DRUG
migalastat hydrochloride
Oral capsule QOD
Status
Terminated
Phase
Phase 3
Enrollment
85
Locations
25
Results
Posted
Publications
1
Study summary
This was a long-term, open-label study of migalastat (123 milligrams \[mg\] of migalastat \[equivalent to 150 mg of migalastat hydrochloride\]) (migalastat) in participants with Fabry disease who completed treatment in a previous monotherapy trial with migalastat.
Study AT1001-041 was an open-label, noncomparative, multicenter, long-term extension study for participants with Fabry disease who completed treatment in one of three previous trials of migalastat (AT1001-011 \[NCT00925301\], AT1001-012 \[NCT01218659\], or FAB-CL-205 \[NCT00526071\]). In these trials, migalastat was given as monotherapy. This was an extension study designed to evaluate the long-term safety and efficacy of migalastat for the treatment of Fabry disease. Study visits occurred every 6 months (m). Visit evaluations included physical examinations, clinical laboratory parameters, adverse events, and participant reported outcomes. The study consisted of a Baseline Visit, which was performed at the time of the final visit of the previous study, followed by clinic visits every 6 m for each year of the study. Study assessments included a physical examination, echocardiography, laboratory parameters, and participant-reported outcomes. Since participants enrolled in the study at varying time points based on the completion of the preceding migalastat study, treatment duration varied among participants. No maximum treatment duration was defined. There were no control groups in this study; all participants received migalastat as a 150-mg capsule taken orally once every other day (QOD) and inactive reminder capsules on alternate days. The sponsor (Amicus Therapeutics) discontinued Study AT1001-041 for logistical reasons and not due to either safety concerns or lack of efficacy. For participants who were ongoing in Study AT1001-041 at the time of discontinuation, the investigators were offered participation in a similar open-label, long-term migalastat treatment study (AT1001-042 \[NCT02194985\]) for participants ongoing at discontinuation.
Interventions
DRUG
Oral capsule QOD
Timeline
First posted
Oct 24, 2011
Study start
Oct 14, 2011
Primary completion
Feb 17, 2016
Study completion
Feb 17, 2016
Results posted
Oct 2, 2018
Registry updated
Oct 2, 2018
Outcomes
Number Of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Time frame · Baseline to End of Follow-up (30 days after the end of this 42-month study), with AE reporting occurring at each study visit, which occurred once every 6 months.
An adverse event (AE) was defined as any untoward medical occurrence in a participant administered migalastat that did not necessarily have a causal relationship with the treatment. Each AE was recorded at the time of reporting; visits typically occurred every 6 months. A TEAE was defined as an AE starting on or after the first study drug administration date. Serious AEs were life-threatening or resulted in death, persistent or significant incapacitation, inpatient or prolonged hospitalization, or a congenital anomaly. The criteria for AE severity were: Mild: minimal discomfort, does not interfere with normal everyday activities; Moderate: sufficiently discomforting, interferes with normal everyday activities; Severe: prevents normal everyday activities. The number of participants experiencing TEAEs is presented for those who received migalastat treatment. A summary of serious and all other non-serious AEs regardless of causality is located in the Reported Adverse Events module.
Annualized Rate Of Change In The Estimated Glomerular Filtration Rate (eGFR)
Time frame · Baseline, Every 6 m until the End of Study (42 m)
The annualized rate of change of the eGFR was assessed per participant by the slope of the simple linear regression between the observed values and the assessment times. It was calculated by using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation (eGFR \[CKD-EPI\]) and the Modification of Diet in Renal Disease (MDRD) equation (eGFR \[MDRD\]). The equations are as follows: eGFR \[MDRD\] = 175 \* (Serum Creatinine)\^-1.154 \* (Age)\^-0.203 \* 1.212 (if black or African American) \* 0.742 (if female); eGFR \[CKD-EPI\] = 141 \* min(serum creatinine/kappa,1)\^alpha \* max(serum creatinine/kappa, 1)\^-1.209 \* 0.993\^age \* 1.1018(if female) \* 1.159(if black or African American), where kappa is 0.7 for females and 0.9 for males, alpha is -0.329 for females and -0.411 for males, min is minimum of serum creatinine/kappa or 1, and max is the maximum of serum creatinine/kappa or 1. The number of participants with at least a Baseline and a post-Baseline value are presented.
Eligibility
Inclusion Criteria: * Completed migalastat treatment in a previous Fabry disease protocol * Both male and female participants were enrolled * Age 16 years or older * Male and female participants had to agree to use protocol-identified acceptable contraception Exclusion Criteria: * Estimated glomerular filtration rate (eGFR) in the previous study was \<30 milliliters/minute/1.73 square meters (mL/min/1.73 m\^2) unless there was a measured GFR available within 3 m of the Baseline Visit that was \>30 mL/min/1.73 m\^2 * Had undergone, or was scheduled to undergo, kidney transplantation or was currently on dialysis * Pregnant or breast feeding * Treated with another investigational drug (except migalastat) within 30 days of study start * Unable to comply with study requirements, or deemed otherwise unsuitable for study entry, in the opinion of the investigator * Had documented transient ischemic attack, stroke, unstable angina, or myocardial infarction within the 12 m before the Baseline Visit * Had clinically significant, unstable cardiac disease in the opinion of the investigator * Had a history of allergy or sensitivity to migalastat (including excipients) or to other iminosugars * Required treatment with Glyset (miglitol) or Zavesca (miglustat) * Had any intercurrent illness or condition that may have precluded the participant from fulfilling the protocol requirements * Had a severe or unsuitable concomitant medical condition * Had a clinically significant abnormal laboratory value and a clinically significant electrocardiogram finding at the Baseline Visit.
Study locations
Argentina · Australia · Belgium · Brazil · Canada · Denmark · Egypt · France · Italy · Spain · Turkey (Türkiye) · United Kingdom · United States. Showing up to 24 locations stored in the fast local snapshot.
Facility not named
Atlanta, Georgia, United States
Facility not named
Chicago, Illinois, United States
Facility not named
Kansas City, Kansas, United States
Facility not named
Boston, Massachusetts, United States
Facility not named
Grand Rapids, Michigan, United States
Facility not named
New York, New York, United States
Facility not named
Portland, Oregon, United States
Facility not named
Pittsburgh, Pennsylvania, United States
Facility not named
Dallas, Texas, United States
Facility not named
Fairfax, Virginia, United States
Facility not named
Seattle, Washington, United States
Facility not named
Pilar, Argentina
Facility not named
Adelaide, Australia
Facility not named
Parkville, Australia
Facility not named
Edegem, Belgium
Facility not named
Porto Alegre, Brazil
Facility not named
Montreal, Canada
Facility not named
Copenhagen, Denmark
Facility not named
Cairo, Egypt
Facility not named
Garches, France
Facility not named
Roma, Italy
Facility not named
Barcelona, Spain
Facility not named
Ankara, Turkey (Türkiye)
Facility not named
London, United Kingdom
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