultragenyx Pharmaceutical Inc:


Primary Outcome Measures:
  • Assess long-term safety of 6000 mg/day SA-ER in HIBM subjects [ Time Frame: approximately 3 years ] [ Designated as safety issue: Yes ]

Estimated Enrollment:45
Study Start Date:June 2013
Estimated Primary Completion Date:June 2016 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
Experimental: open label, 6000 mg/day Drug: SA-ER tablets

Detailed Description:
GNE myopathy or hereditary inclusion body myopathy (HIBM) is a severe progressive metabolic myopathy caused by a defect in the biosynthetic pathway for sialic acid (SA). Substrate replacement therapy is a potential therapeutic strategy based on the success of replacing missing SA and reducing muscle disease in a relevant mouse model of the human disease (Malicdan et al., 2009). Successful use of SA replacement therapy in humans is believed to depend upon providing steady long-term exposure to the compound in an extended release form (such as Sialic Acid-Extended Release [SA-ER]), given SA's short half-life. Following a Phase 1 study to establish the pharmacokinetics for SA-ER and an ongoing Phase 2 study to assess the pharmacodynamic effect of restoring sialylation of muscle by treatment over 48 weeks, Ultragenyx is conducting this study to evaluate the long term safety and efficacy of SA-ER treatment for up to 36 additional months.
  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria
Inclusion Criteria:
  • Enrollment in and successful completion of the UX001-CL201 protocol. Must be willing and able to provide written, signed informed consent after the nature of the study has been explained, and prior to any research-related procedures.
  • Must be willing and able to comply with all study procedures
  • Sexually active subjects must be willing to use an acceptable method of contraception while participating in the study.
  • Females of childbearing potential must have a negative pregnancy test at Baseline and be willing to have additional pregnancy tests during the study.
  • Females considered not of childbearing potential include those who have been in menopause for at least two years, or have had tubal ligation at least one year prior to Baseline, or who have had total hysterectomy.
Exclusion Criteria:
  • Pregnant or breastfeeding at Baseline or planning to become pregnant (self or partner) at any time during the study
  • Use of any investigational product (other than SA-ER tablets) to treat HIBM
  • Ingestion of ManNAc or similar SA producing compounds
  • Has had any hypersensitivity to SA or its excipients that, in the judgment of the investigator, places the subject at increased risk for adverse effects
  • Have any co-morbid conditions, including unstable major organ-system disease(s) that in the opinion of the Investigator, places the subject at increased risk of complications, interferes with study participation or compliance, or confounds study objectives.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01830972


Locations
United States, California
UCLA Medical CenterRecruiting
Los Angeles, California, United States
Contact: Perry Shieh, MD     310-994-5142     pshieh@mednet.ucla.edu    
Principal Investigator: Perry Shieh, MD            
United States, New York
NYU Medical CenterRecruiting
New York, New York, United States, 10016
Contact: Heather Lau, MD     212-263-8344     Heather.Lau@nyumc.org    
Contact: Pankaj Patel     212-263-0139     pankaj.patel@nyumc.org    
Principal Investigator: Heather Lau, MD            
Israel
Hadassah Univeristy HospitalRecruiting
Jerusalem, Israel
Contact: Yoseph Caraco, MD     972-2-6778584     caraco@hadassah.org.il    
Principal Investigator: Yoseph Caraco, MD            

Sponsors and Collaborators
Ultragenyx Pharmaceutical Inc

  More Information

No publications provided

Responsible Party:Ultragenyx Pharmaceutical Inc
ClinicalTrials.gov Identifier:NCT01830972     History of Changes
Other Study ID Numbers:UX001-CL202
Study First Received:April 10, 2013
Last Updated:July 3, 2013
Health Authority:United States: Food and Drug Administration

ClinicalTrials.gov processed this record on July 04, 2013
http://clinicaltrials.gov/ct2/show/NCT01830972?term=hibm&rank=5

Wednesday, July 3, 2013

Breaking News from Ultragenyx; the Company Conducting the Sailic Acid Trial for HIBM

Ultragenyx released their  preliminary findings for the Sialic Acid Extended Release tablet for phase 2 clinical trial.  I have been participating in this study and have just finished my one year on this medicine. I have my personal anecdotal findings , however here is what Ultragenyx have found and it is very encouraging to see that this medicine is showing some hope and improvement in muscle strength.  It is  stated in their News Release:  

"The data showed dose-dependent improvement in muscle strength relative to placebo in some muscle groups, particularly in the upper extremities at the 6-gram dose. These changes were statistically significant or trended towards significance, and were more pronounced in those patients that had greater walking ability at baseline, a predefined subset."

Here is a copy of their complete release.


