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Trial · NCT01218659

Study to Compare the Efficacy and Safety of Oral AT1001 and Enzyme Replacement Therapy in Patients With Fabry Disease

NCT01218659, Phase 3, Completed, Amicus Therapeutics; results first posted 2018-11-01

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study to Compare the Efficacy and Safety of Oral AT1001 and Enzyme Replacement Therapy in Patients With Fabry Disease. Trials, record NCT01218659. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01218659

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study to Compare the Efficacy and Safety of Oral AT1001 and Enzyme Replacement Therapy in Patients With Fabry Disease
NCT number
NCT01218659
Status
Completed
Phases
Phase 3
Enrollment
68 participants, actual
Lead sponsor
Amicus Therapeutics
Conditions
Fabry Disease
Interventions
migalastat hydrochloride, agalsidase
First posted
2010-10-11
Last updated
2018-11-01
Other registries' IDs
eudract:2010-022636-37
Results first posted
2018-11-01

Source ClinicalTrials.gov

Registered outcomes3

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryAnnualized Rate Of Change From Baseline To Month 18 In Measured Glomerular Filtration RateBaseline to Month 18
To assess renal function, measured glomerular filtration rate (GFR) was measured by the plasma clearance of unlabeled iohexol (mGFR-iohexol), a non-ionic contrast agent. The annualized rate of change in mGFR-iohexol from Baseline to Month 18 was analyzed using an analysis of covariance (ANCOVA) model with the following factors as covariates: treatment group, sex, age, Baseline GFR (mGFR-iohexol), and Baseline 24-hour (hr) urine protein. A threshold of \<2.2 milliliter (mL)/minute (min)/1.73 meter squared (m\^2)/year was established to compare migalastat to ERT. This difference of 2.2 mL/min/1.73 m2/year is based on the smallest expected rate of decline in estimated glomerular filtration rate (eGFR) for participants treated with agalsidase alfa for 18 months.
PrimaryAnnualized Rate Of Change From Baseline To Month 18 In eGFRBaseline to Month 18
The eGFR assessed by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation was calculated using the following: eGFR-CKD-EPI = 141 x min (Serum Creatinine/κ,1)\^(α) x max(Serum Creatinine/κ,1)\^(-1.209) x 0.993\^(Age) x 1.1018 (if female) x 1.159 (if African American or black) where: κ is 0.7 for females and 0.9 for males; α is -0.329 for females and -0.411 for males; min indicates the minimum of Serum Creatinine/κ or 1; max indicates the maximum of Serum Creatinine/κ or 1. The annualized rate of change in eGFR-CKD-EPI from Baseline to Month 18 was analyzed using an ANCOVA model with the following factors as covariates: treatment group, sex, age, Baseline GFR (eGFR-CKD-EPI), and Baseline 24-hr urine protein. A threshold of \<2.2 mL/min/1.73m\^2/year was established to compare migalastat to ERT. This difference of 2.2 mL/min/1.73 m2/year is based on the smallest expected rate of decline in eGFR for participants treated with agalsidase alfa for 18 months.
SecondaryAnnualized Rate Of Change From Baseline To Month 18 In eGFR By The Modification Of Diet In Renal Disease EquationBaseline to Month 18
The GFR estimated by the Modification Of Diet In Renal Disease equation (eGFR-MDRD) was calculated using the following equation: eGFR-MDRD = 175 x (Serum Creatinine)\^(-1.154) x (Age)\^(-0.203) x 1.212 (if participant's race is black or African American) x 0.742 (if participant is female). The eGFR-MDRD from Baseline to Month 18 was analyzed using an ANCOVA model with the following factors as covariates: treatment group, sex, age, Baseline GFR (eGFR-CKD-EPI), and Baseline 24-hr urine protein.

Outcomes3

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAnnualized Rate Of Change From Baseline To Month 18 In Measured Glomerular Filtration RateBaseline to Month 18
mITT Population: All randomized participants with an α Gal-A mutation that is amenable to migalastat, based on the GLP HEK assay, who received at least 1 dose of study drug, had Baseline and postbaseline mGFR-iohexol values, and postbaseline measure of the estimated GFR using the CKD-EPI equation.
mL/min/1.73 m^2/yearLEAST_SQUARES_MEAN
PRIMARYAnnualized Rate Of Change From Baseline To Month 18 In eGFRBaseline to Month 18
mITT Population: All randomized participants with an α Gal-A mutation that is amenable to migalastat, based on the GLP HEK assay, who received at least 1 dose of study drug, had Baseline and postbaseline mGFR-iohexol values, and postbaseline measure of the estimated GFR using the CKD-EPI equation.
mL/min/1.73 m^2/yearLEAST_SQUARES_MEAN
SECONDARYAnnualized Rate Of Change From Baseline To Month 18 In eGFR By The Modification Of Diet In Renal Disease EquationBaseline to Month 18
mITT Population: All randomized participants with an α Gal-A mutation that is amenable to migalastat, based on the GLP HEK assay, who received at least 1 dose of study drug, had Baseline and postbaseline mGFR-iohexol values, and postbaseline measure of the estimated GFR using the CKD-EPI equation.
mL/min/1.73 m^2/yearLEAST_SQUARES_MEAN

