About this trial
The main objective of this study is to evaluate the efficacy and safety of UX111 for the treatment of MPS IIIA.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
No detectable or significantly reduced SGSH enzyme activity by leukocyte assay, and
Genomic DNA analysis demonstrating homozygous or compound heterozygous mutations in the SGSH gene (based upon review of documented results from a qualified laboratory, and with confirmation with Medical Monitor)
For Cohort 1-3: From birth (participating sites in USA and Australia) OR 6 months (participating sites in Spain) to 2 years of age with no BSITD-III Cognitive Development Quotient (DQ) requirement, or older than 2 years with a BSITD-III Cognitive DQ of 60 or above (participating sites globally).
For Cohort 4 (participating sites in Spain): 3 months to ≤ 2 years of age with no BSITD-III Cognitive DQ requirement or > 2 years of age with a BSITD-III Cognitive DQ ≥ 60 (n = up to 6). Up to 2 additional subjects > 2 years and ≤ 5 years of age with a BSITD-III Cognitive DQ < 60 may also be enrolled. •Subjects must be ≥ 6 months of age before UX111 administration. However, subjects may be consented and initiate relevant Screening Procedures and IM treatment < 6 months of age. Refer to Section 8.2 for relevant screening procedures •For children ≤ 24 months chronological age who were born prematurely, defined as born at < 36 weeks gestational age, the corrected gestational age must be used for determining inclusion •The BSITD-III Cognitive DQ is assessed during the onsite Screening visit, for subjects who require it •The age of the child on the date of the Screening BSITD-III assessment is used to determine the requirement for the BSITD-III Cognitive DQ score.
Disqualifiers
Inability to participate in the clinical evaluation as determined by PI
Cohorts 1 to 3 only: Identification of two nonsense or null variants on genetic testing of the SGSH gene (based upon review of documented results from a qualified laboratory, and with confirmation with Medical Monitor)
At least one S298P mutation in the SGSH gene (based upon review of documented results from a qualified laboratory, and with confirmation with Medical Monitor)
Has evidence of an attenuated phenotype of MPS IIIA, in the judgement of the PI
Trial design
Sequential
Treatments tested in this trial
UX111
Biological/VaccineSelf-complementary adeno-associated virus serotype 9 carrying the human SGSH gene under the control of a U1a promoter (scAAV9.U1a.hSGSH) will be delivered one time through a venous catheter inserted into a peripheral limb vein.
Prophylactic Immunomodulatory (IM) Therapy
DrugOptimized Prophylactic IM Therapy
DrugAdjuvant IM Therapy
DrugThe Principal Investigator and/or caregiver, in consultation with the medical monitor, will determine whether to initiate adjuvant IM therapy. Not all participants may receive adjuvant IM therapy.
Treatment groups
Trial outcomes
Primary outcomes
Cerebrospinal Fluid (CSF) Heparan Sulfate (HS) (Disaccharide) Exposure
Exposure is defined as the time-normalized area under the curve (AUC) of the percentage reduction from baseline.
Secondary outcomes
Bayley Scales of Infant and Toddler Development-Third Edition (BSITD-III) Cognitive Raw Score Over Time
CSF Ganglioside Type 2 (GM2) Exposure
Exposure is defined as the time-normalized area under the curve (AUC) of the percentage change from baseline.
CSF Ganglioside Type 3 (GM3) Exposure
Exposure is defined as the time-normalized area under the curve (AUC) of the percentage change from baseline.
Percent Change from Baseline in CSF HS
Other outcomes
Number of Participants with Treatment-Emergent Adverse Events, and Treatment-Emergent Serious Adverse Events
Sponsors and contacts
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Ultragenyx Pharmaceutical Inc
Lead sponsor
Abeona Therapeutics, Inc
Collaborator