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CompletedNCT00705939Updated Oct 4, 2018Results posted

Plant Cell Expressed Recombinant Human Glucocerebrosidase Extension Trial

A Phase 3 interventional study of Taliglucerase alfa in Gaucher Disease, sponsored by Pfizer. Completed at 11 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-10-04.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
45
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Gaucher disease, the most prevalent lysosomal storage disorder, is caused by mutations in the human glucocerebrosidase gene (GCD) leading to reduced activity of the lysosomal enzyme glucocerebrosidase and thereby to the accumulation of substrate glucocerebroside (GlcCer) in the cells of the monocyte-macrophage system.

This is an extension trial to Study NCT00376168 and NCT00712348.

Read the detailed description

This will be a multi-center, double-blind, parallel group, extension trial to assess the safety and efficacy of prGCD in patients completing NCT00376168. Patients will receive IV infusion of prGCD every two weeks at the selected medical center. The duration of the extension study will be fifteen months. There will be two treatment groups: 30 units/kg every 2 weeks or 60 units/kg every 2 weeks.

02

Conditions studied

  • Gaucher Disease

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Keywords

  • Gaucher Disease
  • Enzyme replacement therapy
03

In context

Gaucher Disease

171 studies on the registry are indexed under Gaucher Disease; 37 are open to participants now.

This study's enrollment of 45 is above the median of 20 across 98 interventional studies indexed under Gaucher Disease.

Browse Gaucher Disease studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Successful completion of Protocol PB-06-001
  • The patient signs informed consent

Exclusion criteria

Exclusion Criteria:

  • Currently taking another experimental drug for any condition
  • Presence of severe neurological signs and symptoms, defined as complete ocular paralysis, overt myoclonus or history of seizures, characteristic of neuronopathic Gaucher disease
  • Pregnant or nursing
  • Presence of any medical, emotional, behavioral or psychological condition that in the judgment of the Investigator would interfere with the patient's compliance with the requirements of the study
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
45 participants (actual)

Study arms

  • Experimental
    Naive 30 Units/kg

    Continue taliglucerase alfa treatment from PB-06-001 (NCT00376168)

    Drug: Taliglucerase alfa

  • Experimental
    Naive 60 Units/kg

    Continue taliglucerase alfa treatment from PB-06-001 (NCT00376168)

    Drug: Taliglucerase alfa

  • Experimental
    Switchover

    Continue taliglucerase alfa treatment from PB-06-002 (NCT00712348)

    Drug: Taliglucerase alfa

Interventions

  • DrugTaliglucerase alfa

    Intravenous infusion every 2 weeks

    Also known as: Plant Cell Expressed Recombinant Human Glucocerebrosidase, prGCD

06

What researchers measure

Primary outcomes

  1. Spleen Volume

    Spleen volume measured by MRI

    Time frame: Spleen Volume at Baseline and Months 12, 24, and 36

Secondary outcomes

  1. Liver Volume

    Liver volume measured by MRI

    Time frame: Liver volume at Baseline and Months 12, 24 and 36

  2. Hemoglobin

    Time frame: Hemoglobin at Baseline and Months 12, 24 and 36

  3. Platelet Count

    Time frame: Platelet count at Baseline and Months 12, 24 and 36

Other outcomes

  1. Spleen Volume Multiples of Normal (MN)

    Spleen volume measured by MRI. Normal spleen volume is 2 mL/kg × body weight (kg)

    Time frame: Baseline and Months 12, 24, and 36

  2. Liver Volume Multiples of Normal (MN)

    Liver volume measured by MRI. Normal liver volume is 25 mL/kg × body weight (kg).

    Time frame: Baseline and Months 12, 24 and 36

07

Results

Posted Jul 15, 2014

Participant flow

Patients completing Studies PB-06-001 (NCT00376168) or PB-06-002 (NCT00712348) were offered continued treatment in this study.

