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Clinical Exploration of Adeno-associated Virus (AAV) Expressing Human Acid Alpha- Glucosidase (GAA) Gene Therapy for Patients With Infantile-onset Pompe Disease

Primary Purpose

Infantile-onset Pompe Disease

Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Genetic: GC301
Genetic: GC301
Sponsored by
Seventh Medical Center of PLA General Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Infantile-onset Pompe Disease

Eligibility Criteria

undefined - 6 Months (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The patient's legal guardian(s) must be able to understand the purpose and risks of the study and voluntarily provide signed and dated informed consent prior to any study-related procedures being performed;
  • The patient must be no older than 6 months;
  • The patient must be diagnosed with infantile-onset Pompe disease.

Exclusion Criteria:

  • Class IV patient based on Modified Ross Heart Failure Classification for Children;
  • Aspartate aminotransferase (AST), alanine aminotransferase (ALT) > 3x upper limit of normal (ULN), alkaline phosphatase (ALP) > 2x ULN (with the exception of liver abnormalities related to Pompe disease);
  • Patient has severe organ dysfunction, such as liver and kidney failure (Liver failure: patients may have liver failure syndrome, including fatigue, severe gastrointestinal symptoms; clinical examination found prolonged prothrombin time, prothrombin activity less than 40%; Neuropsychiatric symptoms, such as restlessness, changes in personality and behavior, lethargy, coma, etc.; Toxic tympanic bowel, ascites, multiple organ dysfunction, etc.; hyperalbuminemia exceeding 171 μmol/L, hypoalbuminemia. Renal failure: creatinine exceeding 110 μmol/L, or glomerular filtration rate less than 100 mL/min), congenital/acquired encephalopathy, etc.;
  • Patient with congenital organ absence;
  • Patient with primary immunodeficiency;
  • Patient who is positive for human immunodeficiency virus (HIV) antibody, hepatitis B surface antigen, hepatitis C antibody, or treponema pallidum antibody;
  • Patient with a history of glucocorticoid allergy;
  • Patient who has AAV9 neutralizing antibody titers ≥1:50;
  • Patient who has participated in a previous gene therapy research trial;
  • Patient who has any concurrent clinically significant major disease or any other condition that, in the opinion of the Investigator, makes the subject unsuitable for participation in the study.

Sites / Locations

  • Bayi Children's Hospital, Seventh Medical Center, PLA general hospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Initial dose cohort

Second dose cohort

Arm Description

1.2x10^14 vg/kg of GC301 administered via intravenous infusion

2.4x10^14 vg/kg of GC301 administered via intravenous infusion

Outcomes

Primary Outcome Measures

Safety and tolerability over time
Frequency of adverse events (AEs), serious adverse events (SAEs), and changes from baseline in relevant clinical laboratory tests

Secondary Outcome Measures

Proportion of patients treated w/ GC301 who were alive and free of ventilator support at 12 months of age;
Changes from baseline Left Ventricular Mass (LVM)
Changes from baseline creatine kinase (CK)

Full Information

First Posted
September 25, 2022
Last Updated
September 30, 2022
Sponsor
Seventh Medical Center of PLA General Hospital
Collaborators
GeneCradle Therapeutics, Inc
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1. Study Identification

Unique Protocol Identification Number
NCT05567627
Brief Title
Clinical Exploration of Adeno-associated Virus (AAV) Expressing Human Acid Alpha- Glucosidase (GAA) Gene Therapy for Patients With Infantile-onset Pompe Disease
Official Title
Single Arm, Multicenter, Open and Dose-escalation Clinical Study on Safety, Tolerance, and Efficacy of GC301, an AAV-Delivered Gene Transfer Therapy in Patients With Infantile-onset Pompe Disease
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Recruiting
Study Start Date
August 1, 2022 (Actual)
Primary Completion Date
September 2024 (Anticipated)
Study Completion Date
September 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Seventh Medical Center of PLA General Hospital
Collaborators
GeneCradle Therapeutics, Inc

