This Phase 3 study was designed to confirm the efficacy and safety of eliglustat tartrate (Genz-112638) in participants with Gaucher disease Type 1.
Gaucher disease is characterized by lysosomal accumulation of glucosylceramide due to impaired glucosylceramide hydrolysis. Type 1 Gaucher disease, the most common form accounts for greater than (\>) 90% of cases and does not involve the central nervous system (CNS). Typical manifestations of Type 1 Gaucher disease include splenomegaly, hepatomegaly, thrombocytopenia, anemia, skeletal pathology and decreased quality of life. The disease manifestations are caused by the accumulations of glucosylceramide (storage material) in Gaucher cells which have infiltrated the spleen and liver as well as other tissue. Eliglustat tartrate is a small molecule developed as an oral therapy which acts to specifically inhibit production of this storage material in Gaucher cells. This study was designed to determine the efficacy, safety, and pharmacokinetics (PK) of eliglustat tartrate in adult participants (\>16 years) with Gaucher disease Type 1. The study consisted of 2 periods: The Double-Blind Primary Analysis Period (PAP \[Day 1 to Week 39\]) and the Long Term Treatment Period (LTTP/Open-Label Period (post-Week 39 \[Day 1 of the Open-Label Period\] through study completion).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
40
PAP: Eliglustat tartrate (ET) capsule 50 mg orally on Day 1 followed by ET 50 mg capsule twice daily (BID) from Day 2 to Week 4, then either ET 50 mg capsule BID (participants with Genz-99067 \[active moiety of ET in plasma\] trough plasma concentration \>=5 ng/mL) or ET 100 mg capsule BID (participants with Genz-99067 trough plasma concentration \<5 ng/mL), up to Week 39. PK assessment at Week 2 used for dose adjustment after Week 4. LTTP: Participants of the eliglustat arm in PAP who completed PAP were included in LTTP and received ET capsule 50 mg BID orally from Day 1 (post Week 39) until Week 43 followed by ET 50 mg or 100 mg capsule BID up to Week 47, then ET 50 mg or 100 mg or 150 mg capsule BID up to Week 312. Dose adjustments at Week 43 and Week 47 were based on Genz-99067 trough plasma concentrations (if trough plasma concentration \<5 ng/mL: next higher dose administered; if \>=5 ng/mL: same dose continued) at Week 41 \& Week 45, respectively.
PAP: Matching placebo capsule once daily on Day 1 followed by matching placebo capsule BID from Day 2 through Week 39. LTTP: Participants of the placebo arm in PAP who completed PAP were included in LTTP and received eliglustat tartrate from Day 1 (post Week 39) up to Week 312. Day 1 (post Week 39) was considered as baseline for LTTP. On Day 1, participants received eliglustat tartrate capsule 50 mg BID orally until Week 43 followed by eliglustat tartrate 50 mg or 100 mg capsule BID up to Week 47, then eliglustat tartrate 50 mg or 100 mg or 150 mg capsule BID up to Week 312. Dose adjustments at Week 43 and Week 47 were based on Genz-99067 trough plasma concentrations (if trough plasma concentration \<5 ng/mL: next higher dose administered; if \>=5 ng/mL: same dose continued) at Week 41 \& Week 45, respectively.
UCSF MS Center
San Francisco, California, United States
Yale University School of Medicine
New Haven, Connecticut, United States
PAP: Percent Change From Baseline in Spleen Volume (in Multiples of Normal [MN]) at Week 39 of the Primary Analysis Period With Eliglustat Tartrate Treatment as Compared to Placebo
Percent change in spleen volume = (\[spleen volume at Week 39 minus spleen volume at baseline\] divided by \[spleen volume at baseline\]) multiplied by 100, where all volumes are in MN.
Time frame: PAP Baseline (Day 1), Week 39
PAP: Hemoglobin Level
Time frame: PAP Baseline (Day 1)
PAP: Absolute Change From Baseline in Hemoglobin Level at Week 39
Absolute change = hemoglobin level at Week 39 minus hemoglobin level at baseline.
Time frame: PAP Baseline (Day 1), Week 39
PAP: Percent Change From Baseline in Liver Volume (in MN) at Week 39
Percent change in liver volume = (\[liver volume at Week 39 minus liver volume at baseline\] divided by \[liver volume at baseline\]) multiplied by 100, where all volumes are in MN.
Time frame: PAP Baseline (Day 1), Week 39
PAP: Percent Change From Baseline in Platelet Counts at Week 39
Percent change in platelet count = (\[platelet count at Week 39 minus platelet count at baseline\] divided by \[platelet count at baseline\]) multiplied by 100.
Time frame: PAP Baseline (Day 1), Week 39
LTTP: Percent Change From Baseline in Spleen Volume (in MN) at Week 234
Percent change in spleen volume = (\[spleen volume at Week 234 minus spleen volume at baseline\] divided by \[spleen volume at baseline\]) multiplied by 100, where all volumes are in MN. Baseline values for the original placebo participants refer to Day 1 of LTTP and baseline values for the original eliglustat participants refer to the Day 1 of PAP.
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Emory University Medical Genetics
Decatur, Georgia, United States
University of Kansas Medical Center, Division of Hematology/Oncology, Dept. of Medicine
Westwood, Kansas, United States
New York University School of Medicine, Neurology Department
New York, New York, United States
Mount Sinai School of Medicine
New York, New York, United States
University hospital "Alexandrovska" Sofia
Sofia, Bulgaria
Sir Mortimer B. Davis - Jewish General Hospital
Montreal, Quebec, Canada
Mount Sinai Hospital and the Samuel Lunenfeld Research Institute
Toronto Ontario, Canada
Hospital de San Jose
Bogotá, Colombia
...and 8 more locations
Time frame: PAP Baseline for Eliglustat (Originally on Eliglustat) arm, LTTP Baseline for Eliglustat (Originally on Placebo) arm, Week 234
LTTP: Absolute Change From Baseline in Hemoglobin Level at Week 234
Baseline values for the original placebo participants refer to Day 1 of LTTP and baseline values for the original eliglustat participants refer to the Day 1 of PAP.
Time frame: PAP Baseline for Eliglustat (Originally on Eliglustat) arm, LTTP Baseline for Eliglustat (Originally on Placebo) arm, Week 234
LTTP: Percent Change From Baseline in Liver Volume (in MN) at Week 234
Percent change in liver volume = (\[liver volume at Week 234 minus liver volume at baseline\] divided by \[liver volume at baseline\]) multiplied by 100, where all volumes are in MN. Baseline values for the original placebo participants refer to Day 1 of LTTP and baseline values for the original eliglustat participants refer to the Day 1 of PAP.
Time frame: PAP Baseline for Eliglustat (Originally on Eliglustat) arm, LTTP Baseline for Eliglustat (Originally on Placebo) arm, Week 234
LTTP: Percent Change From Baseline in Platelet Counts at Week 234
Percent change in platelet count = (\[platelet count at Week 234 minus platelet count at baseline\] divided by \[platelet count at baseline\]) multiplied by 100. Baseline values for the original placebo participants refer to Day 1 of LTTP and baseline values for the original eliglustat participants refer to the Day 1 of PAP.
Time frame: PAP Baseline for Eliglustat (Originally on Eliglustat) arm, LTTP Baseline for Eliglustat (Originally on Placebo) arm, Week 234