Open-label, dose-escalation clinical trial of rAAV9.CMV.hNAGLU injected intravenously through a peripheral limb vein
Adeno-associated virus serotype 9 carrying the human NAGLU gene under the control of a CMV enhancer/promoter (rAAV9.CMV.hNAGLU) will be delivered one-time through a venous catheter inserted into a peripheral limb vein. A tapering course of prophylactic enteral prednisone or prednisolone will be administered for a period of at least two months.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
11
Adeno-associated virus serotype 9 carrying the human NAGLU gene under the control of a CMV enhancer/promoter (rAAV9.CMV.hNAGLU) will be delivered one-time through a venous catheter inserted into a peripheral limb vein.
Nationwide Children's Hospital
Columbus, Ohio, United States
Armand-Trousseau Hospital
Paris, France
University Hospital Hamburg-Eppendorf
Hamburg, Germany
Hospital Clinico Universitario de Santiago
Santiago de Compostela, Spain
Change from baseline in the Age Equivalent Developmental score (calculated by the Mullen Scales of Early Learning or the Kaufman Assessment Battery for Children Second Edition, based on developmental age) compared with Natural History Study data
Time frame: 24 months
Product safety as defined by the incidence, type and severity of treatment-related adverse events and serious adverse events
Time frame: 24 Months
Change from baseline of central spinal fluid heparan sulfate after treatment
Time frame: 24 months
Change from baseline of plasma or urine glycosaminoglycans or heparan sulfate after treatment
Time frame: 24 Months
Change from baseline in CSF or plasma NAGLU enzyme activity levels after treatment
Time frame: 24 Months
Change from baseline in liver and/or spleen volumes after treatment, as measured by magnetic resonance imaging
Time frame: 24 Months
Change from baseline in brain volumes after treatment, as measured by magnetic resonance imaging
Time frame: 24 Months
Change from baseline in the Cognitive Age Equivalent (Developmental Age) compared to Natural History Study, calculated using the Bayley Scales of Infant and Toddler Development or the Kaufman Assessment Battery for Children
Time frame: 24 Months
Change from baseline in the Adaptive Age Equivalent score after treatment compared to Natural History Study data, as assessed by parent report using the Vineland Adaptive Behavior Scale II Survey form
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Time frame: 24 Months
Change from baseline Developmental Quotient after treatment compared to Natural History Study data assessed by the Mullen Scales of Early Learning or the Kaufman Assessment Battery for Children.
Time frame: 24 Months
Change from baseline in Pediatric Quality of Life Inventory (PedsQL™) Generic Core Scales total score
Time frame: 24 Months
Change from baseline in parent quality of life, using the Parenting Stress Index, 4th Edition (PSI-4) short form
Time frame: 24 Months
Determination of vector shedding analysis in plasma, saliva, urine and feces will provide preliminary data for the Environmental Risk Assessment
Time frame: 24 Months