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WithdrawnNCT02904772Updated Aug 17, 2017

Alipogene Tiparvovec for the Treatment of LPLD Patients

A Phase 2 interventional study of alipogene tiparvovec and Prednisolone in LPL Deficiency, sponsored by UniQure Biopharma B.V.. Withdrawn at 2 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-08-17.

Sponsored by UniQure Biopharma B.V. · Phase 2, Interventional, and Treatment

Why this study was withdrawn
uniQure, has decided not to renew the Marketing Authorization of Glybera in the EU. This decision is not related to any safety, efficacy or quality issue
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The aim of the study is to provide further confirmatory evidence of clinical benefit in LPLD patients treated with alipogene tiparvovec by assessing both the "clinical response" (as defined by a range of parameters), and "the metabolic response" (postprandial CM metabolism) in LPLD patients with and without an immunosuppressant regimen.

Read the detailed description

This is a prospective, interventional, randomised, open-label, parallel group study evaluating the clinical response as well as the dynamics of postprandial chylomicron metabolism in patients treated with alipogene tiparvovec with and without immunosuppressants. The study will be conducted in 12 LPLD patients who will be randomised into the Immuno+ (cyclosporin and mycophenolate mofetil) or the Immuno- group.

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Conditions studied

  • LPL Deficiency
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In context

Hyperlipoproteinemia Type I

23 studies on the registry are indexed under Hyperlipoproteinemia Type I; 3 are open to participants now.

Browse Hyperlipoproteinemia Type I studies →

Lead sponsor

UniQure Biopharma B.V. is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

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

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Who can participate

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

Eligibility criteria

Main inclusion criteria are:

  • Patients with a history of severe or multiple pancreatitis attacks despite dietary fat restriction.
  • Genetically confirmed diagnosis of LPLD
  • Post-heparin plasma LPL protein mass > 5% of normal
  • LPL activity ≤20% of normal (in post- heparin plasma)
  • Fasting plasma TG concentration >10 mmol/L.

Main exclusion criteria are:

  • Females with a positive pregnancy test or who are breastfeeding, or on contraceptive use.
  • Patients with a positive HIV, Hepatitis B, Hepatitis C or being positive for tuberculosis.
  • Patients under treatment with antiplatelet or other anti-coagulants.
  • Patient allergic to or having a condition that prohibits the use of immunosuppressants.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Other
    alipogene tiparvovec with IS

    Patients in the Immuno+ group will receive an immunosuppressant regimen to be initiated three days prior to alipogene tiparvovec administration. The regimen is to be continued for 12 weeks: Cyclosporins (3 mg/kg/day) and mycophenolate mofetil (2 x 1 g/day). Patients will receive IV bolus of 1mg/kg of methyl Prednisolone half an hour prior to IMP administration.

    Drug: alipogene tiparvovec · Drug: Prednisolone · Drug: Cyclosporins · Drug: Mycophenolate mofetil

  • Other
    alipogene tiparvovec without IS

    Patients in the Immuno- group will not receive an immunosuppressant regimen during 12 weeks. Patients will receive IV bolus of 1mg/kg of methyl Prednisolone half an hour prior to IMP administration.

    Drug: alipogene tiparvovec · Drug: Prednisolone

Interventions

  • Drugalipogene tiparvovec

    A dose of 1x10(\*12) gc/kg alipogene tiparvovec (Glybera) of body weight administered as a single set of intramuscular injections at multiple sites in multiple muscles of both upper legs and if necessary, the lower legs.

    Also known as: Glybera

  • DrugPrednisolone

    IV bolus methylprednisolone 1mg/kg half hour prior to administration

  • DrugCyclosporins

    Immuno + group will receive cyclosporine (3 mg/kg/day) from three days prior to until 12 weeks following IMP administration

  • DrugMycophenolate mofetil

    Immuno + group will receive Mycophenolate mofetil (2x 1 g/day) from three days prior to until 12 weeks following IMP administration

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What researchers measure

Primary outcomes

  1. The Clinical Response of alipogene tiparvovec in LPLD patients

    The overall clinical response of alipogene tiparvovec in LPLD patients will be assessed compared to baseline, by a combination of measurements, of which each gives relevant information to obtain enough and solid evidence in a small trial. Each of these outcome measures will be evaluated in combination with the results of other measures (to get an overall conclusion relating the clinical response). Descriptive methods will be used (so no formal statistical analyses will be performed), due to the specific nature and the small sample size of a rare disease trial.

    Time frame: 2 years

  2. The long term effect of alipogene tiparvovec on post prandial metabolism of chylomicrons (ppCM) in LPLD patients.

    CM \[3H\]-activity will be assessed during ppCM testing pre- and post-dose, compared to baseline.

    Time frame: 2 years

Secondary outcomes

  1. The effect of alipogene tiparvovec on postprandial metabolism of chylomicrons (ppCM) in LPLD patients with and without immunosuppression treatment, at 14 weeks post-administration.

    CM \[3H\]-activity will be assessed during ppCM testing pre- and post-dose, compared to baseline.

    Time frame: Baseline, 14 weeks

  2. Immuno response of alipogene tiparvovec by analysis of antibody formation

    The immuno response of alipogene tiparvovec will be assessed by measuring the antibody formation compared to baseline.

    Time frame: Baseline, 1 and 2 years post dose

  3. Immuno response of alipogene tiparvovec by analysis of T-cell response

    T-cell responses against alipogene tiparvovec will be assessed by measuring the T-cell response compared to baseline.

    Time frame: Baseline, 1 and 2 years post dose

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Study locations

2 sites
  • Perelman School of Medicine at The University of Pennsylvania Translational Medicine & Human Genetics
    Philadelphia, Pennsylvania PA19104, United States
  • Centre hospitalier universitaire de Sherbrooke
    Sherbrooke, Quebec J1H 5N4, Canada
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 17, 2017, 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
NCT02904772
Lead sponsor
UniQure Biopharma B.V.
Collaborators
Chiesi Farmaceutici S.p.A.
Responsible party
Sponsor
First posted
Sep 19, 2016
Start date
Oct 2016
Primary completion
Jun 2020 (estimated)
Completion
Sep 2020 (estimated)
Last update
Aug 17, 2017

Study contacts

André Carpentier, MD
principal investigator · Centre de recherche du Centre hospitalier universitaire de Sherbrooke

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Jul 2017. You cannot join it, but the record below documents what was studied.

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