Clinical Hold on Gene Therapy Lifted

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FDA has lifted a clinical hold against Solid Biosciences’ IGNITE DMD Phase 1/2 clinical trial involving SGT-001, a novel adeno-associated viral vector-mediated gene transfer therapy designed to address the underlying genetic cause of Duchenne muscular dystrophy. The hold was originally placed 11/2019 after the company reported a serious adverse event that occurred in the sixth patient dosed in the trial. In April, Solid says it provided FDA with information and measures intended to improve patient safety and in May, Solid received written communication that the trial remained on hold. In June, the company submitted a response that provided data on manufacturing process improvements. FDA next responded by maintaining the clinical hold and requesting further manufacturing information, updated safety and efficacy data for all patients dosed, and providing direction on total viral load to be administered per patient. Based on the company’s response to these requests, Solid Bio says FDA has acknowledged that all clinical hold questions have been satisfactorily addressed.

 

SGT-001 is described by the company as a novel adeno-associated viral vector-mediated gene transfer therapy designed to address the underlying genetic cause of Duchenne muscular dystrophy. It is designed to deliver a synthetic dystrophin gene called microdystrophin to the body. “This microdystrophin encodes for a functional protein surrogate that is expressed in muscles and stabilizes essential associated proteins, including neuronal nitric oxide synthase,” Solid says. “Data from Solid’s preclinical program suggest that SGT-001 has the potential to slow or stop the progression of Duchenne, regardless of genetic mutation or disease stage.”

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