EZN-2279 in Patients With ADA-SCID

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Brief Title

EZN-2279 in Patients With ADA-SCID

Official Title

A Study of EZN-2279 (Polyethylene Glycol Recombinant Adenosine Deaminase [PEG-rADA]) Administered as a Weekly Intramuscular Injection in Patients With Adenosine Deaminase (ADA)-Deficient Combined Immunodeficiency

Brief Summary

      The purpose of this study is to evaluate the safety, efficacy, and pharmacokinetics of
      EZN-2279 in patients with ADA-deficient combined immunodeficiency currently being treated
      with Adagen.
    


Study Phase

Phase 3

Study Type

Interventional


Primary Outcome

Number of Patients Detoxified At Each Visit in EZN-2279 Treatment Period

Secondary Outcome

 Safety Summary Data

Condition

ADA-SCID

Intervention

EZN-2279

Study Arms / Comparison Groups

 Adagen/EZN-2279
Description:  Patients started on Adagen and crossed over to experimental EZN-2279 treatment after at least a 3 week Lead-in Period on Adagen

Publications

* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.

Recruitment Information


Recruitment Status

Biological

Estimated Enrollment

7

Start Date

January 24, 2014

Completion Date

May 29, 2019

Primary Completion Date

April 10, 2018

Eligibility Criteria

        Inclusion Criteria:

          1. Diagnosis of ADA-deficient combined immunodeficiency

          2. Stable clinical status while receiving therapy with Adagen®. Patients previously
             receiving gene therapy or undergoing hematopoietic stem cell transplantation who still
             require Adagen® treatment are eligible. The dose of Adagen® must be stable for at
             least 6 months prior to study entry.

          3. Have both of the following during the Adagen® Lead-in phase of the study prior to
             EZN-2279 transition:

               1. Trough plasma ADA activity >15 μmol/h/mL while receiving Adagen® and

               2. Total erythrocyte dAXP ≤0.02 μmol/mL from a trough blood sample

          4. Patients or parent/guardian must be capable of understanding the protocol requirements
             and risks and providing written informed assent/consent

        Exclusion Criteria:

          1. Autoimmunity requiring immunosuppressive treatment

          2. Patients with detectable neutralizing anti-Adagen® antibodies at screening evaluation

          3. Severe thrombocytopenia (platelet count <50 x 10^9/L)

          4. Current participation in other therapeutic protocols for ADA-deficient combined
             immunodeficiency

          5. Current or prior participation in another clinical study with an investigational agent
             and/or use of an investigational drug in the 30 days before study entry

          6. Known planned participation in a gene-therapy study for the planned duration of this
             study

          7. Any condition that, in the opinion of the PI, makes the patient unsuitable for the
             study

          8. Inability or unwillingness to administer Adagen® or EZN-2279 on a one-time-per-week
             regimen

          9. Inability to comply with the study protocol

         10. Female patients who are pregnant or lactating

         11. Female patients who are breast-feeding

         12. Female subjects of childbearing potential who are not using an FDA approved birth
             control method
      

Gender

All

Ages

N/A - N/A

Accepts Healthy Volunteers

No

Contacts

Elie Haddad, MD, PhD, , 

Location Countries

United States

Location Countries

United States

Administrative Informations


NCT ID

NCT01420627

Organization ID

STP-2279-002


Responsible Party

Sponsor

Study Sponsor

Leadiant Biosciences, Inc.


Study Sponsor

Elie Haddad, MD, PhD, Principal Investigator, Université de Montréal


Verification Date

April 2020