Clinical Trial of the Dual Vector Base Editor for the Treatment of the CHD3-R1025W Mutation
Safety, Tolerability and Preliminary Efficacy Study of a Single Intrathecal Injection of the Dual Vector AAV-CHD3-R1025W Base Editor for the Treatment of Developmental Disorders Caused by the R1025W Mutation in the CHD3 Gene
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Early Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Xiaomei Luo, Ms., Master
- Phone Number: +86-25-25076466
- Email: luoxiaomei@shsmu.edu.cn
Study Locations
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 200092
- Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Clinical diagnosis of Snijders Blok-Campeau syndrome
- Heterozygous mutation of c.3073C>T, p.(Arg1025Trp) in the CHD3 gene
- Normal liver, heart and immune function
- Normal coagulation and platelet counts
Exclusion Criteria:
- Brain tumor or intracranial space-occupying lesion
- Contraindications to administration of lumbar puncture or sheath injection administration
- Persistent status epilepticus or recurrent epileptic control instability
- Presence of unstable systemic disease including active bacterial, fungal or HIV, hepatitis A, hepatitis B infection
- Serum anti-AAV neutralizing antibody titer >1:50 (ELISA immunoassay)
- Treatment with immunological agents other than protocol-specified prophylaxis within 3 months
- Prior gene therapy
- Participation in another clinical trial, or treatment with another investigational product within 30 days or 5 half-lives
- Known allergy to any investigational product
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: Dual vector treatment group
|
The base editor is delivered using a dual vector adeno-associated virus (AAV) system and introduced into the child via intrathecal injection to correct the mutated CHD3 gene.
The vital signs of the child will be closely monitored during treatment to assess possible acute adverse effects.
The child will be followed up regularly after treatment to monitor the success of gene editing and the neurodevelopmental improvement of the child.
Possible long-term adverse events will be closely monitored to assess the safety of the treatment.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Incidence of drug-related serious adverse events
Time Frame: 0-26 weeks
|
0-26 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Evaluate the changes using the Clinical Global impression Scale -Overall improvement (CGI-I)
Time Frame: 0-26 weeks
|
This 7-point scale (1 = very much improved, 7 = very much worse, etc.) is used by the clinician to assess the participant's overall performance status; higher scores indicate increased severity.
|
0-26 weeks
|
|
Evaluate the changes in the Patient's Global Impressions of Improvement (PGI-I) scale
Time Frame: 0-26 weeks
|
This 7-point scale (1 = very much improved, 7 = very much worse, etc.) is used by the clinician to assess the participant's overall performance status; higher scores indicate increased severity.
|
0-26 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Yongguo Yu, Dr, MD, PhD, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
- Principal Investigator: Zilong Qiu, PhD, Shanghai Jiao Tong University School of Medicine Songjiang Research Institute
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
Other Study ID Numbers
Other Study ID Numbers
- XH-25-002
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.
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