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Gene Therapy Trial Report

Summary

Safety Study of a Gene Transfer Vector (Rh.10) for Children With Late Infantile Neuronal Ceroid Lipofuscinosis (LINCL)


NCTID NCT01161576 (View at clinicaltrials.gov)
Description
Development Status Inactive
Indication CLN2 Batten Disease, Late-Infantile Neuronal Ceroid Lipofuscinosis
Disease Ontology Term DOID:0110726
Compound Name LX1004
Compound Description AAVrh.10CUhCLN2
Sponsor Weill Medical College of Cornell University
Funder Type Other
Recruitment Status
Completed
Enrollment Count 12 (ACTUAL)
Results Posted Not Available

Therapy Information


Target Gene/Variant TPP1
Therapy Type Gene transfer
Therapy Route In-vivo
Mechanism of Action Functional gene replacement
Route of Administration Intracisternal
Drug Product Type Viral vector
Delivery System Viral transduction
Vector Type AAVrh10
Editor Type none
Dose 1 2.85E11 gc
Dose 2 9.0E11 gc
Dose 3 3E12 particle units (AAV2 vector)

Study Record Dates


Current Stage Phase1
Submit Date 2010-03-22
Completion Date 2020-12-31
Last Update 2021-02-02

Participation Criteria


Eligible Age 2 Years - 18 Years
Standard Ages Child, Adult
Sexes Eligible for Study ALL
Eligibility Criteria
Inclusion Criteria: All individuals who meet the following criteria will be included without bias as to a gender or race/ethnicity. Each case will be individually reviewed with the Eligibility Committee comprised of 3 physicians other than the PI, including a pediatric neurosurgeon, pediatric neurologist and general pediatrician. 1. Definitive diagnosis of LINCL, based on clinical phenotype and genotype. The genotype must include at least one of the 5 most common CLN2 mutant genotypes: C3670T (nonsense Arg208 to stop), G3556C (intron 7 splice), G5271C (Gln422His), T4396G (aberrant splicing, intron 8) and G4655A (Cys365Tyr). If either parental allele is R447H, the patient will not be included in the study. These account for a total of 83% of the mutations in the study by Sleat et al and 82% of the mutations in our studies. The study does not limit to one specific genotype (genetic constitution) since our data regarding the natural history of the disease and the studies of Steinfeld, show that, for these 5 genotypes (genetic constitution), LINCL subjects have similar clinical course. 2. The subject must be between the age of 2 and 18 years. 3. Subjects will have an average total score of 4 - 12 on the Weill-Cornell LINCL scale, and the total score should not be outside the 95th percentile confidence limits for age based on our historic data. 4. The subject will not previously have participated in a gene transfer or stem cell study. 5. Parents of study participants must agree to comply in good faith with the conditions of the study, including attending all of the required baseline and follow-up assessments, and both parents or legal guardians must give consent for their child's participation. 6. Sexually active subjects will have to use contraception during the treatment and for 2 months after completion of the treatment. 7. If asymptomatic (i.e - An LINCL score of 12), has one older sibling who has a positive genotype and has clinical manifestations of the disease. Exclusion Criteria: 1. Presence of other significant medical or neurological conditions may disqualify the subject from participation in this study, particularly those which would create an unacceptable operative risk or risk to receiving the AAVrh.10CUhCLN2 vector, e.g., malignancy, congenital heart disease, liver or renal failure. 2. Subjects without adequate control of seizures. 3. Subjects with heart disease that would be a risk for anesthesia or a history of major risk factors for hemorrhage. 4. Subjects who cannot participate in MRI studies. 5. Concurrent participation in any other FDA approved Investigational New Drug. 6. Subjects with history of prolonged bleeding or abnormal platelet function or taking aspirin. 7. Renal disease or altered renal function as defined by serum creatinine \> 1.5 mg/dl at admission. 8. Abnormal serum sodium, potassium calcium, magnesium, phosphate at grade III or IV by Division of AIDS Toxicity Scale. 9. Hepatic disease or altered liver function as defined by SGPT \> 150 U/L, and or Total Bilirubin \> 1.3 mg/dL 10. Immunosuppression as defined by WBC \< 3,000/µL at admission 11. Uncorrected coagulopathy during the baseline period defined as INR \> 1.4; PTT \> 35 sec; PLT \< 100,000/mm3. 12. Anemia (hemoglobin \< 11.0 g/dl at \> 2 years of age, with normal serum iron studies).
View Inclusion and Exclusion Criteria at ClinicalTrials.gov

Locations


No.of Trial Sites 1
Locations United States

Regulatory Information


Has US IND True
FDA Designations Orphan Drug Designation, Rare Pediatric Disease Designation
Recent Updates Product was licensed to Lexeo Therapeutics, renamed LX1004, product development was discontinued

Resources/Links