LogicBio Clinical Hold Lifted by FDA
FDA has lifted a clinical hold on LogicBio Therapeutics’ Phase 1/2 SUNRISE clinical trial involving LB-001 in pediatric patients with methylmalonic acidemia (MMA), a mutation in a gene called methylmalonyl-CoA mutase that prevents the body from properly processing certain fats and proteins. According to the company, four patients have been dosed in the SUNRISE trial with LB-001, a single-administration, adeno-associated virus (AAV) genome editing therapy. Two of the patients reportedly experienced a drug-related serious adverse event (thrombotic microangiopathy (TMA)), which it says has been previously reported in association with other AAV genetic therapies. LogicBio says the next patient in the trial will be dosed next quarter.
The company says it has amended the SUNRISE protocol and expects to proceed with dosing after it implements the changes, which include enhanced monitoring measures, such as frequent testing for complement activation, a characteristic of TMA, as well as the use of a complement inhibitor in the event there are laboratory findings indicating a potential TMA.
LB-001 is described as a first-in-class, single-administration, genome editing therapy for early intervention in MMA using LogicBio’s proprietary GeneRide drug development platform. “GeneRide technology utilizes a natural DNA repair process called homologous recombination that enables precise editing of the genome without the need for exogenous nucleases and promoters that have been associated with an increased risk of immune response and cancer,” the company says.