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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