Gene Transfer Clinical Study in X-Linked Myotubular Myopathy (ASPIRO)
X-Linked Myotubular Myopathy
About this trial
This is an interventional treatment trial for X-Linked Myotubular Myopathy focused on measuring AAV8-Delivered Gene Therapy, XLMTM, Adeno Associated Virus
Eligibility Criteria
Key Inclusion Criteria:
- Subject has a diagnosis of XLMTM resulting from a genetically confirmed mutation in the MTM1 gene as assessed by a Sponsor-approved testing facility.
- Subject is male.
- Subject is aged less than 5 years old at dosing
- Subject requires mechanical ventilatory support:
Part 1: Subject requires some mechanical ventilatory support (e.g., ranging from 24 hours per day full time mechanical ventilation, to noninvasive support such as continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP) during sleeping hours).
Part 2: Subject requires invasive mechanical ventilatory support ranging from 20 - 24 hours per day at screening (confirmed by daytime polysomnographic study).
- Subject requiring invasive mechanical ventilator support is fitted with or willing to be fitted with a cuffed tracheostomy tube for some respiratory assessments.
- Subject has ventilator maximum positive end-expiratory pressure (PEEP) <8 cm H2O at screening.
Key Exclusion Criteria:
- Subject is participating in an interventional study designed to treat XLMTM.
- Subject born <35 weeks gestation who is still not term as per corrected age.
- Subject tests positive for AAV8 neutralizing antibody with titers above protocol specified threshold.
- Subject had recent surgery (<3 months before Day 1) or has planned surgery that may confound data collection during the first 48 weeks of the study.
- Subject has a clinically important condition other than XLMTM in the opinion of the investigator.
- Subject has a clinically significant underlying liver disease.
- Subject is currently experiencing a clinically important respiratory infection or other active infection.
- Subject has received pyridostigmine or any medication to treat XLMTM within 3 months before Day 1.
- Other than as required per protocol, subject has received immune-modulating agents within 3 months before Day 1 (use of inhaled corticosteroids to manage chronic respiratory conditions is allowed); use of other concomitant medications to manage chronic conditions must have been stable for at least 4 weeks before dosing.
- Subject has a contraindication to prednisolone.
- Subject has a contraindication to study drug or ingredients.
- Subject has contractures, scoliosis, or other medical condition that would limit the potential to achieve unassisted sitting, in the opinion of the investigator (Part 2 including any subjects enrolled under protocol V8 and beyond).
- Subject is able to sit without assistance for at least 30 seconds at screening, in the opinion of the investigator (Part 2 including any subjects enrolled under protocol V8 and beyond).
Sites / Locations
- UCLA Medical Center
- Ann & Robert H Lurie Children's Hospital of Chicago
- National Institute of Neurological Disorders and Stroke/NIH Porter
- Hospital for Sick Children
- Hopital Armad Trousseau
- Kinderklinik und Kinderpoliklinik im Dr. Von Haunerschen Kinderspital Klinikum der Universitat Munchen
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
No Intervention
Lower Dose
Higher Dose
Delayed-Treatment Control
1.0 x 10^14 vg/kg of AT132 defined with the use of 1st generation vg titer assay delivered intravenously one time. 1.3 x10^14 vg/kg of AT132 defined with the use of 2nd generation vg titer assay delivered intravenously one time.
3.0 x 10^14 vg/kg of AT132 defined with the use of 1st generation vg titer assay delivered intravenously one time. 3.5 x 10^14 vg/kg of AT132 defined with the use of 2nd generation vg titer assay delivered intravenously one time
Delayed-Treatment Control subjects will generally have the same assessments as treated subjects. After the follow up period, eligible delayed-treatment control subjects will be dosed with AT132 and initiate the same post-dose procedures as subjects who received AT132.