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CompletedNCT03970278Updated Mar 18, 2026Results posted

Study of Long-Term Safety and Efficacy on Gene Therapy in Glycogen Storage Disease Type Ia

An observational study in Glycogen Storage Disease Type IA and Von Gierke's Disease (GSD Type Ia), sponsored by Ultragenyx Pharmaceutical Inc. Completed at 6 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-18.

Sponsored by Ultragenyx Pharmaceutical Inc · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
12
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of this study is to determine the long-term safety of DTX401 following a single intravenous (IV) dose in adults with GSDIa.

Read the detailed description

Only participants who received DTX401 in study 401GSDIA01 (NCT03517085) are eligible to participate in study 401GSDIA02. No investigational product will be administered during study 401GSDIA02. Participants will be followed in study 401GSDIA02 for at least 4 years, and up to 6 years after administration of DTX401.

02

Conditions studied

  • Glycogen Storage Disease Type IA
  • Von Gierke's Disease (GSD Type Ia)

Keywords

  • AAV
  • gene therapy
  • glucose metabolism disorder
  • carbohydrate metabolism, inborn errors
  • genetic diseases
  • Inborn Metabolic Diseases
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects 18 years of age or older with GSDIa previously enrolled in 401GSDIA01.

Inclusion criteria

  1. Received DTX401 in study 401GSDIA01.
  2. Willing and able to provide written informed consent after the nature of the study has been explained, and prior to any research-related procedures being performed.
  3. Willing and able to comply with all scheduled study visits, procedures, and requirements.

Exclusion criteria

Exclusion Criteria:

  1. Planned or current participation in any other interventional clinical study that may confound the safety or efficacy evaluation of DTX401 during this study.
  2. Presence or history of any condition that, in the view of the Investigator, poses a risk to subject safety or places the subject at high risk of poor compliance or not completing the study or that would significantly affect the interpretation of study results.
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
12 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • DTX401 Cohort 1

    Participants received a single intravenous (IV) dose of 2.0 × 10\^12 GC/kg DTX401(pariglasgene brecaparvovec) with a reactive steroid regimen during their participation in study 401GSDIA01 (NCT03517085). No intervention was provided during the 401GSDIA02 long term follow up study.

    Other: No intervention

  • DTX401 Cohort 2

    Participants received a single IV dose of 6.0 × 10\^12 GC/kg DTX401(pariglasgene brecaparvovec) with a reactive steroid regimen during their participation in study 401GSDIA01 (NCT03517085). No intervention was provided during the 401GSDIA02 long term follow up study.

    Other: No intervention

  • DTX401 Cohort 3

    Participants received a single IV dose of 6.0 × 10\^12 GC/kg DTX401(pariglasgene brecaparvovec) with an optimized reactive steroid regimen during their participation in study 401GSDIA01 (NCT03517085). No intervention was provided during the 401GSDIA02 long term follow up study.

    Other: No intervention

  • DTX401 Cohort 4

    Participants received a single IV dose of 6.0 × 10\^12 GC/kg DTX401(pariglasgene brecaparvovec) with a prophylactic steroid regimen during their participation in study 401GSDIA01 (NCT03517085). No intervention was provided during the 401GSDIA02 long term follow up study.

    Other: No intervention

Interventions

  • OtherNo intervention

    No intervention

05

What researchers measure

Primary outcomes

  1. Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs and Discontinuations Due to TEAEs

    An adverse event (AE) is defined as any untoward medical occurrence, regardless of its causal relationship to study product. A TEAE is defined as any AE not present prior to the initiation of the drug treatment or any AE already present that worsens in either intensity or frequency following exposure to the drug treatment. A serious TEAE is an AE that meets any of the following criteria in the view of either the Investigator or Ultragenyx: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; disability/Incapacity; congenital anomaly/birth defect not present at screening; other important medical events. Severity of events were graded as mild (grade 1), moderate (grade 2), severe (grade 3), life-threatening (grade 4), or death (grade 5). As DTX401 was administered as part of Study 401GSDIA01, all AEs in Study 401GSDIA02 were considered TEAEs.

    Time frame: From Baseline (Week 52 of 401GSDIA01/Visit 1 of 401GSDIA02) Up to Week 329

Secondary outcomes

  1. Change From Baseline in Time to First Hypoglycemic Event During a Controlled Fasting Challenge Over Time

    The change from baseline in time (in hours) to first hypoglycemic event (defined as glucose \< 54 mg/dL \[\< 3.0 mmol/L\]) during a controlled fasting challenge at the participant's last visit. A positive change from baseline is favorable. Change from baseline is calculated from Baseline (Week 0) of the 401GSDIA01 study.

