The goal of this long-term extension (LTE) study is to evaluate the safety and efficacy of pegtibatinase in patients with classical homocystinuria (HCU). Patients who are active in the Phase 1/2 COMPOSE study or those who complete the 24 weeks of treatment in the Phase 3 HARMONY are eligible to participate. Participants will be in this clinical study for up to about 13 months including: * a treatment period of up to 104 weeks * a 4-week safety follow-up period
Overall Design: This is a global, multicenter, single-arm, open-label study. Participants who meet all eligibility criteria may transition from other pegtibatinase studies and enroll into this LTE study for long-term safety, efficacy, and clinical assessments of pegtibatinase treatment. All participants will follow a protocol of self-administration of pegtibatinase unless exempted. During the ENSEMBLE study, an optional protein tolerance modification (PTM) sub-study will also be conducted for eligible participants.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
100
Full Target Dose of pegtibatinase BIW
Travere Investigational Site
Portland, Maine, United States
Travere Investigational Site
New York, New York, United States
Travere Investigational Site - Virtual Site
Morrisville, North Carolina, United States
Travere Investigational Site
Philadelphia, Pennsylvania, United States
Treatment-emergent AEs
Incidence of treatment-emergent AEs
Time frame: Week 1 - Week 108
Hypermethioninemia
Incidence of hypermethioninemia
Time frame: Week 1 - Week 108
Hypomethioninemia
Incidence of hypomethioninemia
Time frame: Week 1 - Week 108
Dietary Protein Rescue
Proportion of participants requiring dietary protein rescue for participants with hypomethioninemia
Time frame: Week 1 - Week 108
Total Homocysteine (tHcy) Levels
Relative and absolute changes from baseline in tHcy levels
Time frame: Week 1 - Week 108
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