Gene Therapy for Limb-Girdle Muscular Dystrophy

(EMERGENE Trial)

Not currently recruiting at 11 trial locations
ST
Overseen BySarepta Therapeutics Inc. For Clinical Trial Information, Select Option 4
Age: Any Age
Sex: Any
Trial Phase: Phase 3
Sponsor: Sarepta Therapeutics, Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new gene therapy treatment called Bidridistrogene Xeboparvovec (SRP-9003) for individuals with limb-girdle muscular dystrophy, type 2E/R4 (LGMD2E/R4). The goal is to determine if a single dose can enhance the activity of a specific gene linked to muscle function. Participants are divided into two groups: those who can walk unaided and those who cannot. The trial seeks individuals with specific gene mutations related to LGMD2E/R4, excluding those with heart problems or certain infections. Eligible individuals with this condition might be suitable candidates. As a Phase 3 trial, this represents the final step before FDA approval, providing access to potentially groundbreaking treatment.

Do I need to stop my current medications to join the trial?

The trial protocol does not specify if you need to stop your current medications. However, if you are on active immunosuppressant treatment for an autoimmune disease, you may be excluded from the trial.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. However, if you are on active immunosuppressant treatment for an autoimmune disease, you may not be eligible to participate.

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

Research has shown that the gene therapy SRP-9003 was safe in earlier studies. Most side effects appeared within the first 90 days after treatment and were usually mild. Researchers monitored the safety of SRP-9003 over 4-5 years, and it remained safe during this period. This indicates that the treatment was generally well-tolerated over a long duration. No reports of serious or long-lasting harmful effects emerged. This evidence suggests that SRP-9003 is relatively safe for use at this stage.12345

Why do researchers think this study treatment might be promising?

Bidridistrogene xeboparvovec (SRP-9003) is unique because it uses a gene therapy approach to address Limb-Girdle Muscular Dystrophy. Unlike standard treatments, which mainly focus on managing symptoms, SRP-9003 aims to correct the underlying genetic defect by delivering a functional copy of the affected gene directly into the body through a single intravenous infusion. This innovative mechanism has the potential to provide a more lasting and transformative impact on muscle function, which is why researchers are excited about its possibilities.

What evidence suggests that SRP-9003 might be an effective treatment for limb-girdle muscular dystrophy?

Research has shown that the gene therapy SRP-9003 may help treat limb-girdle muscular dystrophy type 2E/R4. Early studies report improvements in movement abilities, as measured by a specific test for this type of muscular dystrophy. This therapy provides a copy of the beta-sarcoglycan (β-SG) gene, which is missing or malfunctioning in people with this condition. Initial results from earlier trials suggested that SRP-9003 is safe and well-tolerated. These findings offer hope for improved muscle function and overall quality of life for patients.12346

Who Is on the Research Team?

MD

Medical Director

Principal Investigator

Sarepta Therapeutics, Inc.

Are You a Good Fit for This Trial?

This trial is for people with a muscle condition called Limb Girdle Muscular Dystrophy 2E/R4. It's open to those who can move around on their own (Cohort 1) and those who cannot (Cohort 2). Specific eligibility details are not provided, but typically participants must meet certain health criteria.

Inclusion Criteria

I can walk without help and do so quickly.
Cohort 2, only non-ambulatory participants: 10MWT ≥30 seconds or unable to perform, PUL 2.0 entry scale score ≥3, Participants must possess 1 homozygous or 2 heterozygous pathogenic and/or likely pathogenic β-SG DNA gene mutations, Able to cooperate with muscle testing, Participants must have adeno-associated virus serotype rh74 (AAVrh74) antibody titers <1:400 (that is, not elevated) as determined by AAVrh74 antibody enzyme-linked immunosorbent assay.

