Status:

ACTIVE_NOT_RECRUITING

A Study to Evaluate the Effect of Venglustat Tablets on Left Ventricular Mass Index in Male and Female Adult Participants With Fabry Disease

Lead Sponsor:

Sanofi

Conditions:

Fabry Disease

Eligibility:

All Genders

18-65 years

Phase:

PHASE3

Brief Summary

This is an 18-month, multicenter, randomized, active-control, parallel-group Phase 3 study, in which participants will be randomized to venglustat versus standard of care therapy (agalsidase alfa, aga...

Detailed Description

Randomized period: the total duration will be up to approximately of 20 months (1 month screening 18 months of treatment and a possible follow-up period of 1 month if no participation in the long-term...

Eligibility Criteria

Inclusion

  • Male and female participants aged 18 to 65 with previously confirmed diagnosis of Fabry disease and a history of clinical symptoms of Fabry disease.
  • Participants may be receiving treatment with agalsidase alfa, agalsidase beta, or migalastat, or may be untreated.
  • Left ventricular hypertrophy.
  • Contraception for male or female participants: not pregnant or breastfeeding; no sperm donating for male participant.
  • A signed informed consent must be provided prior to any study-related procedures.

Exclusion

  • History of transient ischemic attack, stroke, myocardial infarction, heart failure, major cardiovascular surgery or kidney transplantation.
  • History of seizures currently requiring treatment.
  • Underlying medical condition that may cause or contribute to left ventricular hypertrophy.
  • Asymmetric hypertrophy by cardiac MRI at screening if considered by central reader to be not related to Fabry disease.
  • Advanced cardiac fibrosis, defined as significant late gadolinium enhancement affecting 3 or more segments involving \>50% of myocardial thickness on screening cardiac MRI.
  • History of clinically significant cardiac arrhythmia. Atrial fibrillation that is well controlled on a stable medical regimen for at least 12 months is not an exclusion if the CHA2DS2-VASc score is 0 for males or 1 for females.
  • Estimated glomerular filtration rate \<45 mL/min/1.73m2.
  • Presence of severe depression as measured by Beck's Depression Inventory (BDI)-II \>28 and/or a history of an untreated, unstable major affective disorder within 1 year of the screening visit.
  • Patients with hepatitis C, HIV, or hepatitis B infection.
  • Positive SARS-CoV-2 virus test within 2 weeks of enrollment, or COVID-19 requiring hospitalization within 6 months of enrollment.
  • History of drug and/or alcohol abuse.
  • Moderate to severe hepatic impairment.
  • History of or active hepatobiliary disease.
  • Liver enzymes (alanine aminotransferase/aspartate aminotransferase) or total bilirubin \>2 times the upper limit of normal.
  • Strong or moderate inducers or inhibitors of cytochrome P450 CYP3A4 within 14 days or 5 half-lives, whichever is longer, prior to randomization.
  • Known contraindication to undergoing MRI or known hypersensitivity to gadolinium-based contrast agents.
  • The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

Key Trial Info

Start Date :

May 3 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 6 2027

Estimated Enrollment :

104 Patients enrolled

Trial Details

Trial ID

NCT05280548

Start Date

May 3 2022

End Date

December 6 2027

Last Update

January 13 2025

Active Locations (54)

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Page 1 of 14 (54 locations)

1

University of Alabama -The Kirklin Clinic- Site Number : 8400010

Birmingham, Alabama, United States, 35233

2

University of California Los Angeles Medical Center- Site Number : 8400008

Los Angeles, California, United States, 90095

3

Emory University School of Medicine - Atlanta- Site Number : 8400009

Atlanta, Georgia, United States, 30322

4

Ann & Robert H. Lurie Children's Hospital of Chicago- Site Number : 8400005

Chicago, Illinois, United States, 60611