A Clinical Trial of PR001 (LY3884961) in Patients With Peripheral Manifestations of Gaucher Disease (PROCEED)
An Open-label, Dose-Finding, Phase 1/2 Study to Evaluate the Safety and Tolerability of a Single Intravenous Dose of LY3884961 in Patients With Peripheral Manifestations of Gaucher Disease (PROCEED)
Study J3Z-MC-OJAE is a Phase 1/2, multicenter, open-label, dose-finding study of LY3884961 evaluating the safety and tolerability in adults with peripheral manifestations of GD.
Up to 3 dose levels of LY3884961 will be assessed in 3 dose-finding cohorts of 3 patients. Following this, up to 6 patients may be enrolled in an expansion cohort.
For each enrolled patient, the study will be approximately 5 years in duration, including up to a 60-day screening period. During the first 18 months after dosing, subjects will be evaluated for the effects of LY3884961 on safety, tolerability, immunogenicity, biomarkers, and efficacy. Patients will be followed for an additional 42 months to monitor safety, immunogenicity, and selected biomarker and efficacy parameters.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
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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New South Wales
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Westmead, New South Wales, Australia, 2145
- Completed
- Westmead Hospital-Cnr Hawkesbury and Darcy Rds
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brazil, 90035-903
- Recruiting
- Hospital de Clinicas de Porto Alegre (HCPA)
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Contact:
- Vieria Taiane
- Phone Number: 555-133596256
- Email: tavieira@hcpa.edu.br
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Höchheim, Germany, 65239
- Recruiting
- SphinCS Clinical Science for LSD
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Contact:
- Eugen Mengel
- Phone Number: 496146904820
- Email: eugen.mengel@sphincs.de
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Zaragoza, Spain, 50006
- Recruiting
- Hospital Quironsalud Zaragoza, Paseo Mariano Renovales Sn
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Contact:
- Teresa Navarro
- Phone Number: +690762382
- Email: teresanair@feeteg.org
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London, United Kingdom
- Recruiting
- Royal Free Hospital NHS Trust
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Contact:
- Derralynn Hughes, Med Prof
- Phone Number: 44 20 7794 0500
- Email: derralynnhughes@nhs.net
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California
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Los Angeles, California, United States, 90048
- Recruiting
- Cedars-Sinai
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Contact:
- Bobby Marker, CCRP
- Phone Number: 310-423-0901
- Email: Robert.Marker@cshs.org
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Illinois
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Chicago, Illinois, United States, 60611
- Recruiting
- Ann and Robert H Lurie Children's Hospital of Chicago
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Contact:
- Carolyn Rasmussen
- Phone Number: 312-227-6763
- Email: crasmussen@luriechildrens.org
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North Carolina
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Durham, North Carolina, United States, 27710-3017
- Recruiting
- Duke University Health System
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Contact:
- Gretchen Nichting
- Phone Number: 919-660-0757
- Email: Gretchen.nichting@duke.edu
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Virginia
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Fairfax, Virginia, United States, 22030-6066
- Recruiting
- Lysosomal & Rare Disorders Research and Treatment Center
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Contact:
- Lauren Noll
- Phone Number: 571-732-4655
- Email: lnoll@ldrtc.org
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age greater or equal to 18 years at the time of informed consent.
- Bi-allelic pathogenic GBA1 variants must be centrally confirmed.
- On ERT or SRT for at least 2 years and on a stable, maximum tolerated dose, for at least 3 months prior to screening.
- Capable of giving signed informed consent, including compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
- Females and males will be eligible for this study. Men and women of childbearing potential must use a highly effective method of contraception consistently and correctly for the duration of the study, including the long-term follow-up.
- Patients must agree to abstain from blood, tissue and organ donation; and must agree to abstain from tissue and organ donation for the duration of the study, including long-term follow-up.
Exclusion Criteria:
- Clinically significant neurological signs and symptoms and/or behavioral disturbances.
- Active and progressive bone disease expected to require surgical treatment in the next 6 months.
- History of total splenectomy or planned total splenectomy during the first 18 months of the study. (Partial splenectomy not exclusionary).
- Splenomegaly > 10 MN as evaluated by centrally read abdominal magnetic resonance imaging (MRI)
- Evidence of clinically significant liver disease, fragile liver, or history of exposure to hepatotoxins.
- Thrombocytopenia with platelet count < 40 × 10^3 per μL.
- Severe hyperlipidemia (triglycerides > 1,000 mg/dL).
- Current diagnosis of unstable or clinically significant cardiovascular conditions based on Investigator assessment.
- History of certain cancers within 5 years of Screening.
- 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.
- Women of childbearing potential, pregnant (i.e., positive serum pregnancy result at Screening and/or Check-in) or breastfeeding or intending to become pregnant during the course of the trial.
- Use of any GD-related chaperone therapy within 4 weeks prior to Screening or expected need to initiate chaperone therapy during at least the first 18 months of the study.
- Any type of prior gene or cell therapy.
- Use of systemic immunosuppressant or steroid therapy other than protocol-specified immunosuppression.
- Participation in another therapeutic investigational drug or device study within 3 months or 5 half-lives of the study agent, whichever is longer.
- Have an anti-AAV9 antibody titer of >1:40 as determined by central laboratory.
- Clinically significant abnormalities in laboratory test results at Screening.
- Have any contraindications for MRI, including claustrophobia or the presence of contraindicated metal (ferromagnetic)implants/cardiac pacemaker.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: LY3884961
LY3884961 is an advanced therapy investigational medicinal product administered as a single intravenous infusion.
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• LY3884961 is a replication-incompetent recombinant adeno-associated virus (AAV) vector.
The vector is composed of a ss DNA genome packaged in an AAV-derived protein capsid.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Incidence and severity of Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time Frame: 5 years
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Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) with AE's graded as mild, moderate, or severe.
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5 years
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Spleen volume
Time Frame: 5 years
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Change and percent change from baseline
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5 years
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Platelet count
Time Frame: 5 years
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Change from baseline
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5 years
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Discontinuation of enzyme replacement therapy (ERT)/substrate reduction therapy (SRT)
Time Frame: 5 years
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Time from dosing to discontinuation of ERT/SRT
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5 years
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GCase levels
Time Frame: 5 years
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Change from baseline
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5 years
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Re-initiation of ERT/SRT (if necessary)
Time Frame: 5 years
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Time to development of criteria requiring re-initiation of ERT/SRT (if necessary)
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5 years
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GlcSph levels
Time Frame: 5 years
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Change from baseline
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5 years
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Aaron Tward, MD, PhD, Prevail Therapeutics, a wholly owned subsidiary of Eli Lilly and Company
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
- Physiological Effects of Drugs
- Anti-Infective Agents
- Autonomic Agents
- Peripheral Nervous System Agents
- Anti-Inflammatory Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Antiemetics
- Gastrointestinal Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Neuroprotective Agents
- Protective Agents
- Anti-Bacterial Agents
- Antibiotics, Antineoplastic
- Antifungal Agents
- Prednisolone
- Methylprednisolone Acetate
- Methylprednisolone
- Methylprednisolone Hemisuccinate
- Prednisolone acetate
- Prednisolone hemisuccinate
- Prednisolone phosphate
- Prednisone
- Sirolimus
Other Study ID Numbers
Other Study ID Numbers
- J3Z-MC-OJAE
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
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.
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