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This is a Phase 1/2, open-label, multiple-center, dose escalation and cohort expansion study to evaluate the safety and efficacy of NGGT002 in adult subjects with classic Phenylketonuria (PKU). NGGT002 is a rAAV8 based vector carrying a functional copy of the human PAH gene.
Participants will receive a single administration of NGGT002 and will be followed for safety and efficacy for 5 years.
This study will evaluate the safety and efficacy of NGGT002 gene therapy with three dose cohorts in adult subjects with a diagnosis of classic PKU, a condition characterized by severe PAH deficiency with no residual enzyme activity. NGGT002 will be administered through intravenous infusion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NGGT002 | Experimental | Six to eighteen patients will be enrolled into three cohorts at three dose levels. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NGGT002 | Genetic | adeno-associated viral vector with human phenylalanine hydroxylase gene |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and severity of Adverse Events (AEs) | Incidence and severity of AEs, including serious AEs (SAEs) as assessed by CTCAE v5.0 of a single administration of NGGT002. | Baseline to Week 52 |
| Change from baseline in average Plasma Phe Concentration | To evaluate the efficacy in change of average plasma Phe concentration of IV infusion of NGGT002 in adults with classic PKU at Week 12, Week 28, Week 52 | Week 12, Week 28, Week 52 |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of sustained plasma Phe concentration of ≤360 μmol/L (6 mg/dL) at Week 12, Week 28, Week 52 post dose | Subjects achieving a sustained plasma Phe concentration ≤360 μmol/L (6 mg/dL) at Week 12, Week 28, Week 52 post dose. | Week 12, Week 28, Week 52 |
| Occurred Day to first reach Phe ≤ 360 μmol/L and the duration(days) of Phe ≤ 360 μmol/L in each dose group following NGGT002 administration |
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Inclusion Criteria:
Exclusion Criteria:
Presence of anti-AAV8 neutralizing antibodies(≥1:5)
Subjects whose disease is well-controlled with existing therapies, such as those currently receiving medications like Sapropterin Dihydrochloride tablets, Pegvaliase-pqpz, etc.;
Before dosing, the patient's hematological laboratory tests exceed any of the following limits:
At screening, clinically significant abnormal vital signs, physical examination, laboratory test results, or other relevant findings that, in the investigator's opinion, make the subject unsuitable for inclusion;
In the investigator's assessment, the subject has contraindications to corticosteroid use or conditions that could lead to a worsening of the condition;
Hepatitis A virus infection, active or occult hepatitis B virus infection, active hepatitis C virus infection, positive for Human Immunodeficiency Virus (HIV) antibodies, positive syphilis test, active or latent tuberculosis (TB) infection;
A significant history of liver disease, such as steatosis, fibrosis, non-alcoholic steatohepatitis, and cirrhosis, biliary diseases, within 6 months prior to signing the informed consent form, except for Gilbert's syndrome;
History of malignant tumors;
Imaging (liver ultrasound) evidence of severe liver diseases such as hepatic fibrosis or cirrhosis;
In the investigator's assessment, the subject has a history of serious cardiovascular, respiratory, gastrointestinal, endocrine, renal, hematological, neurological, psychiatric, or other systemic diseases before screening;
History of allergy to human serum albumin;
Subjects with a history of substance abuse (e.g., alcohol, heroin, amphetamines, etc.);
Subjects who have received gene therapy at any time in the past.
Subjects who have participated in other non-gene therapy drug clinical trials and received the investigational drug within 3 months (or 5 half-lives of the other investigational drug) prior to screening;
Subjects with elevated Alpha-fetoprotein (AFP);
Other conditions that, in the investigator's opinion, make the subject unsuitable for inclusion, such as severe comorbidities associated with PKU (e.g., renal insufficiency or renal failure, osteoporosis, anemia, gastroesophageal reflux or peptic ulcer, major depressive disorder, epilepsy, etc.);
Subjects weighing more than 100 kg;
Subjects whose daily diet includes excessive natural protein intake (>2 g/kg/day).
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Huan Zhou, PhD | Contact | 8613665527160 | zhouhuanbest@vip.163.com |
| Name | Affiliation | Role |
|---|---|---|
| Jianping Weng, PhD | The First Affiliated Hospital of Bengbu Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First Affiliated Hospital of Bengbu Medical College | Recruiting | Bengbu | Anhui | China |
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| ID | Term |
|---|---|
| D010661 | Phenylketonurias |
| ID | Term |
|---|---|
| D020739 | Brain Diseases, Metabolic, Inborn |
| D001928 | Brain Diseases, Metabolic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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Time(days) to first reach Phe ≤ 360 μmol/L and the duration(days) of Phe ≤ 360 μmol/L in each dose group following NGGT002 administration |
| Week 52 |
| Change from baseline in Phe and total protein intake at Week 28, Week 52 post dose | Subject achieving a change from baseline in Phe and total protein intake at Week 28, Week 52 post dose. | Week 28, Week 52 |
| Score change in Phenylketonuria Quality of Life Questionnaire (PKU-QOL) | Score change in PKU-QOL at Week 28, Week 52 post dose | Week 28, Week 52 |
| Xinhua Hospital Affifiated to Shanghai Jiao Tong University School of Medicine | Recruiting | Shanghai | China |
|
| D009422 | Nervous System Diseases |
| D000592 | Amino Acid Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |