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Phase 1/2 Clinical Trial of PR001 in Infants With Type 2 Gaucher Disease (PROVIDE)

Primary Purpose

Gaucher Disease, Type 2

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
LY3884961
Methylprednisolone
Sirolimus
Prednisone
Sponsored by
Prevail Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gaucher Disease, Type 2 focused on measuring Gaucher Disease, GD, Gaucher, Type 2 Gaucher, Neuronopathic Gaucher, nGD, AAV9, GBA, Gene Therapy, Glucocerebrosidase, GBA1 mutation, Infants

Eligibility Criteria

0 Months - 24 Months (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Bi-allelic GBA1 mutations consistent with a diagnosis of GD2 confirmed by the central laboratory.
  • Clinical diagnosis of GD2
  • Parent/legal guardian has the ability to understand the purpose and risks of the study and provide written informed consent and authorization to use protected health information in accordance with national and local privacy regulations.
  • Patient has a reliable informant (i.e., parent/legal guardian) willing and able to participate in the study as a source of information on the patient's health status and cognitive and functional abilities (including providing input into the rating scales).

Exclusion Criteria:

  • Diagnosis of a significant CNS disease other than GD2 that may be a cause for the patient's GD symptoms or may confound study objectives.
  • Achieved independent gait.
  • Severe peripheral symptoms of GD which, in the opinion of the Investigator, would pose an unacceptable risk to the patient or interfere with the patient's ability to comply with study procedures or interfere with the conduct of the study.
  • Concomitant disease, condition, or treatment which, in the opinion of the Investigator, would pose an unacceptable risk to the patient or interfere with the patient's ability to comply with study procedures or interfere with the conduct of the study.
  • Use of any GD treatment-related substrate reduction therapy.
  • Use of strong inhibitors or inducers of cytochrome P450 3A4 (CYP3A4) or P-glycoprotein (P-gp) medications, herbals, or over-the-counter agents.
  • Any type of prior gene or cell therapy.
  • Live vaccine Immunizations within 4 weeks, or non-live vaccines within 2 weeks prior to the start of required immunosuppressive regimen.
  • Use of blood thinners. Antiplatelet therapies are acceptable if the patient is medically able to temporarily stop them from 7 days prior to dosing and through at least 48 hours after the intracisternal injection and lumbar puncture.
  • Use of systemic immunosuppressant or corticosteroid therapy other than protocol-specified (topical or inhaled preparations for dermatological conditions or asthma are allowed).
  • Participation in another investigational drug or device study within the past 3 months.
  • Brain MRI (magnetic resonance imaging) and MRA (magnetic resonance angiography) showing clinically significant abnormality deemed a contraindication to intracisternal injection.
  • Clinically significant laboratory test result abnormalities assessed at screening.
  • Contraindications or intolerance to radiographic visualization methods (e.g. MRI, MRA, CT), and intolerance to contrast agents used for MRI or CT scans.
  • Contraindications to general anesthesia or sedation.

Other protocol-defined inclusion/exclusion criteria may apply.

Sites / Locations

  • UCSF Benioff Children's Hospital, 5700 Martin Luther King Jr WayRecruiting
  • University of Minnesota Masonic Children's Hospital, 2450 Riverside AvenueRecruiting
  • Children's Hospital of Pittsburgh, 4401 Penn AvenueRecruiting
  • Manchester Centre for Genomic Medicine, 6th Floor, St Mary's Hospital, Oxford RoadRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Low Dose

High Dose

Arm Description

Outcomes

Primary Outcome Measures

Number of Adverse Events (AEs), Serious Adverse Events (SAEs), and Adverse Events leading to discontinuation
Immunogenicity of AAV9 and GCase in blood
Immunogenicity of AAV9 and GCase in CSF

Secondary Outcome Measures

Time to death
Time to clinical event
Clinical event defined as tracheostomy/invasive ventilation, and/or percutaneous endoscopic gastrostomy (PEG) tube placement, and/or nasogastric (NG) tube placement
Change in cognitive function
Measured using Bayley Scales of Infant and Toddler Development (BSID-III)
Change in cognitive function
Measured using Wechsler Preschool and Primary Scale of Intelligence (WPPSI-IV) as appropriate. (Not all patients begin the study at birth. Only patients who are age 36 months at the designated study visits will be assessed using this measure)
Change in motor skills
Change from baseline in motor function using Gross Motor Function Measure (GMFM-88).
Change in motor skills
Change from baseline in motor function using the BSID-III.
Change in Clinical Global Impressions (Severity)
Change from baseline in the clinical severity of illness (CGI-Severity {CGI-S}).
Clinical Global Impressions (Improvement)
Clinical improvement from baseline (CGI-Improvement [CGI-I]).
Change in adaptive behavior and functioning
Change from baseline in adaptive functioning using the Vineland Adaptive Behavior Scale (VABS-2) (2nd edition)
Change in most troubling symptoms
Change from baseline in the Visual Analog Scale for the Most Troubling Symptoms (VAS-MTS)
Change in behavioral symptoms
Change from baseline in the Child Behavior Checklist (CBCL)
Change in GCase (glucocerebrosidase) enzyme activity levels in blood
Change in GCase enzyme activity levels in CSF (cerebrospinal fluid)
Change in glycolipid levels in blood
Change in glycolipid levels in CSF

Full Information

First Posted
May 11, 2020
Last Updated
September 15, 2023
Sponsor
Prevail Therapeutics
Collaborators
Eli Lilly and Company
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1. Study Identification

Unique Protocol Identification Number
NCT04411654
Brief Title
Phase 1/2 Clinical Trial of PR001 in Infants With Type 2 Gaucher Disease (PROVIDE)
Official Title
An Open-label, Phase 1/2 Study to Evaluate the Safety and Efficacy of Single-dose LY3884961 in Infants With Type 2 Gaucher Disease
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 29, 2021 (Actual)
Primary Completion Date
September 2028 (Anticipated)
Study Completion Date
September 2028 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Prevail Therapeutics
Collaborators
Eli Lilly and Company

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
J3Z-MC-OJAB is an open-label, Phase 1/2, multicenter study to evaluate the safety and efficacy of single-dose LY3884961 (formerly PR001) in infants diagnosed with Type 2 Gaucher disease (GD2). For each patient, the study will be approximately 5 years in duration. During the first 12 months after dosing, patients will be evaluated for the effects of LY3884961 on safety, tolerability, immunogenicity, biomarkers, and efficacy. Patients will be followed up for an additional 4 years to monitor safety and changes on selected biomarkers and clinical outcomes.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gaucher Disease, Type 2
Keywords
Gaucher Disease, GD, Gaucher, Type 2 Gaucher, Neuronopathic Gaucher, nGD, AAV9, GBA, Gene Therapy, Glucocerebrosidase, GBA1 mutation, Infants

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Masking Description
Blinded assessor used in secondary outcome measures
Allocation
N/A
Enrollment
15 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Low Dose
Arm Type
Experimental
Arm Title
High Dose
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
LY3884961
Intervention Description
Participants will receive a single dose of LY3884961 administered intracisternally.
Intervention Type
Drug
Intervention Name(s)
Methylprednisolone
Intervention Description
Single IV pulse administered as concomitant medication.
Intervention Type
Drug
Intervention Name(s)
Sirolimus
Intervention Description
Loading dose, followed by maintenance doses, followed by dose tapering; administered as concomitant medication.
Intervention Type
Drug
Intervention Name(s)
Prednisone
Intervention Description
Administered orally as concomitant medication, followed by dose tapering.
Primary Outcome Measure Information:
Title
Number of Adverse Events (AEs), Serious Adverse Events (SAEs), and Adverse Events leading to discontinuation
Time Frame
Year 5
Title
Immunogenicity of AAV9 and GCase in blood
Time Frame
Up to Year 2
Title
Immunogenicity of AAV9 and GCase in CSF
Time Frame
Up to Year 3
Secondary Outcome Measure Information:
Title
Time to death
Time Frame
Baseline until event or study completion, up to Year 5
Title
Time to clinical event
Description
Clinical event defined as tracheostomy/invasive ventilation, and/or percutaneous endoscopic gastrostomy (PEG) tube placement, and/or nasogastric (NG) tube placement
Time Frame
Baseline until event or study completion, up to Year 5
Title
Change in cognitive function
Description
Measured using Bayley Scales of Infant and Toddler Development (BSID-III)
Time Frame
Months 6, 12 and up to Year 3
Title
Change in cognitive function
Description
Measured using Wechsler Preschool and Primary Scale of Intelligence (WPPSI-IV) as appropriate. (Not all patients begin the study at birth. Only patients who are age 36 months at the designated study visits will be assessed using this measure)
Time Frame
Study Month 12 and up to Study Year 3
Title
Change in motor skills
Description
Change from baseline in motor function using Gross Motor Function Measure (GMFM-88).
Time Frame
Months 6, 12 and up to Year 3
Title
Change in motor skills
Description
Change from baseline in motor function using the BSID-III.
Time Frame
Months 6, 12 and up to Year 3
Title
Change in Clinical Global Impressions (Severity)
Description
Change from baseline in the clinical severity of illness (CGI-Severity {CGI-S}).
Time Frame
Months 6, 12 and up to Year 5
Title
Clinical Global Impressions (Improvement)
Description
Clinical improvement from baseline (CGI-Improvement [CGI-I]).
Time Frame
Months 6, 12 and up to Year 5
Title
Change in adaptive behavior and functioning
Description
Change from baseline in adaptive functioning using the Vineland Adaptive Behavior Scale (VABS-2) (2nd edition)
Time Frame
Months 6 and 12 and up to Year 3
Title
Change in most troubling symptoms
Description
Change from baseline in the Visual Analog Scale for the Most Troubling Symptoms (VAS-MTS)
Time Frame
Months 6, 12 and up to Year 5
Title
Change in behavioral symptoms
Description
Change from baseline in the Child Behavior Checklist (CBCL)
Time Frame
Months 6, 12 and up to Year 5
Title
Change in GCase (glucocerebrosidase) enzyme activity levels in blood
Time Frame
Up to Year 5
Title
Change in GCase enzyme activity levels in CSF (cerebrospinal fluid)
Time Frame
Up to Year 3
Title
Change in glycolipid levels in blood
Time Frame
Up to Year 5
Title
Change in glycolipid levels in CSF
Time Frame
Up to Year 3

