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Gene Delivery Clinical Trial of SRP-9003 (Bidridistrogene Xeboparvovec) for Participants With Limb-Girdle Muscular Dystrophy, Type 2E (LGMD2E) (Beta-Sarcoglycan Deficiency)

Primary Purpose

Limb-Girdle Muscular Dystrophy, Type 2E

Status
Active
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
SRP-9003
Sponsored by
Sarepta Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Limb-Girdle Muscular Dystrophy, Type 2E focused on measuring limb girdle muscular dystrophy, LGMD2E, beta-sarcoglycan, gene transfer, adeno-associated virus, LGMDR4

Eligibility Criteria

4 Years - 15 Years (Child)All SexesDoes not accept healthy volunteers

INCLUSION CRITERIA

  • Males or females of any ethnic group
  • β-SG deoxyribonucleic acid (DNA) gene mutations at both alleles
  • Weakness demonstrated based on history of difficulty in running, jumping and climbing stairs
  • A 100 meter walk/run (MWR) test result: ≥40 % of predicted for age-, height-, gender-, and weight-matched healthy controls at the screening visit

EXCLUSION CRITERIA

  • Active viral infection based on clinical observations
  • Cardiac magnetic resonance imaging (MRI) determined left ventricular ejection fraction (LVEF) <40%
  • Serological evidence of human immunodeficiency virus (HIV), hepatitis B, or hepatitis C infection
  • Diagnosis of (or ongoing treatment for) an autoimmune disease
  • Abnormal laboratory values considered clinically significant
  • Concomitant illness or requirement for chronic drug treatment that, in the opinion of the Principal Investigator, creates unnecessary risks for gene transfer.

Other inclusion/exclusion criteria apply.

Sites / Locations

  • Nationwide Children's Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohort 1: SRP-9003

Cohort 2: SRP-9003

Arm Description

Participants will receive a single intravenous (IV) infusion of SRP-9003 at a prespecified dose.

Participants will receive a single IV infusion of SRP-9003. Dose will be determined based on the findings from Cohort 1.

Outcomes

Primary Outcome Measures

Number of Treatment-Emergent Adverse Events (AEs) and Treatment-Emergent Serious Adverse Events (SAEs)

Secondary Outcome Measures

Change From Baseline in Quantity of Beta-Sarcoglycan (β-SG) Protein Expression at Day 60, as Measured by Western Blot
β-SG gene expression levels will be quantified by Western Blot and compared between pre and post muscle biopsies.
Change From Baseline in Quantity of β-SG Protein Expression at Day 60, as Measured by Immunofluorescence
β-SG gene expression levels will be quantified by immunofluorescence and compared between pre and post muscle biopsies.
Change From Baseline in Quantity of β-SG Protein Expression at Day 60, as Measured by Immunohistochemistry Percent B-SG Positive Fibers

Full Information

First Posted
August 28, 2018
Last Updated
September 28, 2022
Sponsor
Sarepta Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03652259
Brief Title
Gene Delivery Clinical Trial of SRP-9003 (Bidridistrogene Xeboparvovec) for Participants With Limb-Girdle Muscular Dystrophy, Type 2E (LGMD2E) (Beta-Sarcoglycan Deficiency)
Official Title
A Single-Center, Open-Label, Systemic Gene Delivery Study to Evaluate the Safety, Tolerability, and Efficacy of SRP-9003 Administered by Systemic Infusion in Subjects With LGMD2E (β-Sarcoglycan Deficiency)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 27, 2018 (Actual)
Primary Completion Date
February 14, 2025 (Anticipated)
Study Completion Date
February 14, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sarepta Therapeutics, Inc.

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
The proposed clinical trial is the first-in-human, single-center, open-label, gene delivery study of SRP-9003 (bidridistrogene xeboparvovec) in participants with LGMD2E.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Limb-Girdle Muscular Dystrophy, Type 2E
Keywords
limb girdle muscular dystrophy, LGMD2E, beta-sarcoglycan, gene transfer, adeno-associated virus, LGMDR4

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
6 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1: SRP-9003
Arm Type
Experimental
Arm Description
Participants will receive a single intravenous (IV) infusion of SRP-9003 at a prespecified dose.
Arm Title
Cohort 2: SRP-9003
Arm Type
Experimental
Arm Description
Participants will receive a single IV infusion of SRP-9003. Dose will be determined based on the findings from Cohort 1.
Intervention Type
Genetic
Intervention Name(s)
SRP-9003
Other Intervention Name(s)
LGMD2E vector, bidridistrogene xeboparvovec
Intervention Description
SRP-9003 will be administered through a single systemic injection.
Primary Outcome Measure Information:
Title
Number of Treatment-Emergent Adverse Events (AEs) and Treatment-Emergent Serious Adverse Events (SAEs)
Time Frame
Baseline up to 5 years
Secondary Outcome Measure Information:
Title
Change From Baseline in Quantity of Beta-Sarcoglycan (β-SG) Protein Expression at Day 60, as Measured by Western Blot
Description
β-SG gene expression levels will be quantified by Western Blot and compared between pre and post muscle biopsies.
Time Frame
Baseline, Day 60
Title
Change From Baseline in Quantity of β-SG Protein Expression at Day 60, as Measured by Immunofluorescence
Description
β-SG gene expression levels will be quantified by immunofluorescence and compared between pre and post muscle biopsies.
Time Frame
Baseline, Day 60
Title
Change From Baseline in Quantity of β-SG Protein Expression at Day 60, as Measured by Immunohistochemistry Percent B-SG Positive Fibers
Time Frame
Baseline, Day 60

10. Eligibility

Sex
All
Minimum Age & Unit of Time
4 Years
Maximum Age & Unit of Time
15 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
INCLUSION CRITERIA Males or females of any ethnic group β-SG deoxyribonucleic acid (DNA) gene mutations at both alleles Weakness demonstrated based on history of difficulty in running, jumping and climbing stairs A 100 meter walk/run (MWR) test result: ≥40 % of predicted for age-, height-, gender-, and weight-matched healthy controls at the screening visit EXCLUSION CRITERIA Active viral infection based on clinical observations Cardiac magnetic resonance imaging (MRI) determined left ventricular ejection fraction (LVEF) <40% Serological evidence of human immunodeficiency virus (HIV), hepatitis B, or hepatitis C infection Diagnosis of (or ongoing treatment for) an autoimmune disease Abnormal laboratory values considered clinically significant Concomitant illness or requirement for chronic drug treatment that, in the opinion of the Principal Investigator, creates unnecessary risks for gene transfer. Other inclusion/exclusion criteria apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Sarepta Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Nationwide Children's Hospital
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43205
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Gene Delivery Clinical Trial of SRP-9003 (Bidridistrogene Xeboparvovec) for Participants With Limb-Girdle Muscular Dystrophy, Type 2E (LGMD2E) (Beta-Sarcoglycan Deficiency)

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