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Gene Therapy Trial Report

Summary

Clinical Study of AAV1-gamma-sarcoglycan Gene Therapy for Limb Girdle Muscular Dystrophy Type 2C


NCTID NCT01344798 (View at clinicaltrials.gov)
Description
Development Status Inactive
Indication Limb-Girdle Muscular Dystrophy, Type 2C/R5
Disease Ontology Term DOID:0110277
Compound Name AAV1.DES.hSGCG
Sponsor Genethon
Funder Type Other
Recruitment Status
Completed
Enrollment Count 9 (ACTUAL)
Results Posted Not Available

Therapy Information


Target Gene/Variant SGCG
Therapy Type Gene transfer
Therapy Route In-vivo
Mechanism of Action Functional gene replacement
Route of Administration Intramuscular (carpi radialis)
Drug Product Type Viral vector
Delivery System Viral transduction
Vector Type AAV1
Dose 1 3E9 vg/100ul
Dose 2 1.5E10 vg/100ul
Dose 3 4.5E10 vg/300ul

Study Record Dates


Current Stage Phase1
Submit Date 2011-03-17
Completion Date 2010-06
Last Update 2011-04-29

Participation Criteria


Eligible Age >=15 Years
Standard Ages Child, Adult, Older adult
Sexes Eligible for Study ALL
Eligibility Criteria
Inclusion Criteria: 1. Confirmed diagnosis of LGMD 2C including: * Molecular analysis proving del525T mutation on γ-sarcoglycan gene (chromosome 13) at homozygous state * Muscle biopsy with immunohistochemical and/or Western blot analyses showing marked decrease or absence of γ-sarcoglycan staining in muscle, as well as a fibrosis assessment should be available. If not, an initial muscular biopsy may be performed during the pre-enrollment period 2. Lower age limit of 15 years 3. Males and females may be equally enrolled 4. Adequate carpi radialis muscle bulk for muscle biopsy as assessed by examination. Subjects should be able to communicate with the investigation staff. They should be able to understand, to comply with and to perform all needed evaluations during the trial period, including muscle strength tests. Forearm muscle strength should be of at least 3+ as assessed through the British Medical Research Council (MRC) Manual Muscle Testing (MMT) scale. Subjects should also have already lost ambulation 5. Subjects should be able and willing to return for follow up 6. Subjects should be able and willing to give signed informed consent. For minor subjects, a signed informed consent will be given by legally authorized representative 7. Eligible subjects belonging to a multiplex family should not be enrolled in the same cohort. Exclusion Criteria: 1. Severity of disease and presence of ill-prognosis complications: * Severe respiratory dysfunction such as subjects with tracheostomy or forced vital capacity (FVC) \< 1000 ml and/or \< 30%; * Uncompensated heart failure; * An ejection fraction (EF) \< 30% as measured on either echocardiography or scintigraphy; * Severe rhythm disturbances and/or high degree conduction defect in the absence of a pacemaker insertion. 2. Underlying conditions, diseases or active viral infections likely to increase risk of complications or to interfere with the investigational treatment: * contraindications for injections and muscle biopsies * Platelet count \< 100,000 / mm3 * Total bilirubin \> 10 mg/l (\> 17 µmol/l) * Serum creatinin \> 110 µmol/l * Lymphocytes CD4+ \< 250/mm3 (\< 15%) * History of diabetes mellitus * Current infectious diseases, including known positive HIV serology, hepatitis B and C * Abnormal profile on protein immunoelectrophoresis * Immunizations of any kind within the past month * receipt of another investigational agent within 4 weeks of study enrollment * History of or current steroid medication for indications other than muscular dystrophy, chemotherapy, radiotherapy or other immunosuppressive therapy. Steroid medication, if any, should be discontinued at least 3 months before entering the protocol and not received during the study * Pregnant or lactating women. Females or males of childbearing age must be willing to employ adequate contraception, that is to use condoms during the 3 months following the administration of the product * Pre-injection neutralizing anti-AAV1 antibodies titer (on pre-enrollment / D-30 visit) superior or equal to 1/800.
View Inclusion and Exclusion Criteria at ClinicalTrials.gov

Locations


No.of Trial Sites 1
Locations France

Regulatory Information


Has US IND
FDA Designations
Recent Updates Vector was well tolerated but expression of transgene was not detectable in most patients after 30 days

Resources/Links