The purpose of this extension study is to determine the long-term safety and tolerability of an investigational treatment (LUM001 also known as Maralixibat) in children with ALGS who have completed participation in a core LUM001 treatment protocol. Efficacy will be assessed by evaluating the effect of LUM001 on pruritus, biochemical markers of pruritus, as well as biochemical markers of cholestasis and liver disease.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
19
Dosing of LUM001 also known as Maralixibat (MRX) with the objective of achieving optimal control of pruritus at a dose level that is tolerated by the participant and up to a maximum daily dose of 560 micrograms per kilogram (mcg/kg).
Birmingham Children's Hospital
Birmingham, West Midlands, United Kingdom
Leeds Teaching Hospital NHS Trust
Leeds, West Yorkshire, United Kingdom
Kings College Hospital
London, United Kingdom
Change From MRX Baseline to Week 48 in Fasting sBA Levels
The primary endpoint of this study was the mean change from MRX baseline to Week 48 in fasting sBA level.
Time frame: MRX baseline to Week 48
Change From MRX Baseline Over Time in Fasting sBA Levels
This secondary efficacy endpoint is the mean change from MRX baseline over time in fasting sBA levels. Results reported here are the long-term results.
Time frame: MRX baseline to End of Treatment (maximum exposure was 336 weeks)
Change From MRX Baseline to Week 48 in Pruritus
This secondary efficacy endpoint is the change from MRX baseline to Week 48 in pruritus as measured by ItchRO(Obs) weekly average morning severity score. ItchRO scores range from 0 to 4; the higher score indicates increasing itch severity (0 = none; 4 = very severe).
Time frame: MRX baseline to Week 48
Change From MRX Baseline Over Time in Pruritus
This secondary efficacy endpoint is the change from MRX baseline over time in pruritus as measured by ItchRO(Obs) weekly average morning severity score. ItchRO scores range from 0 to 4; the higher score indicates increasing itch severity (0 = none; 4 = very severe). Results reported here are the long-term results.
Time frame: MRX baseline to End of Treatment (maximum exposure was 336 weeks)
Change From MRX Baseline to Week 48 in Clinician Xanthoma Severity Score
This secondary efficacy endpoint is the mean change from MRX baseline to Week 48 in clinician xanthoma severity scores. It is based on a 0-4 scale to rate the number of lesions present and the degree to which the participant's lesions interfere or limit his or her activities. Clinician xanthoma severity scores range from 0 to 4, with a xanthoma score of zero representing no evidence of xanthomatosis and a score of 4 representing xanthoma so severe that it is disabling. Clinician xanthoma severity scores were not assessed in Study LUM001-302 so mean clinician xanthoma severity score at MRX baseline was calculated from the 5 participants who were assigned to placebo in Study LUM001-302, and analysis of change from MRX baseline is not presented.
Time frame: MRX baseline to Week 48
Change From MRX Baseline Over Time in Clinician Xanthoma Severity Score
This secondary efficacy endpoint is the mean change from MRX baseline over time (with Week 252 chosen as the end point, as the last analysis visit with at least 6 participants) in clinician xanthoma severity scores. It is based on a 0-4 scale to rate the number of lesions present and the degree to which the lesions interfere or limit activities. Clinician xanthoma severity scores range from 0 to 4, with a score of zero representing no evidence of xanthomatosis and a score of 4 representing xanthoma so severe that it is disabling. Clinician xanthoma severity scores were not assessed in Study LUM001-302 so mean clinician xanthoma severity score at MRX baseline was calculated from the 5 participants assigned to placebo in Study LUM001-302, and analysis of change from MRX baseline is not presented. Results reported here are the long-term results.
Time frame: MRX baseline to End of Treatment (maximum exposure was 336 weeks)
Secondary: Change From MRX Baseline to Week 48 in Alkaline Phosphatase
This secondary efficacy endpoint is the mean change from MRX baseline to Week 48 in ALP.
Time frame: MRX baseline to Week 48
Change From MRX Baseline Over Time in Alkaline Phosphatase
This secondary efficacy endpoint is the mean change from MRX baseline over time in ALP. Results reported here are the long-term results.
Time frame: MRX baseline to end of treatment (maximum exposure was 336 weeks)
Change From MRX Baseline to Week 48 in Alanine Aminotransferase
This secondary efficacy endpoint is the mean change from MRX baseline to Week 48 in ALT.
Time frame: MRX baseline to Week 48
Change From MRX Baseline Over Time in Alanine Aminotransferase
This secondary efficacy endpoint is the mean change from MRX baseline over time in ALT levels. Results reported here are the long-term results.
Time frame: MRX baseline to End of Treatment (maximum exposure was 336 weeks)
Change From MRX Baseline to Week 48 in Aspartate Aminotransferase
This secondary efficacy endpoint is the mean change from MRX baseline to Week 48 in AST levels.
Time frame: MRX baseline to Week 48
Change From MRX Baseline Over Time in Aspartate Aminotransferase
This secondary efficacy endpoint is the mean change from MRX baseline over time in AST levels. Results reported here are the long-term results.
Time frame: MRX baseline to End of treatment (maximum exposure was 336 weeks)
Change From MRX Baseline to Week 48 in Gamma Glutamyltransferase
This secondary efficacy endpoint is the mean change from MRX baseline to Week 48 in GGT.
Time frame: MRX baseline to Week 48
Change From MRX Baseline Over Time in Gamma Glutamyltransferase
This secondary efficacy endpoint is the mean change from MRX baseline over time in GGT. Results reported here are the long-term results.
Time frame: MRX baseline to End of Treatment (maximum exposure was 336 weeks)
Change From MRX Baseline to Week 48 in Total and Direct Bilirubin
This secondary efficacy endpoint is the mean change from MRX baseline to Week 48 in total bilirubin and direct bilirubin.
Time frame: MRX baseline to Week 48
Change From MRX Baseline Over Time in Total and Direct Bilirubin
This secondary efficacy endpoint is the mean change from MRX baseline over time in total bilirubin and direct bilirubin. Results reported here are the long-term results.
Time frame: MRX baseline to End of Treatment (maximum exposure was 336 weeks)
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