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Trial · NCT03729362

A Study Comparing ATB200/AT2221 With Alglucosidase Alfa/Placebo in Adult Subjects With Late-onset Pompe Disease

NCT03729362, Phase 3, Completed, Amicus Therapeutics; results first posted 2023-09-11

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study Comparing ATB200/AT2221 With Alglucosidase Alfa/Placebo in Adult Subjects With Late-onset Pompe Disease. Trials, record NCT03729362. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03729362

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Trial

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

Title
A Study Comparing ATB200/AT2221 With Alglucosidase Alfa/Placebo in Adult Subjects With Late-onset Pompe Disease
NCT number
NCT03729362
Status
Completed
Phases
Phase 3
Enrollment
125 participants, actual
Lead sponsor
Amicus Therapeutics
Conditions
Pompe Disease (Late-onset)
Interventions
Cipaglucosidase Alfa, Miglustat, Alglucosidase Alfa, Placebo
First posted
2018-11-02
Last updated
2025-09-11
Results first posted
2023-09-11

Source ClinicalTrials.gov

Registered outcomes33

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

ListOutcomeTime frameDescription
PrimaryChange From Baseline to Week 52 in 6 Minute Walk Distance (6MWD)Baseline, Week 52
The efficacy of cipaglucosidase alfa/miglustat co-administration on ambulatory function was measured by the 6MWT. The 6MWD, measured in meters, is the distance walked on the 6MWT. A greater distance indicated greater endurance. An increase from baseline indicated improvement.
SecondaryChange From Baseline to Week 52 in Sitting Forced Vital Capacity (FVC; % Predicted)Baseline, Week 52
The efficacy of cipaglucosidase alfa/miglustat co-administration on pulmonary function was measured by sitting FVC (% predicted). FVC is a standard pulmonary function test used to quantify respiratory muscle weakness.
SecondaryChange From Baseline to Week 52 in the Manual Muscle Test (MMT) Score for the Lower ExtremitiesBaseline, Week 52
The total score for the MMT lower extremity strength included the following 8 body parts: right/left hip flexion, right/left hip abduction, right/left knee flexion and right/left knee extension. The MMT lower extremity score ranged from 0 to 40, with lower scores indicating weaker muscle strength. An increase from baseline indicated increased muscle strength.
SecondaryChange From Baseline to Week 26 in 6MWDBaseline, Week 26The 6MWD, measured in meters, is the distance walked on the 6MWT.
SecondaryChange From Baseline to Week 52 in the Total Score for the Patient- Reported Outcomes Measurement Information System (PROMIS®) - Physical FunctionBaseline, Week 52
Physical Function Short Form 20a (v2.0) consisted of 20 questions. The first 14 questions were each scored on a scale from 1 to 5 as follows: 1 = unable to do; 2 = with much difficulty; 3 = with some difficulty; 4 = with a little difficulty; 5 = without any difficulty; the next 6 questions were each scored on a scale from 1 to 5 as follows: 1 = cannot do; 2 = quite a lot; 3 = somewhat; 4 = very little; 5 = not at all. The total score was calculated by summing up scores (1 to 5) across all items. Total scores range from 20 to 100. A higher score represented a better outcome.
SecondaryChange From Baseline to Week 52 in the Total Score for the PROMIS® - FatigueBaseline, Week 52
Fatigue Short Form 8a consisted of 6 questions, each scored on a scale from 1 to 5 as follows: 1 = not at all; 2 = a little bit; 3 = somewhat; 4 = quite a bit; 5 = very much; and 2 questions, each scored on a scale from 1 to 5 as follows: 1 = never; 2 = rarely; 3 = sometimes; 4 = often; 5 = always. The total score was calculated by summing up scores (1 to 5) across all items. A lower score represented lower fatigue symptoms.
SecondaryChange From Baseline to Week 52 in the Total Score for the Gait, Stairs, Gowers' Maneuver, and Chair (GSGC)Baseline, Week 52
The GSGC consisted of a 10-meter walk for evaluation of gait, a 4-stair climb, Gowers' maneuver, and arising from a chair. Results of the GSGC included the time required to complete the individual tests, individual scores for each of the tests (1 to 7 points for each of gait, 4-stair climb, and Gowers' maneuver, and 1 to 6 points for arising from a chair), and a total score. GSGC total score was the sum of the component scores from the 4 functional tests. The total score ranged from a minimum of 4 points (normal performance) to a maximum of 27 points (worst performance).
SecondaryChange From Baseline to Week 52 in Rasch-Built Pompe-Specific Activity (R-PAct) Total ScoreBaseline, Week 52
The R-PAct scale was an 18-item questionnaire to measure limitations in activities and restriction in social participation. Possible responses to questions were as follows: unable to perform, able to perform, but with difficulty, and able to perform without difficulty. The total score was calculated by summing up the observed scores across the 18 items and it ranged from 0 to 36, with higher values representing lower level of disease impact on the muscles.
SecondaryChange From Baseline to Week 52 in European Quality of Life-5 Dimensions 5 Response Levels (EQ-5D-5L) Based on the EuroQol Visual Analogue Scale (EQ VAS) Quantitative ScoreBaseline, Week 52
The EuroQol Visual Analogue Scale (EQ VAS) is a vertical visual analogue scale that records the respondent's own assessment of his or her overall health status at the time of completion. Scores range from 0 (the worst health you can imagine) to 100 (the best health you can imagine). Higher EQ VAS scores represent an improved sense of overall health while lower scores represent a worsening of overall health.
SecondaryChange From Baseline to Week 52 in Sitting Slow Vital Capacity (SVC) % PredictedBaseline, Week 52SVC is a standard pulmonary function test used to quantify respiratory muscle weakness.

