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CompletedNCT01449240Updated Jun 9, 2021Results posted

Collection and Study of Cerebrospinal Fluid in Patients With Hunter Syndrome

An observational study in Hunter Syndrome, sponsored by Shire. Completed at 7 sites in 2 countries. Open to male participants aged Up to 70 Years. Per ClinicalTrials.gov, last updated 2021-06-09.

Sponsored by Shire · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
10
Ages
Up to 70 Years
Sex
Male
01

Study summary

The purpose of the study is to collect data on CSF biomarkers in patients with Hunter Syndrome that would serve as reference data for comparison with cognitively impaired patients with Hunter syndrome, patients with other lysosomal storage diseases, or other diseases with CNS involvement.

Read the detailed description

To determine levels of glycosaminoglycans (GAGs), including dermatan sulfate (DS) and heparan sulfate (HS), GAG-degradation products, and other biomarkers of central nervous system (CNS) and lysosomal function in cerebrospinal fluid (CSF) in pediatric and adult patients with Hunter syndrome.

02

Conditions studied

  • Hunter Syndrome

Keywords

  • Hunter syndrome
  • Mucopolysaccharidosis II
  • Iduronate 2-Sulfatase Deficiency
  • Lumbar puncture
  • Cerebrospinal fluid (CSF)
  • Pediatric
  • Adult
  • Biomarkers
03

In context

Mucopolysaccharidosis II

71 studies on the registry are indexed under Mucopolysaccharidosis II; 8 are open to participants now.

This study's enrollment of 10 is below the median of 34 across 24 observational studies indexed under Mucopolysaccharidosis II.

Browse Mucopolysaccharidosis II studies →

Lead sponsor

Shire is the lead sponsor of 346 studies on the registry; 2 are open to participants now.

Of its 47 completed or terminated interventional studies of FDA-regulated products, 47 (100%) have results posted.

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

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Who can participate

Ages eligible
Up to 70 Years
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population will consist of pediatric (\<18 years of age) and adult (≥18 years of age) male patients with Hunter syndrome. Up to approximately 60 patients (approximately 30 adults and 30 children) may be enrolled in this study.

Inclusion criteria

  • The patient is male and has a documented diagnosis of Hunter syndrome (MPSII).
  • The adult patient has completed a cognitive assessment at screening/baseline or within the previous 3 months and has been determined to have an intelligence quotient (IQ) ≥78. Note: cognitive evaluation of pediatric patients is not required.
  • The adult patient or the adult patient's legally authorized representative(s) has voluntarily signed an Institutional Review Board/Independent Ethics Committee-approved informed consent form after all relevant aspects of the study have been explained and discussed.
  • The pediatric patient must be scheduled to undergo a non-study related lumbar puncture or other medical or diagnostic procedure that requires the administration of general anesthesia. The pediatric patient's parent(s) or legally authorized representative(s) must have provided written informed consent (with patient assent as relevant), after all relevant aspects of the study have been explained and discussed, to allow CSF sample collection for this study in conjunction with performance of the non-study related procedure requiring general anesthesia.

Exclusion criteria

Exclusion Criteria:

  • The patient has a history of complications from a previous lumbar puncture(s) or technical challenges in conducting lumbar puncture.
  • The patient has received a hematopoietic stem cell transplant.
  • The patient has taken aspirin, non-steroidal anti-inflammatory drugs (NSAIDs), or other over-the-counter or prescription medications that could affect blood clot formation within the 7 days prior to lumbar puncture, or has ingested such medications within 7 days prior to any study-related procedure in which a change in potential blood clot formation would be deleterious.
  • The patient is currently receiving treatment with intrathecal idursulfase-IT.
  • The patient is currently enrolled in an interventional clinical trial.
  • The patient has participated in a clinical trial of any investigational drug, including idursulfase-IT, or device within the 30 days prior to study entry.
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
10 participants (actual)
Biospecimen retention
Samples without dna

Groups and cohorts

  • No treatment

    Approximately 5 adults (equal to or not less than 18yrs old) and 5 children (equal to or not over 18yrs old)

    Other: No treatment

Interventions

  • OtherNo treatment
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What researchers measure

Primary outcomes

  1. Levels of Total Glycosaminoglycan (GAG) in CSF

    The concentration of total GAG, including heparan sulfate (HS) and dermatan sulfate (DS) oligosaccharides, in CSF was measured using an enzymatic assay.

    Time frame: Day 1

Secondary outcomes

  1. Levels of GAG in Urine

    The levels of GAG (including sulfated DS/HS oligosaccharides) in urine were determined by the Blyscan sulfated GAG assay kit. The concentration of GAG in urine was normalized to the urine creatinine value and reported as mg GAG/mmol creatinine.

    Time frame: Day 1

07

Results

Posted Dec 5, 2014

Participant flow

Participant flow — Overall Study
MilestoneNo Investigational Treatment or Control Group
Started10
Completed10
Not completed0

Outcome measures

PrimaryLevels of Total Glycosaminoglycan (GAG) in CSF

The concentration of total GAG, including heparan sulfate (HS) and dermatan sulfate (DS) oligosaccharides, in CSF was measured using an enzymatic assay.