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study is being conducted to evaluate the safety and effectiveness of GC301 adeno-associated virus vector expressing codon-optimized human acid alpha-glucosidase (GAA) as potential gene therapy for Pompe disease. Patients diagnosed with infantile-onset Pompe disease who are younger than 6 months old will be studied.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Infantile-onset Pompe Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
6 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Initial dose cohort
Arm Type
Experimental
Arm Description
1.2x10^14 vg/kg of GC301 administered via intravenous infusion
Arm Title
Second dose cohort
Arm Type
Experimental
Arm Description
2.4x10^14 vg/kg of GC301 administered via intravenous infusion
Intervention Type
Biological
Intervention Name(s)
Genetic: GC301
Intervention Description
GC301, is an adeno-associated virus 9 (AAV9) vector delivering a functional copy of the human GAA gene
Intervention Type
Biological
Intervention Name(s)
Genetic: GC301
Intervention Description
GC301, is an adeno-associated virus 9 (AAV9) vector delivering a functional copy of the human GAA gene
Primary Outcome Measure Information:
Title
Safety and tolerability over time
Description
Frequency of adverse events (AEs), serious adverse events (SAEs), and changes from baseline in relevant clinical laboratory tests
Time Frame
Infusion to the end of study, average 1 year
Secondary Outcome Measure Information:
Title
Proportion of patients treated w/ GC301 who were alive and free of ventilator support at 12 months of age;
Time Frame
52 weeks
Title
Changes from baseline Left Ventricular Mass (LVM)
Time Frame
26 and 52 weeks
Title
Changes from baseline creatine kinase (CK)
Time Frame
26 and 52 weeks
Other Pre-specified Outcome Measures:
Title
Change from baseline glycogen content in muscle tissue
Time Frame
26 and 52 weeks
Title
Change from baseline acid alpha-glucosidase (GAA) enzyme in muscle and blood
Time Frame
26 and 52 weeks
Title
Improvement in patient's motor function
Description
To evaluate the changes in patient's mobility and physical ability using Hammersmith Infant Neurological Examination (HINE) scores
Time Frame
52 weeks
Title
The viral load of adeno-associated virus (AAV) vector
Description
To assess the change of AAV vector copy numbers within 52 weeks after administration.
Time Frame
At multiple time points from pre-dose through up to 1 years post-dose

10. Eligibility

Sex
All
Maximum Age & Unit of Time
6 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patient's legal guardian(s) must be able to understand the purpose and risks of the study and voluntarily provide signed and dated informed consent prior to any study-related procedures being performed; The patient must be no older than 6 months; The patient must be diagnosed with infantile-onset Pompe disease. Exclusion Criteria: Class IV patient based on Modified Ross Heart Failure Classification for Children; Aspartate aminotransferase (AST), alanine aminotransferase (ALT) > 3x upper limit of normal (ULN), alkaline phosphatase (ALP) > 2x ULN (with the exception of liver abnormalities related to Pompe disease); Patient has severe organ dysfunction, such as liver and kidney failure (Liver failure: patients may have liver failure syndrome, including fatigue, severe gastrointestinal symptoms; clinical examination found prolonged prothrombin time, prothrombin activity less than 40%; Neuropsychiatric symptoms, such as restlessness, changes in personality and behavior, lethargy, coma, etc.; Toxic tympanic bowel, ascites, multiple organ dysfunction, etc.; hyperalbuminemia exceeding 171 μmol/L, hypoalbuminemia. Renal failure: creatinine exceeding 110 μmol/L, or glomerular filtration rate less than 100 mL/min), congenital/acquired encephalopathy, etc.; Patient with congenital organ absence; Patient with primary immunodeficiency; Patient who is positive for human immunodeficiency virus (HIV) antibody, hepatitis B surface antigen, hepatitis C antibody, or treponema pallidum antibody; Patient with a history of glucocorticoid allergy; Patient who has AAV9 neutralizing antibody titers ≥1:50; Patient who has participated in a previous gene therapy research trial; Patient who has any concurrent clinically significant major disease or any other condition that, in the opinion of the Investigator, makes the subject unsuitable for participation in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Zhichun Feng
Phone
+86(10) 66721786
Email
zhichunfeng81@163.com
Facility Information:
Facility Name
Bayi Children's Hospital, Seventh Medical Center, PLA general hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100700
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhichun Feng, Prof
Phone
+86(10) 66721786
Email
zhichunfeng81@163.com
First Name & Middle Initial & Last Name & Degree
Xiaodong Wang, PhD
Phone
+86 17801060980
Email
donnawang@bj-genecradle.com

12. IPD Sharing Statement

Learn more about this trial

Clinical Exploration of Adeno-associated Virus (AAV) Expressing Human Acid Alpha- Glucosidase (GAA) Gene Therapy for Patients With Infantile-onset Pompe Disease

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