Sangamo BioSciences IND Approved for Hunter Syndrome Agent

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FDA has approved a Sangamo BioSciences IND for SB-913, a zinc finger nuclease (ZFN)-mediated approach designed as a single treatment with the potential to provide a long-lasting therapy for Mucopolysaccharidosis Type II (MPS II, Hunter syndrome). The company is planning a Phase 1/2 clinical trial to assess the therapy’s safety, tolerability and efficacy in adults with MPS II. “Unlike conventional, non-integrating AAV [adeno-associated virus] gene therapy that has the potential to ‘wash out’ over time as the patient’s liver cells divide and turn over, SB-913 has the potential to provide a uniquely durable solution through genome editing,” the company says. “Ultimately, our target population will include pediatric patients who can benefit from a more durable solution.”

Sangamo says MPS II is an X-linked recessive lysosomal storage disorder that occurs almost exclusively in males. “It is caused by mutations in the gene encoding the iduronate 2-sulfatase (IDS) enzyme, resulting in a deficiency of IDS which normally degrades the glycosaminoglycans (GAGs), dermatan sulfate and heparan sulfate,” it says. “The inability to degrade GAGs leads to their accumulation within lysosomes throughout the body, and individuals with IDS mutations experience multi-organ dysfunction and damage. The rate of progression and degree of symptoms depend on the severity of the mutation.”

SB-913 was designed based on Sangamo’s In Vivo Protein Replacement Platform (IVPRP) approach, and is a single treatment strategy designed to produce continuous, durable therapeutic levels of IDS, the enzyme that is missing or defective in patients with MPS II. “The IVPRP approach makes use of the albumin gene locus, a highly expressing and liver-specific genomic ‘safe-harbor site,’ that can be edited with zinc finger nucleases (ZFNs) to accept and express any therapeutic gene,” the company says.

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