ClinicalTrials.gg
CompletedNCT03292887HOSUpdated Oct 28, 2024

Hunter Outcome Survey (HOS)

An observational study in Hunter Syndrome, sponsored by Shire. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2024-10-28.

Sponsored by Shire (part of Takeda) · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
1,443
Sex
All
01

Study summary

The purpose of this study is to collect data that will increase understanding of Hunter syndrome. The data from HOS may provide guidance to healthcare professionals about disease treatment options.

02

Conditions studied

  • Hunter Syndrome

Keywords

  • Mucopolysaccharidosis II
  • Hunter Syndrome
  • Enzyme Replacement Therapy
  • Lysosomal
  • Glycosaminoglycans
03

In context

Mucopolysaccharidosis II

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

This study's enrollment of 1,443 is above the median of 34 across 25 observational studies indexed under Mucopolysaccharidosis II.

Browse Mucopolysaccharidosis II studies →

Lead sponsor

Shire is the lead sponsor of 351 studies on the registry; 2 are open to participants now.

Of its 48 completed or terminated interventional studies of FDA-regulated products, 48 (100%) have results posted.

First submitted before Shire became part of Takeda.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The HOS registry is open to all participants (both alive and deceased) with Hunter syndrome who are untreated or who are receiving/received treatment with Elaprase, including participants who are alive at HOS enrollment (referred to as "Prospective Patients") and participants who are deceased at HOS enrollment (referred to as "Historical Patients").

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 Hunter syndrome (biochemically and/or genetically)
  2. Signed and dated written informed consent, as per either a or b below:

    1. Prospective Participants: Signed and dated written informed consent from the participant or, for participants aged less than (\<) 18 years (\<16 years in Scotland), parent and/or participant's legally authorized representative (LAR), and assent of the minor where applicable.

      informed consent must be obtained from LARs for cognitively impaired participants, where applicable.

      OR

    2. Historical Participants: Signed and dated informed consent from the participant's LAR (where allowed by relevant individual country or site regulations/laws). .

Exclusion criteria

Exclusion Criteria:

  1. Participants enrolled in an interventional clinical trial are not eligible. Participants may re-enroll once they have completed or withdrawn from the other clinical study.
  2. Participants receiving treatment for Hunter syndrome with an ERT product other than Elaprase are not eligible. Participants may enroll or re-enroll once they have stopped treatment with another ERT.
05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
1,443 participants (actual)
Target follow-up
20 Years
Patient registry
Yes

Groups and cohorts

  • Elaprase Treated

    Participants with Hunters Syndrome received or receiving treatment with Elaprase as prescribed by their physician following locally approved prescribing information.

  • Elaprase Non-Treated

    Participants received no treatment for Hunters Syndrome.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Infusion-related Reactions (IRRs)

    An Infusion-related reaction (IRR) is an adverse event (AE) that occurs during or within 24 hours of an infusion and with evidence of a causal relationship with Elaprase.

    Time frame: Baseline to year 17

  2. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An AE is any noxious, pathologic, or unintended change in anatomical, physiologic, or metabolic function as indicated by physical signs, symptoms, or laboratory changes occurring in the registry, whether or not considered product-related. This includes an exacerbation of a pre-existing condition. An AE or adverse drug reaction (ADR) that meets one or more of the following criteria/outcomes is classified as serious whether considered to be related to the pharmaceutical product or not: death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalizations, a persistent or significant disability or incapacity, a congenital anomaly or birth defect and important medical events.

    Time frame: Baseline to year 17

  3. Number of Participants With Positive Antibody Response

    Immunogenicity is determined by time to first positive antibody response (antibody level and isotype), antibody titer, isotype, and neutralizing antibodies.

    Time frame: Baseline to year 17

  4. Change in Urinary Glycosaminoglycan (GAG) Levels

    Change in urinary GAG levels from the start of ERT is reported.

    Time frame: Baseline to year 17

  5. Change in Height

    Change in height from the start of ERT will be reported.

    Time frame: Baseline to year 17

  6. Change in Weight

    Change in weight from the start of ERT will be reported.

    Time frame: Baseline to year 17

  7. Change in Head Circumference and Corresponding Calculated Z-scores

    Change in head circumference with the corresponding Z-scores from the start of ERT will be reported.

    Time frame: Baseline to year 17

  8. Change in Distance Walked in the 6-minute Walk Test

    Change in distance walked in 6-minute walk test from the start of ERT is reported.

