A Phase 2 interventional study of SHP611 in Metachromatic Leukodystrophy (MLD), sponsored by Shire. Completed at 30 sites in 14 countries. Open to participants aged 6 Months to 72 Months. Per ClinicalTrials.gov, last updated 2026-07-10.
Sponsored by Shire (part of Takeda) · Phase 2, Interventional, and Treatment
The main aim of the study is to determine if SHP611 given by injection into the spinal fluid that surrounds the brain and spinal cord (intrathecal; IT) prolongs the time for children with Metachromatic Leukodystrophy (MLD) to retain the ability to move from place to place. Other aims of the study are to determine the effects of intrathecal administration of SHP611 on movement and speech functions and to learn how well SHP611 injected in the spinal fluid that surrounds the brain and spinal cord is tolerated.
Study participants will receive SHP611 for about 2 years with the possibility of an extended treatment period.
49 studies on the registry are indexed under Leukodystrophy, Metachromatic; 11 are open to participants now.
This study's enrollment of 36 is above the median of 19 across 28 interventional studies indexed under Leukodystrophy, Metachromatic.
Browse Leukodystrophy, Metachromatic studies →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.
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.
The participant must have a documented diagnosis of MLD (Groups A-F):
Exclusion Criteria:
The participant has a condition that is as described in the SOPH-A-PORT Mini S IDDD Instructions for Use (IFU)
Matched External Control Participants for Group A from Global Leukodystrophy Initiative of Metachromatic Leukodystrophy (GLIA-MLD) The matched external control group must have data for at least baseline gross motor function evaluation. Selection of the external control participants from GLIA-MLD will follow a set of criteria as similar as possible to the inclusion criteria for Group A in the SHP611-201 study protocol.
A filtering process will be applied to select the external control participants from the GLIA-MLD database, by meeting all of the following 3 filtering criteria:
Filtering criterion 1: requiring documented diagnosis of MLD, based on
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.
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.
Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.
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.
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Allogeneic and autologous transplant
Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hypersensitivity
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
ECG (electrocardiogram)
A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraindication
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants will receive 150 milligrams (mg) of SHP611 intrathecally (IT) via intrathecal drug delivery device (IDDD) or lumbar puncture (LP) once weekly for 106 weeks in six groups (Group A, B, C, D, E, and F) based on participant's age and motor dysfunction.
Drug: SHP611
Participants will receive 150 mg of SHP611 IT via IDDD or LP once weekly for 106 weeks.
Also known as: HGT-1110, TAK-611, recombinant human arylsulfatase A [rhASA]
Percent Probability of Free of Loss of Locomotion in the Last Time Interval Up to 2 Years (Week 106) Based on GMFC-MLD for SHP611 Group A and GLIA-MLD Matched External Control
Loss of locomotion was estimated using interval censoring survival analysis. Survival probability free of loss of locomotion based on GMFC-MLD was estimated up to Week 106 (or two years), with associated 2-sided 95 percent (%) confidence interval (CI). GMFC-MLD scale consists of 7 categories, scores ranging from 0 (walking without support with quality of performance normal for age) to 6 (loss of any locomotion as well as loss of any head and trunk control). Higher scores mean a worse outcome. The data was reported in terms of Mean as survival function was quantified using a weighted average of percentage of participants not reaching the event of interest, with weights derived from the relative size of treated and control units in the strata used for the stratified log-rank test in the primary analysis.