Results by group6

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Annualized Rate Of Change From Baseline To Month 18 In Measured Glomerular Filtration RateMigalastat (0-18 Months)-4.3595% Confidence Interval -7.65 to -1.06mL/min/1.73 m^2/year
Annualized Rate Of Change From Baseline To Month 18 In Measured Glomerular Filtration RateERT (0-18 Months)-3.2495% Confidence Interval -7.81 to 1.33mL/min/1.73 m^2/year
Annualized Rate Of Change From Baseline To Month 18 In eGFRMigalastat (0-18 Months)-0.4095% Confidence Interval -2.27 to 1.48mL/min/1.73 m^2/year
Annualized Rate Of Change From Baseline To Month 18 In eGFRERT (0-18 Months)-1.0395% Confidence Interval -3.64 to 1.58mL/min/1.73 m^2/year
Annualized Rate Of Change From Baseline To Month 18 In eGFR By The Modification Of Diet In Renal Disease EquationMigalastat (0-18 Months)-1.5195% Confidence Interval -3.43 to 0.40mL/min/1.73 m^2/year
Annualized Rate Of Change From Baseline To Month 18 In eGFR By The Modification Of Diet In Renal Disease EquationERT (0-18 Months)-1.5395% Confidence Interval -4.20 to 1.13mL/min/1.73 m^2/year

Participant flow27

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
18-Month Randomized PeriodSTARTEDMigalastat (0-18 Months)36
18-Month Randomized PeriodSTARTEDERT (0-18 Months)24
18-Month Randomized PeriodSTARTEDAll Migalastat (0-30 Months)0
18-Month Randomized PeriodSafety PopulationMigalastat (0-18 Months)36
18-Month Randomized PeriodSafety PopulationERT (0-18 Months)21
18-Month Randomized PeriodSafety PopulationAll Migalastat (0-30 Months)0
18-Month Randomized PeriodCOMPLETEDMigalastat (0-18 Months)34
18-Month Randomized PeriodCOMPLETEDERT (0-18 Months)18
18-Month Randomized PeriodCOMPLETEDAll Migalastat (0-30 Months)0
18-Month Randomized PeriodNOT COMPLETEDMigalastat (0-18 Months)2

Adverse events240

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherPalpitationsCardiac disordersMigalastat (0-18 Months)236
otherPalpitationsCardiac disordersERT (0-18 Months)121
otherPalpitationsCardiac disordersAll Migalastat (0-30 Months)551
otherTinnitusEar and labyrinth disordersMigalastat (0-18 Months)336
otherTinnitusEar and labyrinth disordersERT (0-18 Months)021
otherTinnitusEar and labyrinth disordersAll Migalastat (0-30 Months)551
otherDiarrhoeaGastrointestinal disordersMigalastat (0-18 Months)536
otherDiarrhoeaGastrointestinal disordersERT (0-18 Months)221
otherDiarrhoeaGastrointestinal disordersAll Migalastat (0-30 Months)1151
otherNauseaGastrointestinal disordersMigalastat (0-18 Months)536

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMigalastat (0-18 Months)
Total, all-cause mortalityERT (0-18 Months)
Total, all-cause mortalityAll Migalastat (0-30 Months)
Total, other adverse eventsMigalastat (0-18 Months)3436
Total, other adverse eventsERT (0-18 Months)2021
Total, other adverse eventsAll Migalastat (0-30 Months)5051
Total, serious adverse eventsMigalastat (0-18 Months)736
Total, serious adverse eventsERT (0-18 Months)721
Total, serious adverse eventsAll Migalastat (0-30 Months)1651

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
27657681DERIVEDPubMed
27834756DERIVEDPubMed
31889231DERIVEDPubMed
31934472DERIVEDPubMed
32994552DERIVEDPubMed
33012654DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01218659

GET https://conductscience.org/api/trials/v1/NCT01218659/flow?page=2