Table 1.
Ongoing Clinical Trials Using AAV for the Treatment of CNS Diseases
Current Clinical Programs of AAV Gene Therapy in the CNS (as of October 2018) | ||||||||
---|---|---|---|---|---|---|---|---|
Disease | Clinical Trial phase | Serotype | Transgene | Dose | Route of administration | ID ClinicalTrials.gov | Sponsor | References |
Lysosomal storage diseases | ||||||||
MPS I | Phase I (recruiting) | AAV6 | ZFN for safe insertion of hIDUA | 5 × 1012 vg/kg 1 × 1013 vg/kg 5 × 1013 vg/kg |
Intravenous | NCT02702115 | Sangamo Therapeutics | Harmatz et al., 2018 |
MPS II | Phase I (recruiting) | AAV6 | ZFN for safe insertion of hIDS | 5 × 1012 vg/kg 1 × 1013 vg/kg 5 × 1013 vg/kg |
Intravenous | NTC03041324 | Sangamo Therapeutics | Laoharawee et al., 2018 |
MPS IIIA | Phase I/II (recruiting) | AAV9 | hSGSH | 0.5 × 1013 vg/kg 1 × 1013 vg/kg 3 × 1013 vg/kg |
Intravenous | NCT02716246 | Abeona Therapeutics | N/A |
Phase II/III (recruiting) | AAVrh.10 | hSGSH | 7.2 × 1012vg total over 6 sites |
Intracerebral | NCT03612869 | LYSOGENE | Tardieu et al., 2014 | |
MPSIIIB | Phase I/II (active, not recruiting) | AAV5 | hNAGLU | 4 × 1012 vg total over 16 sites |
Intracerebral | NCT03300453 | UniQure Biopharma B.V. | Ellinwood et al., 2011 |
Phase I/II (recruiting) | AAV9 | hNAGLU | 2 × 1013 vg/kg 5 × 1013 vg/kg |
Intravenous | NCT03315182 | Nationwide Children’s Hospital | N/A | |
LINCL (Batten disease) | Phase I (active, not recruiting) | AAV2 | hCLN2 | 3 × 1012 vg total over 12 sites |
Intraparenchymal | NCT00151216 | Weill Medical College of Cornell University | Worgall et al., 2008 |
Phase I/II (active, not recruiting) | AAVrh.10 | hCLN2 | 9.0 × 1011 vg total 2.85 × 1011 vg total over 12 sites |
Intraparenchymal | NCT01161576 and NCT01414985 | Weill Medical College of Cornell University | N/A | |
Phase I/II (recruiting) | AAV9 | hCLN3 | Not disclosed (“low” and ‘‘high’’ doses) | Intrathecal | NCT03770572 | Nationwide Children’s Hospital | N/A | |
Phase I/II (recruiting) | AAV9 | hCLN6 | 1.5 × 1013 vg | Intrathecal | NCT02725580 | Nationwide Children’s Hospital | N/A | |
MLD | Phase I/II (active, not recruiting) | AAVrh.10 | hARSA | 1 × 1012 vg total 4 × 1012 vg total over 12 sites |
Intraparenchymal | NCT01801709 | Institut National de la Santé et de la Récherche Medicale, France | Colle et al., 2010; Zerah et al., 2015 |
Hereditary leukodystrophy | ||||||||
Canavan disease | Phase 1 recruiting | AAV2 | hASPA | 9 × 1011 vg over six sites | Intraparenchymal | NA | National Institute of Neurological Disorders and Stroke | Leone et al., 2012 |
Neurotransmitter disorder | ||||||||
AADC deficiency | Phase I/II (active, not recruiting) | AAV2 | hAADC | Not disclosed | Intraparenchymal (Putamen) | NCT01395641 | National Taiwan University Hospital | Hwu et al., 2012; Chien et al., 2017 |
Phase II (recruiting) - expansion of NCT01395641 | AAV2 | hAADC | 2.37 × 1011 vg total | Intraparenchymal (putamen) | NCT02926066 | National Taiwan University Hospital | ||
Phase I (recruiting) | AAV2 | hAADC | 1.3 × 1011 vg total | Intraparenchymal (SNc and VTA) | NCT02852213 | University of California, San Francisco | ||
