This study explored dose escalation of single-arm, open, single intrathecal injection in patients with delayed onset type 2 SMA. The investigator plans to conduct 2 cohorts. It is expected that each dose will be enrolled 3 subjects, with a total of 6 subjects aged from 2-12 years old. For safety reasons, first subject of each dose cohort needs to complete a 30-day safety observation. After the researcher determines that the dosing is safe and tolerable, the next two subjects can be enrolled in the cohort; The follow-up dose cohort adopts a sentinel test design, with the first subject of each dose group being a sentinel. During the DLT observation period, if the subject does not observe DLT and the researcher believes that continuing treatment can bring clinical benefits to the subject, the subject will continue to receive treatment; During the DLT observation period, if there is no occurrence of DLT or ≥ grade 2 adverse events related to the investigational drug, it will be escalated to the next dose. If the subject experiences grade ≥ 2 adverse events related to the study drug, the dose will be expanded to 3 subjects for further safety observation. Each subject in each dose cohort will be enrolled on a case by case basis.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
6
GCB-001 is a self-complementary AAV9 carrying a full length human SMN transgenetic product.
Children's Hospital ZheJiang Univisity School Of Medicine
Hangzhou, Zhejiang, China
The rate of adverse events from baseline to 12 months after administration Assessed by CTCAE v4.0.
Time frame: 0-12 months
AAV viral load after a single administration.
Detect the AAV viral load by central lab.
Time frame: 0-12 months
AAV viral immunogenicity after a single administration.
Detect the AAV viral immunogenicity by central lab.
Time frame: 0-12 months
AAV viral shedding after a single administration.
Detect the AAV viral shedding by central lab.
Time frame: 0-12 months
The change in total HFMSE (Hammersmith Functional Motor Scale Expanded) score from baseline at 12 months after a single administration
This 66-point scale (66 = very much improved, 0 = very much worse, etc.) is used by the clinician to assess the participant's performance status; higher scores indicate better status.
Time frame: 0-12 months
The change in total RULM (Revised Upper Limb Module) score from baseline at 12 months after a single administration
This 38-point scale (38 = very much improved, 0 = very much worse, etc.) is used by the clinician to assess the participant's performance status of upper limb; higher scores indicate better status.
Time frame: 0-12 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.