Outcomes33

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline to Week 52 in 6 Minute Walk Distance (6MWD)Baseline, Week 52
Analysis was performed on Intent-to-treat (ITT)-observed (OBS) population. Number of participants analyzed are based on those who had 6MWD result at Week 52. In addition, 1 outlier subject in the alglucosidase alfa/placebo group was not included in the analysis.
meterLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 52 in Sitting Forced Vital Capacity (FVC; % Predicted)Baseline, Week 52
Analysis was performed on ITT-Last Observation Carried Forward (LOCF) population. In the cipaglucosidase alfa/miglustat group, 1 subject had no post-baseline values and was not included in the analysis. In the alglucosidase alfa/placebo group, the outlier subject was not included in the analysis.
percentage of predicted FVCLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 52 in the Manual Muscle Test (MMT) Score for the Lower ExtremitiesBaseline, Week 52
Analysis was performed on the ITT-LOCF population. In the cipaglucosidase alfa/miglustat group, 1 subject had neither baseline nor post-baseline values and 4 subjects had no post-baseline values; these subjects were not included in the analysis. In the alglucosidase alfa/placebo group, 3 subjects had neither baseline nor post-baseline values, and were not included in the analysis. In addition, the outlier subject was not included in the analysis.
score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 26 in 6MWDBaseline, Week 26Analysis was performed on ITT-LOCF population. In the alglucosidase alfa/placebo group, the outlier subject was not included in the analysis.meterLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 52 in the Total Score for the Patient- Reported Outcomes Measurement Information System (PROMIS®) - Physical FunctionBaseline, Week 52
Analysis was performed on ITT-LOCF population. In the cipaglucosidase alfa/miglustat group, 1 subject had neither baseline nor post-baseline values, and was not included in the analysis. In the alglucosidase alfa/placebo group, the outlier subject was not included in the analysis.
score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 52 in the Total Score for the PROMIS® - FatigueBaseline, Week 52Analysis was performed on ITT-LOCF population. In the alglucosidase alfa/placebo group, the outlier subject was not included in the analysis.score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 52 in the Total Score for the Gait, Stairs, Gowers' Maneuver, and Chair (GSGC)Baseline, Week 52
Analysis was performed on ITT-LOCF population. In the cipaglucosidase alfa/miglustat group, 11 subjects had neither baseline nor post-baseline values, and 2 had no post-baseline values; these subjects were not included in the analysis. In the alglucosidase alfa/placebo group, 5 subjects had neither baseline nor post-baseline values, and 2 had no post-baseline values; these subjects were not included in the analysis. In addition, the outlier subject was not included in the analysis.
score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 52 in Rasch-Built Pompe-Specific Activity (R-PAct) Total ScoreBaseline, Week 52
Analysis was performed on ITT-LOCF population. In the cipaglucosidase alfa/miglustat group, 16 subjects had neither baseline nor post-baseline values, and were not included in the analysis. In the alglucosidase alfa/placebo group, 4 subjects had neither baseline nor post-baseline values, and were not included in the analysis. In addition, the outlier subject was not included in the analysis.
score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 52 in European Quality of Life-5 Dimensions 5 Response Levels (EQ-5D-5L) Based on the EuroQol Visual Analogue Scale (EQ VAS) Quantitative ScoreBaseline, Week 52
Analysis was performed on ITT-LOCF population. In the cipaglucosidase alfa/miglustat group, 1 subject had neither baseline nor post-baseline values, and was not included in the analysis. In the alglucosidase alfa/placebo group, 1 subject had neither baseline nor post-baseline values, and was not included in the analysis. In addition, the outlier subject was not included in the analysis.
score on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Week 52 in Sitting Slow Vital Capacity (SVC) % PredictedBaseline, Week 52
Analysis was performed on ITT-LOCF population. In the cipaglucosidase alfa/miglustat group, 2 subjects had no post-baseline values and were not included in the analysis. In the alglucosidase alfa/placebo group, 1 subject had no baseline value, 1 subject had no post-baseline values, and they were not included in the analysis. In addition, the outlier subject was not included in the analysis.
percentage of predicted SVCLEAST_SQUARES_MEAN