    Time frame: Baseline (Week 0 of 401GSDIA01), Weeks 52 (Visit 1 of 401GSDIA02), 78, 104, 130, 156, 182, 208, 234, 260, Last Visit (Up to Week 329)

06

Results

Posted Mar 18, 2026

Participant flow

All 12 participants were dosed with DTX401 in study 401GSDIA01 (NCT03517085); after completing 52 weeks of follow-up in study 401GSDIA01, they subsequently enrolled in study 401GSDIA02 for an overall mean study duration of 276.2 weeks.

Participant flow — Overall Study
MilestoneDTX401 Cohort 1DTX401 Cohort 2DTX401 Cohort 3DTX401 Cohort 4
Started3333
Completed3323
Not completed0010
Withdrew: Withdrawal by subject0010

Outcome measures

PrimaryNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs and Discontinuations Due to TEAEs

An adverse event (AE) is defined as any untoward medical occurrence, regardless of its causal relationship to study product. A TEAE is defined as any AE not present prior to the initiation of the drug treatment or any AE already present that worsens in either intensity or frequency following exposure to the drug treatment. A serious TEAE is an AE that meets any of the following criteria in the view of either the Investigator or Ultragenyx: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; disability/Incapacity; congenital anomaly/birth defect not present at screening; other important medical events. Severity of events were graded as mild (grade 1), moderate (grade 2), severe (grade 3), life-threatening (grade 4), or death (grade 5). As DTX401 was administered as part of Study 401GSDIA01, all AEs in Study 401GSDIA02 were considered TEAEs.

Time frame:
From Baseline (Week 52 of 401GSDIA01/Visit 1 of 401GSDIA02) Up to Week 329
Reported as:
Count of participants · Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs and Discontinuations Due to TEAEs
ParticipantsDTX401 Cohort 1DTX401 Cohort 2DTX401 Cohort 3DTX401 Cohort 4
TEAE3333
Related TEAE0202
Serious TEAE2122
Serious Related TEAE0001
TEAE with Maximum Severity Grade 50000
TEAE with Maximum Severity Grade 40101
TEAE with Maximum Severity Grade 31011
TEAE with Maximum Severity Grade 22120
TEAE with Maximum Severity Grade 10101
Grade 3 or 4 TEAE1112
Related Grade 3 or 4 TEAE0001
TEAE Leading to Study Discontinuation0000
TEAE Leading to Death0000
SecondaryChange From Baseline in Time to First Hypoglycemic Event During a Controlled Fasting Challenge Over Time

The change from baseline in time (in hours) to first hypoglycemic event (defined as glucose \< 54 mg/dL \[\< 3.0 mmol/L\]) during a controlled fasting challenge at the participant's last visit. A positive change from baseline is favorable. Change from baseline is calculated from Baseline (Week 0) of the 401GSDIA01 study.

Time frame:
Baseline (Week 0 of 401GSDIA01), Weeks 52 (Visit 1 of 401GSDIA02), 78, 104, 130, 156, 182, 208, 234, 260, Last Visit (Up to Week 329)
Reported as:
Mean · hours
Change From Baseline in Time to First Hypoglycemic Event During a Controlled Fasting Challenge Over Time
hoursDTX401 Cohort 1DTX401 Cohort 2DTX401 Cohort 3DTX401 Cohort 4
Change at Week 524.19 ± 2.24-1.78 ± 1.71-0.59 ± 0.063.64 ± 2.66
Change at Week 783.06 ± 3.96-1.78 ± 1.803.21 ± 4.302.46 ± 3.53
Change at Week 1049.17 ± 1.56-0.45 ± 1.934.02 ± 2.252.33 ± 3.13
Change at Week 1308.23 ± 1.910.60 ± 0.315.12 ± 3.946.33
Change at Week 1569.80 ± 2.28-0.22 ± 2.324.29 ± 4.065.88 ± 2.05
Change at Week 1827.91 ± 4.33—2.68—
Change at Week 2088.17 ± 3.081.46 ± 1.633.92 ± 3.512.29 ± 2.59
Change at Week 2348.41 ± 3.92———
Change at Week 2608.08 ± 3.640.76 ± 0.453.58 ± 2.61—
Change at Last Visit8.08 ± 3.640.76 ± 0.453.58 ± 2.612.29 ± 2.59

