Clinical Trials for Patients with Urea Cycle Disorders

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About UCD

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About the Studies

Participating Centers

 

Complete safety information for BUPHENYL®

About the Studies

Enrolling New Patients:

Study in Pediatric Patients (HPN-100-012)

This study will enroll approximately 20 pediatric subjects, ages 29 days to less than 6 years of age with UCD (all subtypes except NAGS deficiency) currently treated with BUPHENYL® for at least 5 days prior to enrollment.  The study includes both a 10 day ‘switch-over’ phase from BUPHENYL to HPN-100, involving two overnight stays, and a one-year safety follow-up phase. Approximately 12 patients will be enrolled into the ‘switch over’ phase of the study before entering the one-year safety phase.  The sponsor may decide to enroll an additional 8 subjects directly into the one-year safety study following complete recruitment of the switch-over phase.  Patients who enroll in the one-year safety study (only) will receive HPN-100 and return for a study visit one week later.  Visits during the one-year safety phase for all patients will occur monthly for 3 months and then quarterly thereafter.

The following is a brief summary of eligibility criteria. Your physician will make the final decision whether or not you are medically eligible based on your age, UCD type, and medical history.

Who is eligible for the pediatric study (HPN-100-012)?

Participants in the pediatric trial must:

·         Be at least 29 days but less than 6 years of age

·         Suspected or confirmed UCD diagnosis of any subtype, except N-acetyl glutamate synthetase deficiency

·         Sign an informed consent by subject’s legally acceptable representative

·         Be treated with BUPHENYL® for at least 5 days prior to the Day 1 visit.

·         Not receive sodium benzoate for at least 5 days prior to the Day 1 visit.

·         Be able to complete required study visits and activities, including blood draws

Participating Centers in Pediatric study (HPN-100-012)

 

No Longer Enrolling New Patients/Completed:

Study in Pediatric Patients (HPN-100-005)-Enrollment Closed

This study enrolled approximately 20 children ages 6-17 with UCDs (all subtypes) treated with BUPHENYL® and included both a two-week ‘switch-over’ phase from BUPHENYL to HPN-100, involving two overnight stays, and a one-year safety follow-up study. The first 11 patients enrolled have already completed the ‘switch over’ phase and enrolled in the one-year safety. Newly enrolled patients directly entered the one-year safety study, in which they received HPN-100 and returned for a study visit to be seen by study personnel one week after starting HPN-100 and then monthly thereafter.

Study in Adult Patients (HPN-100-006)-Study Complete 

This study enrolled approximately 44 UCD adults (OTC, CPS and ASS deficiencies) on BUPHENYL®. The study lasted 4 weeks. For the first two weeks, participants took either BUPHENYL plus a HPN-100 placebo or HPN-100 plus a BUPHENYL placebo; for the second 2 weeks, participants received whatever they did not receive during the first two weeks.  Blood ammonia was measured to determine whether HPN-100 works as well as BUPHENYL.  Weekly visits to the study site and two overnight stays in the hospital were required, one at the end of the first 2 weeks and a second at the end of the study.

Long Term Study (HPN-100-007)-Enrollment Closed

This study enrolled patients completing protocol HPN-100-006 as well as approximately 20 pediatric (ages 6-17) and/or adult UCD patients (all UCD subtypes) who were not eligible for the HPN-100-006 study or are not currently being treated with BUPHENYL® but who had the potential to benefit from treatment with HPN-100 (e.g., history of hyperammonemia). Study participants received HPN-100 for one-year and were required to go to the study site for monthly appointments.

Long Term Use of HPN-100 (HPN-100-011)-Enrollment Open Only to Patients Who Complete HPN-100-005 & HPN-100-007 Studies

This study will enroll approximately 70 subjects, pediatric (ages 6-17) and/or adult UCD patients (all UCD subtypes), completing protocol HPN-100-005 or HPN-100-007.  Study participants will continue to receive HPN-100 until the subjects can be transitioned to commercially available HPN-100 or until the Sponsor decides not to pursue submitting a NDA (new drug application) to the FDA (Food and Drug Administration).  Subjects will be required to go to the study site every six months for appointments.

Participating Centers

BUPHENYL® is a registered trademark of Ucyclyd Pharma, Inc.