Clinical trial • Phase I/II • Neurology
Adeno-associated viral vector serotype 9 expressing codon-optimized human GBA gene for Parkinson's disease with GBA1 mutation
Phase I/II trial of Adeno-associated viral vector serotype 9 expressing codon-optimized human GBA gene for Parkinson's disease with GBA1 mutation.
Overview
- Trial Therapeutic Area
- Neurology
- Trial Disease
- Parkinson's disease with GBA1 mutation
- Trial Stage
- Phase I/II
- Drug Modality
- Gene therapy
Key dates
- Initial CTIS Submission Date
- 21-02-2025
- First CTIS Authorization Date
- 16-06-2025
Trial design
open-label, none/not specified-controlled, adaptive Phase I/II trial across 1 site in Netherlands.
- Open Label
- Yes
- Comparator
- None/Not specified
- Adaptive
- True, ascending dose/dose-escalation design with two dose levels (Cohort 1 and Cohort 2) described; dose-escalation decision rules not detailed in provided data.
- Biomarker Stratified
- True, biomarker: GCase enzyme activity - only patients with low (< lower limit of normal) GCase enzyme activity eligible
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 20
- Trial Duration For Participant
- 1825
Eligibility
Recruits 20 The trial selects a vulnerable population (patients with Parkinson's disease and cognitive impairment risk). Informed consent must be provided in writing by the patient and/or the patient’s legally authorized representative; a Legal-Representative ICF template is provided. Participants who are legally incompetent due to severe PD symptoms and/or cognitive impairment are explicitly excluded. Study-partner and caregiver information/consent documents are also provided..
- Pregnancy Exclusion
- 10. Women of childbearing potential cannot be pregnant or lactating/breastfeeding
- Vulnerable Population
- The trial selects a vulnerable population (patients with Parkinson's disease and cognitive impairment risk). Informed consent must be provided in writing by the patient and/or the patient’s legally authorized representative; a Legal-Representative ICF template is provided. Participants who are legally incompetent due to severe PD symptoms and/or cognitive impairment are explicitly excluded. Study-partner and caregiver information/consent documents are also provided.
Inclusion criteria
- {"criterion_text":"- 1. Men or women aged 35 to 80 years (inclusive)"}
- {"criterion_text":"- 10. Women of childbearing potential cannot be pregnant or lactating/breastfeeding"}
- {"criterion_text":"- 2. Body weight range of ≥40 kg (88 lbs) to ≤110 kg (242 lbs)"}
- {"criterion_text":"- 3. Diagnosis of PD per UK Parkinson’s Disease Society Brain Bank Clinical Diagnostic Criteria"}
- {"criterion_text":"- 4. Hoehn and Yahr Stage III-IV (when off of PD medication)"}
- {"criterion_text":"- 5. Stable use of background medications at least 8 weeks prior to investigational product (IP) administration, including but not limited to those used for treatment of PD"}
- {"criterion_text":"- 6. At least 1 pathogenic GBA1 mutation confirmed by the central laboratory. Patients with bi-allelic GBA1 mutations and/or monogenic forms of PD will not be eligible. Only patients with low (< lower limit of normal) GCase enzyme activity measured in the blood will be eligible for participation."}
- {"criterion_text":"- 7. Negative screening test for Mycobacterium tuberculosis (MTB)"}
- {"criterion_text":"- 8. Patient and/or patient’s legally authorized representative has the ability to understand the purpose and risks of the study and provide written informed consent"}
- {"criterion_text":"- 9. Patient has a reliable study partner (e.g., family member, friend) willing and able to participate in the study as a source of information on the patient’s health status and cognitive and functional abilities"}
Exclusion criteria
- {"criterion_text":"- 1. The diagnosis of a significant central nervous system (CNS) disease other than PD"}
- {"criterion_text":"- 10. Participants who are legally incompetent due to severe PD symptoms and/or cognitive impairment are not eligible for participation."}
- {"criterion_text":"- 2. Montreal Cognitive Assessment (MoCA) score of <14"}
- {"criterion_text":"- 3. Spinal, cervical, or brain MRI/magnetic resonance angiography (MRA) indicating clinically significant abnormality"}
- {"criterion_text":"- 4. Hypersensitivity or contraindications to corticosteroid and/or sirolimus use"}
- {"criterion_text":"- 5. Concomitant disease or condition within 6 months of Screening that could interfere with, or treatment of which might interfere with, the conduct of the study or that would, in the opinion of the Investigator, pose an unacceptable safety risk to the patient or interfere with the patient’s ability to comply with study procedures"}
- {"criterion_text":"- 6. Clinically significant abnormalities in laboratory test results at Screenin"}
- {"criterion_text":"- 7. Participation within 3 months prior to Screening in another therapeutic investigational drug or device study with purported disease-modifying effects on PD, unless it can be documented that the patient received placebo."}
- {"criterion_text":"- 8. History of deep brain stimulator placement, focused ultrasound, or surgery for PD"}