Participant flow — Overall Study
MilestoneNaive 30 Units/kgNaive 60 Units/kgSwitchover
Started121418
Completed121214
Not completed024
Withdrew: Protocol violation001
Withdrew: Withdrawal by subject013
Withdrew: Physician decision010

Outcome measures

PrimarySpleen Volume

Spleen volume measured by MRI

Time frame:
Spleen Volume at Baseline and Months 12, 24, and 36
Reported as:
Mean · mL
Spleen Volume
mLNaive 30 Units/kgNaive 60 Units/kgSwitchover
Baseline2324.0 ± 1209.02120.0 ± 1426.5778.0 ± 666.3
Month 121707.7 ± 1069.51267.9 ± 1114.1883.7 ± 760.0
Month 241420.4 ± 852.3946.7 ± 699.6609.1 ± 442.7
Month 361237.2 ± 695.7761.0 ± 556.0548.2 ± 433.7
SecondaryLiver Volume

Liver volume measured by MRI

Time frame:
Liver volume at Baseline and Months 12, 24 and 36
Reported as:
Mean · mL
Liver Volume
mLNaive 30 Units/kgNaive 60 Units/kgSwitchover
Baseline2999.7 ± 779.42470.5 ± 484.91775.7 ± 434.4
Month 122515.6 ± 642.12118.7 ± 318.11788.9 ± 378.0
Month 242362.8 ± 518.71998.2 ± 291.91757.1 ± 357.0
Month 362341.1 ± 553.41971.8 ± 404.71821.2 ± 523.6
Other pre-specifiedSpleen Volume Multiples of Normal (MN)

Spleen volume measured by MRI. Normal spleen volume is 2 mL/kg × body weight (kg)

Time frame:
Baseline and Months 12, 24, and 36
Reported as:
Mean · Multiples of Normal Spleen Volume
Spleen Volume Multiples of Normal (MN)
Multiples of Normal Spleen VolumeNaive 30 Units/kgNaive 60 Units/kgSwitchover
Baseline16.4 ± 8.316.8 ± 14.25.5 ± 5.4
Month 1211.7 ± 7.29.3 ± 9.47.0 ± 6.8
Month 249.6 ± 1.66.6 ± 5.34.0 ± 2.7
Month 368.2 ± 4.45.6 ± 4.53.7 ± 2.9
Other pre-specifiedLiver Volume Multiples of Normal (MN)

Liver volume measured by MRI. Normal liver volume is 25 mL/kg × body weight (kg).

Time frame:
Baseline and Months 12, 24 and 36
Reported as:
Mean · Multiples of Normal Liver Volume
Liver Volume Multiples of Normal (MN)
Multiples of Normal Liver VolumeNaive 30 Units/kgNaive 60 Units/kgSwitchover
Baseline1.7 ± 0.41.5 ± 0.41.0 ± 0.1
Month 121.4 ± 0.31.2 ± 0.21.1 ± 0.2
Month 241.3 ± 0.21.1 ± 0.20.9 ± 0.2
Month 361.3 ± 0.21.1 ± 0.21.0 ± 0.3
SecondaryHemoglobin
Time frame:
Hemoglobin at Baseline and Months 12, 24 and 36
Reported as:
Mean · mg/dL
Hemoglobin
mg/dLNaive 30 Units/kgNaive 60 Units/kgSwitchover
Baseline12.5 ± 1.811.4 ± 2.713.6 ± 1.6
Month 1214.2 ± 1.713.6 ± 2.613.6 ± 1.7
Month 2413.8 ± 1.613.8 ± 1.813.5 ± 1.2
Month 3614.3 ± 1.514.1 ± 2.213.3 ± 1.2
SecondaryPlatelet Count
Time frame:
Platelet count at Baseline and Months 12, 24 and 36
Reported as:
Mean · Platelets per cubic millimeter
Platelet Count
Platelets per cubic millimeterNaive 30 Units/kgNaive 60 Units/kgSwitchover
Baseline64900 ± 3013369043 ± 28242163833 ± 88882
Month 1280325 ± 41806122857 ± 53857145250 ± 97426
Month 2493333 ± 53328141071 ± 73896174200 ± 100483
Month 3694683 ± 47526144417 ± 55190172467 ± 89340