Adverse events

Collected over All AEs were collected from signing of informed consent (Visit 1, ie, Week 52 of 401GSDIA01) through the Last Visit (up to Week 329). SAEs were collected for up to 30 days after the Last Visit.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
DTX401 Cohort 10/3 (0%)2/3 (66.7%)3/3 (100%)
DTX401 Cohort 20/3 (0%)1/3 (33.3%)3/3 (100%)
DTX401 Cohort 30/3 (0%)2/3 (66.7%)3/3 (100%)
DTX401 Cohort 40/3 (0%)2/3 (66.7%)3/3 (100%)
Most frequent serious events
Showing 10 of 26
Most frequent serious events
EventDTX401 Cohort 1DTX401 Cohort 2DTX401 Cohort 3DTX401 Cohort 4
Abdominal PainGastrointestinal disorders2/30/30/30/3
Abdominal Pain UpperGastrointestinal disorders1/30/30/30/3
DiarrhoeaGastrointestinal disorders1/30/30/30/3
VomitingGastrointestinal disorders1/30/30/30/3
Multiple Organ Dysfunction SyndromeGeneral disorders0/31/30/30/3
CellulitisInfections and infestations0/31/30/30/3
Covid-19Infections and infestations1/30/30/31/3
Escherichia InfectionInfections and infestations1/30/30/30/3
GastroenteritisInfections and infestations0/30/30/31/3
Gastroenteritis NorovirusInfections and infestations1/30/30/31/3
Most frequent other events
Showing 10 of 120
Most frequent other events
EventDTX401 Cohort 1DTX401 Cohort 2DTX401 Cohort 3DTX401 Cohort 4
Covid-19Infections and infestations2/32/33/32/3
VomitingGastrointestinal disorders2/32/31/31/3
FatigueGeneral disorders2/30/31/31/3
Animal BiteInjury, poisoning and procedural complications2/30/30/30/3
HypertriglyceridaemiaMetabolism and nutrition disorders1/31/30/32/3
HypoglycaemiaMetabolism and nutrition disorders2/31/31/30/3
Back PainMusculoskeletal and connective tissue disorders2/30/32/30/3
Musculoskeletal PainMusculoskeletal and connective tissue disorders2/30/30/30/3
MyalgiaMusculoskeletal and connective tissue disorders2/30/30/30/3
HeadacheNervous system disorders2/30/31/31/3

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)DTX401 Cohort 1DTX401 Cohort 2DTX401 Cohort 3DTX401 Cohort 4Total
<=18 years00000
Between 18 and 65 years333312
>=65 years00000
Age, Continuous
Age, Continuous(years)DTX401 Cohort 1DTX401 Cohort 2DTX401 Cohort 3DTX401 Cohort 4Total
Mean45.3 ± 15.329.7 ± 10.126.0 ± 13.925.0 ± 5.231.5 ± 13.2
Sex: Female, Male
Sex: Female, Male(Participants)DTX401 Cohort 1DTX401 Cohort 2DTX401 Cohort 3DTX401 Cohort 4Total
Female10214
Male23128
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)DTX401 Cohort 1DTX401 Cohort 2DTX401 Cohort 3DTX401 Cohort 4Total
Hispanic or Latino01001
Not Hispanic or Latino323311
Unknown or Not Reported00000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)DTX401 Cohort 1DTX401 Cohort 2DTX401 Cohort 3DTX401 Cohort 4Total
American Indian or Alaska Native00000
Asian00000
Native Hawaiian or Other Pacific Islander00000
Black or African American00000
White333312
More than one race00000
Unknown or Not Reported00000
Region of Enrollment
Region of Enrollment(participants)DTX401 Cohort 1DTX401 Cohort 2DTX401 Cohort 3DTX401 Cohort 4Total
Canada00101
Netherlands00022
United States33200
Spain00011
07

Study locations

6 sites
  • UCONN Health
    Farmington, Connecticut 06030-3213, United States
  • Michigan Medicine University of Michigan
    Ann Arbor, Michigan 48109, United States
  • University of Texas Health Science Center at Houston
    Houston, Texas 77030, United States
  • Montreal Children Hospital, McGill University Health Centre
    Montreal, Quebec H4A3J1, Canada
  • University Medical Center Groningen
    Groningen, 9700RB, Netherlands
  • Complejo Hospitalario Universitario de Santiago
    Santiago de Compostela, A Coruna 15706, Spain
08

References and documents

Study documents

  • Study protocol · Apr 3, 2023
  • Statistical analysis plan · Aug 26, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — Due to the rarity of GSDIa and the small number of subjects in this trial, individual patient data will not be shared in order to safeguard patient privacy, consistent with the data sharing commitment statement listed on Ultragenyx.com.

09

Registry details

Key details

Study ID
NCT03970278
Lead sponsor
Ultragenyx Pharmaceutical Inc
Responsible party
Sponsor
First posted
May 31, 2019
Start date
Jul 15, 2019
Primary completion
Feb 25, 2025
Completion
Feb 25, 2025
Results posted
Mar 18, 2026
Last update
Mar 18, 2026

Study contacts

Medical Director
study director · Ultragenyx Pharmaceutical Inc

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
View the source record on ClinicalTrials.gov ↗

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