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Pegtibatinase As an Enzyme Therapy for Patients with Homocystinuria Caused by Cystathionine Beta-Synthase Deficiency (COMPOSE)
Sponsor: Travere Therapeutics, Inc.
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
Pegtibatinase
Pegtibatinase sterile solution for subcutaneous injection
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