Intrathecal Enzyme Replacement for Hurler Syndrome
Status: | Completed |
---|---|
Conditions: | Metabolic |
Therapuetic Areas: | Pharmacology / Toxicology |
Healthy: | No |
Age Range: | Any - 3 |
Updated: | 12/5/2018 |
Start Date: | January 2, 2008 |
End Date: | November 18, 2018 |
Intrathecal Enzyme Replacement Therapy For Patients With Mucopolysaccharidosis Type I (Hurler Syndrome)
This protocol will examine whether the enzyme alpha-L-iduronidase (Laronidase), delivered
into the spinal fluid of patients with Hurler syndrome at intervals before and after bone
marrow transplant, is a safe and effective approach to slow the neurologic degeneration seen
in Hurler patients undergoing transplantation.
into the spinal fluid of patients with Hurler syndrome at intervals before and after bone
marrow transplant, is a safe and effective approach to slow the neurologic degeneration seen
in Hurler patients undergoing transplantation.
Subjects will receive an infusion of Laronidase into his/her spinal fluid approximately 12
weeks before, 2 weeks before, 100 days after and 6 months after transplant. This procedure is
done by lumbar puncture (also called a "spinal tap").
weeks before, 2 weeks before, 100 days after and 6 months after transplant. This procedure is
done by lumbar puncture (also called a "spinal tap").
Inclusion Criteria:
- Patients with a diagnosis of MPS IH (Hurler syndrome) are candidates for this protocol
if they are being considered for hematopoietic stem cell transplantation according the
University of Minnesota guidelines.
Exclusion Criteria:
- Patients are less than 6 months old, or older than 3 years of age.
- There is a history of clinically-severe hypersensitivity to Laronidase.
- There is a contraindication for repeated lumbar puncture.
- The family is not willing to undergo the necessary procedures and evaluations inherent
in the study.
- Consent has not been signed for participation in the 2004-09 study of intravenous
Laronidase administration.
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