Subject Recruitment

This is an open-label study designed to assess if AT2101 is safe in patients with Gaucher disease and how AT2101 gets through the body after it is taken by mouth. The study is being offered to adult patients with type 1 Gaucher disease who are currently receiving a stable dose of enzyme replacement therapy (ERT) with imiglucerase. During the study, subjects will not be receiving ERT (up to 35 days).

The study consists of a screening period (~14 days), a treatment period (12 days) and a follow-up period (7 days after last dose). At two points in the study, subjects will be housed in an in-patient treatment facility for 3 days/2 nights to accommodate all necessary blood draws.

While on the study, subjects will be required to refrain from consuming the following foods and beverages:

• Caffeine: 24 hours before admission and throughout the in-patient stay;
• Alcohol: 48 hours before admission and throughout the in-patient stay. A maximum of 2 units/day will be allowed during the out-patient part of the study (1 unit of alcohol = wind (125mL)=spirits(25mL)=beer (284mL);
• Vitamins: throughout the in-patient periods.

Subjects will also be restricted to taking medications or herbal products during the study except if the Principal Investigator permits.

Subjects will not engage in strenuous activity at any time during the in-patient periods.

Inclusion Criteria:

• Have a confirmed diagnosis of type 1 Gaucher disease with a documented gene mutation;
• Clinically stable and on a stable dose of ERT for at least 2 years before study entry, with no changes to dose level or regimen in the last 6 months;
• Willing to stop ERT for the duration of the study;
• Male or female between the ages of 18 to 65 inclusive;
• All subjects of reproductive potential are required to practice an acceptable method of contraception;
• All subjects must have a body mass index of less than 30; and
• Provide written informed consent to participate in the study.

Exclusion Criteria:

• A clinically significant disease, severe complications from Gaucher disease, or serious intercurrent illness that may preclude participation in the study in the opinion of the Investigator;
• During the screening/wash out period, any clinically significant findings, based on physical exam, medical history review, lab assessment, vital sign assessment and/or other significant finding which would compromise the safety of the subject, or preclude the subject from completing the study as deemed by the Investigator;
• Partial or total splenectomy;
• History of pulmonary hypertension or Gaucher-related lung disease;
• History of allergy or sensitivity to the study drug or any excipients, including any prior serious allergic reaction to iminosugars;
• Screening or Day 1 (before dosing) 12-lead ECG demonstration QTc >450 msec in males or >470 in females;
• Pregnant or breast-feeding;
• Current/recent drug or alcohol abuse within the past 12 months;
• Treatment with any investigational product, including investigational forms of ERT, in the 90 days before study entry;
• Treatment in the previous 90 days with any drug known to have a well-defined potential for toxicity to a major organ;
• Presence or sequelae of gastrointestinal, liver or kidney disease, or other conditions known to interfere with the absorption, distribution, metabolism, or excretion of drugs; or
• Subject is otherwise unsuitable for the study in the opinion of the Investigator.