The primary objective of this study is to evaluate the long-term safety and clinical activity of mRNA-3705 administered to participants with isolated methylmalonic acidemia (MMA) due to methylmalonyl-coenzyme A mutase (MUT) deficiency who have previously participated in other clinical studies of mRNA-3705.
Participants with isolated MMA due to MUT deficiency who were previously enrolled in other clinical studies of mRNA-3705 will have the option to enroll into this extension study provided all eligibility criteria have been met. The study will include 2 periods: 1) Treatment Period and 2) Follow-up Period (up to 6 months after the last dose of study drug). Treatment Period will continue unless one of the following occurs: mRNA-3705 receives marketing approval and reimbursement in the country of origin of the participant (following market approval and access being in place, all participants who wish to continue treatment will be offered mRNA-3705 through market access, with the intention of preventing treatment interruption. Other appropriate access program is offered as allowed by local regulation to continue treatment with mRNA-3705. Safety monitoring will be performed for all participants under treatment per market access requirements), the participant discontinues study drug, the participant is no longer receiving clinical benefit in the opinion of the Investigator, or Sponsor discontinues the development of mRNA-3705.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
56
A sterile liquid for injection
UCLA Medical Center
Los Angeles, California, United States
RECRUITINGLucile Packard Children's Hospital at Stanford
Palo Alto, California, United States
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Drug-Related TEAEs, Unrelated TEAEs, Adverse Events of Special Interests (AESIs), Serious Adverse Events (SAEs) and TEAEs Leading to Discontinuation
Time frame: Baseline up to follow-up period (up to 6 years + 6 months)
Percent Change in Plasma Methylmalonic Acid and 2-Methylcitric Acid (2-MC) Levels (Primary Biomarkers) From Baseline up to 18 Months
Time frame: Baseline, Year 6 (Treatment Period) + Month 6 (Follow up)
Pre- and Postdose Human Methylmalonyl-Coenzyme A Mutase (hMUT) mRNA and SM-86 Levels
Time frame: Baseline up to 6 years
Change From Baseline in Pretreatment and Post-treatment Annualized Metabolic Decompensation Events (MDEs) Rate
Time frame: Baseline, Year 6 (Treatment Period) + Month 6 (Follow up)
Number of Healthcare Resource Utilization Visits
Time frame: Baseline up to Year 6 (Treatment Period) + Month 6 (Follow up)
Number of Annualized MMA-related Hospitalizations
Time frame: Baseline up to Year 6 (Treatment Period) + Month 6 (Follow up)
Number of Annualized MMA-related Healthcare Visits
Time frame: Baseline up to Year 6 (Treatment Period) + Month 6 (Follow up)
Number of Anti-Polyethylene Glycol (PEG) and Anti-hMUT Antibodies
Time frame: Baseline up to Year 6 (Treatment Period) + Month 6 (Follow up)
Change in Health-Related Quality of Life (HRQoL) as Measured Using the Pediatric Quality of Life Inventory (PedsQL™) at Month 3 up to 18 Months
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Altman Clinical and Translational Research Institution
San Diego, California, United States
RECRUITINGStollery Children's Hospital University of Alberta
Edmonton, Alberta, Canada
RECRUITINGHospital For Sick Children
Toronto, Ontario, Canada
RECRUITINGHôpital Necker - Enfants Malades APHP
Paris, France
RECRUITINGErasmus MC
Rotterdam, Netherlands
RECRUITINGUniversitair Medisch Centrum Utrecht
Utrecht, Netherlands
RECRUITINGHospital Universitario Cruces
Barakaldo, Vizcaya, Spain
RECRUITINGHospital Universitario 12 de Octubre
Madrid, Spain
RECRUITING...and 2 more locations
Time frame: Month 3, Year 6 (Treatment Period) + Month 6 (Follow up)
Change in Investigator Global Assessment of Improvement (IGA-I) Score
Time frame: Baseline up to Year 6 (Treatment Period) + Month 6 (Follow up)
Change in Investigator Global Assessment of Severity (IGA-S) Score
Time frame: Baseline up to Year 6 (Treatment Period) + Month 6 (Follow up)
Change in EuroQoL 5-Dimensions 5-level/Youth Questionnaire (EQ-5D-5L/Y) Score
Time frame: Baseline up to Year 6 (Treatment Period) + Month 6 (Follow up)