RecruitingPhase 1Phase 2NCT05824169

Evaluation of Safety and Efficacy of Gene Therapy Drug in the Treatment of Spinal Muscular Atrophy (SMA) Type 1 Patients

A Multi-center, Open Label, Single-arm, Dose Ascending Clinical Trial for Evaluation of Safety and Efficacy of Gene Therapy Drug GC101 in the Treatment of Spinal Muscular Atrophy (SMA) Type 1 Patients


Sponsor

GeneCradle Inc

Enrollment

18 participants

Start Date

Feb 25, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The study will evaluate safety and efficacy of intrathecal delivery of GC101 gene therapy drug as a treatment of spinal muscular atrophy Type 1 (SMA 1) patients.


Eligibility

Min Age: 0 MonthsMax Age: 6 Months

Inclusion Criteria4

  • Six months of age and younger on day of vector infusion with Type 1 SAM as defined by the following features:
  • Diagnosis of SMA based on gene mutation analysis with bi-allelic SMN1 mutations (deletion or point mutations) and 2 copies of SMN2;
  • Onset of disease before 6 months of age
  • 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.

Exclusion Criteria15

  • Patient who has participated in a previous gene therapy research trials;
  • Patient who has received Nusinersen and Risdiplam treatment;
  • Patient who has AAV9 neutralizing antibody titer ≥1:200;
  • Patient who requires non-invasive ventilatory support averaging≥16 hours/day;
  • Patient with a point mutation in SMN2 (c.859G>C);
  • Patient who requires non-invasive ventilatory support averaging≥16 hours/day at screening;
  • Patient who use invasive ventilatory support or pulse oximetry < 95% saturation while awake and calm at screening;
  • Patient who is positive for human immunodeficiency virus (HIV) antibody, hepatitis B surface antigen, hepatitis C antibody, or treponema pallidum antibody;
  • Abnormal laboratory values considered clinically significant, including gamma-glutamyl transferase(GGT), Aspartate aminotransferase (AST), alanine aminotransferase (ALT), bilirubin > 3x upper limit of normal (ULN), Hemoglobin (Hgb)< 110 or >150 g/L, platelet <183x10\^9/L or 614x10\^9/L;
  • Class IV patient based on Modified Ross Heart Failure Classification for Children;
  • Patient with a history of glucocorticoid allergy;
  • Contraindication that would interfere with the lumbar puncture procedures;
  • Presence of an untreated active infection requiring systemic antiviral therapy at any time during the screening period;
  • Vaccination less than 2 weeks before infusion of vector;
  • 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.

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Interventions

GENETICGC101

Self-complementary AAV9 carrying a codon-optimized SMN coding sequence(coSMN1) driven by CMV enhancer and chicken β-actin promoter


Locations(4)

Peking University, First Hospital, Department of Pediatrics

Beijing, China

Bayi Children's Hospital, Seventh Medical Center, PLA general hospital

Beijing, China

Shengjing Hospital of China Medical University

Shenyang, China

Children's Hospital of Soochow University

Suzhou, China

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NCT05824169


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