ClinicalTrials.gg
CompletedNCT06406153Updated Aug 6, 2024

Efficacy and Safety of YW17 (Laronidase-CinnaGen) Compared to Aldurazyme® in MPS I Patients

A Phase 3 interventional study of Laronidase and Antihistamine in Mucopolysaccharidosis Type 1, sponsored by Cinnagen. Completed at 4 sites in Iran, Islamic Republic of. Open to participants aged 5 Years to 18 Years. Per ClinicalTrials.gov, last updated 2024-08-06.

Sponsored by Cinnagen · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 7 months after the study started (first participant enrolled Sep 2022, registered Apr 2024).

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Phase
Phase 3
Study type
Interventional
Enrollment
12
Allocation
Non-randomized
Ages
5 Years to 18 Years
Sex
All
01

Where this study stands

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

Among 16 studies testing laronidase in Mucopolysaccharidosis I — none open to participants now, none under way, none of them phase 3. laronidase · Mucopolysaccharidosis I.

Enrollment
7th of 16
12 · median 12
Started
2022
the only one that year
Phase 3
3 of 16
none open now
Registered
16th of 16
by date
Lead sponsor
1 of 16
Cinnagen

Among the 16 studies testing laronidase in Mucopolysaccharidosis I, this one is the 7th largest by enrollment, is the only one that started in 2022, is one of 3 in phase 3, and was the 16th registered.

Mucopolysaccharidosis I

74 studies on the registry are indexed under Mucopolysaccharidosis I; 7 are open to participants now.

Browse Mucopolysaccharidosis I studies →

Open to participants now

None of the 16 studies testing laronidase in Mucopolysaccharidosis I is open now. The open studies under Mucopolysaccharidosis I, anywhere →

About laronidase

laronidase: first FDA approval 2003 (ALDURAZYME), first EMA approval 2003. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 6 Mucopolysaccharidosis I studies recruiting now, 3 set no upper age limit and 3 stop at 75 or younger; 5 take children under 18; none take healthy volunteers.

This study: 5 Years to 18 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Download CSVNarrow it in search →With an account: the 16 studies testing laronidase in Mucopolysaccharidosis I as a file.
02

Study summary

The purpose of this phase III study is to assess the efficacy and safety of YW17 produced by CinnaGen Company compared to Aldurazyme® in mucopolysaccharidosis type I (MPS I) patients.

All patients receive Aldurazyme® for 12 weeks, followed by YW17 for another 12 weeks.

The primary outcome is the assessment of the maintenance of the mean uGAG levels at the end of each medication administration. The secondary outcomes are the assessment of 6-minute walking test (6MWT), predicted forced vital capacity (FVC), enzyme activity assay, and adverse events (AEs).

Read the detailed description

This is a phase III, single-sequence, cross-over study to assess the efficacy and safety of YW17 produced by CinnaGen Company in comparison with Aldurazyme® in MPS I patients.

All patients receive 0.58 mg/kg of Aldurazyme® for 12 weeks and then receive 0.58 mg/kg of YW17 for another 12 weeks.

Premedication with antipyretics and/or antihistamines is administered for all patients one hour before the infusion.

The primary outcome is to compare the mean uGAG levels at weeks 8, 10, and 12 (related to Aldurazyme®) with the mean uGAG levels at weeks 20, 22, and 24 (related to YW17).

The secondary outcomes, including 6MWT and FVC are assessed at the beginning and the end of each medication administration. Enzyme activity is assessed at the end of each medication administration. Safety assessments are performed during the study.

03

Conditions studied

  • Mucopolysaccharidosis Type 1

Keywords

  • Urinary Glycosaminoglycans
  • Laronidase
  • Mucopolysaccharidosis type I
  • Aldurazyme®
04

Who can participate

Ages eligible
5 Years to 18 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

  • Age 5-18
  • Diagnosed with MPS I
  • Signing form

Exclusion criteria

Exclusion Criteria:

  • Prior bone marrow transplantation or being a candidate for receiving haematopoietic stem cell transplantation ()
  • Prior tracheotomy
  • Being naïve to laronidase
  • Acute hydrocephalus
  • Abnormal renal function determined by measuring serum creatinine and blood urea nitrogen (BUN) levels
  • Any severe organic disease that is not associated with MPS I
  • Known to laronidase or components of the laronidase solution
  • Presence of any medical condition or other circumstances that could significantly interfere with study compliance
  • Pregnancy and lactation
  • Administration of any drug within 30 days before study enrollment
Terms in these criteria, in plain language(4)

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.

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    YW17 (laronidase biosimilar)

    YW17 (2.9 mg/5 mL) produced by CinnaGen Company, is administered 0.58 mg/kg weekly.

    Biological: Laronidase · Drug: Antihistamine · Drug: Antipyretic

  • Active comparator
    Aldurazyme®

    Aldurazyme® (2.9 mg/5 mL), is administered 0.58 mg/kg weekly.

    Biological: Laronidase · Drug: Antihistamine · Drug: Antipyretic

Interventions

  • BiologicalLaronidase

    Laronidase as Aldurazyme® (the first 12 weeks) or YW17 (the second 12 weeks) is administered.

  • An antihistamine is administered one hour before the infusion.

  • An antipyretic is administered one hour before the infusion.

06

What researchers measure

Primary outcomes

  1. mean uGAG

    urinary glycosaminoglycan

    Time frame: Baseline, weeks 8, 10, 12, 20, 22, and 24

Secondary outcomes

  1. mean 6MWT

    6-minute walking test

    Time frame: Baseline, week 12, week 24

  2. mean predicted FVC

    Forced vital capacity

    Time frame: Baseline, week 12, week 24

  3. mean enzyme activity level

    Enzyme activity assay

    Time frame: Weeks 11 and 23

  4. Number of participants with adverse events

    All reported AEs are classified based on the Medical Dictionary for Regulatory Activities (MedDRA) terms and are graded according to the Common Terminology Criteria for Adverse Events (CTCAE) v5.0.

    Time frame: During the study period (screening visit up to week 24)

07

Study locations

4 sites
  • Clinical Research Development Unit of Akbar Hospital, Faculty of Medicine
    Mashhad, Iran, Islamic Republic of
  • Growth and Development Research Center, Childrens Medical Center
    Tehran, Iran, Islamic Republic of
  • Loghman Hospital
    Tehran, Iran, Islamic Republic of
  • Mofid Childrens Hospital
    Tehran, Iran, Islamic Republic of
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

Ran from Sep 2022 to primary completion in Aug 2023, 11 months.

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

Registered
Apr 27, 2024
First posted
May 9, 2024
StartActual
Sep 10, 2022
Primary completionActual
Aug 12, 2023
CompletionActual
Nov 18, 2023
Last update
Aug 6, 2024
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 Aug 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06406153
Lead sponsor
Cinnagen
Responsible party
Sponsor
First posted
May 9, 2024
Start date
Sep 10, 2022
Primary completion
Aug 12, 2023
Completion
Nov 18, 2023
Last update
Aug 6, 2024

Study contacts

Ali Rabani, Professor
principal investigator · Professor of Pediatric Endocrinology & Metabolism, Department of Pediatrics

Oversight

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 Aug 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Laronidase

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