About this trial
This is a longitudinal natural history study of Infantile Pompe disease. The investigators will regularly collect and review medical information regarding the diagnosis of Pompe disease, response to enzyme replacement (ERT) using alglucosidase alfa (Lumizyme/Myozyme) and response to immunosuppressive therapy in cases at risk for developing or those who have developed high and sustained antibodies to ERT. To follow the long-term outcomes, we will collect medical records including but not limited to the diagnosis, clinical parameters, assessments for clinical monitoring, and laboratory values including antibody testing results.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Confirmed diagnosis of infantile, atypical or juvenile onset Pompe disease
Must provide a written informed consent
Disqualifiers
None
Trial population
Study subjects will be babies/children/adults with a confirmed diagnosis of infantile-onset Pompe disease who are: 1. seen by the clinical staff of Duke Division of Medical Genetics, or 2. whose physician or parent contacts the Duke Division of Medical Genetics with the wish to participate in this CRIM research study.
Trial design
Cohort
Prospective
Treatments tested in this trial
Observational
Other interventionThis is a longitudinal study focused on the emerging natural history of Infantile Pompe disease, response to ERT using alglucosidase alfa (Myozyme) and response to Immune Tolerance Induction (ITI).
Treatment groups
Trial outcomes
Primary outcomes
Clinical response to enzyme replacement therapy (ERT) using alglucosidase alfa (Myozyme)
Medical records will be tracked until the patient reaches the age of 18 years to follow clinical response to ERT. This will allow us to gain an understanding of CRIM status in relation to clinical outcomes and development for these subjects.
Secondary outcomes
Response to Immune Tolerance Induction (ITI)
Medical records will be tracked until the patient reaches the age of 18 years to follow clinical response to Immune Tolerance Induction (ITI) for patients who are CRIM- or CRIM+ with high antibody titers. This will allow us to increase our understanding of the history of Pompe disease in relation to treatment interventions and the role of high antibody titers in terms of patient outcome in order to develop strategies to ameliorate the immune response and other factors that may affect response to ERT.
Sponsors and contacts
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Duke University
Lead sponsor
Genzyme, a Sanofi Company
Collaborator