About this trial
A phase 1/2, multicenter, open-label, Dose-escalation study to evaluate the safety and efficacy of intravenous EXG110 in patients with Fabry disease
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years old, male or female
Clinical symptoms (at least one Fabry disease related symptom) and genetic diagnosis of Fabry disease
Prior or no prior ERT treatment
Have renal or cardiac involvement
Disqualifiers
Screening period laboratory test results: a) aspartate aminotransferase or alanine aminotransferase > 1.5× upper limit of normal (ULN);b) Total bilirubin > 1.5× upper limit of normal (ULN);c) Alkaline phosphatase > 2× upper limit of normal (ULN);d) Hypoalbuminemia ≥ grade 2
Serum virology test: a) Hepatitis B: Hepatitis B virus surface antigen (HBsAg) positive, and hepatitis B virus-deoxyribonucleic acid (HBV-DNA) higher than the upper limit of normal detection;b) Hepatitis C: if the hepatitis C virus (HCV) antibody is positive, and the hepatitis C virus-ribonucleic acid (HCV-RNA) is higher than the upper limit of normal test value;c) Syphilis: positive for syphilis screening (Tp-Ab) and positive for syphile-specific antibodies;d) HIV: Known human immunodeficiency virus (HIV) positive history or HIV screening positive
Current or have a history of serious cardiovascular disease and surgical history
Current underlying liver disease or history of liver disease, as assessed by the investigator, that may affect the safety assessment of the product
Trial design
Sequential
Treatments tested in this trial
EXG110 Injection
DrugEXG110 Injection is gene therapy for Fabry Disease , uses a proprietary AAV capsid with improved liver and muscle specificity.
Treatment groups
Trial outcomes
Primary outcomes
Phase 1: To evaluate the safety and tolerability of EXG110 following a single intravenous infusion
Adverse events (AEs), serious adverse events (SAEs), dose-limited toxicity types, severity, incidence,
Phase 2: The changes from the baseline of kidney function
Proportion of participants with a reduction in Gb3 inclusion body accumulation to scores 0 (the minimum values are 0 scores, the maximum values are 3, higher scores mean a worse outcome ) on renal interstitial capillary biopsy as determined by light microscopy.
Phase 2: The changes from the baseline of cardiac function
The change of LVMI (left ventricular mass index,g/m\^2) from the baseline
Phase 2: The changes from the baseline of pain
The scores changes of BPI (The Brief Pain Inventory, short form) from the baseline, each iteam is scored on a 0-10 scale, with higher scores indicating greater severity.
Secondary outcomes
eGFR
eGFR change from baseline in mL/min/(1.73m\^2)
Cardiac function
LVMI change from baseline
Sponsors and contacts
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