    Time frame: Baseline to year 17

  9. Left Ventricular Mass Index (LVMI)

    Change in LVMI will be assessed as calculated by echocardiography.

    Time frame: Baseline to year 17

  10. Change in Forced Expiratory Volume in 1 Second (FEV1)

    Change in pulmonary function from the start of ERT will be reported as measured by forced expiratory volume in 1 second (FEV1).

    Time frame: Baseline to year 17

  11. Change in Forced Vital Capacity (FVC)

    Change in pulmonary function from the start of ERT will be reported as measured by forced vital capacity (FVC).

    Time frame: Baseline to year 17

  12. Change in Liver and Spleen Size

    Change in liver and spleen size as estimated by palpation will be reported.

    Time frame: Baseline to year 17

  13. Prevalence of Cardiac and Pulmonary-related Hospitalizations

    Prevalence of cardiac and pulmonary-related hospitalizations will be reported.

    Time frame: Baseline to year 17

  14. Age at the Time of Death

    Age at the time of death will be reported.

    Time frame: Baseline to year 17

  15. Cause of Death

    Causes of death will be reported

    Time frame: Baseline to year 17

Secondary outcomes

  1. Natural History of Untreated Participants With Hunter Syndrome

    Evaluation of signs and symptoms for the natural history of disease: hepatosplenomegaly, central nervous system involvement, skeletal involvement, ear, nose, and throat signs and symptoms, pulmonary signs and symptoms and cardiac signs and symptoms will be reported.

    Time frame: Baseline to year 17

  2. Dosing Regimens of Elaprase for Prescribed Dose in Participants With Hunter Syndrome

    Dosing regiments of Elaprase will be evaluated for prescribed dose.

    Time frame: Baseline to year 17

  3. Dosing Regimens of Elaprase for Administered Dose in Participants With Hunter Syndrome

    Dosing regiments of Elaprase will be evaluated for administered dose.

    Time frame: Baseline to year 17

  4. Dosing Regimens of Elaprase for Total Infusion Time in Participants With Hunter Syndrome

    Dosing regiments of Elaprase will be evaluated for total infusion time.

    Time frame: Baseline to year 17

  5. Dosing Regimens of Elaprase for Missed Infusions in Participants With Hunter Syndrome

    Dosing regiments of Elaprase will be evaluated for missed infusions.

    Time frame: Baseline to year 17

  6. Dosing Regimens of Elaprase for Reason for Missed Infusions.

    Dosing regiments of Elaprase will be evaluated for reason for missed infusions.

    Time frame: Baseline to year 17

  7. Assessment of Hunter Syndrome on Health-related Quality of Life (HRQL) Using Hunter Syndrome-Functional Outcomes for Clinical Understanding Scale (HS-FOCUS)

    HS-FOCUS was developed as disease-specific measure of the impact of Hunter syndrome on HRQL. The HS-FOCUS is designed to gather information on the participant's daily life and wellbeing, satisfaction with treatment, and hospitalizations, as well as on how Hunter syndrome impacts participant's general quality of life. HS-FOCUS includes 2 validated components: a parent version and a patient self-reported version for those over age 12 years. The HS-FOCUS Version 2.0 contains 6 functional status domains: Walking/Standing, Reach/Grip, Sleeping, Schooling/Work, Activities, and Breathing. Items are scored using a response scale from 0 to 4, with ="0" expressing being able to complete the activity-related functions "without any difficulty" and "4" as "unable to do so. Scores are averaged to calculate the 6 function domain scores and the Overall Function Score, with higher scores corresponding to a higher degree of incapacity.

    Time frame: Baseline to year 17

07

Study locations

1 site
  • Shire
    Lexington, Massachusetts 02421, United States
08

References and documents

Publications

  • Muenzer J, Amartino H, Giugliani R, Harmatz P, Lin SP, Link B, Molter D, Ramaswami U, Scarpa M, Botha J, Audi J, Burton BK. Unmet needs of adults living with mucopolysaccharidosis II: data from the Hunter Outcome Survey. Orphanet J Rare Dis. 2025 Jul 1;20(1):319. doi: 10.1186/s13023-024-03464-8. PubMed 40598289 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 28, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03292887
Lead sponsor
Shire
Responsible party
Sponsor
First posted
Sep 26, 2017
Start date
Oct 3, 2005
Primary completion
Feb 16, 2023
Completion
Feb 16, 2023
Last update
Oct 28, 2024

Study contacts

Study Director
study director · Shire

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion