Table 1.
NHP trials and clinical trials utilizing AADC
Author | Method | Subjects | Results | Reference |
Bankiewicz et al. (2000) | Bilateral convection enhanced delivery AAV induced AADC expression in nu. caudatus, putamen and globus pallidus. | MPTP-treated rhesus monkeys (n = 4). | Higher increase in gene expression using CED than conventional injection. Strong AADC expression in striatum. | [33] |
Daadi et al. (2006) | Bilateral convection enhanced delivery AAV induced AADC expression in nu. caudatus, putamen and globus pallidus. | MPTP-treated macaque monkeys (n = 4). | Verification of strong striatal AADC expression after 3 years. | [32] |
Forsayeth et al. (2006) | Dose ranging study with bilateral putaminal injection of AAV2-AADC in escalating doses. | MPTP-treated macaque monkeys (n = 12). | A minimum dose is needed to increase L-DOPA response and FMT-activity in striatum. | [31] |
Bankiewicz et al. (2006) | Unilateral AAV-2 induced AADC expression in striatum. | MPTP-lesioned macaque monkeys (n = 8). | PET-verified increase in AADC activity after 2 years. Consistently higher L-DOPA sensitivity in treatment group. | [30] |
Eberling et al. (2008) | Open label study. Bilateral AAV2-induced AADC expression in putamen. | Severely affected PD patients (n = 5). | Modest improvement of OFF-state UPDRS-score. 30% increase in putaminal FMT activity at 6-month follow-up. | [14] |
Christine et al. (2009) | Open label study. Bilateral AAV2-induced AADC expression in putamen. High and low dosage. | Moderately affected PD patients (n = 10). | Improvement of UPDRS scores. Longer time in ON-state. Therapy well tolerated. High dose with higher FMT-activity than low dose at 6-month follow-up. | [12] |
Hadaczek et al. (2010) | 8-year follow up on the study by Bankiewicz et al. (2006). | MPTP-lesioned macaque monkeys (n = 2). | No decrease in FMT signal and continued robust AADC expression. | [183] |
Muramatsu et al. (2010) | Open label study. Bilateral AAV2-induced AADC expression in putamen. | Moderately to severe affected PD patients (n = 6). | Decrease in UPDRS scores by 46% in OFF-state. At 6-month follow-up. Persistent FMT activity at 24 weeks. | [25] |
Mittermeyer et al. (2012) | 4-year follow-up on Christine et al. (2009). | Moderately affected PD patients. | Discrete decline in AADC activity at 4-year follow-up. Slight increase in UPDRS-score. | [24] |
Clinical and preclinical studies with AADC-gene therapy. FMT, 18Fluoro-L-m-tyrosine, a tracer specific for AADC.