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 an 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 two dose cohorts in adult subjects with diagnosis of classic PKU, a condition characterized by severe PAH deficiency with no residual enzyme activity. NGGT002 will be administered through intravenous infusion. In Part 1 of the study, subjects will receive NGGT002 at the low dose. Dosing of the first 3 subjects will be staggered. Following evaluation of data from the first 3 subjects, a decision can be made to either escalate to the high dose level or expand the low dose cohort with additional 3 subjects. Upon completion of Part 1 study, based on the evaluation of and safety and efficacy, the study may be stopped or proceed to Part 2. In Part 2, the same process will be conducted with 3 -6 subjects dosed at the high dose.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
adeno-associated viral vector with human phenylalanine hydroxylase gene
Children's Hospital of Orange County Hospital
Orange, California, United States
RECRUITINGUniversity of Minnesota
Minneapolis, Minnesota, United States
RECRUITINGAtlantic Health System
Morristown, New Jersey, United States
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.
Time frame: Baseline to Week 52 and during Year 1 to 5
Change from baseline in clinical laboratory values
Change in chemistry values including liver function tests, hematology and urinalysis.
Time frame: Baseline to Week 52 and during Year 1 to 5
Change from baseline in 12-lead electrocardiograms (ECGs), vital signsand physical examinations
Subjects change from baseline in 12-lead electrocardiograms (ECGs), vital signs and physical examinations.
Time frame: Baseline to Week 52 and during Year 1 to 5
Change from baseline in Plasma Phe Concentration
To evaluate the efficacy in change of plasma Phe concentration of IV infusion of NGGT002 in adults with classic PKU at Week 12, Week 28, Week 52 and during Year 1 to 5.
Time frame: Baseline to Week 52 and during Year 1 to 5
Incidence of sustained plasma Phe concentration of ≤360 μmol/L (6 mg/dL) at Week 12, Week 28, Week 52 and during Year 1 to 5 post dose
Subjects achieving a sustained plasma Phe concentration ≤360 μmol/L (6 mg/dL) at Week 12, Week 28, Week 52 and during Year 1 to 5 post dose.
Time frame: Baseline to Week 52 and during Year 1 to 5
Change from baseline in total protein intake at at Week 28, Week 52 and during Year 1 to 5 post dose
Subject achieving a change from baseline in total protein intake at Week 28, Week 52 and during Year 1 to 5 post dose.
Time frame: Baseline to Week 52 and during Year 1 to 5
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University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States
RECRUITINGUniversity or Texas, Southwestern medical Center
Dallas, Texas, United States
RECRUITINGChange in Phenylketonuria Quality of Life Questionnaire (PKU-QOL)
Change in PKU-QOL at Week 28, Week 52 and during Year 1 to 5 post dose.
Time frame: Baseline to Week 52 and during Year 1 to 5