Clinical trial • Phase I/II • Rare Disease|Neurology
CIRACIGENE GOLPARVOVEC for Canavan disease
Phase I/II trial of CIRACIGENE GOLPARVOVEC for Canavan disease.
Overview
- Trial Therapeutic Area
- Rare Disease|Neurology
- Trial Disease
- Canavan disease
- Trial Stage
- Phase I/II
- Drug Modality
- Gene therapy
- Paediatric Trial
- Yes
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 10-10-2025
- First CTIS Authorization Date
- 18-02-2026
Trial design
open-label, external natural history / external control cohort used for comparative analyses; no randomized or active internal comparator arm specified. Phase I/II trial across 1 site in France.
- Open Label
- Yes
- Comparator
- External natural history / external control cohort used for comparative analyses; no randomized or active internal comparator arm specified.
- Real World Control
- Yes
- Target Sample Size
- 25
- Trial Duration For Participant
- 365
Eligibility
Recruits 25 paediatric patients.
- Vulnerable Population
- The trial involves children (paediatric subjects, age ranges include 3–60 months and older for certain cohorts). Vulnerable population selected. Written informed consent is required from parent(s)/guardian(s) ("Written informed consent from parent(s)/guardian(s). Consent to enroll into the study will include a written agreement to comply with all the conditions of the study, including attendance at follow-up visits."). No assent process is described in the provided data. Subject information and informed consent form documents are provided (French-language ICFs listed).
Inclusion criteria
- {"criterion_text":"- Definitive diagnosis of typical CD by a neurologist (see Section 3.2 of protocol for detailed description).\n- Age between 3 and 60 months at the time of neurosurgical administration of rAAV- Olig001-ASPA or over the age of 60 months for untreated patients in Cohort 4.\n- Written informed consent from parent(s)/guardian(s). Consent to enroll into the study will include a written agreement to comply with all the conditions of the study, including attendance at follow-up visits.\n- MRI or CT within the past 3 months, for preliminary neurosurgical planning; if no MRI or CT within 3 months is available, MRI can be done during Screening assuming that the results of all other Inclusion/Exclusion Criteria are acceptable."}
Exclusion criteria
- {"criterion_text":"- At the discretion of the PI, any significant chronic medical condition, including, but not limited to neurological, cardiac, hepatic, renal, hematological, gastrointestinal, endocrine, pulmonary, or infectious disease, which would put the subject at increased risk during surgery or which would interfere with participation in the study, interpretation of safety monitoring, or the integrity of the study data.\n- History of severe allergic reaction or anaphylaxis.\n- Past participation in gene therapy trials or receipt of any other investigational product within 6 months prior to enrollment.\n- Any absolute contraindication to immunosuppression.\n- Any absolute contraindication to MRI.\n- Any vaccination less than 1 month prior to gene therapy.\n- Anticipated life expectancy of less than 12 months for any reason.\n- GMFM-88 total raw score >35%.\n- Clinically significant out-of-range lab values as indicated in Appendix G, at the discretion of clinical PI."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Change from baseline to Month 6 in CSF NAA concentrations, as measured by biochemical assay.","definition_or_measurement_approach":"Change from baseline to Month 6 in cerebrospinal fluid (CSF) N-acetylaspartate (NAA) concentrations measured by biochemical assay."}
Secondary endpoints
- {"endpoint_text":"- Rate of change in myelin volume in the brain as measured by SyMRI through Month 12.","definition_or_measurement_approach":"Measured by SyMRI (rate of change in myelin volume through Month 12)."}
- {"endpoint_text":"- Rate of change from baseline in Gross Motor Function Measure-88 total score, comparing FIH gene therapy–treated cohort to an external natural history cohort.","definition_or_measurement_approach":"Change from baseline in GMFM-88 total score compared between first-in-human (FIH) gene therapy–treated cohort and an external natural history (external control) cohort."}
