The primary purpose of this study was to assess the safety and tolerability of lucerastat in adults with Fabry Disease receiving Enzyme Replacement Therapy (ERT). The secondary objectives were to investigate the effects of lucerastat on plasma and urine levels of biomarkers, to assess its effects on renal and cardiac functions and to determine the pharmacokinetic profile of lucerastat at steady-state.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
14
Hard gelatin capsules for oral administration formulated at a strength of 250 mg, and administered as 4 capsules in the morning and 4 capsules in the evening.
All the subjects received an ERT as background therapy for at least 24 months prior to the screening visit and they had to continue receiving this treatment during the conduct of the study.
Investigator Site
Würzburg, Germany
Change from baseline in blood pressure
Time frame: Up to Week 12
Change from baseline in heart rate
Time frame: Up to Week 12
Change from baseline in electrocardiogram (ECG) variables
The duration (in ms) of the different ECG variables were measured using a standard 12-lead ECG
Time frame: Up to Week 12
Change from baseline in body weight
Time frame: Up to Week 12
Number of subjects with treatment-emergent adverse events and serious adverse events
Time frame: Up to Week 12
Number of subjects with adverse events leading to premature discontinuation of lucerastat or ERT
Time frame: Up to Week 12
Number of subjects with treatment-emergent abnormalities in laboratory variables
Time frame: Up to Week 12
Change from baseline in plasma biomarkers of Fabry Disease
Biomarkers reflecting glycolipid metabolism were measured (unit of measure: ng/mL)
Time frame: Up to Week 12
Change from baseline in urine biomarker of Fabry Disease
Biomarker reflecting glycolipid metabolism was measured (unit of measure: ng/mg)
Time frame: Up to Week 12
Change from baseline in left ventricular ejection fraction (LVEF)
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LVEF was used to monitor cardiac function in subjects with Fabry Disease
Time frame: Up to Week 12
Change from baseline in left ventricular mass index (LVMi)
LVMi was used to monitor cardiac function in subjects with Fabry Disease
Time frame: Up to Week 12
Change from baseline in estimated glomerular filtration rate (eGFR)
eGFR was used to monitor renal function in subjects with Fabry Disease
Time frame: Up to Week 12
Change from baseline in urine albumin-to-creatinine ratio (UACR)
UACR was used to monitor renal function in subjects with Fabry Disease
Time frame: Up to Week 12
Maximum plasma concentration (Cmax) of lucerastat
Cmax was determined directly from the observed plasma concentration-time curves of lucerastat. Blood samples for PK analyses were drawn at scheduled time points at the Week 4 visit
Time frame: At Week 4 visit, blood samples drawn at the following time points: pre-dose, 0.5h, 1h, 1.5h, 2h, 2.5h, 3h, 3.5h, 4h, 6h, 8h, 10h, 12h post-dose
Time to reach Cmax (tmax) of lucerastat
tmax was determined directly from the observed plasma concentration-time curves of lucerastat. Blood samples for PK analyses were drawn at scheduled time points at the Week 4 visit
Time frame: At Week 4 visit, blood samples drawn at the following time points: pre-dose, 0.5h, 1h, 1.5h, 2h, 2.5h, 3h, 3.5h, 4h, 6h, 8h, 10h, 12h post-dose
Area under the plasma concentration-time curve [AUC(tau)] of lucerastat
AUC(tau) corresponds to the area under the plasma concentration time curve of lucerastat over a dosing interval (tau = 12 hours)
Time frame: At Week 4 visit, blood samples drawn at the following time points: pre-dose, 0.5h, 1h, 1.5h, 2h, 2.5h, 3h, 3.5h, 4h, 6h, 8h, 10h, 12h post-dose
Terminal half-life [t(1/2)]of lucerastat
Time frame: At Week 4 visit, blood samples drawn at the following time points: pre-dose, 0.5h, 1h, 1.5h, 2h, 2.5h, 3h, 3.5h, 4h, 6h, 8h, 10h, 12h post-dose