Exclusion Criteria

Left ventricular ejection fraction < 40% or clinical signs and/or symptoms of cardiomyopathy, Forced vital capacity ≤40% of predicted value and/or requirement for nocturnal ventilation, Diagnosis of (or ongoing treatment for) an autoimmune disease and on active immunosuppressant treatment, Presence of any other clinically significant illness or medical condition (other than LGMD2E/R4)

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a single intravenous (IV) infusion of SRP-9003

1 day

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 months

What Are the Treatments Tested in This Trial?

Interventions

  • Bidridistrogene Xeboparvovec (SRP-9003)
Trial Overview The study tests an experimental gene therapy named Bidridistrogene Xeboparvovec (SRP-9003), which aims to correct the genetic defect causing the disease. Participants will receive one dose of this therapy, and its effects on gene expression will be monitored.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: SRP-9003Experimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Sarepta Therapeutics, Inc.

Lead Sponsor

Trials
54
Recruited
34,000+

Published Research Related to This Trial

AAV9-mediated delivery of the human BVES gene significantly improved muscle function and cardiac health in BVES-knockout mice, demonstrating its potential as a gene therapy for limb-girdle muscular dystrophy type R25 (LGMDR25).
The treatment showed efficacy in both neonatal and adult mice, enhancing body weight, muscle mass, and exercise performance without any observed toxicity, suggesting a promising therapeutic approach for this currently untreatable condition.
Systemic AAV9.BVES delivery ameliorates muscular dystrophy in a mouse model of LGMDR25.Li, H., Wang, P., Hsu, E., et al.[2023]
Delandistrogene moxeparvovec (SRP-9001) successfully induced dystrophin expression in all patients with Duchenne muscular dystrophy, achieving a mean change from baseline of 23.82% at Week 12 and 39.64% at Week 48, indicating its efficacy as a gene transfer therapy.
While the overall change in North Star Ambulatory Assessment (NSAA) scores was not statistically significant for the entire population, younger patients (4-5 years) with matched baseline motor function showed a significant improvement of +2.5 points, suggesting that age and baseline function may influence treatment outcomes.
Expression of SRP-9001 dystrophin and stabilization of motor function up to 2 years post-treatment with delandistrogene moxeparvovec gene therapy in individuals with Duchenne muscular dystrophy.Mendell, JR., Shieh, PB., McDonald, CM., et al.[2023]
Delandistrogene moxeparvovec is the first gene therapy approved for Duchenne muscular dystrophy (DMD) in the USA, specifically for ambulatory children aged 4 to 5 years with a confirmed mutation in the dystrophin gene.
This therapy uses an adeno-associated virus vector to deliver a micro-dystrophin gene to muscle cells, aiming to improve muscle function in DMD patients, and is administered as a single intravenous infusion at a dose of 1.33 × 10^14 vector genomes per kg.
Delandistrogene Moxeparvovec: First Approval.Hoy, SM.[2023]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/38177855/
Gene therapy with bidridistrogene xeboparvovec for limb ...Post hoc exploratory analysis showed preliminary motor improvements using the North Star Assessment for Limb-girdle Type Muscular Dystrophies ...
Gene therapy with bidridistrogene xeboparvovec for limb ...Here we report interim results from a first-in-human, open-label, nonrandomized, phase 1/2 trial evaluating the safety and efficacy of bidridistrogene ...
Press Release - Investor Relations | Sarepta Therapeutics, Inc.SRP-9003 is an investigational gene therapy for the treatment of limb-girdle muscular dystrophy Type 2E/R4 (LGMD2E/R4), or beta-sarcoglycanopathy.
Sarepta Therapeutics' Limb-Girdle Muscular Dystrophy ...“The safety and tolerability results were consistent with previous results and were observed up to 90 days post treatment. These findings ...
Study Details | NCT06246513 | A Trial to Learn More About ...A Trial to Learn More About an Experimental Gene Therapy Called Bidridistrogene Xeboparvovec (SRP-9003) as a Possible Treatment for Limb Girdle Muscular ...
Limb-Girdle Gene Therapy Bididistrogene Xeboparvovec ...Bidridistrogene xeboparvovec showed a sustained safety profile over 4-5 years, with most adverse events occurring within 90 days and being mild ...
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