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OpenTrials
Completed

NCT Number: NCT03568175

A Study of JR-141 in Patients With Mucopolysaccharidosis II

A Phase II/ III multicenter, open-label, single-group, designed to evaluate the efficacy and safety of study drug for the treatment of the MPS II.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Capable of providing written consent by himself (not mandatory for those aged under 20 years at the time of informed consent process, or those who is impossible to obtain consent from the patient himself due to intellectual disabilities associated with MPS II.)
  • In the case of a patient who is under the age of 20 years or from whom it is not possible to obtain consent due to intellectual disabilities associated with MPS II, he may be included if written consent can be provided by legal representative (however, written consent should be obtained from the patient himself too, whenever possible)
  • Males with confirmed diagnosis of MPS II, based on deficient activity of iduronate-2-sulfatase (IDS) in leucocytes, plasma or fibroblasts and/or pathogenic mutations identified in the IDS gene, etc.
  • Naïve patients or patients who are receiving stable enzyme replacement therapy with Elaprase for more than 8 weeks before the observational period starts.

Exclusion criteria

  • Previous engrafted HSCT, excluding those who need enzyme replacement therapy even after HSCT.
  • Judged by the investigator or subinvestigator as being unable to undergo lumbar puncture, including those who have difficulties in taking position for lumbar puncture due to joint contracture or those who are likely experience difficulty breathing during the lumbar puncture process.
  • Judged by the investigator or subinvestigator to be ineligible to participate in the study due to a history of serious drug allergy or sensitivity.
  • Patients who have received other investigational product within 4 months before enrollment in the study.
  • Otherwise judged by the investigator or subinvestigator to be ineligible to participate in the study.

Treatment and study plan

JR-141

Drug

IV infusion, 2.0 mg/kg/week

Primary outcomes

  1. Change From Baseline in Heparan Sulfate Levels in Cerebrospinal Fluid

    Time frame: Baseline to 52 weeks

Secondary outcomes

  1. Change From Baseline in Serum Heparan Sulfate Levels.

    Time frame: Baseline, 24-26 weeks, 50-52 weeks

  2. Change From Baseline in Serum Dermatan Sulfate Levels.

    Time frame: Baseline, 24-26 weeks, 50-52 weeks

  3. Change From Baseline in Urinary Heparan Sulfate Levels.

    Time frame: Baseline, 25 weeks, 52 weeks

  4. Change From Baseline in Urinary Dermatan Sulfate Levels.

    Time frame: Baseline, 25 weeks, 52 weeks

  5. Change From Baseline in Liver Volumes.

    Time frame: Baseline, 25 weeks, 52 weeks

  6. Change From Baseline in Spleen Volumes.

    Time frame: Baseline, 25 weeks, 52 weeks

  7. Change From Baseline in Cardiac Function.

    Time frame: Baseline, 25 weeks, 52 weeks

  8. Change From Baseline in 6-minute Walk Test Distance.

    Time frame: Baseline, 25 weeks, 52 weeks

    Item 9 will be administrated only in patients judged by the investigator or subinvestigator to be possible to perform the 6-minutes walk test

  9. Change From Baseline in Joint Range of Motion.

    Time frame: Baseline, 25 weeks, 52 weeks

  10. Change From Baseline in Heparan Sulfate Levels in Cerebrospinal Fluid.

    Time frame: Baseline to 25 weeks

  11. Change From Baseline in Dermatan Sulfate Levels in Cerebrospinal Fluid.

    Time frame: Baseline, 25 weeks, 52 weeks

  12. Change from Baseline in Neurocognitive Testing (Kyoto Scale of Psychological Development 2001)

    Time frame: 25, 52 weeks

  13. Change from Baseline in Adaptive Behavioral Testing ( Vineland Adaptive Behavior Scales Second Edition. )

    Time frame: 25, 52 weeks

  14. Drug concentration in Cerebrospinal Fluid.

    Time frame: 25, 52*weeks

    *Drug concentration in Cerebrospinal Fluid at 52 Weeks is applicable only for subjects to be enrolled in extension study .

Sponsors and collaborators

Lead sponsor

JCR Pharmaceuticals Co., Ltd.

Industry

Registry information

Official study title

A Phase II/III Study of JR-141 in Patients With Mucopolysaccharidosis II

Important dates

Study start
2018
Primary completion
2020
Study completion
2020
First posted
Jun 26, 2018
Registry last updated
Nov 14, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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