New hope for kids with pompe: enzyme combo trial underway
NCT ID NCT03911505
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 2 times
Summary
This study tests a new treatment called cipaglucosidase alfa/miglustat in children (0 to under 18 years) with late-onset Pompe disease. The goal is to see if it is safe and how well it works. Participants either have never had enzyme therapy before or have been on it for at least 6 months. The treatment aims to control the disease, not cure it.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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21 people
The number who actually took part.
- Started
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Feb 2020
- Expected to finish
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Sep 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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0 to 17 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Male or female subjects (ERT-naïve \[have never received a dose of rhGAA\] or ERT-experienced \[have received rhGAA every 2 weeks for at least 6 months immediately before enrollment, and if ERT dosage has been modified, must have been on the modified dosage for at least 3 months before enrollment\]) diagnosed with LOPD who are aged 12 to \<18 years at screening (Cohort 1 only) or aged 0 months to \< 12 years at screening (Cohort 2 only) 2. Subject weighs ≤ 115 kg. (Cohort 1 Only) 3. Subject must have a diagnosis of LOPD based on documentation as defined in study protocol 4. If of reproductive potential and if sexually active, female and male subjects agree to use a highly effective method of contraception throughout the duration of the study and for up to 90 days after their last dose of Cipaglucosidase Alfa/Miglustat 5. Subject has a sitting forced vital capacity (FVC) ≥ 30% of the predicted value for healthy Adolescents at screening (Cohort 1 only) 6. Subject (aged 12 to \<18 years; Cohort 1) performs one 6-Minute Walk Test (6MWT) (≥ 75 meters) at screening that is valid, as determined by the clinical evaluator, or subject (aged ≥ 5 to \< 12 years; Cohort 2) performs one 6MWT (≥ 40 meters) at screening that is valid, as determined by the clinical evaluator Exclusion Criteria: 1. Subject has received any investigational/experimental drug, oral anabolic steroid or derivative, biologic, or device within 30 days or 5 half-lives of the therapy or treatment, whichever is longer, before screening 2. Subject has received treatment with prohibited medications within 30 days of screening 3. Subject has received any gene therapy at any time 4. Subject has any intercurrent illness or condition at screening or baseline that may preclude the subject from fulfilling the protocol requirements or suggests to the investigator and/or the medical monitor that the potential subject may have an unacceptable risk by participating in this study 5. Subject has a hypersensitivity to any of the excipients in ATB200, approved rhGAA, or AT2221 6. Female subject is pregnant or breast-feeding at screening 7. Subject requires the use of ventilation support for \> 6 hours per day while awake 8. Subject has evidence of moderate to severe hypertrophic cardiomyopathy aligning with classic IOPD 9. In the opinion of the investigator, the parent or legally authorized representative is unlikely or unable to comply with the study requirements 10. Subject has any prior history of illness or condition known to affect motor function, such as, but not limited to, Guillain-Barre syndrome, cerebral palsy, etc 11. Subject who is diagnosed with Pompe disease via newborn screening and is asymptomatic (ie, showing no signs and symptoms of Pompe disease (Cohort 2 Only)
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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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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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Gunma University Hospital
Gunma, 371-8511, Japan
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Izumi City General Hospital
Osaka, Izumi-Shi, 594-0073, Japan
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Lysosomal and Rare Disorders Research and Treatment Center, Inc.
Fairfax, Virginia, 22030, United States
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San Gerardo Hospital
Monza, 20900, Italy
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SphinCS GmbH Clinical Science for LSD
Hochheim am Main, Hesse, 65239, Germany
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St. Louis Children's Hospital
St Louis, Missouri, 63110, United States
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Tohoku University Hospital
Miyagi, 980-8574, Japan
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Tokyo Women's Medical University
Tokyo, 162-8666, Japan
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UPMC Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15224, United States
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University of Calgary
Calgary, Alberta, T3B 6A8, Canada
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University of Florida Clinical Research Center
Gainesville, Florida, 32610, United States
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University of Utah, Clinical and Translational Sciences Institute
Salt Lake City, Utah, 84108, United States
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Wolfson Children's Hospital
Jacksonville, Florida, 32207, United States
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Women's and Children's Hospital
North Adelaide, South Australia, 5006, Australia
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Woodruff Memorial Research Building
Atlanta, Georgia, 30322, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Hope for pompe patients: could a switch in enzyme therapy slow decline?
- Shocking muscles to move: new exercise hope for nerve disease patients
- New study monitors pregnancy in pompe disease patients
- One-Time gene therapy could change pompe disease treatment
- New drug cocktail aims to boost walking and breathing in pompe patients
- Pompe disease study aims to clear path for gene therapy