Phase 1/2 Clinical Trial of PR001 in Infants With Type 2 Gaucher Disease (PROVIDE)
An Open-label, Phase 1/2 Study to Evaluate the Safety and Efficacy of Single-dose LY3884961 in Infants With Type 2 Gaucher Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Prevail Therapeutics
- Phone Number: (917) 336-9310
- Email: Prevail.Patients@lilly.com
Study Locations
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Manchester, United Kingdom, M13 9WL
- Manchester Centre for Genomic Medicine, 6th Floor, St Mary's Hospital, Oxford Road
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California
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Oakland, California, United States, 94609
- UCSF Benioff Children's Hospital, 747 52nd St
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Minnesota
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Minneapolis, Minnesota, United States, 55454
- University of Minnesota Masonic Children's Hospital, 2450 Riverside Avenue
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15224
- Children's Hospital of Pittsburgh, 4401 Penn Avenue
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Virginia
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Fairfax, Virginia, United States, 22030
- Lysosomal & Rare Disorders Research and Treatment Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Bi-allelic GBA1 mutations consistent with a diagnosis of GD2 confirmed by the central laboratory.
- Clinical diagnosis of GD2
- Parent/legal guardian is capable of providing signed informed consent; including compliance with the requirements and restrictions listed in the informed consent form (ICF) in this protocol.
- Patient has a parent/legal guardian able to participate in the study as a source of information on the patient's health status and cognitive and functional abilities (including providing input into the rating scales).
Exclusion Criteria:
- Significant CNS disease other than GD2 that may be a cause for the patient's symptoms or interfere with study objectives.
- Achieved independent gait.
- Severe peripheral symptoms of GD which, in the opinion of the Investigator, would pose an unacceptable risk to the patient or interfere with the patient's ability to comply with study procedures or interfere with the conduct of the study.
- Concomitant disease, condition, or treatment which, in the opinion of the Investigator, would pose an unacceptable risk to the patient or interfere with the patient's ability to comply with study procedures or interfere with the conduct of the study.
- Use of any substrate reduction therapy (SRT) for GD treatment.
- Use of prohibited medications, herbals, or over-the-counter agents as listed in the protocol.
- Any type of prior gene or cell therapy.
- Use of systemic immunosuppressant or corticosteroid therapy other than protocol-specified immunosuppression.
- Participation in another investigational drug or device study within the past 3 months.
- Brain MRI (magnetic resonance imaging) and MRA (magnetic resonance angiography) showing clinically significant abnormality deemed a contraindication to intracisternal injection.
- Clinically significant laboratory test result abnormalities assessed at screening.
- Contraindications or intolerance to radiographic visualization methods (e.g. MRI, MRA, CT), and intolerance to contrast agents used for MRI or CT scans.
- Contraindications to general anesthesia or sedation.
Other protocol-defined inclusion/exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: High Dose
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Administered orally as concomitant medication, followed by dose tapering.
Single IV pulse administered as concomitant medication.
Loading dose, followed by maintenance doses, followed by dose tapering; administered as concomitant medication.
Participants will receive a single dose of LY3884961 administered intracisternally.
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Experimental: Low Dose
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Administered orally as concomitant medication, followed by dose tapering.
Single IV pulse administered as concomitant medication.
Loading dose, followed by maintenance doses, followed by dose tapering; administered as concomitant medication.