Results by group110

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

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline to Week 52 in 6 Minute Walk Distance (6MWD)Cipaglucosidase Alfa/Miglustat21.31Standard Error 11.56meter
Change From Baseline to Week 52 in 6 Minute Walk Distance (6MWD)Alglucosidase Alfa/Placebo7.10Standard Error 7.043meter
Change From Baseline to Week 52 in Sitting Forced Vital Capacity (FVC; % Predicted)Cipaglucosidase Alfa/Miglustat-1.04Standard Error 0.624percentage of predicted FVC
Change From Baseline to Week 52 in Sitting Forced Vital Capacity (FVC; % Predicted)Alglucosidase Alfa/Placebo-3.70Standard Error 0.953percentage of predicted FVC
Change From Baseline to Week 52 in the Manual Muscle Test (MMT) Score for the Lower ExtremitiesCipaglucosidase Alfa/Miglustat1.64Standard Error 0.388score on a scale
Change From Baseline to Week 52 in the Manual Muscle Test (MMT) Score for the Lower ExtremitiesAlglucosidase Alfa/Placebo0.68Standard Error 0.603score on a scale
Change From Baseline to Week 26 in 6MWDCipaglucosidase Alfa/Miglustat16.45Standard Error 3.360meter
Change From Baseline to Week 26 in 6MWDAlglucosidase Alfa/Placebo8.28Standard Error 5.168meter
Change From Baseline to Week 52 in the Total Score for the Patient- Reported Outcomes Measurement Information System (PROMIS®) - Physical FunctionCipaglucosidase Alfa/Miglustat1.98Standard Error 0.921score on a scale
Change From Baseline to Week 52 in the Total Score for the Patient- Reported Outcomes Measurement Information System (PROMIS®) - Physical FunctionAlglucosidase Alfa/Placebo0.11Standard Error 1.406score on a scale

Participant flow8

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCipaglucosidase Alfa/Miglustat85
Overall StudySTARTEDAlglucosidase Alfa/Placebo40
Overall StudyReceived at Least 1 Dose of Study DrugCipaglucosidase Alfa/Miglustat85
Overall StudyReceived at Least 1 Dose of Study DrugAlglucosidase Alfa/Placebo38
Overall StudyCOMPLETEDCipaglucosidase Alfa/Miglustat80
Overall StudyCOMPLETEDAlglucosidase Alfa/Placebo37
Overall StudyNOT COMPLETEDCipaglucosidase Alfa/Miglustat5
Overall StudyNOT COMPLETEDAlglucosidase Alfa/Placebo3

Adverse events108

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHypertensionVascular disordersCipaglucosidase Alfa/Miglustat585
otherHypertensionVascular disordersAlglucosidase Alfa/Placebo338
otherContusionInjury, poisoning and procedural complicationsCipaglucosidase Alfa/Miglustat585
otherContusionInjury, poisoning and procedural complicationsAlglucosidase Alfa/Placebo338
otherFallInjury, poisoning and procedural complicationsCipaglucosidase Alfa/Miglustat2585
otherFallInjury, poisoning and procedural complicationsAlglucosidase Alfa/Placebo1538
otherLimb injuryInjury, poisoning and procedural complicationsCipaglucosidase Alfa/Miglustat385
otherLimb injuryInjury, poisoning and procedural complicationsAlglucosidase Alfa/Placebo238
otherDyspnoeaRespiratory, thoracic and mediastinal disordersCipaglucosidase Alfa/Miglustat685
otherDyspnoeaRespiratory, thoracic and mediastinal disordersAlglucosidase Alfa/Placebo138

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCipaglucosidase Alfa/Miglustat085
Total, all-cause mortalityAlglucosidase Alfa/Placebo038
Total, other adverse eventsCipaglucosidase Alfa/Miglustat6985
Total, other adverse eventsAlglucosidase Alfa/Placebo3238
Total, serious adverse eventsCipaglucosidase Alfa/Miglustat885
Total, serious adverse eventsAlglucosidase Alfa/Placebo138

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
34800400DERIVEDPubMed
38294575DERIVEDPubMed
39318718DERIVEDPubMed
39535661DERIVEDPubMed
40342075DERIVEDPubMed
41631150DERIVEDPubMed

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 comparisons3

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

ComparisonSource
Cipaglucosidase Alfa/Miglustat vs Alglucosidase Alfa/Placebo: Number of Participants Improving on Both 6MWD and % Predicted FVC at Week 52Trial comparisons
Cipaglucosidase Alfa/Miglustat vs Alglucosidase Alfa/Placebo: deaths from any causeTrial comparisons
Cipaglucosidase Alfa/Miglustat vs Alglucosidase Alfa/Placebo: serious adverse eventsTrial comparisons

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.

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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/NCT03729362

GET https://conductscience.org/api/trials/v1/NCT03729362/registered?page=2