Idiopathic age-related neurodegenerative diseases | ||||||||
Parkinson’s disease | Phase I/II (active, not recruiting) | AAV2 | NTN | 2.4 × 1012 vg total over 4 sites sham surgery |
Intraparenchymal (putamen and SNc) | NCT00985517 | Sangamo Therapeutics | Marks et al., 2010 |
Phase I (active, not recruiting) | AAV2 | hGDNF | 9 × 1010 vg total 3 × 1011 vg total 9 × 1011 vg total 3 × 1012 vg total |
Intraparenchymal + CED (putamen) | NCT01621581 | National Institute of Neurological Disorders and Stroke (NINDS) | Johnston et al., 2009; Su et al., 2009 | |
Phase I (active, not recruiting) | AAV2 | hAADC | 7.5 × 1011 vg total 1.5 × 1012 vg total 4.7 × 1012 vg total |
Intraparenchymal (striatum) | NCT01973543 | Voyager Therapeutics | Bankiewicz et al., 2006 | |
Phase II (recruiting) | AAV2 | hAADC | 2.5 × 1012 vg total versus sham |
Intraparenchymal (striatum) | NCT03562494 | Voyager Therapeutics | ||
Phase I (active, not recruiting) | AAV2 | hAADC | 9.4 × 1012 vg total | Intraparenchymal (striatum) | NCT03065192 | Voyager Therapeutics | ||
Phase I/II (recruiting) | AAV2 | hAADC | 3 × 1011 vg total 9 × 1011 vg total over 4 sites |
Intraparenchymal (putamen) | NCT02418598 | Jichi Medical University | Christine et al., 2009 | |
Alzheimer’s disease | Phase I | AAV2 | hNGF | 8.0 × 1010 vg total 2.5 × 1011 vg total 8.0 × 1011 vg total |
Intraparenchymal (basal forebrain region) | NCT00087789 | Ceregene | Rafii et al., 2014, 2018 |
Phase I (not yet recruiting) | AAVrh.10 | hAPOE2 | 8.0 × 1010 gc/kg 2.5 × 1011 gc/kg 8.0 × 10-gc/kg |
Intracisternal | NCT03634007 | Weill Medical College of Cornell University | Rosenberg et al., 2018 | |
Spinal cord disorders | ||||||||
SMA1 | Phase I (recruiting) | AAV9 | SMN | 6.0 × 1013 vg total 1.2 × 1014 vg total |
Intrathecal | NCT03381729 | AveXis | N/A |
Phase III (recruiting) | AAV9 | SMN | 1.1 × 1014 vg/kg | Intravenous | NCT03505099 | AveXis | Mendell et al., 2017 | |
Phase III (active, not recruiting) | AAV9 | SMN | Not disclosed | Intravenous | NCT03306277 | AveXis | ||
Phase III (recruiting) | AAV9 | SMN | Not disclosed | Intravenous | NCT03461289 | AveXis |
Active clinical interventional AAV studies listed on https://clinicaltrials.gov as of October 2018 are included while completed or terminated studies are not listed. Associated references correspond either to studies demonstrating the proof of concept of a strategy in animal models other than mice or to clinical results in patients already published.
Abbreviations: MPS, Mucopolysaccharidosis; LINCL, late infantile neuronal ceroidlipofuscinosis; MLD, metachromatic leukodystrophy; IDUA, alpha-L-iduronidase; IDS, iduronate2-sulfatase; SGSH, N-sulfoglucosamine sulfohydrolase; NAGLU, alpha-N-acetylglucosaminidase; ARSB, arylsulfatase B; CLN2, protein tripeptidyl peptidase-l; AADC, aromatic L-amino-acid decarboxylase; NTN, neurturin; GDNF, glial-cell-derived neurotrophic factor; NGF, nerve growth factor; APOE2, apolipoprotein 2; SMA1, spinal muscular atrophy type 1; SMN1, survival motor neuron 1; SNc, substantia nigra pars compacta; VTA, ventral tegmental area.