Participants will receive a single dose of LY3884961 administered intracisternally.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Number of Adverse Events (AEs), Serious Adverse Events (SAEs), and Adverse Events leading to discontinuation
Time Frame: Year 5
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Year 5
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Immunogenicity of AAV9 and GCase in blood
Time Frame: Up to Year 2
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Up to Year 2
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Immunogenicity of AAV9 and GCase in CSF
Time Frame: Up to Year 1
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Up to Year 1
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Time to death
Time Frame: Baseline until event or study completion, up to Year 5
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Baseline until event or study completion, up to Year 5
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Time to clinical event
Time Frame: Baseline until event or study completion, up to Year 5
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Clinical event defined as tracheostomy/invasive ventilation, and/or percutaneous endoscopic gastrostomy (PEG) tube placement, and/or nasogastric (NG) tube placement
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Baseline until event or study completion, up to Year 5
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Change in GCase (glucocerebrosidase) enzyme activity levels in blood
Time Frame: Up to Year 5
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Up to Year 5
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Change in GCase enzyme activity levels in CSF (cerebrospinal fluid)
Time Frame: Up to Year 3
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Up to Year 3
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Change in glycolipid levels in blood
Time Frame: Up to Year 5
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Up to Year 5
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Change in glycolipid levels in CSF
Time Frame: Up to Year 3
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Up to Year 3
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Individual Vector Shedding data
Time Frame: Up to Year 5
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Up to Year 5
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Change in cognitive function
Time Frame: Months 6,12 and up to Year 2
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Measured using Bayley Scales of Infant and Toddler Development (BSID-III)
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Months 6,12 and up to Year 2
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Change in cognitive function
Time Frame: Study Month 12 and up to Study Year 2
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Measured using Wechsler Preschool and Primary Scale of Intelligence (WPPSI-IV) as appropriate.
(Not all patients begin the study at birth.
Only patients who are age 36 months at the designated study visits will be assessed using this measure)
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Study Month 12 and up to Study Year 2
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Change in motor skills
Time Frame: Months 6, 12 and up to Year 2
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Change from baseline in motor function using Gross Motor Function Measure (GMFM-88).
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Months 6, 12 and up to Year 2
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Change in motor skills
Time Frame: Months 6, 12 and up to Year 2
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Change from baseline in motor function using the BSID-III.
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Months 6, 12 and up to Year 2
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Change in Clinical Global Impressions (Severity)
Time Frame: Months 6, 12 and up to Year 2
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Change from baseline in the clinical severity of illness (CGI-Severity {CGI-S}).
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Months 6, 12 and up to Year 2
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Clinical Global Impressions (Improvement)
Time Frame: Months 6, 12 and up to Year 2
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Clinical improvement from baseline (CGI-Improvement [CGI-I]).
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Months 6, 12 and up to Year 2
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Change in adaptive behavior and functioning
Time Frame: Months 6 and 12 and up to Year 2
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Change from baseline in adaptive functioning using the Vineland Adaptive Behavior Scale (VABS-2) (2nd edition)
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Months 6 and 12 and up to Year 2
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Change in most troubling symptoms
Time Frame: Months 6, 12 and up to Year 2
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Change from baseline in the Visual Analog Scale for the Most Troubling Symptoms (VAS-MTS)
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Months 6, 12 and up to Year 2
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Change in behavioral symptoms
Time Frame: Months 6, 12 and up to Year 2
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Change from baseline in the Child Behavior Checklist (CBCL)
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Months 6, 12 and up to Year 2
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Hamzeh Migdadi, M.D., Prevail Therapeutics
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Metabolism, Inborn Errors
- Genetic Diseases, Inborn
- Metabolic Diseases
- Lipid Metabolism Disorders
- Lysosomal Storage Diseases
- Brain Diseases, Metabolic, Inborn
- Brain Diseases, Metabolic
- Lipid Metabolism, Inborn Errors
- Lysosomal Storage Diseases, Nervous System
- Sphingolipidoses
- Lipidoses
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Nutritional and Metabolic Diseases
- Gaucher Disease
- Organic Chemicals
- Polycyclic Compounds
- Pregnadienes
- Pregnanes
- Steroids
- Fused-Ring Compounds
- Macrolides
- Lactones
- Pregnadienetriols
- Pregnadienediols
- Prednisolone
- Sirolimus
- Prednisone
- Methylprednisolone
Other Study ID Numbers
Other Study ID Numbers
- J3Z-MC-OJAB (PRV-GD2-101)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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