This is a Phase 1/2, open-label, dose-exploration and dose-expansion, clinical trial evaluating the safety, tolerability, pharmacodynamics, and preliminary efficacy of a single intravenous infusion of AFTX-201 in adults with dilated cardiomyopathy caused by a BAG3 gene mutation
Participants will receive a single intravenous infusion of AFTX-201 and will be followed for safety and clinical assessments. The study includes short-term safety monitoring and long-term follow-up for up to 60 months
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
22
AFTX-201 is a gene therapy product consisting of the ATC-0187 capsid containing the BCL2-associated Athanogene 3 (BAG3) transgene. It is administered as a single intravenous infusion
Houston Methodist Hospital
Houston, Texas, United States
Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)
Safety and tolerability of AFTX-201 over 12 months.
Time frame: Baseline through 12 months
Change from baseline in pharmacodynamic biomarkers
Assessment of the extent of AFTX-201 transduction and myocardial BAG3 protein expression after a single IV dose
Time frame: Baseline through 12 months
Change from baseline in measurement of cardiac function including left ventricular ejection fraction (LVEF)
Assessment of the impact of a single IV dose of AFTX-201 on measurement of cardiovascular function
Time frame: Baseline through 12 months
Change from baseline in measurement of cardiac function including peak oxygen consumption (pVO2) by cardiopulmonary exercise test (CPET)
Assessment of the impact of a single IV dose of AFTX-201 on measurement of cardiovascular function
Time frame: Baseline through 12 months
Change from baseline in New York Heart Association (NYHA) functional class
Assessment of the impact of a single IV dose of AFTX-201 on features of heart failure (HF) including functional classification by New York Heart Association (NYHA) class
Time frame: Baseline through 12 months
Change from baseline in Kansas City Cardiomyopathy Questionnaire (KCCQ)
Assessment of the impact of a single IV dose of AFTX-201 on quality of life
Time frame: Baseline through 12 months
Number of participants with adverse events during long-term follow-up
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Safety and tolerability of AFTX-201 over 60 months
Time frame: Baseline through 60 months