This is a Phase II, open-label study designed to evaluate the safety, tolerability, PK, PD, and preliminary efficacy of AL01211 in male subjects with classic Fabry disease who have never received any treatment (eg. ERT or chaperone therapy). Eligible subjects will receive 182 days (26 weeks) of study treatment as the primary study period followed by an extension period. The total study duration for a subject is up to at most 2 years including the primary period of 26 weeks.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
16
AL01211 is a novel, proprietary, selective GCS inhibitor with high potency against GCS with limited off target activity.
The First Affiliated Hospital of Sun Yat sen University
Guangzhou, Guangdong, China
RECRUITINGThe First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, China
RECRUITINGXiangya Hospital of Central South University
Changsha, Hunan, China
Treatment-emergent adverse events (TEAEs)
Number of subjects with TEAEs will be evaluated. AEs will be coded by using the current version of the Medical Dictionary for Regulatory Activities and summarized by system organ class, preferred term, and dose level for the number and percent of AEs reported, the number of subjects reporting each AE, and the number of subjects with any AE.
Time frame: 104 weeks
The pharmacodynamics of AL01211 by measuring plasma GL1 level
Plasma level of GL1 will be determined by Liquid Chromatography with tandem mass spectrometry (LC-MS-MS).
Time frame: Baseline, weeks 2, 4, 8, 13, 26, 52, 104
The pharmacodynamics of AL01211 by measuring plasma GL3 level
Plasma levels of GL3 will be determined by Liquid Chromatography with tandem mass spectrometry (LC-MS-MS).
Time frame: Baseline, weeks 2, 4, 8, 13, 26, 52, 104
The pharmacodynamics of AL01211 by measuring plasma lyso globotriaosylceramide (Lyso GL3) level
Plasma levels of Lyso-GL3 will be determined by Liquid Chromatography with tandem mass spectrometry (LC-MS-MS).
Time frame: Baseline, weeks 2, 4, 8, 13, 26, 52, 104
The pharmacodynamics of AL01211 by measuring urine GL3 level
Urine levels of GL3 will be determined by Liquid Chromatography with tandem mass spectrometry (LC-MS-MS).
Time frame: Baseline, weeks 4, 13, 26, 52, 104
The pharmacodynamics of AL01211 by measuring urine lyso globotriaosylceramide (Lyso GL3) level
Urine levels of Lyso-GL3 will be determined by Liquid Chromatography with tandem mass spectrometry (LC-MS-MS).
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
West China Hospital, Sichuan University
Chengdu, Sichuan, China
RECRUITINGPeking University First Hospital
Beijing, China
RECRUITINGRuijin Hospital, Shanghai Jiaotong University School Of Medicine
Shanghai, China
RECRUITINGTime frame: Baseline, weeks 4, 13, 26, 52, 104
The pharmacokinetics of AL01211 in plasma
Plasma samples will be collected, and AL01211 plasma concentrations will be measured with Liquid Chromatography with tandem mass spectrometry (LC-MS/MS).
Time frame: Weeks 1, 2, 4, 8, 13, 26, 52, 104
The pharmacokinetics of AL01211 in urine
Urine samples will be collected, and AL01211 urine concentrations will be measured with Liquid Chromatography with tandem mass spectrometry (LC-MS/MS).
Time frame: weeks 1 and 13
The effect of AL01211 on renal function: eGFR
Change from Baseline in estimated glomerular filtration rate (eGFR) by Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) Creatinine-Cystatin Equation (2021) at Weeks 2, 4, 8, 13, 26, 52, 104.
Time frame: 104 weeks
The effect of AL01211 on renal function: UPCR
Change from Baseline in urine protein/creatinine ratio (UPCR) at Weeks 13, 26, 52, 104.
Time frame: 104 weeks
The effect of AL01211 on renal function: UACR
Change from Baseline in urine albumin/creatinine ratio (UACR) at Weeks 13, 26, 52, 104.
