An Exploratory Clinical Trial of VGN-R08b in Patients With Type II Gaucher Disease

Plain-language summary

This exploratory study evaluates VGN-R08b, a gene therapy, in infants with type II Gaucher disease. It enrolls infants 24 months of age or younger with Gaucher disease confirmed by GCase enzyme activity and biallelic GBA1 gene mutations, who have neurological signs consistent with GD2. The study is in Early Phase 1 and is currently recruiting participants.

The summary above is a plain-language rendering of the official record. The original English title is shown for reference.

Trial details

Phase

Early Phase 1

Status

Recruiting

Sponsor

Xinhua Hospital, Shanghai Jiao Tong University School of Medicine

Intervention

VGN-R08b

Start date

3/1/2023

Estimated completion

2/28/2029

Countries

China

Related genes

Locations

• Shanghai, China

Eligibility criteria

Criteria are reproduced from the ClinicalTrials.gov record in the original English. Only the trial team can determine eligibility.

Inclusion Criteria:

1. Infants with age of ≤24 months.
2. Historical diagnosis of Gaucher disease confirmed by GCase enzyme activity test, and with GBA1 biallelic mutations.
3. Neurological signs and/or symptoms consistent with diagnosis of GD2.
4. Parent(s)/legal guardian(s) of subject must give their consent for subject to enroll in the study.
5. Parent(s)/legal guardian(s) of the subject must agree to comply with the requirements of the study, including providing disease information and support disease assessment of symptoms.

Exclusion Criteria:

1. Diagnosis of a significant CNS disease other than GD2 that may be a cause for the patient's GD symptoms or may confound study objectives.
2. Achieved independent gait.
3. Severe visceral symptoms of GD which, in the opinion of the Investigator, would pose an unacceptable risk to the patient or interfere with the patient's ability to comply with study procedures or interfere with the conduct of the study.
4. Clinically active infection (including HIV, HBV, HCV or syphilis).
5. For those receiving enzyme replacement therapy and/or substrate reduction therapy and/or ambroxol for Gaucher disease, stable treatment ≤2 months before enrollment.
6. Use of strong inhibitors or inducers of cytochrome CYP3A4 or P-glycoprotein (P-gp) medications, herbals, or over-the-counter agents.
7. Any type of prior gene or cell therapy.
8. Immunizations (live vaccines) in the prior 4 weeks.
9. Use of systemic immunosuppressant or corticosteroid therapy other than protocol-specified (topical preparations for dermatological conditions are allowed).
10. Patients with anti-AAV9 neutralizing antibody titer over 1:5.
11. Brain MRI (magnetic resonance imaging) showing clinically significant abnormality considered to prevent intracisternal injection.
12. Contraindication to sedation during surgery or imaging studies (PET).
13. Presence of other significant medical conditions that would create an unacceptable risk to the patient or interfere with the patient's ability to comply with study procedures or interfere with the conduct of the study.