Gene Therapy for Cardiomyopathy Associated With Friedreich's Ataxia
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT05445323 |
Recruitment Status :
Recruiting
First Posted : July 6, 2022
Last Update Posted : February 8, 2024
|
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Friedreich Ataxia Cardiomyopathy, Secondary | Genetic: Low dose LX2006 Genetic: Mid Dose LX2006 Genetic: High Dose LX2006 | Phase 1 Phase 2 |
Friedreich's ataxia (FA) is a rare, autosomal recessive disease caused by a mutation in the autosomal frataxin (FXN) gene. Progressive cardiomyopathy with cardiac hypertrophy and fibrosis is observed in most individuals with FA. The disease is more severe in those with earlier onset. Presently, there is no therapy that alters the progression of cardiomyopathy in FA, which is responsible for 59% of FA-related deaths.
The primary objective of this dose escalation study is to assess the safety and tolerability of three ascending doses of LX2006 in patients with FA-associated cardiomyopathy. LX2006 is designed to restore hFXN levels in order to improve mitochondrial function. Assessments of cardiac function, biomarkers and other preliminary efficacy endpoints are also included in this study.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 9 participants |
Allocation: | N/A |
Intervention Model: | Sequential Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase 1/2 Study of the Safety and Efficacy of LX2006 Gene Therapy in Participants With Cardiomyopathy Associated With Friedreich's Ataxia |
Actual Study Start Date : | August 24, 2022 |
Estimated Primary Completion Date : | September 2029 |
Estimated Study Completion Date : | September 2029 |
Arm | Intervention/treatment |
---|---|
Experimental: Cohort 1/ Cohort 2/ Cohort 3 |
Genetic: Low dose LX2006
Adeno-associated viral vector encoding the FXN gene (AAVrh.10hFXN) Genetic: Mid Dose LX2006 Adeno-associated viral vector encoding the FXN gene (AAVrh.10hFXN) Genetic: High Dose LX2006 Adeno-associated viral vector encoding the FXN gene (AAVrh.10hFXN) |
- Treatment-emergent adverse events (TEAEs) and Treatment-emergent serious events (TESAEs) [ Time Frame: Change from baseline to end of year 5 post dose ]
- Change from baseline in LVMi [ Time Frame: Change from baseline to end of year 5 post dose ]
- Change from baseline in LVEF [ Time Frame: Change from baseline to end of year 5 post dose ]
- Change from baseline in cardiac fibrosis as measured by cardiac MRI [ Time Frame: Change from baseline to end of year 5 post dose ]
- Change from baseline in measures of cardiopulmonary exercise tolerance [ Time Frame: Change from baseline to end of year 5 post dose ]
- Presence and severity of cardiac arrythmias [ Time Frame: Change from baseline to end of year 5 post dose ]
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years to 50 Years (Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Confirmed genetic diagnosis of FA, with onset being before 25 years of age
- Protocol specified ranges for antibodies
- Protocol specified measures of FA cardiomyopathy
Exclusion Criteria:
- Protocol specified ranges for left ventricular ejection fraction (LVEF) as measured by cardiac ECHO
- Uncontrolled diabetes
- Abnormal liver function
- Active infection of any type, including hepatitis virus (A, B or C) or human immunodeficiency virus (HIV-1 and HIV-2)
- Contraindication to cardiac MRI
- Contraindications to cardiac biopsies
- Participants who are receiving systemic corticosteroids or other immunosuppressive medications
- History of significant coronary artery disease or any structural heart or vascular disease other than FA cardiomyopathy
- Presence of clinically significant, hemodynamically unstable arrhythmias, requiring physician intervention
- Presence of clinically significant abnormalities as determined by the investigator, other than ECG abnormalities related to FA
- Uncontrolled psychiatric disease
Other Inclusion/Exclusion criteria to be applied as per protocol.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05445323
Contact: LEXEO Clinical Trials | 212-547-9879 | clinicaltrials@lexeotx.com |
United States, California | |
Ataxia Center and HD Center of Excellence, University of California | Recruiting |
Los Angeles, California, United States, 90095 | |
Contact: Aaron Fisher 310-206-8153 adfisher@mednet.ucla.edu | |
United States, Florida | |
University of South Florida | Recruiting |
Tampa, Florida, United States, 33612 | |
Contact: Lucretia Campbell 813-974-5633 lcampbel@usf.edu | |
United States, Iowa | |
University of Iowa | Recruiting |
Iowa City, Iowa, United States, 52242 | |
Contact: Ciara Gibbs 319-384-9618 ciara-gibbs@uiowa.edu | |
United States, Minnesota | |
Mayo Clinic | Recruiting |
Rochester, Minnesota, United States, 55905 | |
Contact: Michaela Kolarova 507-266-7969 kolarova.michaela@mayo.edu | |
Contact: Clinical Genomics Research Team rstcgresearch@mayo.edu | |
United States, Pennsylvania | |
Hospital of the University of Pennsylvania | Not yet recruiting |
Philadelphia, Pennsylvania, United States, 19104 | |
Contact: David Lynch, MD, PhD | |
Canada, Quebec | |
Centre hospitalier de l Universite de Montreal (CHUM) | Recruiting |
Montréal, Quebec, Canada, H2X 0C1 | |
Contact: Antoine Duquette, MD 514-890-8000 ext 30737 uit.eligibilite.chum@ssss.gouv.qc.ca |
Study Director: | LEXEO Clinical Trials | Lexeo Therapeutics |
Responsible Party: | Lexeo Therapeutics |
ClinicalTrials.gov Identifier: | NCT05445323 |
Other Study ID Numbers: |
LX2006-01 |
First Posted: | July 6, 2022 Key Record Dates |
Last Update Posted: | February 8, 2024 |
Last Verified: | February 2024 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Friedreich's Ataxia Cardiomyopathy FA Gene therapy |
FXN Gene Frataxin Gene LX2006 |
Ataxia Cerebellar Ataxia Friedreich Ataxia Cardiomyopathies Heart Diseases Cardiovascular Diseases Dyskinesias Neurologic Manifestations Nervous System Diseases Cerebellar Diseases |
Brain Diseases Central Nervous System Diseases Spinocerebellar Degenerations Spinal Cord Diseases Heredodegenerative Disorders, Nervous System Neurodegenerative Diseases Genetic Diseases, Inborn Mitochondrial Diseases Metabolic Diseases |