CClinicalTrials.gg
No longer availableNCT05317780Updated Aug 23, 2023

Canavan-Single Patient IND

An expanded access record providing rAAV9-CB6-AspA in Canavan Disease, sponsored by University of Florida. No longer available at 1 site in United States. Open to male participants aged 18 Months to 24 Months. Per ClinicalTrials.gov, last updated 2023-08-23.

Sponsored by University of Florida · Expanded access

Study type
Expanded access
Access type
Individual patients · Treatment IND/protocol
Ages
18 Months to 24 Months
Sex
Male
01

Study summary

A recombinant virus vector constructed from adeno-associated virus (AAV) has been engineered to carry the human aspartoacylase (ASPA) gene expressed from a modified CMV-enhancer chicken β-actin (CB6) promoter. The construct has been shown to produce ASPA in animal models of Canavan disease, which closely match the proposed human study. The proposed clinical trial is an open label, expanded access study administering rAAV9-CB6-AspA gene vector by simultaneous systemic and intracerebroventricular routes to a single human subject (18-24 months of age) with Canavan disease. The subject will also receive immune modulation to transiently ablate B-cells (Rituximab) and modulate T-cell response (Sirolimus) prior to the initial exposure to AAV9. Given the null AspA mutations of the subject and current AAV seronegative status, this regimen will allow for later exposure to the therapeutic vector if needed and block any immuno-toxicity in the CNS. The goal of this study is to measure the safety and efficacy of AAV-mediated gene therapy as a treatment approach for neuronal pathology in Canavan disease. The subject will act as their own control and change from baseline will be assessed in regards to levels of brain NAA, brain water content and morphology, improved clinical status and peripheral levels of NAA. Safety parameters measured in this study will include: serum chemistries and hematology, urinalysis, physical assessments, whole blood assay for vector genomes, immunologic response to ASPA and AAV, as well as reported subject symptom history.

02

Conditions studied

  • Canavan Disease

Keywords

  • Gene Therapy
03

In context

Lead sponsor

University of Florida is the lead sponsor of 1,254 studies on the registry; 201 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 136 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Months to 24 Months
Sexes eligible
Male

Inclusion criteria

  • Male
  • 18-24 months of age at time of study enrollment
  • Have a diagnosis of Canavan disease, as defined by biochemical criteria AND/OR genetic mutation analysis, AND demonstrate clinical findings such as macrocephaly, developmental delay, seizures or other positive findings
  • Elevated brain NAA levels, which is correlated with NAA acidemia and aciduria
  • Willing to discontinue aspirin, aspirin-containing products and other drugs that may alter platelet function 7 days prior to dosing, resuming 24 hours after the gene transfer agent has been administered

Exclusion criteria

Exclusion Criteria:

  • Have required acute (as distinguished from long-term, maintenance or chronic suppressive) oral or intravenous antibiotic therapy for a respiratory infection within 15 days prior to screening
  • Have required oral or systemic corticosteroids within the last 15 days prior to baseline screening
  • Have a platelet count less than 75,000/mm3
  • Have history of platelet dysfunction, evidence of abnormal platelet function at screening, or history of recent use of drugs that may alter platelet function, which the subject is unable/unwilling to discontinue for study agent administration
  • Have an INR greater than 1.3
  • Have transaminases and alkaline phosphatase more than ten times the upper limit of normal at screening or Day-1; or an abnormal chemistry profile
  • Have bilirubin and gamma-glutamyl transpeptidase greater than 2 times the upper limit of normal at screening or Day -1
  • Be currently or within the past 30 days participating in any other research protocol involving investigational agents or therapies (Other than approved therapy)
  • Have received gene transfer agents within the past 6 months
  • Have any other concurrent condition that, in the opinion of the investigator, would make the subject unsuitable for the study.
05

Access details

Study type
Expanded access
Access type
Individual patients · Treatment IND/protocol

Available treatment

  • DrugrAAV9-CB6-AspA

    This study is an open label, expanded access trial of a simultaneous, single intravenous (IV) and intracerebroventricular (ICV) administration of rAAV9-CB6-AspA in a child with Canavan disease. The subject will also receive an immunosuppression protocol to prevent reaction to ASPA and vector capsids.

06

Where to request access

1 site
  • University of Florida
    Gainesville, Florida 32610, United States
07

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 23, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT05317780
Lead sponsor
University of Florida
Collaborators
University of Miami, University of Massachusetts, Worcester
Responsible party
Sponsor
First posted
Apr 8, 2022
Last update
Aug 23, 2023

Study contacts

Barry J Byrne, MD
principal investigator · University of Florida
View the source record on ClinicalTrials.gov ↗

Requesting access

Expanded access is arranged between your doctor and the company. Ask your care team to contact the provider listed on this record.

No contact was published for this record. The registry link below has the sponsor’s details.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion