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临床试验/EUCTR2018-000192-33-GB
EUCTR2018-000192-33-GB进行中(未招募)1 期

A Phase 1/2, Multicenter, Open-label, Single-dose, Dose-ranging Study to Assess the Safety and Tolerability of SB-913, a rAAV2/6-based Gene Transfer in Subjects with Mucopolysaccharidosis II (MPS II)

Sangamo Therapeutics, Inc.0 个研究点目标入组 32 人开始时间: 2018年4月9日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
32

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

入选标准

  • Inclusion Criteria
  • Subjects must meet all of the following criteria to be included in the study:
  • 1. Signed informed consent.
  • 2. =5 years of age:
  • a. Adult cohorts 1 through 4: = 18 years of age;
  • b. Pediatric cohorts 5 and 6: 12 to 17 years of age; and
  • c. Pediatric cohorts 7 and 8: 5 to 11 years of age.
  • 3. Clinical diagnosis of MPS II (based on evidence of hepatosplenomegaly, dysostosis multiplex by X-ray, valvular heart disease, or obstructive airway disease); IDS deficiency confirmed by gene sequencing.
  • 4. Sexually mature subjects must agree to use a barrier contraceptive method for prevention of AAV transfer as follows: for female subjects this means that the subjects’ partners must use a condom from dosing with SB-913 and until at least 3 consecutive plasma samples after administration of SB-913 are negative for AAV2/6; for male subjects this means that the subjects must use a condom and must refrain from sperm donation from the time of SB-913 administration until at least 3 consecutive semen samples after administration of SB-913 are negative for AAV2/6. In addition, female participants of child-bearing potential must consent to use a highly effective method of contraception.
  • 5. MRI negative for liver mass as read by a radiologist
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 7
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 9
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Exclusion Criteria
  • Subjects who meet any of the following criteria will be excluded from participating in the study
  • 1. Known to be unresponsive to ERT.
  • 2. Neutralizing antibodies in serum (immune response) to AAV2/6.
  • 3. Serious intercurrent illness or clinically significant organic disease (unless secondary to MPS II) such as cardiovascular, hepatic, pulmonary, neurologic, or renal disease.
  • 4. Receiving antiviral therapy for hepatitis B or C, or with active hepatitis B (HBV DNA positive or HBV surface antigen positive) or hepatitis C (HCV RNA viral load) or human immunodeficiency virus (HIV)-1/2 (HIV RNA viral load or HIV antibody positive); to be considered negative for hepatitis C after treatment of an active HCV infection, viral assays in 2 samples collected at least 6 months apart must be negative.
  • 5. Lack of tolerance to idursulfase treatment with significant infusion-associated reactions (IARs) or occurrence of anaphylaxis.
  • 6. Polymorphisms in the ZFN-targeted region of the albumin locus.
  • 7. Liver fibrosis score of 3 or 4 on a 0 to 4 point scale (Desmet et al. 1994) if subject has had a liver biopsy within 2 years of Screening.
  • 8. Markers of hepatic dysfunction as evidenced by one or more of the following:
  • a) Platelet count <100,000/µL
  • b) Albumin =3.2 g/dL
  • c) Total bilirubin >1.5 x upper limit of normal (ULN) and direct bilirubin =0.5 mg/dL
  • d) Alkaline phosphatase >2.0 x ULN
  • e) ALT or AST >2.0 x ULN
  • 9. Creatinine = 1.5 mg/dL
  • 10. Weight < 20 kg at Screening visit.
  • 11. Pregnant or breastfeeding female.
  • 12. Contraindication to the use of corticosteroids.
  • 13. Current treatment with systemic (IV or oral) immunomodulatory agent or steroid use (topical treatment allowed, e.g., for asthma or eczema).
  • 14. History of active malignancy in past 5 years (non-melanoma skin cancer or cervical cancer in situ permitted).
  • 15. Participation in prior investigational drug or medical device study within the previous 3 months.
  • 16. Prior treatment with a gene therapy product.
  • 17. History of alcohol or substance abuse that in the opinion of the Principal Investigator may interfere with study compliance.
  • 18. History of therapeutic non-adherence.
  • 19. Elevated or abnormal circulating AFP.
  • 20. Any other reason that, in the opinion of the Principal Investigator or Medical Monitor, would render the subject unsuitable for participation in the study.

研究者

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