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Gene Therapy Trial Report

Summary

Study for the Treatment for CLN7 Disease


NCTID NCT04737460 (View at clinicaltrials.gov)
Description
Development Status Active
Indication CLN7 Batten Disease, Variant Late-Infantile Neuronal Ceroid Lipofuscinosis Type 7
Disease Ontology Term DOID:0110722
Compound Name AAV9/CLN7
Sponsor Benjamin Greenberg
Funder Type Other
Recruitment Status
Active not recruiting
Enrollment Count 4 (ACTUAL)
Results Posted Not Available

Therapy Information


Target Gene/Variant MFSD8
Therapy Type Gene transfer
Therapy Route In-vivo
Mechanism of Action Functional gene replacement
Route of Administration Intrathecal
Drug Product Type Viral vector
Delivery System Viral transduction
Vector Type AAV9
Editor Type none
Dose 1 5E14 vg
Dose 2 1E15 vg

Study Record Dates


Current Stage Phase1
Submit Date 2021-01-15
Completion Date 2029-02-01
Last Update 2025-12-31

Participation Criteria


Eligible Age 1 Year - 18 Years
Standard Ages Child, Adult
Sexes Eligible for Study ALL
Eligibility Criteria
Inclusion Criteria: * 1-18 years of age * Clinically symptomatic patients with diagnosis of CLN7 based upon molecular testing with homozygous or compound heterozygous and pathogenic mutations in MFSD8 gene with symptom onset before age 4 * Patients selected to be included in this study will have no more than moderate severity of the disease and will have to meet the following criteria; Not dependent on chronic invasive ventilatory support AND have either * Expressive language sub test on Mullen and/or Vineland consistent with an age equivalent score of a 2 year 0 month old. This means they should have 20-50 words (all comprehensible) in their vocabulary and putting 2-3 words phrases in a sentence or, * Patients can complete and obtain a score of 2-3 on GMFM sub domain E (Walking, Running \& jumping) item 67 (ie With 2 hands held can walk 10 steps forward) * Written informed consent provided by participant/parent/guardian and willingness to participate and comply with all the study related visits and procedures. Assent provided by children 10 -17 years old based on their ability to understand the risks and possible benefits, and the activities expected of them as participants. Exclusion Criteria: * Diagnosis of a second neurodegenerative disease or another genetic syndrome with a progressive course * Hypersensitivity to any drugs used per procedural protocol * Inability to tolerate anesthesia or study procedures * Advanced stage disease defined by the use of chronic invasive ventilatory support (tracheostomy with ventilator dependence) and a non communicative status * Concomitant illness that places patient at risk for gene transfer or gene transfer related procedures and immunosuppression * Active, symptomatic viral infection (including but not limited to HIV or serology positive for Hepatitis B or C, or COVID-19) at the PI's discretion * Bacterial infection requiring antibiotics within the 6 weeks prior to infusion * New antiepileptic medications initiated within 90 days of infusion * Status epilepticus within 30 days of infusion * Generalized tonic-clonic seizure without returning to baseline within 24 hours of infusion * Family is unwilling or unable to participate with required follow-up assessments * Abnormal lab values that are clinically significant: * Platelet count \< 100,000/mm3 * Abnormal absolute neutrophil count (ANC) of \< 1000/mm3 * Persistent leukopenia or leukocytosis (Total white blood cell count \< 3,000/mm or \> 15,000/mm respectively) * Significant anemia (Hb \<10 g/dL) * Abnormal prothrombin (PT) or partial thromboplastin time (PTT) * Abnormal liver function tests (\>2 X ULN or \> 2 X the baseline value at time of dosing) * Abnormal pancreatic enzymes (\>2 X ULN or \> 2 X the baseline value at time of dosing) * Renal impairment defined as urinary protein concentration greater than or equal to 0.2 g/L on 2 consecutive tests * Any other abnormal lab values that are clinically significant per PI's discretion * If labs are abnormal, these can be rechecked during the screening period. If labs normalize with or without intervention, patient can be enrolled at the discretion of PI. * Contraindications for intrathecal administration of the product via lumbar puncture, such as bleeding disorders or other medical conditions (e.g., spina bifida or clotting abnormalities) * Contraindications for MRI scans (including but not limited to cardiac pacemaker, metal in the eye, aneurysm clip in the brain, etc.) * History of or current chemotherapy, radiotherapy, or other immunosuppression therapy within 30 days preceding screening (corticosteroid treatment may be permitted at the discretion of the PI) * Receipt of any other investigational agent within the previous 3 months * Positive Beta hCG pregnancy test (females of child bearing potential will have a pregnancy test on Day -1) * Any other medical condition that puts the subject at increased risk of adverse events related to the investigational product or study-related procedures.
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
Recent Updates

Resources/Links