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Clinical trial

A study to assess safety and efficacy of avalglucosidase alfa administered every other week in pediatric patients with infantile-onset Pompe disease previously treated with alglucosidase alfa (Mini-COMET)

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Last updated:9th Oct 2024
Status: Active, not recruiting
Identifier: NCT03019406
A study to assess safety and efficacy of avalglucosidase alfa administered every other week in pediatric patients with infantile-onset Pompe disease previously treated with alglucosidase alfa (Mini-COMET)


ClinicalTrials.gov ID: NCT03019406
Sponsor: Genzyme, a Sanofi Company
Information provided by: Sanofi (Genzyme, a Sanofi Company) (Responsible Party)
Last Update Posted: 2024-09-19

Brief Summary:
This is a multi-stage, phase 2, open-label, multicenter, multinational, ascending dose cohort, repeated intravenous (IV) infusion study of avalglucosidase alfa in pediatric patients with Infantile-Onset Pompe Disease (IOPD) who have been previously treated with alglucosidase alfa for a minimum of 6 months immediately prior to study entry and have demonstrated clinical decline or unsatisfactory clinical response.

Detailed Description:
The duration of the study for each participant will be up to 8 years and 9 months that will consist of a 14-day screening period, that may be extended to up to 4 weeks in pre-specified situations. This is followed by a 25-week treatment period and an up to a 430-week treatment extension period and a 4-week post-treatment observation period. Cohort 1 and 2 (Cohort 1: avalglucosidase alfa 20 milligrams per kilogram [mg/kg], Cohort 2: avalglucosidase alfa 40 mg/kg) will be non-randomized and Cohort 3 (Cohort 3a: avalglucosidase alfa 40 mg/kg [maximum tolerated dose] and Cohort 3b: alglucosidase alfa) will be randomized.

Official Title:
An Open-label Ascending Dose Cohort Study to Assess the Safety, Pharmacokinetics, and Preliminary Efficacy of Avalglucosidase Alfa (NeoGAA, GZ402666) in Patients With Infantile-onset Pompe Disease Treated With Alglucosidase Alfa Who Demonstrate Clinical Decline or Sub-optimal Clinical Response

Intervention / Treatment: 
- Drug: Avalglucosidase alfa (GZ402666)
- Drug: Alglucosidase alfa (GZ419829)

Category Value
Study Start (Actual)
2017-10-12
Primary Completion (Actual)
2019-09-30
Study Completion (Estimated)
2026-12-30
Enrollment (Actual) 22
Study Type Interventional
Phase Phase 3
Other Study ID Numbers 
ACT14132

2016-003475-21 (EudraCT Number)

U1111-1179-4616 (Registry Identifier) (REGISTRY: ICTRP)


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