The goal of this clinical trial is to learn about the safety of CAP-003 gene therapy in adults with GBA1 associated Parkinson's Disease. It will also provide information about whether CAP-003 demonstrates efficacy in these adults. Participants will have a single intravenous infusion of CAP-003 and visit the clinic regularly for 2 years for checkups and tests.
This is a Phase 1/2, first-in-human, open-label, multi-centre, dose escalation trial to assess the safety, tolerability, and efficacy of a single intravenous (IV) dose of CAP-003 administered to adult patients aged 21 to 75 with Parkinson's Disease associated with GBA1 mutation. Approximately 31 participants will be dosed in this trial. Phase 1 is a dose escalation phase that will dose approximately 6 participants divided into 2 cohorts (Cohort 1 and Cohort 2) while Phase 2 will have 1 dose cohort and dose approximately 25 participants. Participants in Phase 1 will be dosed sequentially in each cohort. Phase 2 will allow participants to be dosed concurrently if safety and tolerability data from Phase 1 are deemed acceptable. Participants will receive a single IV infusion of CAP-003 and will then be followed for 2 years with safety measures, assessments to measure changes from Baseline in motor and non-motor scales, cognitive function, patient and clinical global impression of severity and improvement, disease progression, sleep scale and suicide severity rating. Upon completion of the study or at the participant's final visit they will be invited to participate in a 3 year safety follow up study.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
31
IV gene therapy
IV gene therapy
Rush University Medical Center
Chicago, Illinois, United States
New York Presbyterian Hospital-Columbia University Medical Center
New York, New York, United States
University of Pennsylvania
Philadelphia, Pennsylvania, United States
Baylor College of Medicine
Houston, Texas, United States
Incidence of treatment emergent adverse events (safety and tolerability)
Incidence of treatment emergent adverse events assessed through clinical safety laboratory tests (hematology, chemistry, liver function and urinalysis), ECG, vital sign measurements and physical examinations
Time frame: 2 years
Efficacy: Glucosylsphingosine (GluSph) biomarker change
Percent change from baseline in GluSph levels in plasma. Higher percent decrease is a better outcome.
Time frame: Baseline, week 4, week 8, week 12, month 6, month 12, month 18, month 24 or end of trial
Efficacy: Glucosylsphingosine (GluSph) biomarker change
Percent change from baseline in GluSph levels in CSF. Higher percent decrease is a better outcome.
Time frame: Baseline, week 12, month 6, month 18
Efficacy: β-Glucocerebrosidase (GCase) biomarker change
Percent change from baseline in GCase protein levels in plasma. Higher percent increase is a better outcome.
Time frame: Baseline, week 4, week 8, week 12, month 6, month 12, month 18, month 24 or end of trial
Efficacy: β-Glucocerebrosidase (GCase) biomarker change
Percent change from baseline in GCase protein levels in CSF and plasma. Higher percent increase is a better outcome.
Time frame: Baseline, week 12, month 6, month 18
Efficacy: Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) disease rating change
Change from baseline in MDS-UPDRS Parts II and III. A decrease in score indicates improvement of symptoms.
Time frame: Baseline, month 6, month 12, month 18, month 24 or end of trial
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Booth Gardner Parkinson's Care Center - Evergreen Neuroscience Institute
Kirkland, Washington, United States
Inland Northwest Research
Spokane, Washington, United States