Time frame: Baseline up to Week 106
Group A: Number of Participants Who Maintained Their Gross Motor Function Evaluated by Using the GMFC-MLD at Week 106 Compared With Matched External Control Group Data
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline up to Week 106
Number of Participants With Change From Baseline in Gross Motor Function Evaluated by Using the GMFC-MLD at Week 106
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline, Week 106
Group A: Number of Participants With Decline From Baseline in GMFC-LMD of More Than 2 Categories
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline, Week 106
Group A: Time to Decline From Baseline in GMFC-MLD of More Than 2 Categories
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline, Week 106
Change From Baseline in Cerebrospinal Fluid (CSF) Sulfatides Levels at Week 106
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline, Week 106
Percent Change From Baseline in Cerebrospinal Fluid (CSF) Sulfatides Levels at Week 106
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline, Week 106
Group A: Number of Participants With Maintenance of Gross Motor Function at Week 106 Using Gross Motor Function Measure 88 (GMFM-88) Total Score
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline up to Week 106
Time to Unreversed Decline From Baseline in GMFM-88 Total Score of Greater Than (>) 20 Points or Unreversed Decline to Less Than (<) 40 Points Whichever Occurs First
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline, Week 106
Change From Baseline in GMFM-88 Total Score at Week 106
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline, Week 106
Group A: Number of Participants With GMFM-88 Total Score Decrease of <= 20 Points From Baseline and a Total Score >=40 Points at Week 106
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline, Week 106
Number of Participants With Change From Baseline in Expressive Language Evaluated by Using the Expressive Language Function Classification in Metachromatic Leukodystrophy (ELFC-MLD) Scale Categories at Week 106
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline, Week 106
Number of Participants With Treatment-emergent Adverse Event (TEAEs)
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: From start of study drug administration up to Week 106
Number of Participants With Clinically Significant Change From Baseline in Clinical Laboratory Values at Week 106
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline up to Week 106
Number of Participants With Clinically Significant Change From Baseline in Physical Examination Findings at Week 106
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline up to Week 106
Number of Participants With Clinically Significant Change From Baseline in Electrocardiogram (ECG) Values at Week 106
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline up to Week 106
Number of Participants With Clinically Significant Change From Baseline in Cerebrospinal Fluid (CSF) Laboratory Parameters at Week 106
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline up to Week 106
Number of Participants With Anti-Drug Antibody (ADA) Response to SHP611
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline up to Week 106
Number of Participants With IDDD Implantations
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline up to Week 106
Number of Participants With Any IDDD Related Malfunctions
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline up to Week 106
IDDD Longevity as Assessed by Time to IDDD Failure
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline up to Week 106
Number of Participants With TEAE Related to IDDD and Surgical Procedure
Data collection is ongoing and detailed reporting will be available after the study completion date.
Time frame: Baseline up to Week 106
The study was conducted at 19 investigational sites. A total of 36 participants were enrolled in this two-period study (primary treatment and extension periods) of which 35 received SHP611 or had intrathecal drug delivery device (IDDD) implanted. Data was reported till the primary treatment period. The study is still ongoing, additional data will be reported after the completion of the study. Study consisted of six groups (Group A,B,C,D, E, F) based on participant's age and motor dysfunction.
| Milestone | Group A, SHP611 | Group B, SHP611 | Group C, SHP611 | Group F, SHP611 | GLIA-MLD Matched External Control for Group A |
|---|---|---|---|---|---|
| Started | 15 | 5 | 6 | 9 | 33 |
| Completed | 12 | 3 | 5 | 9 | 0 |
| Not completed | 3 | 2 | 1 | 0 | 33 |
| Withdrew: Adverse event | 1 | 0 | 0 | 0 | 0 |
| Withdrew: Lost to follow-up | 1 | 1 | 1 | 0 | 0 |
| Withdrew: Withdrawal by parent/guardian | 1 | 1 | 0 | 0 | 0 |
| Withdrew: Ongoing (participants in glia-mld, [part of glia-ctn study]) | 0 | 0 | 0 | 0 | 33 |
Loss of locomotion was estimated using interval censoring survival analysis. Survival probability free of loss of locomotion based on GMFC-MLD was estimated up to Week 106 (or two years), with associated 2-sided 95 percent (%) confidence interval (CI). GMFC-MLD scale consists of 7 categories, scores ranging from 0 (walking without support with quality of performance normal for age) to 6 (loss of any locomotion as well as loss of any head and trunk control). Higher scores mean a worse outcome. The data was reported in terms of Mean as survival function was quantified using a weighted average of percentage of participants not reaching the event of interest, with weights derived from the relative size of treated and control units in the strata used for the stratified log-rank test in the primary analysis.
| percent probability | Group A, SHP611 | GLIA-MLD Matched External Control for Group A |
|---|---|---|
| Percent Probability of Free of Loss of Locomotion in the Last Time Interval Up to 2 Years (Week 106) Based on GMFC-MLD for SHP611 Group A and GLIA-MLD Matched External Control | 7.1 (0 to 20.2) | 9.4 (0 to 24.4) |
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Data collection is ongoing and detailed reporting will be available after the study completion date.
Results for this outcome have not been posted.
