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Chaperone Therapy

Migalastat for Fabry Disease

Phase 3
Recruiting
Research Sponsored by Amicus Therapeutics
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Subject has a GLA variant that is amenable to migalastat recorded in their medical records
Subjects with ESRD must commit to completing the entire prescribed duration for each dialysis session
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline through month 12
Awards & highlights

Study Summary

This trial will test the safety and how well the drug migalastat HCl works in people with Fabry disease and severe kidney impairment.

Who is the study for?
This trial is for adults with Fabry disease and severe kidney impairment, including those on stable hemodialysis. Participants must have a specific GLA gene variant treatable by migalastat and agree to use contraception if of reproductive potential. Exclusions include pregnancy, breastfeeding, unstable heart conditions, recent other investigational drugs or gene therapy, allergy to migalastat or similar drugs.Check my eligibility
What is being tested?
The study tests the safety and how the body processes Migalastat HCl in individuals with Fabry disease who also have severe renal impairment (SRI) or are at the end stage of renal disease (ESRD). It's an open-label study where all participants know they're receiving Migalastat.See study design
What are the potential side effects?
While not specified here, common side effects of Migalastat may include headache, nasal and throat irritation, stomach pain, fever; serious side effects could involve allergic reactions or worsening kidney function.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My records show a GLA variant treatable with migalastat.
Select...
I have end-stage renal disease and will complete all my dialysis sessions as prescribed.
Select...
I am 18 or older and have been diagnosed with Fabry disease.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline through month 12
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline through month 12 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Amount recovered in dialysate (AeD)
Apparent plasma clearance (CL/F)
Apparent terminal elimination half-life (t½)
+19 more
Secondary outcome measures
Adverse events (AEs)
Change from baseline eGFR based on the Chronic Kidney Disease Epidemiology Collaboration equation (eGFRCKD-EPI)
Change from baseline in estimated glomerular filtration rate (eGFR) based on the Modification of Diet in Renal Disease equation (eGFR MDRD)
+5 more

Side effects data

From 2019 Phase 3 trial • 84 Patients • NCT02194985
20%
Nasopharyngitis
19%
Fatigue
19%
Arthralgia
17%
Pain in extremity
15%
Paraesthesia
14%
Oedema peripheral
14%
Urinary tract infection
14%
Proteinuria
14%
Overdose
14%
Headache
14%
Upper respiratory tract infection
12%
Nausea
12%
Musculoskeletal pain
12%
Influenza
12%
Dizziness
12%
Hypoaesthesia
11%
Back pain
11%
Sinusitis
11%
Pyrexia
11%
Diarrhoea
10%
Depression
8%
Vertigo
8%
Tinnitus
8%
Abdominal pain
8%
Muscle spasms
8%
Tendonitis
8%
Oropharyngeal pain
8%
Muscular weakness
7%
Albumin urine present
7%
Bronchitis
7%
Abdominal pain upper
7%
Insomnia
7%
Palpitations
7%
Constipation
7%
Blood uric acid increased
7%
Protein urine present
7%
Asthma
7%
Cough
7%
Dyspnoea
7%
Dyspnoea exertional
6%
Pain
6%
Vomiting
6%
Gastrooesophageal reflux disease
6%
Dyspepsia
6%
Hypothyroidism
6%
Migraine
6%
Neuralgia
6%
Blood creatinine increased
6%
Glomerular filtration rate decreased
6%
Hypercholesterolaemia
6%
Hypotension
2%
Atrial fibrillation
2%
Dehydration
2%
Breast cancer
1%
Left ventricular hypertrophy
1%
Renal failure
1%
Ventricular tachycardia
1%
Barrett's oesophagus
1%
Uterine prolapse
1%
Invasive lobular breast carcinoma
1%
Abdominal wall haematoma
1%
Large intestine perforation
1%
Visual impairment
1%
Device malfunction
1%
Embolic stroke
1%
Atrioventricular block complete
1%
Biliary dyskinesia
1%
Drug hypersensitivity
1%
Appendicitis perforated
1%
Biliary sepsis
1%
Diverticulitis
1%
Infective exacerbation of bronchiectasis
1%
Pneumonia
1%
Rib fracture
1%
Heart rate increased
1%
Diabetes mellitus
1%
Lipomatosis
1%
Arthritis
1%
Osteoarthritis
1%
Periarthritis
1%
Tendon calcification
1%
Convulsion
1%
Syncope
1%
Transient ischaemic attack
1%
Suicidal ideation
1%
Pneumothorax
1%
Subcutaneous emphysema
1%
Air embolism
1%
Hypertension
100%
80%
60%
40%
20%
0%
Study treatment Arm
Migalastat HCl 150 mg

