This is a Phase 1/2, open-label, randomized, concurrently-controlled, dose escalation study to evaluate the safety and efficacy of HMI-102 in adult PKU subjects with PAH deficiency. Participants will receive a single administration of HMI-102 and will be followed for safety and efficacy for 1 year.
Part 1 of this study will evaluate the safety and efficacy of HMI-102 gene therapy in adult subjects with PKU due to PAH deficiency. Subjects will receive a single dose of HMI-102 administered intravenously. Up to 3 dose levels of HMI-102 may be investigated in this study. At a given dose level, a minimum of 2 subjects will be enrolled and dosed. Dosing of the first two subjects will be staggered. Following evaluation of data from the first 2 subjects in a cohort, a decision can be made to either escalate to the next dose level or expand the cohort at the selected dose level. Additional doses may be added by HMI to investigate intermediate or higher doses. In Part 2 dose expansion, evaluation of up to 2 dose levels is planned. Subjects will be randomized to receive HMI-102 or a concurrent delayed treatment control arm. Subjects in the delayed treatment control will be eligible to receive HMI-102 after 28 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
10
HMI-102 is an AAVHSC15 vector containing a functional copy of the human PAH gene
Control subjects will generally have the same assessments as treated subjects. Control subjects will undergo pre-baseline procedures to confirm that they are eligible to receive treatment with HMI-102. Once eligible control subjects are dosed with HMI-102, they will initiate the same post-dose procedures as subjects who received HMI-102.
Kaiser Permanente Los Angeles Medical Center
Los Angeles, California, United States
Children's Hospital of Orange County
Orange, California, United States
University of South Florida
Incidence and severity of treatment-emergent adverse events (TEAEs) (Dose Escalation Phase)
Subjects with at least one TEAE or serious TEAE
Time frame: Baseline to Week 52
Change from baseline in clinical laboratory values (Dose Escalation Phase)
Change in serum chemistry values including liver function tests, hematology, and urinalysis
Time frame: Baseline to Week 52
Change from baseline in 12-lead electrocardiograms (ECGs), vital signs, physical examinations (Dose Escalation Phase)
Subjects change from baseline in 12-lead electrocardiograms (ECGs), vital signs, physical examinations
Time frame: Baseline to Week 52
Incidence of sustained plasma Phe concentration of ≤360 μmol/L at 28 weeks post dose (Dose Escalation Phase)
Subjects achieving a sustained plasma Phe concentration ≤360 μmol/L at 28 weeks post dose
Time frame: Week 28
Change from baseline in Plasma Phe Concentration (Dose Escalation Phase)
Change from baseline in plasma Phe concentration during Weeks 24-28
Time frame: Weeks 24-28
Change from baseline in mean Plasma Phe Concentration (Dose Expansion Phase)
Change from baseline in mean plasma Phe concentration during Weeks 24-28
Time frame: Weeks 24-28
Incidence of plasma Phe concentration thresholds up to Week 28 post administration of HMI-102 (Dose Expansion Phase)
Subjects achieving plasma Phe concentration thresholds up to Week 28 post administration of HMI-102
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Tampa, Florida, United States
Emory University Hospital
Atlanta, Georgia, United States
Lurie Children's Hospital of Chicago
Chicago, Illinois, United States
Boston Children's Hospital
Boston, Massachusetts, United States
Icahn School of Medicine at Mount Sinai
New York, New York, United States
The University of North Carolina At Chapel Hill
Chapel Hill, North Carolina, United States
Nationwide Children's Hospital
Columbus, Ohio, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
...and 3 more locations
Time frame: Baseline to Week 28
Incidence of plasma Phe concentration thresholds up to Week 52 post administration of HMI-102 (Dose Expansion Phase)
Subjects achieving plasma Phe concentration thresholds up to Week 52 post administration of HMI-102
Time frame: Baseline to Week 52
Change from baseline in total protein intake at Week 52 post-administration of HMI-102 (Dose Expansion Phase)
Subject Achieving a change from baseline in total protein intake at Week 52 post-administration of HMI-102
Time frame: Week 52
Incidence and severity of treatment-emergent adverse events (TEAEs) (Dose Expansion Phase)
Subjects with at least one TEAE or serious TEAE
Time frame: Baseline to Week 52