ClinicalTrials.gg
RecruitingNCT04808505ROSSELLAUpdated Jan 22, 2026

A Study to Evaluate the Safety, Efficacy, PK, PD and Immunogenicity of Cipaglucosidase Alfa/Miglustat in IOPD Subjects Aged 0 to <18

A Phase 3 interventional study of Cipaglucosidase alfa and Miglustat in Glycogen Storage Disease Type II Infantile Onset, sponsored by Amicus Therapeutics. Recruiting at 14 sites in 6 countries. Open to participants aged Up to 17 Years. Per ClinicalTrials.gov, last updated 2026-01-22.

Sponsored by Amicus Therapeutics (part of BioMarin Pharmaceutical) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2023; still recruiting 3 years 3 months later.

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Phase
Phase 3
Study type
Interventional
Enrollment
36
Allocation
Non-randomized
Ages
Up to 17 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 16 studies in Glycogen Storage Disease Type II by BioMarin Pharmaceutical — 2 open to participants now, 3 under way, 2 of them phase 3. Glycogen Storage Disease Type II · BioMarin Pharmaceutical.

Planned enrollment
3rd of 10
36 · median 25
Started
2023
the only one that year
Phase 3
5 of 16
1 open now
Registered
15th of 16
by date

Among the 16 studies in Glycogen Storage Disease Type II by BioMarin Pharmaceutical, this one is the 3rd largest by planned enrollment of the 10 interventional ones that give a count, is the only one that started in 2023, is one of 5 in phase 3, and was the 15th registered.

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 →

Open to participants now

2 of the 16 studies in Glycogen Storage Disease Type II by BioMarin Pharmaceutical are open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

Who these studies take

Of the 23 Glycogen Storage Disease Type II studies recruiting now, 16 (70%) set no upper age limit and 6 (26%) stop at 75 or younger; 15 take children under 18; none take healthy volunteers.

This study: Up to 17 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 16 studies in Glycogen Storage Disease Type II by BioMarin Pharmaceutical, or all of them as a file.
02

Study summary

This is a Phase 3, open-label, multicenter study to evaluate the safety, efficacy, PK, PD, and immunogenicity of cipaglucosidase alfa/miglustat treatment in ERT-experienced and ERT-naïve pediatric subjects with IOPD.

03

Conditions studied

  • Glycogen Storage Disease Type II Infantile Onset
04

Who can participate

Ages eligible
Up to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

Cohort 1:

  1. Male or female subjects who are aged 6 months to \< 18 years on Day 1
  2. Subject must have documentation of IOPD genotype
  3. Subject must have had hypertrophic cardiomyopathy at the time of diagnosis
  4. Subject must have received ERT for at least 6 months immediately before enrollment. For subjects whose ERT dosage has been modified, the subject must have been on the modified dosage and regimen for at least 3 months before enrollment
  5. Subjects aged ≥ 12 to \< 18 years must perform one valid 6-minute walk test (6MWT) (≥ 75 meters) at screening; Subjects aged ≥ 5 to \< 12 years must perform one valid 6MWT (≥ 40 meters) at screening; Subjects aged 18 months to \< 5 years must be ambulatory and assessed to be likely to be able to perform 6MWT (≥ 40 meters) when they turn 5 years old
  6. Subjects must have experienced a clinical decline on their current rhGAA dose and frequency

Cohort 2:

  1. Male or female subjects who are aged 0 to \<6 months at Day 1
  2. Subject must have documentation of IOPD genotype
  3. Subject must have had hypertrophic cardiomyopathy at the time of diagnosis
  4. Subject is ERT-naïve

Long-term Extension (Cohort 1 or Cohort 2):

1. Subject must have, in the opinion of the investigator, benefited from therapy with cipaglucosidase alfa/miglustat during the 104-week primary treatment period with no significant safety concerns.

