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By invitationNCT06431893ClinicalTrials.gov record

A Long-term Extension Study to Assess the Long-term Safety and Efficacy of Pegtibatinase Treatment in Participants ≥5 to ≤65 Years of Age With Classical Homocystinuria (HCU) (ENSEMBLE) (ENSEMBLE)

Homocystinuria

THE QUICK READ

What this study involves

The registry does not currently label this study as recruiting. Ask about its status before planning a screening visit.

Study type
Interventional
Phase
Phase 3
Age range
5 years - 65 years
Sex eligible
All sexes
Healthy volunteers
Not accepted
Participants
100 Estimated

These are starting points, not an eligibility decision. The research team must review the full requirements.

About the research

The goal of this long-term extension (LTE) study is to evaluate the safety and efficacy of pegtibatinase in patients with classical homocystinuria (HCU). Patients who are active in the Phase 1/2 COMPOSE study or those who complete the 24 weeks of blinded treatment in the Phase 3 HARMONY are eligible to participate.

Participants will be in this clinical study for a minimum of 108 weeks including:

a treatment period of up to 104 weeks a 4-week safety follow-up period

Read the full description

Overall Design:

This is a global, multicenter, single-arm, open-label study. Participants who meet all eligibility criteria may transition from other pegtibatinase studies and enroll into this LTE study for long-term safety, efficacy, and clinical assessments of pegtibatinase treatment.

All participants will follow a protocol of self-administration of pegtibatinase unless exempted. During the study, pegtibatinase pharmacokinetic assessments will be conducted. An optional protein tolerance modification (PTM) sub-study will also be conducted for eligible participants.

Who may be able to participate?

The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.

Inclusion Criteria:

• Participants active in the COMPOSE study or who completed the 24- week blinded period on study intervention (pegtibatinase or placebo) in the Phase 3 HARMONY study

Exclusion Criteria:

• Participant permanently discontinued from study intervention treatment in a previous pegtibatinase study due to serious AE (SAE) or intolerance

Understand screening

Treatment, groups and participation

The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.

Assignment
Not applicable
Masking
No masking
pegtibatinase

Not reported in this registry record.

Drug: Pegtibatinase

Pegtibatinase DRUG

Pegtibatinase BIW

Prepare your questions

What researchers are measuring

Outcome measures describe what is being studied. They are not proof that a treatment works.

Primary measures

Treatment-emergent AEs

Time frame: Week 1 - Week 108

Incidence of treatment-emergent AEs

Hypermethioninemia

Time frame: Week 1 - Week 108

Incidence of hypermethioninemia

Hypomethioninemia

Time frame: Week 1 - Week 108

Incidence of hypomethioninemia

Dietary Protein Rescue

Time frame: Week 1 - Week 108

Proportion of participants requiring dietary protein rescue for participants with hypomethioninemia

Secondary measures

Maximum Drug Concentration

Time frame: Pharmacokinetic Assessment Period - 4 weeks & 8 weeks

Pegtibatinase pharmacokinetic parameters at steady state - maximum drug concentration \[Cmax\]

Area under the Curve within the Dosing Interval

Time frame: Pharmacokinetic Assessment Period - 4 weeks & 8 weeks

Pegtibatinase pharmacokinetic parameters at steady state within the - area under the curve within the dosing interval \[AUC0-tau\]

Total Homocysteine (tHcy) Levels

Time frame: Week 1 - Week 108

Relative and absolute changes from baseline in tHcy levels

No results are flagged as posted.

Review the complete result tables and limitations in the official record.

Open official results ↗

Research locations (52)

The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.

