6 Participants Needed

Gene Therapy for NGLY1 Deficiency

Recruiting at 2 trial locations
RD
Overseen ByRegina Deck, RN/MSN/CCRP
Age: < 65
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: Grace Science, LLC
Must be taking: Anti-seizure medications
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

The trial explores a new gene therapy called GS-100 (also known as AAV9-NGLY1 gene replacement therapy) for individuals with NGLY1 Deficiency, a rare condition causing developmental delays, movement disorders, and other issues. The researchers aim to determine if a single dose of this therapy, administered directly into the brain, can improve symptoms. Different groups will receive varying doses to identify the most effective amount. Eligible participants have been diagnosed with NGLY1 Deficiency and experience symptoms like developmental delays or movement issues. As a Phase 1/Phase 2 trial, this research focuses on understanding how the treatment works in people and measuring its effectiveness in an initial, smaller group, offering participants a chance to be among the first to potentially benefit from this innovative therapy.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, if you have epilepsy and are on anti-seizure medications, you must be on a stable regimen for at least 28 days before joining the trial.

Is there any evidence suggesting that this treatment is likely to be safe for humans?

Research has shown that GS-100, a new gene therapy for NGLY1 Deficiency, underwent animal testing before human trials. These early results suggest that GS-100 could be a promising treatment, with no serious side effects found in these tests.

As this is an early-stage study in humans, the main goal is to assess the safety of GS-100 and how well people tolerate different doses. The trial begins with a low dose, gradually increasing it to observe the body's reaction. This process helps doctors determine the safest dose for treatment.12345

Why do researchers think this study treatment might be promising?

Unlike the standard of care for NGLY1 deficiency, which primarily involves symptomatic treatments like physical therapy, enzyme replacement, and supportive care, GS-100 offers a new approach by directly addressing the genetic root of the condition. Researchers are excited about GS-100 because it uses gene therapy to potentially correct the underlying genetic defect that causes NGLY1 deficiency. This innovative treatment could revolutionize care by not just managing symptoms but potentially providing a more lasting solution to the disorder.

What evidence suggests that GS-100 might be an effective treatment for NGLY1 Deficiency?

Research shows that GS-100, a type of gene therapy, could help treat NGLY1 Deficiency. In animal studies, GS-100 improved symptoms when researchers delivered it directly into the brain's fluid spaces. This method uses a virus to replace the faulty gene causing the condition. Early results suggest it might address the root cause of NGLY1 Deficiency by restoring normal gene function. This trial will test different doses of GS-100 in separate cohorts, offering hope for those affected by this rare disorder.12346

Are You a Good Fit for This Trial?

This trial is for children and teenagers aged 2 to 18 with a rare genetic condition called NGLY1 Deficiency. Participants must meet certain health standards, which are not specified here.

Inclusion Criteria

I am willing and able to follow the study's procedures and requirements.
I have been diagnosed with NGLY1 Deficiency through genetic testing.
I have symptoms like developmental delays, unusual movements, liver issues, dry eyes, or nerve pain.
See 3 more

Exclusion Criteria

I cannot take corticosteroids due to a condition or risk.
I do not have increased brain pressure or conditions that would make brain procedures unsafe.
My liver is not working properly according to recent tests.
See 13 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a single intracerebroventricular (ICV) administration of GS-100 gene therapy

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and efficacy, with assessments at baseline and 52 weeks

52 weeks
Multiple visits (in-person and virtual)

Long-term follow-up

Participants are followed for safety and efficacy for 5 years after treatment

5 years

What Are the Treatments Tested in This Trial?

Interventions

  • GS-100
Trial Overview The study tests GS-100 gene therapy given once directly into the brain's ventricles (ICV) to see if it's safe and effective in treating NGLY1 Deficiency. It gradually increases doses among participants.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: Cohort 3aExperimental Treatment1 Intervention
Group II: Cohort 2aExperimental Treatment1 Intervention
Group III: Cohort 1aExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Grace Science, LLC

Lead Sponsor

Trials
1
Recruited
6+

Published Research Related to This Trial

GS-100, a gene therapy using an AAV9 vector to deliver the human NGLY1 gene, shows promise as a treatment for NGLY1 Deficiency, significantly reducing harmful biomarker levels in the brain and cerebrospinal fluid of treated rats.
Administration of GS-100 via intracerebroventricular (ICV) injection led to improved behavioral outcomes in tests, indicating its potential efficacy, while intravenous (IV) administration alone did not yield similar benefits.
AAV9-NGLY1 gene replacement therapy improves phenotypic and biomarker endpoints in a rat model of NGLY1 Deficiency.Zhu, L., Tan, B., Dwight, SS., et al.[2022]
NGLY1 deficiency is a rare genetic disorder caused by mutations in the NGLY1 gene, which is crucial for the function of the N-glycanase1 enzyme that helps break down certain proteins in the body.
Researchers created an induced pluripotent stem cell (iPSC) line from a 2-year-old patient with NGLY1 deficiency, providing a valuable model for studying the disease and developing potential treatments.
An induced pluripotent stem cell line (NCATS-CL9075) from a patient carrying compound heterozygote mutations, p.R390P and p.L318P, in the NGLY1 gene.Pradhan, M., Farkhondeh, A., Cheng, YS., et al.[2022]
Researchers successfully created two gene-corrected induced pluripotent stem cell (iPSC) lines from a patient with NGLY1 deficiency, a rare genetic disorder caused by mutations in the NGLY1 gene.
These corrected iPSC lines can serve as valuable controls for studying the disease mechanisms and testing potential therapies for NGLY1 deficiency.
Generation of two gene corrected human isogenic iPSC lines (NCATS-CL6104 and NCATS-CL6105) from a patient line (NCATS-CL6103) carrying a homozygous p.R401X mutation in the NGLY1 gene using CRISPR/Cas9.Pavlinov, I., Farkhondeh, A., Yang, S., et al.[2022]

Citations

AAV9-NGLY1 gene replacement therapy improves phenotypic ...These data provide evidence that GS-100 could be an effective therapy for NGLY1 Deficiency using the ICV route of administration.
Safety and Efficacy of GS-100 Gene Therapy in Patients ...This study is a first in human (FIH) open-label, dose escalation study designed to assess the safety and efficacy of administration of an adeno-associated ...
GS-100 Gene Therapy in Patients With NGLY1 DeficiencyEfficacy outcomes will be assessed at baseline and 52 weeks. The co-primary outcomes will be change from baseline in cerebrospinal fluid (CSF) ...
Preclinical pharmacology and safety studies to support an ...GS-100 is an AAV9 gene replacement therapy for the treatment of N-glycanase 1 (NGLY1) deficiency, an ultra-rare, recessive disorder characterized by ...
5.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/36320418/
AAV9-NGLY1 gene replacement therapy improves ...These data provide evidence that GS-100 could be an effective therapy for NGLY1 Deficiency using the ICV route of administration.
6.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40687377/
Preclinical pharmacology and safety studies to support an ...GS-100 is an AAV9 gene replacement therapy for the treatment of N-glycanase 1 (NGLY1) deficiency, an ultra-rare, recessive disorder ...
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