ClinicalTrials.gg
AvailableNCT04327973Updated Oct 27, 2026

Expanded Access for ATB200/AT2221 for the Treatment of IOPD

An expanded access record providing ATB200 and AT2221 in Pompe Disease Infantile-Onset, sponsored by Amicus Therapeutics. Available at 4 sites in 3 countries. Open to participants aged 0 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Amicus Therapeutics (part of BioMarin Pharmaceutical) · Expanded access

Study type
Expanded access
Access type
Intermediate-size population
Ages
0 Years to 17 Years
Sex
All
01

Study summary

This is an expanded access program (EAP) for eligible participants designed to provide access to ATB200/AT2221.

Read the detailed description

This program is being offered on a patient by patient basis.

02

Conditions studied

  • Pompe Disease Infantile-Onset

Keywords

  • expanded access
  • compassionate use
03

In context

Glycogen Storage Disease Type II

162 studies on the registry are indexed under Glycogen Storage Disease Type II; 34 are open to participants now.

Browse Glycogen Storage Disease Type II studies →

Lead sponsor

Amicus Therapeutics is the lead sponsor of 42 studies on the registry; 8 are open to participants now.

First submitted before Amicus Therapeutics became part of BioMarin Pharmaceutical.

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

04

Who can participate

Ages eligible
0 Years to 17 Years
Sexes eligible
All

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. Patient is male or female and 0 to \< 18 years old.
  2. Patient has a diagnosis of Pompe disease, based on documentation of GAA genotyping demonstrating variants associated with IOPD.
  3. Patient does not currently qualify for or is unable to enroll (eg, due to location, etc) in any commercial drug-sponsored ongoing clinical trial.
  4. Patient is currently being treated with an approved ERT and is declining (eg, worsening in motor function, respiratory function/parameters, cardiac function, etc) based on treating physician's clinical judgement.
  5. The patient's legal guardian or representative has given (and assent when age appropriate for regional requirements) to treatment prior to administering ATB200/AT2221 in a manner consistent with all national requirements.
  6. If of and sexually active, female subjects agree to use a highly effective method of throughout the duration of the treatment and for up to 90 days after their last dose of ATB200/AT2221.

Exclusion criteria

Exclusion Criteria:

  1. Patient has a to any of the in ATB200, alglucosidase alfa, or AT2221
  2. Patient has a medical or any other extenuating condition or circumstance that may, in the opinion of the investigator and/or Amicus, pose an undue safety risk to the patient.
  3. Concomitant use of miglitol (eg, Glyset), non-AT2221 form of miglustat (eg, Zavesca), acarbose (eg, Precose or Glucobay), voglibose (eg, Volix, Vocarb,or Volibo)
Terms in these criteria, in plain language(5)

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.

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.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Access details

Study type
Expanded access
Access type
Intermediate-size population

Available treatment

  • BiologicalATB200

    Participants received ATB200 co-administered with AT2221 capsule (Miglustat)

  • DrugAT2221

    Participants received ATB200 co-administered with AT2221 capsule (Miglustat)

06

Where to request access

4 of 4 sites recruiting
  • UCSF Benioff Children's Hospital Oakland
    Oakland, California 94609, United States
    Available
  • UF Health Shands Hospital
    Gainesville, Florida 32610, United States
    Available
  • University Hospital of Padova
    Padova, Italy
    Available
  • National Taiwan University Hospital
    Taipei, 10002, Taiwan
    Available
07

Updates

1 registry update since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

08

Registry details

Key details

Study ID
NCT04327973
Responsible party
Sponsor
First posted
Mar 31, 2020
Last update
Oct 27, 2026

Study contacts

For Site
Contact
patientadvocacy@amicusrx.com
866-9AMICUS
For Patient
Contact
patientadvocacy@amicusrx.com
866-9AMICUS
View the source record on ClinicalTrials.gov ↗

Requesting access

Expanded access is arranged between your doctor and the company. Ask your care team to contact the provider listed on this record.

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Discussion

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