52 locations

Phoenix Children's HospitalPhoenix, Arizona, United StatesStatus unknown
Yale University School of MedicineNew Haven, Connecticut, United StatesStatus unknown
Emory UniversityAtlanta, Georgia, United StatesStatus unknown
Ann & Robert H. Lurie Children's Hospital of ChicagoChicago, Illinois, United StatesStatus unknown
Maine Health Pediatric Specialty CarePortland, Maine, United StatesStatus unknown
Uncommon CuresChevy Chase, Maryland, United StatesStatus unknown
Icahn School of Medicine at Mount SinaiNew York, New York, United StatesStatus unknown
Science 37 - Virtual SiteMorrisville, North Carolina, United StatesStatus unknown
Oregon Health and Science UniversityPortland, Oregon, United StatesStatus unknown
The Children's Hospital of PhiladelphiaPhiladelphia, Pennsylvania, United StatesStatus unknown
University of Pittsburgh Medical Center - Children's Hospital of PittsburghPittsburgh, Pennsylvania, United StatesStatus unknown
University of Texas Southwestern Medical CenterDallas, Texas, United StatesStatus unknown
Utah Health - The University of Utah Primary Children's HospitalSalt Lake City, Utah, United StatesStatus unknown
Royal Adelaide HospitalAdelaide, AustraliaStatus unknown
Royal Children's Hospital MelbourneParkville, AustraliaStatus unknown
Westmead HospitalWestmead, AustraliaStatus unknown
Cliniques Universitaires Saint-LucBrussels, BelgiumStatus unknown
Universitair Ziekenhuis Antwerpen (UZA)Edegem, BelgiumStatus unknown
Assistance Publique - Hôpitaux de Paris (AP-HP) - Hôpital Necker-Enfants MaladesParis, FranceStatus unknown
CHRU Hôpitaux de Tours - Hôpital BretonneauTours, FranceStatus unknown
Centre Hospitalier Régional Universitaire de Nancy (CHRU) - Hopitaux de Brabois - Hôpital d'enfantsVandœuvre-lès-Nancy, FranceStatus unknown
Universitätsklinikum Hamburg-EppendorfHamburg, GermanyStatus unknown
Universitätsklinikum LeipzigLeipzig, GermanyStatus unknown
Universitätsklinikum MünsterMünster, GermanyStatus unknown
Children's Health Ireland (CHI) at Temple StreetDublin, IrelandStatus unknown
Ospedale Pediatrico Giovanni XXIIIBari, ItalyStatus unknown
IRCCS Istituto Giannina GasliniGenova, ItalyStatus unknown
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (Policlinico di Milano)Milan, ItalyStatus unknown
Fondazione IRCCS San Gerardo Dei Tintori - Ospedale San GerardoMonza, ItalyStatus unknown
Azienda Ospedaliera di PadovaPadova, ItalyStatus unknown
SP ZOZ Szpital Uniwersytecki w KrakowieKrakow, PolandStatus unknown
Instytut Matki i DzieckaWarsaw, PolandStatus unknown
Instytut Pomnik-Centrum Zdrowia DzieckaWarsaw, PolandStatus unknown
Unidade Local de Saúde de Coimbra, EPE - Hospitais da Universidade de CoimbraCoimbra, PortugalStatus unknown
Unidade Local de Saúde de Santa Maria, EPE - Hospital de Santa MariaLisbon, PortugalStatus unknown
Unidade Local de Saúde de São João, EPE - Hospital São JoãoPorto, PortugalStatus unknown
Hamad General HospitalDoha, QatarStatus unknown
Sidra HospitalDoha, QatarStatus unknown
King Abdullah International Medical Research CenterRiyadh, Saudi ArabiaStatus unknown
King Faisal Specialist Hospital and Research Centre (KFSHRC) - RiyadhRiyadh, Saudi ArabiaStatus unknown
Hospital Sant Joan de DéuBarcelona, SpainStatus unknown
Hospital Universitario 12 de OctubreMadrid, SpainStatus unknown
Hospital Universitario Ramón y CajalMadrid, SpainStatus unknown
Complejo Hospitalario Universitario de Santiago (CHUS) - Hospital Clínico UniversitarioSantiago de Compostela, SpainStatus unknown
Hospital Universitario Virgen del RocíoSeville, SpainStatus unknown
Gazi University HospitalAnkara, Turkey (Türkiye)Status unknown
Ege Üniversitesi Hastanesi BornovaBornova, Turkey (Türkiye)Status unknown
Istanbul University Cerrahpasa HospitalIstanbul, Turkey (Türkiye)Status unknown
Birmingham Women's and Children's NHS Foundation TrustBirmingham, United KingdomStatus unknown
University Hospitals Birmingham NHS Foundation Trust - Queen Elizabeth Hospital BirminghamBirmingham, United KingdomStatus unknown
University College London Hospitals NHS Foundation Trust - National Hospital for Neurology and NeurosurgeryLondon, United KingdomStatus unknown
Salford Royal NHS Foundation Trust - Salford Royal HospitalSalford, United KingdomStatus unknown

Study team and timeline

Lead sponsor
Travere Therapeutics, Inc.
Study start
Apr 30, 2024 Actual
Primary completion
2030-08 Estimated
Study completion
2030-08 Estimated
First posted
May 29, 2024 Actual
Last updated
Nov 10, 2026 Actual

Official study contacts

No central contact is listed. Check the locations and the official record.

Official study title

An Open-Label, Phase 3 Long-Term Extension (LTE) Study To Assess The Safety, Tolerability, And Efficacy Of Treatment With Pegtibatinase In Participants With Classical Homocystinuria (HCU) Due To Cystathionine Beta Synthase Deficiency (ENSEMBLE)

A HUMAN NEXT STEP

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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.

Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026