The purpose of this study was to evaluate the safety, tolerability, efficacy, immunogenicity, PD and PK characteristics of LY-M001 injection in children with GD1 aged 6 years ≤ age \< 18 years. This study mainly includes the main study stage and the long-term follow-up study stage.
The study planned to enroll 6-9 patients with GD1 for 5 years, with a total of 34 follow-up visits. The main study period was 52 weeks, and the long-term follow-up period was 53 weeks to 5 years after administration. In this study, three dose groups were preset, and the first subject was enrolled with 1.0× 10\^13 vg/kg as the initial dose (the first dose group). After the safety was determined by DLT observation, subsequent subjects were enrolled. Based on safety and efficacy data, it will be decided by SRC discussion to increase to the next dose group. This is an open clinical study without blindness.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
3
LY-M001 Injection by Single Intravenous Infusion
Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University
Shanghai, Shanghai Municipality, China
Incidence of adverse events (AE) and serious adverse events (SAE) within 52 weeks after LY-M001 infusion
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0.
Time frame: Within 52 weeks of infusion
Incidence rate of dose-limiting toxicity (DLT) events determined by the data safety review committee (SRC) within at least 28 days after LY-M001 infusion
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0.The adverse events defined as dose-limiting toxicity (DLT) have been clearly specified in the protocol.
Time frame: Within 52 weeks of infusion
Liver function levels (including alanine aminotransferase [ALT], aspartate aminotransferase [AST], total bilirubin [TBIL], alkaline phosphatase [ALP], gamma-glutamyl transferase [GGT]) within 52 weeks after LY-M001 infusion.
Incidence rate of liver function-related adverse events evaluated by CTCAE V5.0.
Time frame: Within 52 weeks of infusion
Pharmacodynamics on blood glucocerebrosidase
Blood glucocerebrosidase (GCase) protein level and activity level
Time frame: Within 52 weeks of infusion
Pharmacodynamics on Blood glucosesphingosine
Blood glucosesphingosine (Lyso-GL1) levels
Time frame: Within 52 weeks of infusion
Effectiveness of symptom improvement on Liver volume
Liver volume
Time frame: Within 52 weeks of infusion
Effectiveness of symptom improvement on spleen volume
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spleen volume
Time frame: Within 52 weeks of infusion
Effectiveness of symptom improvement on Hemoglobin levels
Hemoglobin levels
Time frame: Within 52 weeks of infusion
Effectiveness of symptom improvement on platelet counts
platelet counts
Time frame: Within 52 weeks of infusion
Effectiveness of symptom improvement on bone mineral density (BMD) after administration
Bone mineral density (BMD)
Time frame: Within 52 weeks of infusion
Effectiveness of symptom improvement on bone marrow load (BMB) after administration
Bone marrow load (BMB) after administration
Time frame: Within 52 weeks of infusion
Effectiveness of symptom improvement on GD patient Quality of Life scale score
GD patient Quality of Life scale score
Time frame: Within 52 weeks of infusion