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ACTIVE NOT RECRUITING
NCT03406611
PHASE1/PHASE2

Pegtibatinase As an Enzyme Therapy for Patients with Homocystinuria Caused by Cystathionine Beta-Synthase Deficiency (COMPOSE)

Sponsor: Travere Therapeutics, Inc.

View on ClinicalTrials.gov

Summary

Homocystinuria caused by Cystathionine Beta-Synthase (CBS) Deficiency is a rare autosomal-recessive metabolic condition characterized by an excess of homocysteine (Hcy) in the plasma, tissues and urine. It is due to reduced or absent activity of the CBS enzyme, and is also known as classical homocystinuria. The symptoms associated with homocystinuria are variable in severity and time of onset across patients. Some affected individuals may have mild signs of the disorder; others may have multi-systemic involvement including potentially life-threatening complications. Homocystinuria can affect many different organ systems of the body; the four most commonly involved are the eyes, central nervous system, skeleton, and the vascular system. The current approaches to treatment of homocystinuria patients include a highly restrictive diet and use of dietary supplements. Lifetime compliance with this diet is poor. Pegtibatinase (TVT-058) represents a novel therapeutic approach that incorporates the use of a modified version of the native, human CBS (hCBS) enzyme. The goal of treatment is to introduce the CBS enzyme into circulation, resulting in reduced Hcy levels, increased cystathionine (Cth) and cysteine (Cys) levels.

Official title: A Double Blind, Randomized, Placebo-controlled, Phase 1/2 Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Effects on Clinical Outcomes of Pegtibatinase (TVT-058), Administered Subcutaneously in Patients with Cystathionine Beta-Synthase Deficient Homocystinuria (COMPOSE)

Key Details

Gender

All

Age Range

12 Years - 65 Years

Study Type

INTERVENTIONAL

Enrollment

32

Start Date

2019-01-22

Completion Date

2026-12

Last Updated

2024-11-22

Healthy Volunteers

No

Conditions

Interventions

DRUG

Pegtibatinase

Pegtibatinase sterile solution for subcutaneous injection

DRUG

Placebo

Normal saline for subcutaneous injection

Locations (8)

Travere Investigational Site - Virtual Site

Culver City, California, United States

Travere Investigational Site

Aurora, Colorado, United States

Travere Investigational Site

Miami, Florida, United States

Travere Investigational Site

Indianapolis, Indiana, United States

Travere Investigational Site

Portland, Maine, United States

Travere Investigational Site

Boston, Massachusetts, United States

Travere Investigational Site

New York, New York, United States

Travere Investigational Site

Philadelphia, Pennsylvania, United States