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NCT06092034PHASE2Recruiting

A Gene Therapy Study of RP-A501 in Male Patients With Danon Disease

Rocket Pharmaceuticals Inc.

Start Date

9/5/2023

Completion Date

6/1/2032

Summary

This is a single arm Phase 2 trial to evaluate the efficacy and safety of RP-A501, a recombinant adeno-associated virus serotype 9 (rAAV9) vector containing the human lysosome-associated membrane protein 2 isoform B (LAMP2B) transgene, in male patients with Danon disease.

Detailed Description

RP-A501-0123 is a Phase 2 global, multi-center, single arm, open-label, single dose trial in males with Danon disease. The study is designed to assess the efficacy and safety of a single intravenous dose of RP-A501 in treating the cardiomyopathy associated with Danon disease. RP-A501-0123 will enroll subjects ≥ 8 years of age with a pathogenic or likely pathogenic LAMP2 variant. The trial will include a total of 5 years of follow-up after administration of RP-A501.

Eligibility Criteria

Age Range: 8 years to No maximum

Key Inclusion Criteria: 1. Documentation of a pathogenic or likely pathogenic variant of the LAMP2 gene. 2. Male. 3. Age ≥8 years. 4. Evidence of left ventricular hypertrophy with preserved systolic function phenotype as defined by each of the following: 1. Abnormal thickening of left ventricular wall, 2. Left ventricular ejection fraction (LVEF) ≥ 50%. 5. New York Heart Association (NYHA) Class II to III. 6. High sensitivity Troponin I (hsTnI) ≥20% above the upper limit of normal (ULN) ≤ 12 months prior to screening. 7. Ability to comply with study procedures including investigational therapy and follow-up evaluations. Key Exclusion Criteria: 1. Anti-AAV9 neutralizing antibody titer \>1:40. 2. Severe heart failure or requirement for advanced therapies (requirement for intravenous inotropic, vasodilator, or diuretic therapy within the 30 days prior to enrollment, presence or requirement for mechanical circulatory support (MCS), and presence or requirement for mechanical ventilation). 3. History of intracardiac thrombosis or arterial thromboembolic events including stroke, transient ischemic attack (TIA), acute coronary syndrome, myocardial infarction or unstable angina. 4. Prior cardiac or other organ (lung, liver, other) transplantation.

Interventions

GENETIC

RP-A501

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Conditions

Danon Disease

Locations

University of California, San Diego

La Jolla, California 92037

United States

Boston Children's Hospital

Boston, Massachusetts 02115

United States

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania 19104

United States

German Heart Center Munich

Munich,

Germany

Meyer Children's Hospital

Florence,

Italy

Great Ormond Street Hospital & UCL Institute of Cardiovascular Science

London,

United Kingdom