A Gene Therapy Study in Patients With Gaucher Disease Type 1 (GALILEO-1)
A Phase 1, Open-label, Safety, Tolerability, and Efficacy Study of FLT201 in Adult Patients With Gaucher Disease Type 1 (GALILEO-1)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Clinical Operations
- Phone Number: +44 1438 906870
- Email: contact@freeline.life
Study Locations
-
-
-
Porto Alegre, Brazil
- Hospital de Clinicas de Porto Alegre (HCPA)
-
-
-
-
-
Höchheim, Germany
- SphinCS
-
-
-
-
-
Jerusalem, Israel
- Shaare Zedek Medical Center
-
Petah Tikva, Israel
- Rabin Medical Center - PPDS
-
Tel Aviv, Israel
- Tel Aviv Sourasky Medical Center
-
-
-
-
-
Zaragoza, Spain
- Hospital Quironsalud Zaragoza
-
-
-
-
-
London, United Kingdom
- Royal Free Hospital
-
Salford, United Kingdom
- Salford Royal Hospital
-
-
-
-
California
-
Los Angeles, California, United States, 90027
- Kaiser Permanente
-
-
Virginia
-
Fairfax, Virginia, United States, 22030-6066
- Lysosomal Rare Disorders Research and Treatment Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adult ≥ 18 years of age.
- Diagnosis of Gaucher disease Type 1 with deficient GCase enzyme activity ≤30% of normal in leukocytes at diagnosis.
- All female patients of childbearing potential must not be lactating and must have a negative serum pregnancy test at screening and confirmed negative by urine testing prior to dosing on Day 1. Female patients of childbearing potential and male patients must be willing to follow protocol guidelines for barrier protection/contraception.
- Able to give full informed consent for the trial.
- Treatment status at screening (screening period is 16 weeks):
Treated with either enzyme replacement therapy (ERT) or substrate reduction therapy (SRT) and started this treatment at least 2 years prior to dosing with no change in regimen for the prior 3 months. ERT dose ≥15 U/kg and ≤60 U/kg every other week.
Exclusion Criteria:
- Diagnosed or suspected Type 2 or Type 3 Gaucher disease (including any patient with eye movement abnormality on clinical examination).
- Positive for neutralising antibodies to AAVS3 at screening.
- Evidence of significant and persistent liver dysfunction at Screening defined as >1.5 x upper limit of normal (ULN) in alanine aminotransferase (ALT), aspartate aminotransferase (AST) or total bilirubin.
Evidence of any of the following at screening:
- Hb <8 g/dL.
- Platelets <45,000/mm3.
- Pulmonary hypertension.
- New osteonecrosis within 12 months of screening.
- Fragility fracture or bone crisis within 12 months of screening.
- Hepatitis B surface antigen (HBsAg) positive at screening.
- Hepatitis C antibody (Hep C Ab) positive and hepatitis C RNA polymerase chain reaction (PCR) (as follow-up test if Hep C Ab-positive)-positive at screening.
- Cytomegalovirus (CMV) immunoglobulin G (IgG) and CMV DNA PCR-positive at screening.
- Human immunodeficiency virus (HIV)-1 or -2 antibody positive at screening.
- Patient has received live attenuated vaccination within 12 weeks prior to screening or intends to receive such vaccination during the study.
- History of clinically-advanced liver disease e.g. cirrhosis, portal hypertension.
- History of bone marrow transplant.
- History of splenectomy (partial or total).
- History of splenic infarct within 12 months of screening.
- History of receiving any gene transfer medicinal product.
- History of receiving any investigational therapy for Gaucher disease within 60 days of screening.
- Participation in any other clinical study of an investigational medicinal product (IMP), and/or receiving any other IMP during the study.
- History of idiopathic thrombocytopaenic purpura, thrombotic thrombocytopaenic purpura, thrombocytopaenia, anaemia, hepatomegaly, splenomegaly, and/or osteoporosis, unrelated to Gaucher disease.
- History of, or active neoplastic disease within 5 years of screening (except for basal or squamous cell carcinoma of the skin or carcinoma in situ which has been definitively treated).
- Subjects with uncontrolled cardiac failure, unstable angina, myocardial infarction, pulmonary hypertension or cardiac presentations including cardiac instability deemed significant by the investigator in the past 6 months
- History of acute myocarditis or presence of acute myocarditis during screening.
- History of substance abuse, including alcohol abuse or alcohol dependence.
- Known or suspected intolerance, hypersensitivity or contraindication to the investigational medicinal product (IMP) and non-investigational medicinal products (NIMPs) or their excipients.
- History of anaphylaxis or infusion related reactions to ERT.
- Contraindication(s) to MRI. (e.g. ferromagnetic metallic implants, some types of pacing and defibrillator devices, nerve stimulators).
- Any clinical condition (medical or psychiatric) that, in the opinion of the investigator, could jeopardise safety or compromise ability of the patient to participate in this study.
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 |
|---|---|
|
Experimental: FLT201 (4.5 × 10^11 vg/kg)
FLT201 is an advanced therapy investigational medicinal product (ATIMP) administered as a single intravenous infusion.
|
FLT201 is a replication-incompetent single-stranded (ss) recombinant adeno-associated virus (AAV) vector.
The vector is composed of a ss DNA genome packaged in an AAV-derived protein capsid.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Treatment-emergent Adverse Events Over Time
Time Frame: Day 1 (dosing) through transfer to the long-term follow-up (LTFU) study, which was up to 15 months.
|
Treatment-emergent adverse events (including dose-limiting toxicities), with AEs graded as mild/moderate/severe.
|
Day 1 (dosing) through transfer to the long-term follow-up (LTFU) study, which was up to 15 months.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in Lyso-Gb1 in Plasma
Time Frame: From baseline to week 38/9 months.
|
Change from baseline to week 38/month 9 of lyso-Gb1 in plasma.
|
From baseline to week 38/9 months.
|
|
Change From Baseline in Spleen Volume Measured by MRI
Time Frame: From baseline to week 38/9 months.
|
Change from baseline to week 38/month 9 in spleen volume measured by MRI.
|
From baseline to week 38/9 months.
|
|
Change From Baseline in Liver Volume Measured by MRI
Time Frame: From baseline to week 38/9 months.
|
Change from baseline to week 38/month 9 in liver volume measured by MRI.
|
From baseline to week 38/9 months.
|
|
Change From Baseline in Hemoglobin
Time Frame: From baseline to week 38/9 months.
|
Change from baseline to week 38/month 9 in hemoglobin.
|
From baseline to week 38/9 months.
|
|
Change From Baseline in Platelet Count
Time Frame: From baseline to week 38/9 months.
|
Change from baseline to week 38/month 9 in platelet count.
|
From baseline to week 38/9 months.
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
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
Other Study ID Numbers
Other Study ID Numbers
- FLT201-01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.