Neurogene Gene Therapy Patient Dies After Dosing
Neurogene is reporting that a patient dosed in an ongoing Phase 1/2 gene therapy clinical trial for Rett syndrome has died following complications from a rare and life-threatening hyperinflammatory syndrome associated with systemic exposure to high doses of adeno-associated virus (AAV), the company says.
Neurogene says FDA has allowed it to proceed with the trial using a lower dose (1E15 vg) for both the pediatric and adolescent/adult cohorts. “Neurogene will also incorporate the 1E15 vg dose in its future registrational trial design planning,” it says.
NGN-401 is described as an investigational AAV9 gene therapy being developed as a one-time treatment for Rett syndrome. “It is the first clinical candidate to deliver the full-length human MECP2 gene under the control of Neurogene’s EXACT transgene regulation technology,” the company says. EXACT technology is designed to address a treatment approach that enables targeted levels of MECP2 transgene expression without causing toxic effects from overexpression that is often associated with conventional gene therapies, it says.