- {"endpoint_text":"- Rate of change from baseline in Gross Motor Function Measure-88 specific domains, comparing FIH gene therapy–treated cohort to an external natural history cohort: - Lying/rolling domain - Sitting domain - Crawling domain - Standing domain - Walking domain","definition_or_measurement_approach":"Domain-specific GMFM-88 rates of change from baseline (lying/rolling, sitting, crawling, standing, walking) compared to an external natural history cohort."}
- {"endpoint_text":"- Rate of change from baseline in multivariate MSEL domains age-equivalent scores compared with an external natural history cohort. MSEL domains include: Visual Reception, Fine Motor, Receptive Language, Expressive Language, Gross Motor","definition_or_measurement_approach":"Multivariate MSEL age-equivalent domain scores (visual reception, fine motor, receptive language, expressive language, gross motor) rate of change from baseline compared with external natural history cohort."}
- {"endpoint_text":"- Rate of change from baseline in univariate MSEL domains age-equivalent scores compared with an external natural history cohort: - MSEL Receptive Language domain - MSEL Expressive Language domain - MSEL Visual Reception domain - MSEL Fine Motor domain - MSEL - Gross Motor domain","definition_or_measurement_approach":"Univariate MSEL age-equivalent domain scores rate of change from baseline for each listed domain compared with external natural history cohort."}
- {"endpoint_text":"- Change from baseline to Month 6 in urine NAA concentrations, as measured by biochemical assays","definition_or_measurement_approach":"Change from baseline to Month 6 in urine NAA concentrations measured by biochemical assay."}
Recruitment
- Planned Sample Size
- 25
- Recruitment Window Months
- 62
- Consent Approach
- Written informed consent must be provided by parent(s)/guardian(s) ("Written informed consent from parent(s)/guardian(s). Consent to enroll into the study will include a written agreement to comply with all the conditions of the study, including attendance at follow-up visits."). Subject information and informed consent form documents for Cohorts 1–3 and Cohort 4 are provided (French-language ICFs listed). Lay language synopses are available in English and French. No assent process described in the provided materials.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 7
France
- Earliest CTIS Part Ii Submission Date
- 03-02-2026
- Latest Decision Or Authorization Date
- 07-04-2026
- Processing Time Days
- 63
- Number Of Sites
- 1
- Number Of Participants
- 7
Sites
- Site Name
- Bicetre Hospital
- Department Name
- Service de Neurologie Pédiatrique
- Principal Investigator Name
- Caroline Sevin
- Principal Investigator Email
- caroline.sevin@icm-institute.org
- Contact Person Name
- Caroline Sevin
- Contact Person Email
- caroline.sevin@icm-institute.org
- Number Of Participants
- 7
Sponsor
Primary sponsor
- Full Name
- Myrtelle Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Parexel International (IRL) Limited
- Responsibilities
- Sponsor duties codes: 10
- Name
- Voisin Consulting CH SARL
- Responsibilities
- Sponsor duties include Trial Master File management (code 15) and other listed responsibilities (codes 1,11,12,5,6,7,8)
Third parties
- {"country":"United States","full_name":"Mural Health Technologies Inc.","duties_or_roles":"Patient reimbursement and patient level","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Kennedy Krieger Institute","duties_or_roles":"NAA Analysis in CSF and Urine; other duties (code 4) listed","organisation_type":"Health care"}
- {"country":"United States","full_name":"Kcas LLC","duties_or_roles":"Duties listed (code 4)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Perceptive Informatics Inc.","duties_or_roles":"SyMRI","organisation_type":"Pharmaceutical company"}
- {"country":"Switzerland","full_name":"Voisin Consulting CH SARL","duties_or_roles":"Multiple duties including Trial Master File management (code 15 value provided) and other listed responsibilities (codes 1,11,12,5,6,7,8)","organisation_type":"Pharmaceutical company"}
- {"country":"Ireland","full_name":"Parexel International (IRL) Limited","duties_or_roles":"Duties listed (code 10)","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- rAAV-Olig001-ASPA
- Active Substance
- CIRACIGENE GOLPARVOVEC
- Modality
- Gene therapy
- Routes Of Administration
- INTRACEREBROVENTRICULAR (ICV)
- Route
- INTRACEREBROVENTRICULAR (ICV)
- Authorisation Status
- Investigational (productDictionaryInfo.prodAuthStatus=1)
- First In Human
- Yes
- Orphan Designation
- Yes
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