Collected over From start of study drug administration up to Week 106. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Group A, SHP611 | 0/15 (0%) | 14/15 (93.3%) | 15/15 (100%) |
| Group B, SHP611 | 1/5 (20%) | 4/5 (80%) | 5/5 (100%) |
| Group C, SHP611 | 0/6 (0%) | 5/6 (83.3%) | 6/6 (100%) |
| Group F, SHP611 | 0/9 (0%) | 9/9 (100%) | 9/9 (100%) |
| Event | Group A, SHP611 | Group B, SHP611 | Group C, SHP611 | Group F, SHP611 |
|---|---|---|---|---|
| SeizureNervous system disorders | 3/15 | 1/5 | 4/6 | 5/9 |
| Status epilepticusNervous system disorders | 2/15 | 0/5 | 3/6 | 2/9 |
| PyrexiaGeneral disorders | 4/15 | 1/5 | 2/6 | 4/9 |
| DysphagiaGastrointestinal disorders | 3/15 | 2/5 | 1/6 | 0/9 |
| PainGeneral disorders | 1/15 | 2/5 | 0/6 | 0/9 |
| Febrile convulsionNervous system disorders | 2/15 | 0/5 | 2/6 | 0/9 |
| PneumoniaInfections and infestations | 1/15 | 1/5 | 1/6 | 3/9 |
| Respiratory syncytial virus infectionInfections and infestations | 0/15 | 0/5 | 0/6 | 3/9 |
| Device failureProduct Issues | 4/15 | 0/5 | 0/6 | 1/9 |
| SepsisInfections and infestations | 0/15 | 0/5 | 0/6 | 2/9 |
| Event | Group A, SHP611 | Group B, SHP611 | Group C, SHP611 | Group F, SHP611 |
|---|---|---|---|---|
| PyrexiaGeneral disorders | 13/15 | 3/5 | 4/6 | 9/9 |
| VomitingGastrointestinal disorders | 8/15 | 2/5 | 3/6 | 8/9 |
| ConstipationGastrointestinal disorders | 12/15 | 3/5 | 4/6 | 5/9 |
| Muscle spasticityNervous system disorders | 11/15 | 3/5 | 2/6 | 6/9 |
| COVID-19Infections and infestations | 10/15 | 0/5 | 3/6 | 1/9 |
| CSF protein increasedInvestigations | 7/15 | 1/5 | 3/6 | 6/9 |
| Febrile convulsionNervous system disorders | 0/15 | 1/5 | 4/6 | 0/9 |
| GastroenteritisInfections and infestations | 5/15 | 1/5 | 4/6 | 1/9 |
| Gastrooesophageal reflux diseaseGastrointestinal disorders | 5/15 | 3/5 | 2/6 | 3/9 |
| Salivary hypersecretionGastrointestinal disorders | 3/15 | 3/5 | 3/6 | 3/9 |
| Age, Continuous(months) | Group A, SHP611 | Group B, SHP611 | Group C, SHP611 | Group F, SHP611 | GLIA-MLD Matched External Control for Group A | Total |
|---|---|---|---|---|---|---|
| Mean | 18.27 ± 4.008 | 20.80 ± 4.658 | 17.67 ± 7.448 | 17.44 ± 4.746 | 14.76 ± 3.751 | 16.59 ± 4.692 |
| Sex: Female, Male(Participants) | Group A, SHP611 | Group B, SHP611 | Group C, SHP611 | Group F, SHP611 | GLIA-MLD Matched External Control for Group A | Total |
|---|---|---|---|---|---|---|
| Female | 11 | 4 | 2 | 4 | 15 | 36 |
| Male | 4 | 1 | 4 | 5 | 18 | 32 |
| Ethnicity (NIH/OMB)(Participants) | Group A, SHP611 | Group B, SHP611 | Group C, SHP611 | Group F, SHP611 | GLIA-MLD Matched External Control for Group A | Total |
|---|---|---|---|---|---|---|
| Hispanic or Latino | 3 | 1 | 1 | 1 | 2 | 8 |
| Not Hispanic or Latino | 8 | 4 | 2 | 8 | 9 | 31 |
| Unknown or Not Reported | 4 | 0 | 3 | 0 | 22 | 29 |
| Race (NIH/OMB)(Participants) | Group A, SHP611 | Group B, SHP611 | Group C, SHP611 | Group F, SHP611 | GLIA-MLD Matched External Control for Group A | Total |
|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 1 | 1 |
| Asian | 2 | 0 | 0 | 1 | 1 | 4 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 1 | 0 | 0 | 1 | 1 | 3 |
| White | 12 | 5 | 5 | 7 | 13 | 42 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 1 | 0 | 17 | 18 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: Yes — Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report
Access criteria: IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement
Data sharing details ↗ · vivli.org
This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.
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Leukodystrophy, Metachromatic →