Recruiting EARLY_PHASE1 Homozygous Familial Hypercholesterolemia

New treatment option for Homozygous Familial Hypercholesterolemia

Official title NGGT006 Gene Therapy for Homozygous Familial Hypercholesterolemia

ClinicalTrials.gov ID: NCT06125847

What this study is testing

What is NGGT006?

NGGT006 is an investigational medicine, given as an infusion into a vein, being studied as a potential treatment for homozygous familial hypercholesterolemia.

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
This is an early phase 1, open-label, single-center, dose-escalation, pilot trial to evaluate the safety and efficacy of an intravenous infusion of NGGT006 in homozygous familial hypercholesterolemia (HoFH) patients with LDLR mutations. NGGT006 is an adeno-associated viral (AAV) vector carrying codon-optimized human LDLR gene, driving the expression of LDLR protein with normal function and promoting the clearance of low-density lipoprotein cholesterol (LDL-C).
  • Phase 1: an early, usually small safety study

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 12 to 55

You may be able to join if

  • Voluntarily sign informed consent form;
  • Male or female, 12 ≤ age ≤ 55 years (first patient≥ 18 years), diagnosed as homozygous familial hypercholesterolemia with genetic confirmation of two...
  • AAV8 neutralizing antibodies can be negative or reduced to negative levels through methods such as plasma exchange.
  • Untreated LDL-C ≥10 mmol/L (386mg/ dL) or treated LDL-C ≥7 mmol/L (270mg/ dL) together with cutaneous or tendon xanthoma before age 18 years;
  • Had been on stable medication for ≥30 days if receiving lipid-lowering therapy (or ≥60 days if receiving alirocumab or evolocumab) prior to screening...

You likely can't join if

  • Positive for hepatitis B surface antigen, hepatitis C, human immunodeficiency virus (HIV) or syphilis test;
  • Clinically significant abnormalities in liver function test: alanine aminotransferase (ALT) ≥2 × upper limit of normal (ULN) and/or aspartate...
  • Baseline blood pressure ≥160/100 mmHg (1 repeat measurement is allowed);
  • Uncontrolled myocardial infarction or heart failure, or had surgery plan within 1 year;
  • Diabetes diagnosed within 3 months or with poor control (HbA1c ≥9%);
  • Acute or chronic kidney failure;
See the full eligibility criteria
Who can join
  • Voluntarily sign informed consent form;
  • Male or female, 12 ≤ age ≤ 55 years (first patient≥ 18 years), diagnosed as homozygous familial hypercholesterolemia with genetic confirmation of two mutant alleles of the LDL receptor (LDLR) gene;
  • AAV8 neutralizing antibodies can be negative or reduced to negative levels through methods such as plasma exchange.
  • Untreated LDL-C ≥10 mmol/L (386mg/ dL) or treated LDL-C ≥7 mmol/L (270mg/ dL) together with cutaneous or tendon xanthoma before age 18 years;
  • Had been on stable medication for ≥30 days if receiving lipid-lowering therapy (or ≥60 days if receiving alirocumab or evolocumab) prior to screening and not scheduled for addition of new drugs or dose adjustments...
  • Agreed to follow a low-fat diet and comply with all study procedures;
  • Agreed to maintain a similar exercise volume and intensity to baseline during the study period;
  • Agreed to maintain good lifestyle habits;
  • No history of alcohol abuse or alcohol dependence (diagnosed as F10 in ICD-10 code);
  • No sexual activity for 14 days prior to administration and negative serum pregnancy test in female participants;
  • Participants of childbearing potential agreed to use highly effective contraception for at least 365 days from administration of NGGT006;
  • No plan of stent implantation within 3 months.
What rules you out
  • Positive for hepatitis B surface antigen, hepatitis C, human immunodeficiency virus (HIV) or syphilis test;
  • Clinically significant abnormalities in liver function test: alanine aminotransferase (ALT) ≥2 × upper limit of normal (ULN) and/or aspartate aminotransferase (AST) ≥2 × ULN;
  • Baseline blood pressure ≥160/100 mmHg (1 repeat measurement is allowed);
  • Uncontrolled myocardial infarction or heart failure, or had surgery plan within 1 year;
  • Diabetes diagnosed within 3 months or with poor control (HbA1c ≥9%);
  • Acute or chronic kidney failure;
  • Hemoglobin (Hb) ≥120g/L (male), Hb ≥110 (female);
  • Abnormal platelet counts or morphology;
  • History or laboratory tests suggestive of thrombosis;
  • Had contraindications to glucocorticoid (e.g., epilepsy, severe schizophrenia, active peptic ulcer);
  • Life expectancy less than 1 year;
  • With malignant tumors;
  • Liver fibrosis or liver cancer;
  • Previous gene therapy treatment;
  • Hypersensitivity to AAV or cortisone or immunosuppressants (sirolimus, rituximab, tacrolimus);
  • Participation in any other clinical trial within 3 months;
  • History of stent implantation within 1 month or myocardial infarction within 3 months;
  • Breastfeeding females;
  • Any other condition that may not be appropriate for the study in the opinion of the Investigator.

The study team makes the final eligibility decision.

Where it's taking place

  • Xi'an, Shaanxi, China

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 12 years to 55 years. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Xi'an, Shaanxi, China. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.