* The primary objective of this study was to characterize the pharmacokinetics (PK) of alglucosidase alfa manufactured at the 4000 L scale in participants who had a confirmed diagnosis of Pompe disease. * A secondary objective of this study was to evaluate and explore the relationship between anti-recombinant human acid alpha-glucosidase antibody titers and the PK of alglucosidase alfa.
The total study duration per participant was 4 to 8 weeks that consisted of a screening period (from 2 days to 4 weeks), treatment visit (1 day), and a follow up call (greater than or equal to 30 days). Two participants enrolled prior to protocol amendment 2 (dated 17 December 2015), which changed the study to single-dose, and were treated for 26 weeks, with a 4-week follow up.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
21
Intravenous (IV) infusion of 20mg/kg body weight every other week (qow)
Investigational Site Number 840008
Valhalla, New York, United States
Investigational Site Number 840007
Cincinnati, Ohio, United States
Investigational Site Number 840005
Salt Lake City, Utah, United States
Pharmacokinetics (PK): Maximum Observed Plasma Concentration (Cmax) of Alglucosidase Alfa
Cmax was defined as maximum observed plasma concentration.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
Pharmacokinetics: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Alglucosidase Alfa
Tmax was defined as time to reach maximum observed plasma concentration.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
Pharmacokinetics: Area Under the Plasma Concentration-Time Curve (AUC) of Alglucosidase Alfa
AUC was defined as area under the plasma concentration-time curve from time 0 to 24 hours post-dose.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
Pharmacokinetics: Area Under the Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUC0-last) of Alglucosidase Alfa
AUC0-last was defined as area under the concentration-time curve from time 0 to the time of the last quantifiable concentration.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
Pharmacokinetics: Terminal Elimination Half-life (T1/2) of Alglucosidase Alfa
T1/2 was defined as the time taken by drug to reduce to half of its initial plasma concentration.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
Pharmacokinetics: Total Systemic Clearance (CL) of Alglucosidase Alfa
CL of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
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Investigational Site Number 840003
Fairfax, Virginia, United States
Investigational Site Number 1028
Sofia, Bulgaria
Investigational Site Number 356001
New Delhi, India
Investigational Site Number 356002
Vellore, India
Investigational Site Number 643001
Moscow, Russia
Investigational Site Number 643002
Moscow, Russia
Investigational Site Number 804001
Kiev, Ukraine
...and 2 more locations
Pharmacokinetics: Volume of Distribution at Steady State (Vss) of Alglucosidase Alfa
Volume of distribution (Vd) is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Vss is the apparent volume of distribution at steady-state.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
Pharmacokinetics: Maximum Observed Plasma Concentration of Alglucosidase Alfa in Anti-Recombinant Human Acid Alpha-Glucosidase Antibody Positive and Negative Participants
Cmax was defined as maximum observed plasma concentration.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
Pharmacokinetics: Time to Reach Maximum Observed Plasma Concentration in Anti-rhGAA Antibody Positive and Negative Participants
Tmax was defined as time to reach maximum observed plasma concentration.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
Pharmacokinetics: Terminal Elimination Half-life of Alglucosidase Alfa in Anti-rhGAA Antibody Positive and Negative Participants
T1/2 was defined as the time taken by drug to reduce to half of its initial plasma concentration.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
Pharmacokinetics: Area Under the Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration of Alglucosidase Alfa in Anti-rhGAA Antibody Positive and Negative Participants
AUC0-last was defined as area under the plasma concentration-time curve from time 0 to the time of the last quantifiable concentration.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
Pharmacokinetics: Area Under the Concentration-time Curve From Time 0 and Extrapolated to Infinite Time (AUC0-inf) in Anti-rhGAA Antibody Positive and Negative Participants
AUC0-inf was defined as area under the concentration-time curve from time 0 extrapolated to infinite time.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
Pharmacokinetics: Total Systemic Clearance in Anti-rhGAA Antibody Positive and Negative Participants
CL of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1
Pharmacokinetics: Volume of Distribution in Anti-rhGAA Antibody Positive and Negative Participants
Vd is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Vss is the apparent volume of distribution at steady-state.
Time frame: Pre-dose and at 1, 2, 4, 8, 12, and 24 hours Post-dose on Day 1