4D-310 in Adults With Fabry Disease and Cardiac Involvement

NCT ID: NCT05629559

Last Updated: 2025-02-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-16

Study Completion Date

2030-06-30

Brief Summary

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This is a prospective multicenter, open-label, dose-escalation trial to assess the safety, tolerability, and pharmacodynamics of 4D-310 following a single IV administration. The study population is comprised of adult males and females with Fabry Disease and cardiac involvement

Detailed Description

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This is a prospective multicenter, open-label, dose-escalation trial to assess the safety, tolerability, and pharmacodynamics of 4D-310 following a single IV administration. The study population is comprised of adult males and females with Fabry Disease and cardiac involvement

Conditions

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Fabry Disease

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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4D-310 Dose Level -1

Single IV administration of 4D-310 Dose Level -1

Group Type EXPERIMENTAL

4D-310

Intervention Type BIOLOGICAL

Single IV administration of 4D-310

4D-310 Dose Level 2

Single IV administration of 4D-310 Dose Level 2

Group Type EXPERIMENTAL

4D-310

Intervention Type BIOLOGICAL

Single IV administration of 4D-310

4D-310 Dose Level 3

Single IV administration of 4D-310 at Dose Level 3

Group Type EXPERIMENTAL

4D-310

Intervention Type BIOLOGICAL

Single IV administration of 4D-310

4D-310 Dose Level 1 (No longer enrolling)

No longer enrolling - Single IV administration of 4D-310 at Dose Level 1

Group Type EXPERIMENTAL

4D-310

Intervention Type BIOLOGICAL

Single IV administration of 4D-310

Interventions

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4D-310

Single IV administration of 4D-310

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Male or female ≥ 18 to ≤65 years of age
2. Pathogenic GLA mutation consistent with Fabry Disease
3. Confirmed diagnosis of classic or late-onset Fabry disease with cardiac involvement
4. Intolerant of ERT, unable or unwilling to receive ERT, or progressive disease despite ERT or migalastat
5. Individuals receiving ERT, must be on a stable dose for at least 6 months
6. Agree to use highly effective contraception

Exclusion Criteria

1. Presence of pre-existing antibodies to 4D-310 capsid or to AGA
2. eGFR \<65 mL/min/1.73 m2
3. Undergone kidney transplantation or currently on hemodialysis or peritoneal dialysis
4. HIV, active or chronic hepatitis B or C,
5. Evidence of liver disease, severe pulmonary disease or diabetes with poor glycemic control
6. History of stroke or transient ischemic attack within the last 12 months, or other significant thromboembolic disease history (e.g. pulmonary embolism)
7. Contraindication to systemic corticosteroid therapy or immunosuppressive therapy
8. Chronic steroid use, defined as ≥ 3 months of oral corticosteroid use within the last 12 months.
9. Moderately severe to severe cardiovascular disease or uncontrolled hypertension
10. Left ventricular ejection fraction of \<45% on echocardiogram (ECHO)
11. Currently receiving investigational drug, device or therapy or having ever received gene therapy
12. History of infusion related response to ERT or any adverse reaction leading to ERT discontinuation
13. History of cancer within 2 years (exceptions include non-melanoma skin cancer, localized prostate cancer treated with curative intent)
14. Pregnant or breast-feeding
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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4D Molecular Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alan H Cohen, MD

Role: STUDY_DIRECTOR

4D Molecular Therapeutics

Locations

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Royal Melbourne Hospital

Melbourne, , Australia

Site Status ACTIVE_NOT_RECRUITING

Royal Perth Hospital

Perth, , Australia

Site Status ACTIVE_NOT_RECRUITING

Westmead Hospital

Westmead, , Australia

Site Status NOT_YET_RECRUITING

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status RECRUITING

Countries

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Australia Taiwan

Central Contacts

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4DMT Patient Advocacy

Role: CONTACT

(888) 748-8881

Facility Contacts

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4DMT Patient Advocacy

Role: primary

(888) 748-8881

4DMT Patient Advocacy

Role: primary

(888) 748-8881

Other Identifiers

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4D-310-C002

Identifier Type: -

Identifier Source: org_study_id

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