Transforming good science into great medicine for rare genetic diseases
www.ultragenyx.com
Contact Ultragenyx Pharmaceutical Inc.
For Investor inquiries, Shalini Sharp, Chief Financial Officer
415-483-8800
ssharp@ultragenyx.com
For Media inquiries, Susan Kinkead of Kinkead Communications
415-751-3611
skinkead@kinkeadcomm.com
FOR IMMEDIATE RELEASE:
Ultragenyx Announces a Positive Signal in Interim Data from Phase 2 Study of UX001
in Hereditary Inclusion Body Myopathy
Study to continue to 48 weeks, followed by extension study testing higher dosage
Novato, CA—July 3, 2013—Ultragenyx Pharmaceutical Inc., a biotechnology company focused on developing treatments for rare and ultra-rare genetic disorders, announced interim 24-week data from a 48-week Phase 2 clinical study of UX001 in 47 patients with hereditary inclusion body myopathy (HIBM), a progressive muscle-wasting disease. The study compared treatment with a total daily dose of 6 grams or 3 grams of UX001 with placebo. UX001, an oral sialic acid extended-release (SA-ER) tablet, is designed to replace the deficient sialic acid substrate in patients with HIBM.
The data showed dose-dependent improvement in muscle strength relative to placebo in some muscle groups, particularly in the upper extremities at the 6-gram dose. These changes were statistically significant or trended towards significance, and were more pronounced in those patients that had greater walking ability at baseline, a predefined subset. Other clinical endpoints did not reveal changes at this interim assessment. Creatine kinase levels showed a trend to improvement in the 6-gram dose group compared with placebo. UX001 appeared to be well tolerated with no serious adverse events observed to date in either dose group.
“These early data suggest a modest dose-dependent improvement in muscle strength in HIBM patients treated with UX001 compared to a decline in placebo-treated patients,” said Emil Kakkis, MD, PhD, Chief Executive Officer of Ultragenyx. “We need to evaluate whether the observed treatment effect is sustained or increased over a longer 48-week period, and if higher dosing might further enhance the efficacy signal observed.”
The primary objective of the Phase 2 study is to evaluate safety, dose and potential pharmacodynamic effect of restoring sialylation of muscle in patients with a confirmed genetic mutation for HIBM. The study is also evaluating clinical measures of muscle strength, mobility, function, self-reported disability, and changes in quality of life. The study is taking place at four sites in the United States and Israel. Patients were randomized to receive placebo, 3 grams, or 6 grams per day of UX001, in three divided doses. At 24 weeks, placebo patients were randomized and crossed over into either of the two dose groups on a blinded basis. Patients will be evaluated again at 48 weeks,with final data anticipated around year-end. Following the 48-week analysis, the company plans to continue to treat these patients in an extension study with an increased dosage of UX001 based on the dose-dependence observed at week 24.

About Hereditary Inclusion Body Myopathy
Hereditary inclusion body myopathy (HIBM) is also known as GNE myopathy,
Quadriceps Sparing Myopathy (QSM), Inclusion Body Myopathy type 2, Distal Myopathy
with Rimmed Vacuoles (DMRV) and Nonaka myopathy. HIBM is a severe, adult-onset,
progressive, genetic neuromuscular disease caused by a defect in the biosynthetic
pathway for sialic acid (SA). Patients with HIBM typically begin to have weakness and
abnormal walking at 18 to 30 years of age. The body’s failure to produce enough sialic
acid causes muscles to slowly waste away and can lead to very severe disability within
10 to 20 years of diagnosis, with patients often ending up wheelchair-bound within that
time. There is currently no approved therapy.
About Ultragenyx
Ultragenyx is a privately held, clinical-stage biotechnology company committed to
bringing to market life-transforming therapeutics for patients with rare and ultra-rare
metabolic genetic diseases. The company, founded in 2010, is rapidly building a diverse
portfolio of products addressing diseases for which the unmet medical need is high, the
biology for treatment is clear, and for which there are no effective treatments.
Ultragenyx has two products in Phase 2 clinical trials, UX001 for the treatment of
hereditary inclusion body myopathy (HIBM), and UX007 for the treatment of fatty acid
oxidation disorders (FAOD). A third compound, UX003 for MPS 7 (Sly Syndrome), will
begin Phase 1/2 clinical trials later this year. The company is led by a management team
experienced in the development and commercialization of rare disease therapeutics.
Ultragenyx’ strategy is predicated upon time and cost-efficient drug development, with
the goal of delivering safe and effective therapies to patients with the utmost urgency.

For more information on Ultragenyx, please visit the company’s website at
www.ultragenyx.com.
http://www.ultragenyx.com/index.php?ht=a/GetDocumentAction/i/12770