Direct Lentiviral Injection Gene Therapy for MLD

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age1-50
SponsorShenzhen Geno-Immune Medical Institute

About this trial

This is a Phase I/II clinical trial of gene therapy for treating Metachromatic leukodystrophy (MLD) using a safety and efficacy improved self-inactivating lentiviral vector TYF-ARSA to functionally correct the genetic defect. The primary objectives are to evaluate the safety and efficacy of the direct gene transfer clinical protocol.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

MLD patient age >= 1 month

ARSA gene sequence analysis to confirm MLD mutations

Scoring system for brain MR Imaging confirmed MLD

Parent / guardian / patient signing informed consent

Disqualifiers

HIV positive patients

Patients who are experiencing uncontrolled viral, bacterial or fungal infections, malignant tumors, heart abnormalities, liver dysfunction, or renal insufficiency

Cannot perform an MRI

Infection or dermatosis at pre-injection site

Trial design

Design model

Single group

Treatments tested in this trial

  • Intrathecal and intravenous LV gene therapy

    Genetic

    Direct IT and IV LV gene therapy to deliver high levels of LVs at 1-2×10\^9 transduction units/ml which carry a normal ARSA gene

Treatment groups

10 Participants
are divided into 1 treatment group
Group A: Lentivirus-mediated delivery of ARSA to the CNS and the bodyExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Safety of IT and IV injections of lentiviral TYF-ARSA

Safety of IT and IV injections of lentiviral TYF-ARSA, determined by number of participants with treatment-related adverse events (AEs), according to scheduled assessments, vital signs, \& physical examinations as assessed by CTCAE v4.0. AEs \& clinically significant abnormalities (meeting grade 3, 4, or 5 criteria according to CTCAE) will be summarized by maximum intensity \& relationship to the study drug(s). The grade of AEs will be summarized if related to the treatment.

Time frame
up to 1 year follow up
2

Altered disease progression

Altered disease progression based on biochemical analysis.

Time frame
up to 3 year follow up after treatment
3

Altered disease progression

Altered disease progression based on MRI brain imaging analysis

Time frame
up to 3 year follow up after treatment

Secondary outcomes

Other outcomes

Sponsors and contacts

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