UX701: Nonreplicating, recombinant gene transfer vector
Standard of Care (SOC): SOC treatment (i.e., copper chelators and/or zinc) administered according to standard regimens.
Study summary
The primary objectives of this study are to evaluate the safety of single IV doses of UX701 in patients with Wilson disease, to select the UX701 dose with the best benefit/risk profile based on the totality of safety and efficacy data and to evaluate the effect of UX701 on copper regulation.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Key Inclusion Criteria:
* Confirmed diagnosis of Wilson disease based on genetic confirmation of heterozygous or homozygous biallelic ATP7B mutation.
* Stable Wilson disease as evidenced by ongoing copper chelator (ie, penicillamine, trientine) and/or zinc therapy for at least 2 months at screening, with no medication or dose changes for at least 2 months at screening.
* Ongoing restriction of high copper containing foods for at least 2 months at Screening and continued through study participation.
* Willing and able to comply with all study procedures and requirements, including frequent blood collection, total urine collection over a 24-hour period, patient-reported outcome assessments, and long-term follow-up
Key Exclusion Criteria:
* Detectable pre-existing antibodies to the AAV9 capsid.
* Stage 1 only: History of copper chelator or zinc therapy noncompliance, in the Investigator's judgment, within 6 months prior to Screening.
* History of liver transplant.
* Active decompensated hepatic cirrhosis or history of hepatic encephalopathy.
* Significant hepatic inflammation as evidenced by laboratory abnormalities.
* Model for End-Stage Liver Disease (MELD) score \> 13.
* Hemoglobin \< 9 g/dL
* Presence of Stage 3 or higher chronic kidney disease based on estimated glomerular filtration rate \< 60 mL/min/1.73 m2.
* Marked neurological deficit or compromise that, in the Investigator's opinion, would interfere with the subject's safety or ability to participate in the study.
* Moderate to severe depression, recent or active suicidal ideation with intent or suicidal behavior, psychosis, or unstable psychiatric illness.
* Known hypersensitivity to UX701 or its excipients, copper chelators, zinc, rituximab, tacrolimus, corticosteroids, or eculizumab that, in the Investigator's judgement, places the participant at increased risk for adverse events.
* Participation in another gene transfer study or use of another gene transfer product before or during study participation.
* Subjects with known hypersensitivity to amide-containing local anesthetics are excluded from participating in the optional liver biopsy substudy.
Note: Other protocol defined Inclusion/ Exclusion criteria may apply
Primary outcome measure(s)
Stage 1: Incidence of Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Adverse Events of Special Interest (AESIs), Treatment-Related TEAEs, and Treatment-Related TESAEs — Up to Week 52
Stage 1: Change in 24-hour Urinary Copper Concentration from Baseline at Week 52 — Baseline, Week 52
Stage 1: Change in Total Copper from Baseline at Week 52 — Baseline, Week 52
Stage 1: Change in Ceruloplasmin-bound Copper from Baseline at Week 52 — Baseline, Week 52
Stage 1: Change in Ceruloplasmin from Baseline at Week 52 — Baseline, Week 52
Stage 1: Change in Non-Ceruloplasmin-bound Copper (NCC) from Baseline at Week 52 — Baseline, Week 52
Stage 1: Change in Free Copper from Baseline at Week 52 — Baseline, Week 52
Stage 1: Change in Ceruloplasmin Activity from Baseline at Week 52 — Baseline, Week 52
Stage 1: Percent Reduction in Standard of Care (SOC) Medication by Week 52 — Week 52
Stage 1: Number of Participants Who Discontinue SOC Medication by Week 52 — Week 52
Stage 1: Number of Consecutive Weeks off SOC Medication at Week 52 — Week 52
Stage 2: Change in 24-hour Urinary Copper Concentration from Baseline at Week 52, Evaluated for Superiority — Baseline, Week 52
Stage 2: Percent Reduction in SOC Medication by Week 52, Evaluated for Superiority — Week 52
Trial sites (16)
Facility
City
Region
Status
University of California Los Angeles
Los Angeles
California
Stanford University
Redwood City
California
University of California Davis
Sacramento
California
Northwestern University
Chicago
Illinois
Indiana University
Indianapolis
Indiana
Massachusetts General Hospital
Boston
Massachusetts
University of Michigan
Ann Arbor
Michigan
Duke University Medical Center
Durham
North Carolina
University Hospitals Cleveland Medical Center
Cleveland
Ohio
Vanderbilt University Medical Center
Nashville
Tennessee
University of Utah
Salt Lake City
Utah
Seattle Children's Hospital
Seattle
Washington
Centro Hospitalar Universitário Lisboa Norte
Lisbon
Lisbon District
Centro Hospitalar Universitário de São João
Porto
Porto District
Hospital Universitario Vall d'Hebron - PPDS
Barcelona
Spain
Kings College NHS Foundation
London
Surrey
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This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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