New hope for kids with pompe disease: experimental drug shows promise
NCT ID NCT03019406
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tests a new enzyme replacement therapy called avalglucosidase alfa (Nexviazyme) in 22 children with infantile-onset Pompe disease who are not responding well to standard treatment. The study aims to see if the new drug is safe and can improve outcomes. Participants receive the drug through an IV infusion, and researchers monitor for side effects and immune responses.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- avalglucosidase alfa (Nexviazyme)
- What this could lead to
- If it works, this could offer a better treatment option for children with Pompe disease who are not doing well on current enzyme replacement therapy.
- What could go wrong
- This is a small, early-phase trial with only 22 participants, so results may not apply to all patients. The drug may cause side effects like infusion reactions.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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22 people
The number who actually took part.
- Started
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Oct 2017
- Expected to finish
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Aug 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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6 months to 17 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria: * The participants has confirmed acid alpha-glucosidase (GAA) enzyme deficiency from any tissue source. * The participants who has reached legal age of majority as defined by local regulation, or the participant's legal guardian(s) must provide signed informed consent prior to performing any study-related procedures. If the participant is legally minor per local regulations, assent shall be obtained from participants, if applicable. * The participants (and participant's legal guardian if participant is legally minor as defined by local regulation) must have the ability to comply with the clinical protocol. * The participants is less than 18 years old. * The participants, if female and of childbearing potential, must have a negative serum pregnancy test (beta-human chorionic gonadotropin) and must not breastfeeding at screening/Baseline. * The participant has cardiomyopathy at the time of diagnosis: i.e., left ventricular mass index (LVMI) equivalent to mean age specific LVMI plus 2 standard deviations. * The participant has been receiving a stable dose of alglucosidase alfa regularly for a minimum of 6 months immediately prior to study entry. * For participants in Stage 1: The participant has documented evidence of clinical decline in at least 1 of the following parameters related to Pompe Disease and not related to intercurrent illness as assessed by the Investigator: respiratory function, motor skills, and/or cardiac parameters. * For participants in Stage 2: The participant has documented evidence of suboptimal clinical response in at least 1 of the following parameters related to Pompe Disease and not related to intercurrent illness as assessed by the Investigator: respiratory function, motor skills, and/or new onset of ptosis. Exclusion criteria: Participants are excluded from the study if any of the following criteria apply: * The participant has high antibody titer to alglucosidase alfa. * The participant has a high risk for a severe allergic reaction to neoGAA (avalglucosidase alfa). * The participant requires any prohibited concomitant medications (e.g., immune modulatory treatment) for the duration of the study. * The participant has previously participated in any ACT14132 study cohort. * Female participant of childbearing potential not protected by highly effective contraceptive method of birth control and/or who is unwilling or unable to tested for pregnancy. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Duke University Medical Center Site Number : 8400001
Durham, North Carolina, 27710-4000, United States
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Investigational Site Number : 1580001
Hsinchu, 30059, Taiwan
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Investigational Site Number : 2500001
Tours, 37044, France
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Investigational Site Number : 2500002
Paris, 75019, France
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Investigational Site Number : 2500003
Paris, 75015, France
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Investigational Site Number : 2500004
Nantes, 44093, France
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Investigational Site Number : 3920001
Fuchu-shi, Tokyo, 183-0042, Japan
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Investigational Site Number : 3920002
Fuchu-shi, Tokyo, 183-8561, Japan
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Investigational Site Number : 8260001
London, London, City of, WC1N 3JH, United Kingdom
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Investigational Site Number : 8260002
Manchester, M13 9WL, United Kingdom
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Regional Medical Genetics Center of New York Site Number : 8400002
Valhalla, New York, 10595, United States
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Seattle Childrens Hospital and Regional Medical Center- Site Number : 8400005
Seattle, Washington, 98040, United States
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