Exclusion criteria

Exclusion Criteria:

Cohort 1 and Cohort 2, unless specified

  1. Subject requires invasive ventilation (eg, tracheostomy)
  2. Subject is CRIM negative and has not received prophylactic immunomodulation (Cohort 1); Subject is CRIM negative and will not be receiving prophylactic immunomodulation (Cohort 2)
  3. Subject has a history of life-threatening IARs/ (eg, anaphylaxis and severe cutaneous reactions) to ERT (eg, alglucosidase alfa, cipaglucosidase alfa, miglustat) or other iminosugars, or to any of the , where rechallenge was unsuccessful
  4. Subject has prior history of illness or condition known to affect motor function
  5. Female subject is pregnant (or intends to get pregnant) or breastfeeding at screening (Cohort 1)
Terms in these criteria, in plain language(2)

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.

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

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
36 participants (estimated)

Study arms

  • Experimental
    Cohort 1: Cipaglucosidase Alfa/Miglustat in ERT-experienced pediatric IOPD subjects

    Pediatric IOPD subjects 6 months to \<18 years experiencing clinical decline

    Biological: Cipaglucosidase alfa · Drug: Miglustat

  • Experimental
    Cohort 2: Cipaglucosidase Alfa/Miglustat in ERT-naïve pediatric IOPD subjects

    Pediatric IOPD subjects \<6 months

    Biological: Cipaglucosidase alfa · Drug: Miglustat

Interventions

  • Sterile lyophilized powder intravenous (IV) infusion

    Also known as: ATB200

  • 65 mg oral capsules

    Also known as: AT2221

06

What researchers measure

Primary outcomes

  1. Proportion of subjects with infusion-associated reactions (IARs)

    Time frame: 104 weeks

07

Study locations

13 of 14 sites recruiting
  • University of Florida Clinical Research Center
    Gainesville, Florida 32610, United States
    Recruiting
  • The Emory Clinic
    Atlanta, Georgia 30322, United States
    Recruiting
  • Duke University Early Phase Research Unit
    Durham, North Carolina 27710, United States
    Recruiting
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 54229, United States
    Recruiting
  • UPMC Hospital of Pittsburgh
    Pittsburgh, Pennsylvania 15224, United States
    Recruiting
  • University of Utah, Clinical and Translational Sciences Institute
    Salt Lake City, Utah 84108, United States
    Recruiting
  • Universitätsklinikum Gießen und Marburg GmbH, Zentrum fur Kinderheilkunde und Jugendmedizin Abteilung fur Kinderneurologic, Sozialpadiatric und Epileptologie
    Giessen, 35392, Germany
    Recruiting
  • Universitätsklinikum Heidelberg - Pädiatrisches Klinisch-Pharmakologisches Studienzentrum (paedKliPS)
    Heidelberg, 69120, Germany
    Recruiting
  • SphinCS GmbH
    Höchheim, 65239, Germany
    Recruiting
  • Universitätsklinikum Münster Klinik für Kinder- und Jugendmedizin Albert-Schweitzer-Campus 1
    Münster, 48149, Germany
    Recruiting
  • AOU Federico II
    Naples, 80131, Italy
    Recruiting
  • Erasmus MC, Sophia Kinderziekenhuis
    Rotterdam, 3015 GD, Netherlands
    Recruiting
  • National Taiwan University Hospital
    Taipei, 100, Taiwan
    Withdrawn

    Not enrolling at this site.

  • Great Ormond Street Hospital for Children NHS Foundation Trust
    London, WC1N3JH, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2023 (actual). Primary completion is estimated for Jul 2027, 48 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 10, 2021
First posted
Mar 22, 2021
StartActual
Jul 18, 2023
Primary completionEst.
Jul 2027
CompletionEst.
Jul 2027
Last update
Jan 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04808505
Responsible party
Sponsor
First posted
Mar 22, 2021
Start date
Jul 18, 2023
Primary completion
Jul 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Jan 22, 2026

Study contacts

For Site
Contact
patientadvocacy@amicusrx.com
609-662-2000
For Patient
Contact
patientadvocacy@amicusrx.com
609-662-2000

Oversight

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

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Studies of the drugs tested here: Cipaglucosidase alfa · Miglustat

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