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CompletedNCT00672022Updated May 6, 2008

Pharmacokinetics, Safety and Tolerability of Zavesca (Miglustat) in Patients With Infantile Onset Gangliosidosis: Single and Steady State Oral Doses

A Phase 3 interventional study of Zavesca (Miglustat) in GM2 Gangliosidoses, Tay-Sachs and Sandhoff Disease, sponsored by Children's National Research Institute. Completed at 1 site in United States. Open to participants aged 6 Months to 5 Years. Per ClinicalTrials.gov, last updated 2008-05-06.

Primary conditionSandhoff DiseaseRegistry: Gangliosidoses, GM2ReclassifiedWhy we changed it
Registry
Gangliosidoses, GM2 — the first condition term the registry derived for this study.
ClinicalTrials.gg
Sandhoff Disease
Why
  1. The study's listed conditions name Sandhoff Disease, a narrower term within Gangliosidoses, GM2.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Children's National Research Institute · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
10
Allocation
Non-randomized
Ages
6 Months to 5 Years
Sex
All
01

Study summary

We want to see if Zavesca (or miglustat) is safe and can be tolerated by patients with acute infantile onset GM2 gangliosidosis - classical Tay-Sachs and infantile onset Sandhoff disease. We know that miglustat inhibits the formation of GM2 ganglioside, the compound that is stored in the brains of children with Tay-Sachs and Sandhoff disease. Since it inhibits the synthesis of ganglioside, miglustat may be able to reduce or delay the onset of clinical symptoms.

Read the detailed description

Specific Aims

The primary objective of the study is to investigate the pharmacokinetics of ZAVESCA® (miglustat, OGT918), when given as a single dose and at steady state, in infantile patients with GM2 gangliosidosis. The secondary objectives are to evaluate the tolerability and safety of single and multiple doses of miglustat and to monitor disease progression using physical and developmental assessments and disease-specific biomarkers.

02

Conditions studied

  • GM2 Gangliosidoses
  • Tay-Sachs
  • Sandhoff Disease

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03

In context

Sandhoff Disease Reclassified

24 studies on the registry are indexed under Sandhoff Disease; 5 are open to participants now.

This study's planned enrollment of 10 is below the median of 22 across 16 interventional studies indexed under Sandhoff Disease.

Browse Sandhoff Disease studies →

Lead sponsor

Children's National Research Institute is the lead sponsor of 127 studies on the registry; 47 are open to participants now.

Compared within Sandhoff Disease, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Gangliosidoses, GM2. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
6 Months to 5 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Diagnosis of GM2 gangliosidosis, confirmed by demonstration of profound deficiency of -hexosaminidase A or A \& B in peripheral blood leukocytes or in cultured skin fibroblasts, within the previous 1 year in non-bone marrow transplant recipients who are \< 2 years of age, or prior to stem cell transplant in stably engrafted transplant patients who are \< 5 years of age.
  2. Onset of characteristic clinical symptoms of the disease before the age of 9 months.
  3. Normal renal and hepatic function.
  4. Written from parent or legal guardian.

Exclusion criteria

Exclusion criteria

  1. Patients who are unable to comply with the study procedures of this protocol, including the refusal to swallow the food used to mask the taste of the study drug and whose parents are unwilling to administer the drug through a nasogastric or gastrostomy tube.
  2. Patients receiving other agents within 3 months of study initiation.
  3. Patients who are anemic ( \< 11 g/dl, and/or hematocrit \< 34%)
  4. Patients who have a history of significant gastrointestinal disorders, including diarrhea (>3 liquid stools per day for > 7 days), without definable cause within 3 months of baseline visit.
  5. Patients with a high probability of dying during the 6-month assessment period of the study.
  6. Patients who in the opinion of the investigator (for whatever reason) are thought to be unsuitable for the study.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Interventions

06

What researchers measure

Primary outcomes

  1. Biomarkers (level of GM2 ganglioside, chitotriosidase activity, anti-GM2 antibodies) in plasma, serum and CSF will be measured at initial visit (run-in period), Week 13, and Week 25.

Secondary outcomes

  1. Neurophysiologic Assessment - EEG and BEAR tests will be done at initial visit (run-in period), Week 13, and Week 25.

  2. Ophthalmology Assessment - comparision of the "cherry-red" macula changes will be made at initial visit (run-in period) and Week 25.

07

Study locations

1 site
  • Children's National Medical Center
    Washington, District of Columbia 20010, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00672022
Collaborators
Actelion
First posted
May 6, 2008
Start date
Jul 2004
Primary completion
Aug 2007
Completion
Aug 2007
Last update
May 6, 2008

Study contacts

Cynthia J TIfft, MD, PhD
principal investigator · Children's National Research Institute
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2005. You cannot join it, but the record below documents what was studied.

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