Safety and Efficacy Evaluation of GC101 Gene Therapy Via Intrathecal (IT) Injectionin the Treatment of Patients With Type 2 Spinal Muscular Atrophy (SMA) - Phase III

NCT ID: NCT06971094

Last Updated: 2025-06-05

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

PHASE3

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-27

Study Completion Date

2026-12-31

Brief Summary

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This trial employs a multicenter, randomized, open-label, standard-of-care-controlled design and plans to enroll 50 patients with Type 2 SMA aged 2 to 12 years who have previously received nusinersen. The primary objective of the trial is to evaluate the efficacy of GC101 in treating Type 2 SMA. The secondary objectives are to assess the efficacy, safety, and pharmacokinetic (PK) profile of GC101 in treating Type 2 SMA.

Detailed Description

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The trial is divided into two groups: one group will receive a single intrathecal injection of GC101 at a dose of 1.2E+14 vg per person and discontinue their previous standard-of-care treatment with nusinersen; the other group will continue their previous standard-of-care treatment with nusinersen. Participants will be randomly assigned to the trial group or the control group in a 1:1 ratio.

Conditions

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SMA - Spinal Muscular Atrophy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This trial employs a multicenter, randomized, open-label, standard-of-care-controlled design and plans to enroll 50 patients with Type 2 SMA aged 2 to 12 years who have previously received treatment. The trial consists of two groups: one group will receive a single intrathecal injection of GC101 at a dose of 1.2E+14 vg per person and discontinue their previous standard-of-care treatment with nusinersen; the other group will continue their previous standard-of-care treatment with nusinersen. Participants will be randomly assigned to the trial group or the control group in a 1:1 ratio.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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GC101

single dose of GC101 at dosage of 1.2E+14 vg per person via intrathecal injection

Group Type EXPERIMENTAL

GC101 adeno-associated virus injection

Intervention Type GENETIC

Self-complementary recombinant adeno-associated viral vector (scAAV) containing a single-stranded transgene encoding a codon-optimized human SMN1 gene

Control

Participants will continue to receive treatment according to their previous standard-of-care regimen with nusinersen.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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GC101 adeno-associated virus injection

Self-complementary recombinant adeno-associated viral vector (scAAV) containing a single-stranded transgene encoding a codon-optimized human SMN1 gene

Intervention Type GENETIC

Eligibility Criteria

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Inclusion Criteria

* Patients with a confirmed diagnosis of Type 2 5q-SMA through clinical phenotype and genetic testing.
* Patients who have been receiving regular treatment with nusinersen for more than one year prior to screening.
* Patients who have not received treatment with risdiplam within 2 months prior to screening and have no plans to receive risdiplam treatment within 12 months after enrollment.
* Patients who can sit independently but cannot walk independently at the time of screening (according to the definitions of independent sitting and walking in the WHO-MGRS motor milestones scale), and have an HFMSE score of ≥10 points.
* Patients and/or their legal guardians are able to understand and are willing to comply with the requirements and procedures of the trial protocol, and voluntarily participate and sign the informed consent form

Exclusion Criteria

* Patients with serum anti-AAV9 neutralizing antibody titers \> 1:50 at the time of screening.
* Patients who have received nusinersen treatment within 2 months prior to enrollment.
* Patients with any medical conditions that may affect the interpretation of study results or pose a risk to the safety of the participants, including but not limited to organ dysfunction of any cause, acute infectious diseases, primary/acquired immunodeficiency diseases, severe cardiovascular/cerebrovascular diseases, gastrointestinal diseases, diabetes, known epilepsy, meningitis, seizure or convulsion history, or a family history of psychiatric disorders; and those with cerebrospinal fluid circulation disorders.
* Patients with severe liver injury/hepatic insufficiency of any cause, including but not limited to alanine aminotransferase (ALT), aspartate aminotransferase (AST) ≥3 times the upper limit of normal (ULN); total bilirubin (TBil) ≥1.5 times the ULN.
* Patients deemed by the investigator to have contraindications to glucocorticoid use, such as severe hypertension, diabetes, systemic infectious diseases, fungal infections, glaucoma, osteoporosis, peptic ulcer disease, tuberculosis, etc.
* Patients with contraindications to lumbar puncture or intrathecal injection therapy.
* Patients with any medical conditions that may affect the assessment of motor function, such as severe scoliosis, severe joint contracture deformities, planned spinal correction surgery during the trial period, severe osteoporosis, or a history of fractures.
* Patients positive for hepatitis B surface antigen (HBsAg), human immunodeficiency virus (HIV) antibodies, hepatitis C virus (HCV) antibodies, or syphilis antibodies.
* Patients who have received vaccinations within 2 weeks prior to dosing.
* Patients who have previously received gene therapy or participated in any clinical trial within 3 months prior to screening.
* Patients deemed by the investigator to be unsuitable for participation in this study.
Minimum Eligible Age

2 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GeneCradle Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The Seventh Medical Center of Chinese PLA General Hospital

Beijing, , China

Site Status RECRUITING

Children's Medical Center of Peking University First Hospital

Beijing, , China

Site Status RECRUITING

Beijing Children's Hospital, Capital Medical University

Beijing, , China

Site Status RECRUITING

National Children's Medical Center,Shanghai Jiaotong University

Shanghai, , China

Site Status RECRUITING

Shenzhen Children's Hospital

Shenzhen, , China

Site Status RECRUITING

Children's Hospital of Soochow University

Suzhou, , China

Site Status RECRUITING

Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology

Wuhan, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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GeneCradle, Inc China

Role: CONTACT

+8613501380583

Facility Contacts

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Juan Xu

Role: primary

86-010-66721842

Yan Liang

Role: primary

86-010-64008229

Qian Wang

Role: primary

86-010-59718709

Fulian Gong

Role: primary

86-021-38087191

Cengceng Zhang

Role: primary

86-15612025393

Huizhen Jin

Role: primary

86-0512-80692212

Shiying Yuan

Role: primary

86-027-82308909

Other Identifiers

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JLJY-GC101-SMA-011

Identifier Type: -

Identifier Source: org_study_id

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