A Multicenter, Long-term, Follow-up Study to Investigate the Safety and Durability of Response Following Dosing of an Adeno-associated Viral Vector (FLT201) in Subjects with Gaucher Disease (GALILEO-2)

2024-511172-33-00 Protocol FLT201-02 Phase I and Phase II (Integrated) - Other Ongoing, recruitment ended

Start 10 May 2024 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 1 sites · Protocol FLT201-02

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ongoing, recruitment ended
Participants planned 5
Countries 1
Sites 1

Gaucher Disease Type 1

To assess the long-term safety of FLT201 in participants with Gaucher disease type 1.

Key facts

Sponsor
Spur Therapeutics Limited
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16]
Trial duration
10 May 2024 → ongoing
Decision date (initial)
2024-04-29
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Freeline Therapeutics Ltd

External identifiers

EU CT number
2024-511172-33-00
WHO UTN
U1111-1303-0375

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others, Safety

To assess the long-term safety of FLT201 in participants with Gaucher disease type 1.

Secondary objectives 6

  1. 1. To further assess the safety of FLT201.
  2. 2. To investigate the durability of endogenous production of glucosylceramidase-β1 (pseudonym βglucocerebrosidase) (GCase) enzyme.
  3. 3. To investigate the clearance of glucosylsphingosine (lyso-Gb1).
  4. 4. To assess the impact of FLT201 on hemoglobin, platelet count, spleen size, and liver size.
  5. 5. To describe the immune responses to the FLT201 transgene product (GCase).
  6. 6. To assess viral shedding in various body fluids.

Conditions and MedDRA coding

Gaucher Disease Type 1

VersionLevelCodeTermSystem organ class
24.1 PT 10075697 Gaucher´s disease type I 100000004850

Regulatory references

Scientific advice from competent authorities
Paul-Ehrlich-Institut
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. 1. Participants who have previously received FLT201 (including those who may have required recommencement or initiation of ERT/substrate reduction therapy [SRT]).
  2. 2. Participants able to give full informed consent and able to comply with all requirements of the trial.

Exclusion criteria 1

  1. Not applicable.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Incidence of treatment-emergent adverse events (TEAEs) (including DLTs)

Secondary endpoints 6

  1. 1. Incidence of AEs, SAEs, and changes from baseline in vital signs, 12-lead ECG, physical examination, and laboratory assessments.
  2. 2. Change from baseline in GCase activity (Dried Blood Spot [DBS]), plasma GCase activity and relative concentration, and leukocyte GCase activity over time.
  3. 3. Change from baseline in lyso-Gb1 concentration.
  4. 4. Change from baseline in hemoglobin, platelet count, spleen volume as measured by MRI, and liver volume as measured by MRI.
  5. 5. Change from baseline in GCase antibody levels.
  6. 6. Time to clearance of vector genomes in plasma and semen until three consecutive negative samples, where applicable (this may be completed in the preceding treatment trial and, if so, will not be followed-up within this trial.)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

FLT201

PRD9503100 · Product

Active substance
Adeno-Associated Viral Vector Serotype S3 Containing Codon-Optimised Expression Cassette Encoding Human Beta-Glucocerebrosidase Variant
Other product name
Recombinant adeno-associated viral vector serotype S3 containing codon-optimised expression cassette encoding human β-glucocerebrosidase variant
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
SOLUTION FOR INFUSION
Authorisation status
Not Authorised
MA holder
FREELINE THERAPEUTICS LIMITED
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/21/2491

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Spur Therapeutics Limited

Sponsor organisation
Spur Therapeutics Limited
Address
Sycamore House, Leyden Road Leyden Road
City
Stevenage
Postcode
SG1 2BP
Country
United Kingdom

Scientific contact point

Organisation
Spur Therapeutics Limited
Contact name
Clinical Trials Information

Public contact point

Organisation
Spur Therapeutics Limited
Contact name
Clinical Trials Information

Third parties 6

OrganisationCity, countryDuties
Centogene GmbH
ORG-100043695
Rostock, Germany Laboratory analysis
Medpace Finland Oy
ORG-100009147
Helsinki, Finland On site monitoring, Code 12, Code 13, Other, Code 2, Laboratory analysis, Code 5, Data management, Code 8
Scout Clinical
ORG-100042228
Dallas, United States Other
Everest Clinical Research Corporation
ORG-100041734
Markham, Canada Code 11
Medidata Solutions Inc.
ORG-100016256
New York, United States E-data capture
PPD International Holdings LLC
ORG-100007655
Zaventem, Belgium Laboratory analysis

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruitment ended 1 1
Rest of world
Brazil, United Kingdom, United States
4

Investigational sites

Spain

1 site · Ongoing, recruitment ended
Hospital Quironsalud Zaragoza
Hematology, Paseo Renovales S/n, 50006, Zaragoza

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2024-05-10 2024-05-13 2024-05-13

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 14 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol Admin Letter_Spur Therapeutics_redacted N/A
Protocol (for publication) D1_Protocol_2024-511172-33_Freeline Therapeutics Ltd_redacted 4.0
Protocol (for publication) D4_Patient facing documents_BPI-SF-ENG_Freeline Therapeutics Ltd_redacted N/A
Protocol (for publication) D4_Patient facing documents_BPI-SF-SPA_Freeline Therapeutics Ltd_redacted N/A
Protocol (for publication) D4_Patient facing documents_FACIT_ENG_Freeline Therapeutics Ltd_redacted 4.0
Protocol (for publication) D4_Patient facing documents_FACIT_SPA_Freeline Therapeutics Ltd_redacted 4.0
Protocol (for publication) D4_Patient facing documents_SF 36V2 ENG_Freeline Therapeutics Ltd_redacted 2.0
Protocol (for publication) D4_Patient facing documents_SF 36V2 SPA_Freeline Therapeutics Ltd_redacted 2.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_ES_Freeline Therapeutics 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Spur Therapeutics 5.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Spur Therapeutics_ENG 5.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner ICF_Spur Therapeutics 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_EN_2024-511172-33_Freeline Therapeutics Ltd 4.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_ES_2024-511172-33_Freeline Therapeutics Ltd 4.0

Application history

8 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-02-15 Spain Acceptable
2024-04-08
2024-04-29
2 SUBSTANTIAL MODIFICATION SM-1 2024-06-14 Spain Acceptable
2024-07-29
2024-07-29
3 NON SUBSTANTIAL MODIFICATION NSM-1 2024-12-02 Spain Acceptable
2024-07-29
2024-12-02
4 NON SUBSTANTIAL MODIFICATION NSM-2 2025-03-14 Spain Acceptable
2024-07-29
2025-03-14
5 SUBSTANTIAL MODIFICATION SM-2 2025-05-09 Spain Acceptable 2025-06-13
6 NON SUBSTANTIAL MODIFICATION NSM-3 2025-06-24 Spain Acceptable 2025-06-24
7 NON SUBSTANTIAL MODIFICATION NSM-4 2025-10-15 Spain Acceptable 2025-10-15
8 NON SUBSTANTIAL MODIFICATION NSM-5 2026-05-05 Spain Acceptable 2026-05-05