A Gene Transfer Therapy Study to Evaluate the Safety of SRP-9004 (Patidistrogene Bexoparvovec) in Participants With Limb-Girdle Muscular Dystrophy, Type 2D (LGMD2D)

NCT ID: NCT01976091

Last Updated: 2023-06-15

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-01

Study Completion Date

2019-03-14

Brief Summary

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This is an open-label, dose escalation gene transfer therapy study evaluating the safety of SRP-9004 (patidistrogene bexoparvovec) via isolated limb infusion (ILI) administration in approximately 6 participants with LGMD2D.

Detailed Description

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Conditions

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Limb-Girdle Muscular Dystrophy, Type 2D

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1A: SRP-9004 Low Dose (Single Limb Perfusion)

Non-ambulant participants with LGMD2D will receive 1 low dose of SRP-9004 via ILI to a single limb on Day 0.

Group Type EXPERIMENTAL

SRP-9004

Intervention Type GENETIC

Isolated Limb Infusion (ILI)

Cohort 1B Low Dose (Bilateral Limb Perfusion)

Participants with LGMD2D will receive 1 low dose of SRP-9004 via ILI to both limbs on Day 0.

Group Type EXPERIMENTAL

SRP-9004

Intervention Type GENETIC

Isolated Limb Infusion (ILI)

Cohort 2 High Dose (Bilateral Limb Perfusion)

Participants with LGMD2D will receive 1 high dose of SRP-9004 via ILI to both limbs on Day 0.

Group Type EXPERIMENTAL

SRP-9004

Intervention Type GENETIC

Isolated Limb Infusion (ILI)

Interventions

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SRP-9004

Isolated Limb Infusion (ILI)

Intervention Type GENETIC

Other Intervention Names

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patidistrogene bexoparvovec

Eligibility Criteria

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Inclusion Criteria

* Cohort 1A must be adult and wheelchair-dependent; Cohorts 1B and 2 will be participants of age 7 or older.
* Confirmed alpha-sarcoglycan deficiency or identified sarcoglycan alpha (SGCA) deoxyribonucleic acid (DNA) mutation.
* Participants enrolled in Cohorts 1B or 2 must be able to walk independently, but must exhibit signs of lower extremity weakness (that is, a Gowers' sign, use a handrail for climbing stairs) and walk ≤80% of predicted distance on the 6 minute walk test (6MWT) based on normative data.

Exclusion Criteria

* Active viral infection based on clinical observations.
* The presence of SGCA mutations without weakness or loss of function.
* Symptoms or signs of cardiomyopathy.
* Serological evidence of human immunodeficiency virus (HIV), Hepatitis B, or C infection.
* Diagnosis of (or ongoing treatment for) an autoimmune disease.
* Participants with AAVrh74 or AAV8 binding antibody titers ≥ 1:50 as determined by enzyme-linked immunosorbent assay (ELISA) immunoassay.
Minimum Eligible Age

7 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nationwide Children's Hospital

OTHER

Sponsor Role collaborator

Sarepta Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Sarepta Therapeutics, Inc.

References

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Mendell JR, Chicoine LG, Al-Zaidy SA, Sahenk Z, Lehman K, Lowes L, Miller N, Alfano L, Galliers B, Lewis S, Murrey D, Peterson E, Griffin DA, Church K, Cheatham S, Cheatham J, Hogan MJ, Rodino-Klapac LR. Gene Delivery for Limb-Girdle Muscular Dystrophy Type 2D by Isolated Limb Infusion. Hum Gene Ther. 2019 Jul;30(7):794-801. doi: 10.1089/hum.2019.006. Epub 2019 Apr 19.

Reference Type BACKGROUND
PMID: 30838895 (View on PubMed)

Mendell JR, Rodino-Klapac LR, Rosales XQ, Coley BD, Galloway G, Lewis S, Malik V, Shilling C, Byrne BJ, Conlon T, Campbell KJ, Bremer WG, Taylor LE, Flanigan KM, Gastier-Foster JM, Astbury C, Kota J, Sahenk Z, Walker CM, Clark KR. Sustained alpha-sarcoglycan gene expression after gene transfer in limb-girdle muscular dystrophy, type 2D. Ann Neurol. 2010 Nov;68(5):629-38. doi: 10.1002/ana.22251.

Reference Type BACKGROUND
PMID: 21031578 (View on PubMed)

Mendell JR, Rodino-Klapac LR, Rosales-Quintero X, Kota J, Coley BD, Galloway G, Craenen JM, Lewis S, Malik V, Shilling C, Byrne BJ, Conlon T, Campbell KJ, Bremer WG, Viollet L, Walker CM, Sahenk Z, Clark KR. Limb-girdle muscular dystrophy type 2D gene therapy restores alpha-sarcoglycan and associated proteins. Ann Neurol. 2009 Sep;66(3):290-7. doi: 10.1002/ana.21732.

Reference Type BACKGROUND
PMID: 19798725 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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5U01AR060911

Identifier Type: NIH

Identifier Source: secondary_id

View Link

9004-101

Identifier Type: -

Identifier Source: org_study_id

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