FDA Lifts Clinical Hold on Pompe Gene Therapy

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FDA has lifted a clinical hold against Astellas Pharma and its FORTIS Ph1/2 clinical trial evaluating AT845, an adeno-associated virus gene replacement therapy in adults with late-onset Pompe disease. The hold was placed 6/27/2022 following a report of peripheral sensory neuropathy in one of the trial participants.

At the time, FDA told Astellas that it did not have sufficient information to assess the risks to subjects and requested additional information about the adverse event, according to the company. Astellas says it is now completing the clinical and regulatory activities necessary to resume dosing in the clinical trial.

AT845 is designed to use an AAV8 vector under a muscle-specific promotor to deliver a functional copy of the GAA gene to treat Pompe Disease patients. “AT845 is being investigated to determine whether it can deliver a functional GAA gene that is efficiently transduced to express GAA directly in tissues affected by the disease, including skeletal and cardiac muscle,” Astellas says. The primary endpoints in FORTIS include change in muscle GAA protein expression and enzyme activity from baseline, it says, while secondary endpoints are evaluating improvements in respiratory, endurance and quality of life measures.

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