RecruitingPhase 2NCT04980638

Intraamniotic Administrations of ER004 to Male Subjects With X-linked Hypohidrotic Ectodermal Dysplasia

A Prospective, Open-label, Genotype-match Controlled, Multicenter Clinical Trial to Investigate the Efficacy and Safety of Intra-amniotic ER004 as a Prenatal Treatment for Male Subjects With XLHED


Sponsor

EspeRare Foundation

Enrollment

20 participants

Start Date

Apr 26, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

This is an open-label, prospective, genotype-match controlled for primary estimand, non randomized, multicenter, international Phase 2 clinical trial designed to investigate the efficacy and safety of ER004 administered intraamniotically as a treatment for unborn XLHED male subjects.


Eligibility

Sex: FEMALEMin Age: 18 Years

Inclusion Criteria3

  • For mother: adult mother with confirmed pregnancy no later than week 23+6 and genetically confirmed as carrier of an EDA mutation
  • For fetal subject : male fetal subject with confirmed diagnosis of XLHED
  • For untreated relative: untreated male relative subject aged between 6 months and 75 years with the same EDA mutation as the treated subject

Exclusion Criteria3

  • For mother: any evidence of active maternal infection associated with a risk of preterm birth and/or congenital anomalies of prenatal and postnatal risk to the child. Documented maternal HIV infection. Any pre-existing maternal medical condition that increases the risk of preterm birth or increases the risk of a serious untoward event occurring to the mother during pregnancy. Any pregnancy disorder associated with an increased risk of preterm birth, and/or maternal, fetal or neonatal morbidity/mortality.
  • For fetal subject : second major anatomic anomaly (not related to the underlying XLHED) that contributes to a significant morbidity or mortality risk, or echocardiogram or ultrasonography or other findings that indicate a high risk of fetal demise or risk of preterm birth. Any condition other than XLHED that is likely to have an impact on the number of tooth germs. Any other medical condition which in the opinion of the investigator would not allow for safe conduct of the study for the subject, or that would interfere with efficacy assessments.
  • For untreated relative: carrier of an hypomorphic EDA mutation. Known hypersensitivity to pilocarpine or pilocarpine-like muscarinic agonists. Presence of an implanted device (e.g., defibrillator, neurostimulator, pacemaker). Previous treatment with the study intervention by any route of administration prior to study start.

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Interventions

BIOLOGICALER004

Intra-amniotic route 100 mg/kg of estimated fetal weight per injection. 3 injections, approximately 3 weeks apart starting from gestational week 26


Locations(8)

Cedars-Sinai Medical Center

Los Angeles, California, United States

Washington University

St Louis, Missouri, United States

Hôpital Necker - Enfants Malades

Paris, Paris, France

Universitaetsklinikum Erlangen

Erlangen, Bavaria, Germany

Universitaetsklinikum Leipzig AoeR

Leipzig, Saxony, Germany

IRCCS Ca' Granda Ospedale Policlinico

Milan, Italy

Hospital Universitario Virgen de la Arrixaca

El Palmar, Murcia, Spain

University Hospital of Wales Cardiff and Vale University Local Health

Cardiff, United Kingdom

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NCT04980638