Time frame: 104 weeks
The effect of AL01211 on cardiac function: MRI±gadolinium
Change from Baseline in MRI±gadolinium measurements at Weeks 26, 52, 104.
Time frame: 104 weeks
The effect of AL01211 on cardiac function: troponin T
Change from Baseline in plasma troponin T level at Weeks 2, 4, 8, 13, 26, 52 and 104.
Time frame: 104 weeks
The effect of AL01211 on symptoms of neuropathic pain: BPI-SF
Change from Baseline in Brief Pain Inventory-Short Form (BPI-SF) at Weeks 4, 8, 13, 26, 52, 104.
Time frame: 104 weeks
The effect of AL01211 on symptoms of neuropathic pain: average weekly pain severity during Fabry crises
Change from Baseline in average weekly pain severity during Fabry crises (episodic pain attacks) as assessed by an 11-point Numeric Rating Scale (NRS) at Weeks 4, 8, 13, 26, 52, 104.
Time frame: 104 weeks
The effect of AL01211 on symptoms of neuropathic pain: weekly frequency of Fabry crises
Change from Baseline in weekly frequency of Fabry crises (episodic pain attacks) at Weeks 4, 8, 13, 26, 52, 104.
Time frame: 104 weeks
The effect of AL01211 on symptoms of neuropathic pain: weekly frequency of use of pain medication
Change from Baseline in weekly frequency of use of pain medication at Weeks 4, 8, 13, 26, 52, 104.
Time frame: 104 weeks
The effect of AL01211 on symptoms of gastrointestinal disturbance
Change from Baseline in average weekly gastrointestinal symptom diary up to at Weeks 4, 8, 13, 26, 52, 104.
Time frame: 104 weeks
The pharmacodynamics of AL01211 by measuring GL3 inclusion in kidney biopsies
Change from baseline in histological scoring of the number of GL-3 inclusions per kidney interstitial capillary (KIC) at Week 52 and 104. (optional)
Time frame: Baseline, weeks 52, and 104
The effect of AL01211 on quality of life: EQ-5D-5L
The EQ-5D-5L is a self-assessed, health related, quality of life questionnaire. The scale measures quality of life on a 5-component scale including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Change from Baseline in EQ-5D-5L at Weeks 13, 26, 52 and 104 will be assessed.
Time frame: 104 weeks
The effect of AL01211 on overall disease burden
Fabry Outcome Survey Mainz Severity Score Index (FOS-MSSI) is a tool for clinicians to evaluate the severity and progression of Fabry disease in adult patients. A higher score on FOS-MSSI means a higher disease burden. It will be assessed at Weeks 13, 26, 52 and 104
Time frame: 104 weeks
The effect of AL01211 on clinician reported global impression of severity of disease
Change from Baseline in Clinical Global Impression of Severity (CGI-S) score at Weeks 4, 8, 13, 26, 52 and 104. A higher score (from 0 to 3) means a greater severity.
Time frame: 104 weeks
The effect of AL01211 on clinician reported global impression of change of disease
Change from Baseline in Clinical Global Impression of Change (CGI-C) score assessed at Weeks 4, 8, 13, 26, 52 and 104. A higher score (from 1 to 5) means a greater overall worsening of symptoms.
Time frame: 104 weeks
The effect of AL01211 on patient reported global impression of severity of disease
Change from Baseline in Patient Global Impression of Severity (PGI-S) score assessed at Weeks 4, 8, 13, 26, 52 and 104. A higher score (from 0 to 3) means a greater severity.
Time frame: 104 weeks
The effect of AL01211 on patient reported global impression of change of disease
Change from Baseline in Patient Global Impression of Change (PGI-C) score assessed at Weeks 4, 8, 13, 26, 52 and 104. A higher score (from 1 to 5) means a greater overall worsening of symptoms.
Time frame: 104 weeks