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Gene Therapy Trial Report

Summary

Safety and Efficacy Study of NGGT006 in Refractory Hypercholesterolemia Patients


NCTID NCT06293729 (View at clinicaltrials.gov)
Description
Development Status Active
Indication Refractory Hypercholesterolemia, Familial Hypercholesterolemia
Disease Ontology Term DOID:13810
Compound Name NGGT006
Sponsor Suzhou Municipal Hospital
Funder Type Other
Recruitment Status
Not yet recruiting
Enrollment Count 9 (ESTIMATED)
Results Posted Not Available

Therapy Information


Target Gene/Variant LDLR
Therapy Type Gene transfer
Therapy Route In-vivo
Mechanism of Action Overexpression of protective allele/gene
Route of Administration Intravenous
Drug Product Type Viral vector
Delivery System Viral transduction
Vector Type AAV
Editor Type none
Dose 1 7.5E12 vg/kg
Dose 2 1.5E13 vg/kg
Dose 3 3E13 vg/kg

Study Record Dates


Current Stage Early phase1
Submit Date 2024-02-27
Completion Date 2029-03-01
Last Update 2024-04-17

Participation Criteria


Eligible Age 18 Years - 55 Years
Standard Ages Adult
Sexes Eligible for Study ALL
Eligibility Criteria
Inclusion Criteria: 1. 18 ≤ age ≤ 55 years old; 2. A patient with a clear diagnosis of refractory hypercholesterolemia and confirmed by genetic testing to be familial hypercholesterolemia; 3. AAV binding antibody titer ≤1:80 and AAV neutralizing antibody ≤1:5; 4. 18≤BMI (body mass index)≤35; 5. During the screening period, the subjects have received stable maximum tolerated dose of lipid-lowering drug treatment, but LDL-C was still ≥70mg/dL with clinical atherosclerotic cardiovascular disease; or LDL-C level was ≥ 100 mg/dL without clinical atherosclerotic cardiovascular disease: the highest tolerated dose refers to (the following must be met at the same time): ① Moderate to high doses of statins for ≥4 weeks, whether used alone or in combination with other lipid-lowering drugs; exceptions: subjects cannot tolerate statins; or subjects cannot receive statin treatment due to other reasons, such as low BMI, etc.; ② Ezetimibe ≥ 4 weeks; ③ Alirocumab 150mg Q2W or 300mg Q4W; evolocumab 140mg Q2W or 420mg Q4W; ≥8 weeks; And during the clinical trial process, any adjustment involving the type and dosage of lipid-lowering drugs must be approved by the researcher; 6. Stable healthy diet for ≥12 weeks, and can adhere to a healthy diet throughout the entire clinical trial; 7. Voluntarily sign the informed consent form and be willing to comply with the trial visit plan; 8. Willing to maintain a similar amount and intensity of exercise during the study period as during the baseline period; 9. Maintain good living habits, have no history of alcoholism or alcohol dependence (ICD-10 diagnosis is F10) 10. No new or recurring cardiovascular events (myocardial infarction, cerebral infarction, etc.) within half a year; 11. No stent implantation plan within three months; 12. Female subjects have not had sexual intercourse for 14 days before administration, and their blood tests indicate that they are not pregnant; 13. Subjects of childbearing age agree to use highly effective contraceptive measures for at least 365 days from the time of NGGT006 administration. Exclusion Criteria: 1. Secondary hyperlipidemia; 2. Use of other drugs or nutritional products that may affect blood lipids (such as fibrates) within 6 weeks; 3. Have received low-density lipoprotein apheresis (LDL apheresis) within the past 2 months; 4. Large weight fluctuations (≥5kg) in the past 2 months; 5. Positive for hepatitis B surface antigen, hepatitis C, human immunodeficiency virus (HIV),syphilis test or other infections (such as Epstein-Barr virus, Mycoplasma pneumoniae, tuberculosis virus, HPV, Chlamydia pneumoniae, respiratory syncytial virus, Adenovirus and coxsackievirus group B, etc.); 6. Clinically significant abnormalities in liver function test: alanine aminotransferase (ALT) \>2 × upper limit of normal (ULN) and/or aspartate aminotransferase (AST) \>2 × ULN; 7. RR at the baseline \>160/100mmHg (one repeated measurement is allowed); 8. Uncontrollable myocardial infarction or heart failure, and those planning surgery within one year; or new acute coronary syndrome in the past six months; 9. Diabetes diagnosed within 3 months or with poor control (HbA1c \>9%); 10. Abnormal thyroid function, or those using thyroid hormone replacement therapy but poorly controlled (TSH within the normal range for \<12 weeks); 11. Acute or chronic renal insufficiency; 12. Hemoglobin (Hb) \< 120g/L (male), Hb \< 110 (female); 13. Abnormal platelet counts or morphology; 14. History or laboratory tests suggestive of thrombosis; 15. Had contraindications to glucocorticoid (e.g., epilepsy, severe schizophrenia, active peptic ulcer); 16. Used systemic glucocorticoid treatment within 6 weeks before enrollment; 17. Life expectancy less than 1 year; 18. Suffering from malignant tumors such as liver cancer; liver fibrosis; 19. Previous gene therapy treatment; 20. Hypersensitivity to AAV preparations (for example trehalose) or cortisone or immunosuppressants (sirolimus, rituximab, tacrolimus); 21. Suffering from immunodeficiency disease 22. Participation in any other clinical trial within 3 months; 23. Breastfeeding females; 24. Any other condition that may not be appropriate for the study in the opinion of the Investigator.
View Inclusion and Exclusion Criteria at ClinicalTrials.gov

Locations


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Locations

Regulatory Information


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