Time frame:
Day 1
Reported as:
Mean · ng/mL
Levels of Total Glycosaminoglycan (GAG) in CSF
ng/mLNo Investigational Treatment or Control Group
Levels of Total Glycosaminoglycan (GAG) in CSF816.750 (316.450 to 1317.050)
SecondaryLevels of GAG in Urine

The levels of GAG (including sulfated DS/HS oligosaccharides) in urine were determined by the Blyscan sulfated GAG assay kit. The concentration of GAG in urine was normalized to the urine creatinine value and reported as mg GAG/mmol creatinine.

Time frame:
Day 1
Reported as:
Mean · mg GAG/mmol Creatinine
Levels of GAG in Urine
mg GAG/mmol CreatinineNo Investigational Treatment or Control Group
Levels of GAG in Urine12.458 (3.282 to 21.633)

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
No Investigational Treatment or Control Group—1/9 (11.1%)4/9 (44.4%)
Most frequent serious events
Most frequent serious events
EventNo Investigational Treatment or Control Group
HeadacheNervous system disorders1/9
Most frequent other events
Most frequent other events
EventNo Investigational Treatment or Control Group
Stiff NeckMusculoskeletal and connective tissue disorders1/9
HeadacheNervous system disorders1/9
Pain Secondary to Surgical ProcedureInjury, poisoning and procedural complications1/9
Difficulty Hearing in Right Ear Secondary to NeurosurgeryInjury, poisoning and procedural complications1/9
Intermittent Headaches Post-NeurosurgeryInjury, poisoning and procedural complications1/9
Intermittent Lower Abdomen SpasmsGastrointestinal disorders1/9
Intermittent Soreness Post-SurgeryInjury, poisoning and procedural complications1/9

Baseline characteristics

Safety Population: All patients who had undergone a procedure for CSF sample collection. This included a patient who underwent unsuccessful CSF sample collection. It did not include a patient who provided a retrospective CSF sample.

Age, Categorical
Age, Categorical(Participants)No Investigational Treatment or Control Group
<=18 years4
Between 18 and 65 years5
>=65 years0
Age, Continuous
Age, Continuous(years)No Investigational Treatment or Control Group
Mean19.36 (4.1 to 36.8)
Sex: Female, Male
Sex: Female, Male(Participants)No Investigational Treatment or Control Group
Female0
Male9
Region of Enrollment
Region of Enrollment(Participants)No Investigational Treatment or Control Group
United States8
United Kingdom1
08

Study locations

7 sites
  • Emory University
    Decatur, Georgia 30033, United States
  • Ann & Robert H. Lurie Children's Hospital of Chicago
    Chicago, Illinois 60611-2605, United States
  • Children's Hospitals and Clinics of Minnesota
    Minneapolis, Minnesota 55404, United States
  • University of North Carolina, Division of Genetics and Metabolism
    Chapel Hill, North Carolina 27599, United States
  • University of Utah School of Medicine
    Salt Lake City, Utah 84113, United States
  • Central Manchester University Hospitals NHS Foundation Trust, St. Mary's Hospital
    Manchester, M13 9WL, United Kingdom
  • Salford Royal NHS Foundation Trust
    Salford, M6 8HD, United Kingdom
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References and documents

Publications

  • Wraith JE, Scarpa M, Beck M, Bodamer OA, De Meirleir L, Guffon N, Meldgaard Lund A, Malm G, Van der Ploeg AT, Zeman J. Mucopolysaccharidosis type II (Hunter syndrome): a clinical review and recommendations for treatment in the era of enzyme replacement therapy. Eur J Pediatr. 2008 Mar;167(3):267-77. doi: 10.1007/s00431-007-0635-4. Epub 2007 Nov 23. PubMed 18038146 ↗
  • Dickson PI. Novel treatments and future perspectives: outcomes of intrathecal drug delivery. Int J Clin Pharmacol Ther. 2009;47 Suppl 1:S124-7. PubMed 20040323 ↗
  • Dickson P, McEntee M, Vogler C, Le S, Levy B, Peinovich M, Hanson S, Passage M, Kakkis E. Intrathecal enzyme replacement therapy: successful treatment of brain disease via the cerebrospinal fluid. Mol Genet Metab. 2007 May;91(1):61-8. doi: 10.1016/j.ymgme.2006.12.012. Epub 2007 Feb 26. PubMed 17321776 ↗
  • Christian J. Hendriksz, Joseph Muenzer, Barbara K. Burton, Luying Pan, Nan Wang, Hicham Naimy, Arian Pano, and Ann J. Barbier. A Cerebrospinal Fluid Collection Study in Pediatric and Adult Patients With Hunter Syndrome. Journal of Inborn Errors of Metabolism & Screening, January 2015; vol. 3
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 9, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01449240
Lead sponsor
Shire
Responsible party
Sponsor
First posted
Oct 10, 2011
Start date
Nov 12, 2012
Primary completion
Dec 20, 2013
Completion
Dec 20, 2013
Results posted
Dec 5, 2014
Last update
Jun 9, 2021

Study contacts

Study Director
study director · Takeda

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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