Trial Design

2Treatment groups
Experimental Treatment
Group I: Cohort 2: End-Stage Renal DiseaseExperimental Treatment1 Intervention
All hemodialysis subjects will receive migalastat 123 mg, equivalent to 150 mg migalastat HCl (hereafter, migalastat). Subjects will take 1 migalastat capsule orally with water every other week.
Group II: Cohort 1: Severe Renal ImpairmentExperimental Treatment1 Intervention
All subjects will receive migalastat 123 mg, equivalent to 150 mg migalastat HCl (hereafter, migalastat) at a dose regimen based on their eGFRMDRD result at Visit 1. Subjects will take 1 migalastat capsule orally with water either every 4 or 7 days.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Migalastat
FDA approved

Find a Location

Who is running the clinical trial?

Amicus TherapeuticsLead Sponsor
54 Previous Clinical Trials
2,710 Total Patients Enrolled
25 Trials studying Fabry Disease
1,062 Patients Enrolled for Fabry Disease
Clinical ResearchStudy DirectorAmicus Therapeutics
9 Previous Clinical Trials
602 Total Patients Enrolled
1 Trials studying Fabry Disease
22 Patients Enrolled for Fabry Disease

Media Library

Migalastat HCl (Chaperone Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT04020055 — Phase 3
Fabry Disease Research Study Groups: Cohort 1: Severe Renal Impairment, Cohort 2: End-Stage Renal Disease
Fabry Disease Clinical Trial 2023: Migalastat HCl Highlights & Side Effects. Trial Name: NCT04020055 — Phase 3
Migalastat HCl (Chaperone Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04020055 — Phase 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Why was this research project undertaken?

"This study, which will be evaluated over a Baseline through Month 12 time frame, aims to assess the pharmacodynamics of migalastat in subjects with Fabry disease and severe renal impairment. Secondary outcomes include change from baseline in plasma globotriaosylsphingosine (lyso-Gb3), number of subjects with abnormal electrocardiogram (ECG) findings as a measure of safety and tolerability, and change from baseline eGFR based on the Chronic Kidney Disease Epidemiology Collaboration equation (eGFRCKD-EPI)."

Answered by AI

Are investigators still looking for more test subjects?

"Unfortunately, this particular clinical trial is no longer recruiting patients. The original posting was on December 1st, 2022 and the most recent update was on November 7th, 2022. If you are looking for similar studies, there are 517 trials for fabry disease and 2 trials concerning migalastat HCl 150 mg that are still enrolling participants."

Answered by AI

Are there other experiments that have been done using migalastat HCl 150 mg?

"At the moment, there are two ongoing clinical trials investigating migalastat HCl 150 mg. 2 of these active studies have progressed to Phase 3 testing. Although most of the research is conducted in Minneapolis, Minnesota, 23 different locations are running similar investigations."

Answered by AI

Have these treatments been used before in other clinical trials?

"Amicus Therapeutics sponsored the first study for migalastat HCl 150 mg in 2019. This initial research was followed by Phase 3 drug approval in 2019. Currently, there are 2 active studies being conducted across 11 cities and 8 countries."

Answered by AI

Are there any know risks associated with taking migalastat HCl 150 mg?

"There is some evidence, from both Phase 3 data and other rounds of testing, that migalastat HCl 150 mg is safe."

Answered by AI

How many people are participating in this clinical trial?

"This particular trial is not presently admitting patients. The study was first posted on December 1st, 2022 and last updated on November 7th, 2022. However, there are 517 other trials for fabry disease and 2 studies involving migalastat HCl 150 mg that are still recruiting patients."

Answered by AI

In how many different medical clinics is this study being run?

"Currently, there are six centres recruiting patients for this trial. These include the Lysosomal and Rare Disorders Research and Treatment Centre, Inc in Fairfax, Emory University in Atlanta, and Emory SOM in Pittsburgh; as well as 6 other locations."

Answered by AI
~4 spots leftby Dec 2024