- {"criterion_text":"- 9. Any type of prior gene or cell therapy"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Incidence and severity of treatment-emergent AEs and SAE","definition_or_measurement_approach":""}
- {"endpoint_text":"- Incidence of procedure or treatment-emergent safety findings","definition_or_measurement_approach":""}
- {"endpoint_text":"- Treatment emergent and change from baseline in immunogenicity of adeno-associated viruses serotype 9 and glucocerebrosidase","definition_or_measurement_approach":""}
Secondary endpoints
- {"endpoint_text":"- Change from baseline in glycolipid and glucocerebrosidase levels, as well as glucocerebrosidase enzyme activity in blood","definition_or_measurement_approach":""}
- {"endpoint_text":"- Change from baseline in glycolipid and glucocerebrosidase levels, as well as glucocerebrosidase enzyme activity in cerebrospinal fluid","definition_or_measurement_approach":""}
Recruitment
- Planned Sample Size
- 20
- Recruitment Window Months
- 68
- Consent Approach
- Written informed consent required from the participant or the participant's legally authorized representative. A Legal-Representative ICF, Main ICF, Study-Partner ICF, Caregiver insert and other participant-facing documents are provided (documents listed as Dutch language versions); consent materials are available in Dutch for the Netherlands submission.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 20
Netherlands
- Earliest CTIS Part Ii Submission Date
- 26-05-2025
- Latest Decision Or Authorization Date
- 16-06-2025
- Processing Time Days
- 21
- Number Of Sites
- 1
- Number Of Participants
- 5
Sites
- Site Name
- Centre for Human Drug Research
- Department Name
- Neurology
- Contact Person Name
- Philip Kremer
- Contact Person Email
- clintrials@chdr.nl
- Number Of Participants
- 5
Sponsor
Primary sponsor
- Full Name
- Prevail Therapeutics Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Pharmaceutical Product Development LLC
- Responsibilities
- Specialty lab samples logistics; other sponsorDuties codes include 15 and 4
- Name
- PPD International Holdings LLC
- Responsibilities
- Sponsor duties code: 4
- Name
- PPD Development LP
- Responsibilities
- Responsibilities include codes 1,10,11,12,2,5,6 (roles as listed in sponsorDuties)
- Name
- Bioclinica Inc.
- Responsibilities
- Medical Image Analyses (sponsorDuties code: 15)
- Name
- WCG Clinical Inc.
- Responsibilities
- Scale Management, Rater Training, eCOA, Clinical Data Analytics; sponsorDuties codes: 15 and 7
Third parties
- {"country":"United States","full_name":"Arup Laboratories Inc.","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"sponsorDuties codes: 7","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Sbh Sciences Inc.","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"sponsorDuties codes: 15; value: Travel, reimbursement, accommodations, Patient facing material","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"United States","full_name":"Quanterix Corp.","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Bioagilytix Labs LLC","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"National Jewish Health","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Nextcea Inc.","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"Switzerland","full_name":"F. Hoffmann-La Roche AG","duties_or_roles":"sponsorDuties codes: 15 (Digital Biomarkers, ePRO); 7","organisation_type":"Pharmaceutical company"}
- {"country":"Belgium","full_name":"PPD International Holdings LLC","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"sponsorDuties codes: 15 (specialty lab samples logistics); 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"sponsorDuties codes: 1, 10, 11, 12, 2, 5, 6","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Veeva Systems Inc.","duties_or_roles":"sponsorDuties codes: 15 (eTMF)","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Bioclinica Inc.","duties_or_roles":"sponsorDuties codes: 15 (Medical Image Analyses)","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Cleveland Clinic Foundation","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"sponsorDuties codes: 15 (Scale Management, Rater Training, eCOA, Clinical Data Analytics); 7","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"Centogene GmbH","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Bioagilytix Labs LLC (Boston address)","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Unisphere Travel Ltd. Inc.","duties_or_roles":"sponsorDuties codes: 15 (Travel Reimbursement, accomodations)","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Pharmaceutical Product Development LLC (Richmond address)","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- LY3884961
- Active Substance
- Adeno-associated viral vector serotype 9 expressing codon-optimized human GBA gene
- Modality
- Gene therapy
- Routes Of Administration
- Intracisternal use (suboccipital injection into the cisterna magna)
- Route
- Intracisternal (cisterna magna)
- Authorisation Status
- Investigational (IMP)
- Dose Levels
- 2 dose levels
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