This is a Phase 2/3, multiregional, two-arm, double-blind, randomized, active (standard-of-care)-controlled study of the efficacy and safety of tividenofusp alfa (DNL310), an investigational central nervous system (CNS)-penetrant enzyme-replacement therapy (ERT) for mucopolysaccharidosis type II (MPS II). Participants may also qualify to enter an open-label treatment phase with DNL310 or idursulfase based on pre-specified criteria.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
63
Intravenous repeating dose
Intravenous repeating dose
UCSF Benioff Children's Hospital Oakland
Oakland, California, United States
RECRUITINGAnn and Robert H Lurie Children's Hospital of Chicago
Chicago, Illinois, United States
RECRUITINGHackensack University Medical Center
Hackensack, New Jersey, United States
RECRUITINGUNC Children's Research Institute
Chapel Hill, North Carolina, United States
Percent change from baseline in cerebrospinal fluid (CSF) heparan sulfate (HS) concentration (Cohort A)
Time frame: 24 weeks
Change from baseline in the Vineland Adaptive Behavior Scale, Third Edition (Vineland-3)(Cohort A)
Time frame: 96 weeks
Change from baseline in the Bayley Scales of Infant and Toddler Development, Third Edition (BSID-III)(Cohort A only)
Time frame: 96 weeks
Change from baseline in the Vineland-3 Adaptive Behavior Composite (ABC; Cohort A only)
Time frame: 96 weeks
Change from baseline in serum neurofilament light chain (NfL) (Cohort A only)
Time frame: 96 weeks
Change from baseline in distance walked in the Six-Minute Walk Test (6MWT; Cohort B only)
Time frame: 48 weeks
Percent change from baseline in the sum of urine HS and dermatan sulfate (DS) concentrations (Cohorts A and B)
Time frame: up to 48 weeks
Liver volume within the normal range (normal vs abnormal) as measured by magnetic resonance imaging (MRI) (Cohorts A and B)
Time frame: 48 weeks
Spleen volume within the normal range (normal vs abnormal) as measured by MRI (Cohorts A and B)
Time frame: 48 weeks
Improvement in Parent/Caregiver Global Impression of Change (CaGI-C) Overall MPS II (Cohorts A and B)
Time frame: 48 weeks
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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States
RECRUITINGChildren's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
RECRUITINGThe University of Texas Medical School at Houston
Houston, Texas, United States
RECRUITINGUniversity of Utah, PPDS
Salt Lake City, Utah, United States
RECRUITINGSanatorio Mater Dei
Buenos Aires, Argentina
RECRUITINGWomen's and Children's Hospital
North Adelaide, Australia
WITHDRAWN...and 22 more locations