10. Eligibility

Sex
All
Minimum Age & Unit of Time
0 Months
Maximum Age & Unit of Time
24 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Bi-allelic GBA1 mutations consistent with a diagnosis of GD2 confirmed by the central laboratory. Clinical diagnosis of GD2 Parent/legal guardian has the ability to understand the purpose and risks of the study and provide written informed consent and authorization to use protected health information in accordance with national and local privacy regulations. Patient has a reliable informant (i.e., parent/legal guardian) willing and able to participate in the study as a source of information on the patient's health status and cognitive and functional abilities (including providing input into the rating scales). Exclusion Criteria: Diagnosis of a significant CNS disease other than GD2 that may be a cause for the patient's GD symptoms or may confound study objectives. Achieved independent gait. Severe peripheral symptoms of GD which, in the opinion of the Investigator, would pose an unacceptable risk to the patient or interfere with the patient's ability to comply with study procedures or interfere with the conduct of the study. Concomitant disease, condition, or treatment which, in the opinion of the Investigator, would pose an unacceptable risk to the patient or interfere with the patient's ability to comply with study procedures or interfere with the conduct of the study. Use of any GD treatment-related SRT. Use of strong inhibitors or inducers of cytochrome P450 3A4 (CYP3A4) or P-glycoprotein (P-gp) medications, herbals, or over-the-counter agents. Any type of prior gene or cell therapy. Live vaccine Immunizations within 4 weeks, or non-live vaccines within 2 weeks prior to the start of required immunosuppressive regimen. Use of blood thinners. Antiplatelet therapies are acceptable if the patient is medically able to temporarily stop them from 7 days prior to dosing and through at least 48 hours after the intracisternal injection and lumbar puncture. Use of systemic immunosuppressant or corticosteroid therapy other than protocol-specified (topical or inhaled preparations for dermatological conditions or asthma are allowed). Participation in another investigational drug or device study within the past 3 months. Brain MRI (magnetic resonance imaging) and MRA (magnetic resonance angiography) showing clinically significant abnormality deemed a contraindication to intracisternal injection. Clinically significant laboratory test result abnormalities assessed at screening. Contraindications or intolerance to radiographic visualization methods (e.g. MRI, MRA, CT), and intolerance to contrast agents used for MRI or CT scans. Contraindications to general anesthesia or sedation. Other protocol-defined inclusion/exclusion criteria may apply.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Prevail Therapeutics
Phone
(917) 336-9310
Email
prevail.patients@lilly.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sarah Neuhaus, D.O.
Organizational Affiliation
Prevail Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
UCSF Benioff Children's Hospital, 5700 Martin Luther King Jr Way
City
Oakland
State/Province
California
ZIP/Postal Code
94609
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jill Nicholas
Phone
510-428-3885
Ext
5241
Email
jill.nicholas@ucsf.edu
First Name & Middle Initial & Last Name & Degree
Jenna Fields
Phone
510-428-3885
Ext
5156
Email
Jenna.Fields@ucsf.edu
Facility Name
University of Minnesota Masonic Children's Hospital, 2450 Riverside Avenue
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55454
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Carrie Gibson
Phone
612-672-7013
Email
Cgibson1@fairview.org
Facility Name
Children's Hospital of Pittsburgh, 4401 Penn Avenue
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15224
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dawn Kolar
Email
kolardr@upmc.edu
Facility Name
Manchester Centre for Genomic Medicine, 6th Floor, St Mary's Hospital, Oxford Road
City
Manchester
ZIP/Postal Code
M13 9WL
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Crowther
Email
laura.crowther@mft.nhs.uk

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase 1/2 Clinical Trial of PR001 in Infants With Type 2 Gaucher Disease (PROVIDE)

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