NCT06666413

Brief Summary

This is a single group, 52-week treatment, Phase 4, open-label, single-arm study to assess the safety and efficacy of avalglucosidase alfa IV infusion in male and female Chinese participants with IOPD who are treatment-naïve or were previously treated with ERT. Study details include:

  • The study duration: total study duration is approximately 64 weeks.
  • Screening period of up to 8 weeks
  • Treatment period of 52 weeks
  • Follow-up period of 4 weeks. (if the participant enrolls in another study or receives commercially available ERT, the follow-up period may be reduced from 4 to 2 weeks)
  • The number of visits will be 30, including 29 site visits and 1 phone call follow-up visit.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
13

participants targeted

Target at below P25 for phase_4

Timeline
24mo left

Started May 2025

Typical duration for phase_4

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress34%
May 2025May 2028

First Submitted

Initial submission to the registry

October 16, 2024

Completed
14 days until next milestone

First Posted

Study publicly available on registry

October 30, 2024

Completed
6 months until next milestone

Study Start

First participant enrolled

May 7, 2025

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 2, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 2, 2028

Last Updated

March 23, 2026

Status Verified

March 1, 2026

Enrollment Period

3 years

First QC Date

October 16, 2024

Last Update Submit

March 19, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Incidence of AEs, SAEs, AESIs including IARs during the TE period

    From baseline to Week 56

  • Abnormality in clinical laboratory, vital signs, and ECG parameters during the TE period

    From baseline to Week 56

Secondary Outcomes (7)

  • Proportion of participants who are alive and free of invasive ventilation at Week 52

    At Week 52

  • Change from baseline to Week 52 in LVM Z score evaluated by echocardiography

    From baseline to Week 52

  • The absolute change in body growth Z scores from baseline to Week 52

    From baseline to Week 52

  • The percentiles of the body growth Z scores changes from baseline to Week 52

    From baseline to Week 52

  • Change from baseline to Week 52 in distance walked during six-minute walk test (6MWT) (in applicable participants)

    From baseline to Week 52

  • +2 more secondary outcomes

Study Arms (1)

avalglucosidase alfa

EXPERIMENTAL

Avalglucosidase alfa will be administered by IV infusion following reconstitution and dilution at a dose of 20 mg/kg body weight qow

Drug: Avalglucosidase alfa

Interventions

Pharmaceutical form: Sterile lyophilized powder Route of administration: IV infusion

Also known as: GZ402666, Nexviazyme
avalglucosidase alfa

Eligibility Criteria

AgeUp to 17 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Participant must be \<18 years of age, at the time of signing the informed consent.
  • Participants have documented onset of Pompe disease symptoms before 12 months of age (corrected for gestation if born before 40 weeks); and diagnosis of IOPD is confirmed by GAA enzyme deficiency from any tissue source and GAA gene pathogenic mutations.
  • Participants must have documented cardiomyopathy at the time of diagnosis.
  • Contraceptive use should be consistent with local regulations Participant's parent/legally authorized representative (LAR) must be capable of giving signed informed consent.

You may not qualify if:

  • Participants with major congenital abnormality that, in the opinion of the Investigator, would preclude participation in the study or potentially decrease survival.
  • Participants with clinically significant organic disease (with the exception of symptoms relating to Pompe disease).
  • Participants who have received an ERT other than alglucosidase alfa or avalglucosidase alfa, or any other treatment for Pompe disease, including gene therapy prior to the enrollment.
  • Participants who have received alglucosidase alfa or avalglucosidase alfa less than 1 week prior to the first dose of avalglucosidase alfa given as IMP Participants who are anticipated to take prohibited therapy (ie, any other treatment for Pompe disease) during this study.
  • Participants who have taken other investigational drugs (not Pompe disease specific) within 30 days or 5 elimination half-lives in blood of that drug before enrollment, whichever is longer, or are anticipated to take any other concurrent investigational treatments.
  • Participants not suitable for participation, whatever the reason, as judged by the Investigator, including medical or clinical conditions, or participants potentially at risk of noncompliance to study procedures.
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Investigational Site Number: 1560001

Shanghai, 200127, China

RECRUITING

Related Links

MeSH Terms

Conditions

Glycogen Storage Disease Type II

Interventions

GAA protein, human

Condition Hierarchy (Ancestors)

Lysosomal Storage Diseases, Nervous SystemBrain Diseases, Metabolic, InbornBrain Diseases, MetabolicBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesMetabolism, Inborn ErrorsGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesGlycogen Storage DiseaseCarbohydrate Metabolism, Inborn ErrorsLysosomal Storage DiseasesMetabolic DiseasesNutritional and Metabolic Diseases

Central Study Contacts

Trial Transparency email recommended (Toll free for US & Canada)

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 16, 2024

First Posted

October 30, 2024

Study Start

May 7, 2025

Primary Completion (Estimated)

May 2, 2028

Study Completion (Estimated)

May 2, 2028

Last Updated

March 23, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will share

Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Locations