Adverse events

Collected over 36 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Naive 30 Units/kg—2/12 (16.7%)12/12 (100%)
Naive 60 Units/kg—2/14 (14.3%)12/14 (85.7%)
Switchover—3/18 (16.7%)17/18 (94.4%)
Most frequent serious events
Showing 10 of 11
Most frequent serious events
EventNaive 30 Units/kgNaive 60 Units/kgSwitchover
HAEMANGIOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)1/120/140/18
PULMONARY EMBOLISMRespiratory, thoracic and mediastinal disorders1/120/140/18
TONSILLECTOMYSurgical and medical procedures1/120/140/18
TOOTH EXTRACTIONSurgical and medical procedures1/120/140/18
VOCAL CORD POLYPECTOMYSurgical and medical procedures1/120/140/18
AUTOIMMUNE THROMBOCYTOPENIABlood and lymphatic system disorders0/121/140/18
HEAD INJURYInjury, poisoning and procedural complications0/121/140/18
OSTEONECROSISMusculoskeletal and connective tissue disorders0/121/140/18
ARTHRALGIAMusculoskeletal and connective tissue disorders0/120/141/18
PNEUMOTHORAX TRAUMATICInjury, poisoning and procedural complications0/120/141/18
Most frequent other events
Showing 10 of 25
Most frequent other events
EventNaive 30 Units/kgNaive 60 Units/kgSwitchover
NASOPHARYNGITISInfections and infestations2/123/147/18
ARTHRALGIAMusculoskeletal and connective tissue disorders4/124/144/18
HEADACHENervous system disorders4/123/142/18
PAIN IN EXTREMITYMusculoskeletal and connective tissue disorders2/124/142/18
DIARRHOEAGastrointestinal disorders3/120/143/18
ERYTHEMASkin and subcutaneous tissue disorders3/120/140/18
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations3/123/143/18
PYREXIAGeneral disorders0/123/144/18
HYPERTENSIONVascular disorders2/123/141/18
SINUSITISInfections and infestations0/123/142/18

Baseline characteristics

All treated patients are included in the analysis

Age, Continuous
Age, Continuous(years)Naive 30 Units/kgNaive 60 Units/kgSwitchoverTotal
Mean39.7 ± 11.836.6 ± 12.046.5 ± 13.741.6 ± 13.0
Sex: Female, Male
Sex: Female, Male(Participants)Naive 30 Units/kgNaive 60 Units/kgSwitchoverTotal
Female58922
Male76922
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Naive 30 Units/kgNaive 60 Units/kgSwitchoverTotal
American Indian or Alaska Native0000
Asian0000
Native Hawaiian or Other Pacific Islander0000
Black or African American0000
White12131843
More than one race0000
Unknown or Not Reported0101
Region of Enrollment
Region of Enrollment(participants)Naive 30 Units/kgNaive 60 Units/kgSwitchoverTotal
United States0066
Canada1113
Spain0123
Australia0011
Chile1102
South Africa1102
Israel34613
United Kingdom0101
Italy1102
Serbia2226
Mexico3205
08

Study locations

11 sites
  • Department of Human Genetics, Emory University School of Medicine
    Decatur, Georgia 30033, United States
  • Neurogenetics, NYU at Rivergate
    New York, New York 10016, United States
  • Bone Marrow Transplant Service, The Royal Melbourne Hospital
    Parkville, Victoria, Australia
  • Mount Sinai Hospital
    Toronto, Ontario M5G 1X5, Canada
  • Pontificia Universidad Catolica de Chile
    Santiago, Chile
  • Rambam Medical Center
    Haifa, 31096, Israel
  • Shaare Zedek Medical Center
    Jerusalem, Israel
  • Morningside Medi-Clinic
    Morningside, 2196, South Africa
  • Hospital Universitario Miguel Servet
    Zaragoza, 50009, Spain
  • Lysosomal Disorders Service, Addenbrookes Hospital NHS Trust
    Cambridge, United Kingdom
  • Royal Free Hospital
    London, NW3 2QG, United Kingdom
09

References and documents

Publications

  • Zimran A, Duran G, Mehta A, Giraldo P, Rosenbaum H, Giona F, Amato DJ, Petakov M, Munoz ET, Solorio-Meza SE, Cooper PA, Varughese S, Chertkoff R, Brill-Almon E. Long-term efficacy and safety results of taliglucerase alfa up to 36 months in adult treatment-naive patients with Gaucher disease. Am J Hematol. 2016 Jul;91(7):656-60. doi: 10.1002/ajh.24369. Epub 2016 Apr 24. PubMed 27174694 ↗
  • Pastores GM, Shankar SP, Petakov M, Giraldo P, Rosenbaum H, Amato DJ, Szer J, Chertkoff R, Brill-Almon E, Zimran A. Enzyme replacement therapy with taliglucerase alfa: 36-month safety and efficacy results in adult patients with Gaucher disease previously treated with imiglucerase. Am J Hematol. 2016 Jul;91(7):661-5. doi: 10.1002/ajh.24399. Epub 2016 May 18. PubMed 27102949 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 4, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00705939
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Jun 27, 2008
Start date
Jun 2008
Primary completion
May 2012
Completion
Aug 2013
Results posted
Jul 15, 2014
Last update
Oct 4, 2018

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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