ClinicalTrials.gg
RecruitingNCT06125847Updated Sep 3, 2026

NGGT006 Gene Therapy for Homozygous Familial Hypercholesterolemia

An Early Phase 1 interventional study of NGGT006 in Homozygous Familial Hypercholesterolemia, sponsored by First Affiliated Hospital Xi'an Jiaotong University. Recruiting at 1 site in China. Open to participants aged 12 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by First Affiliated Hospital Xi'an Jiaotong University · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2023; still recruiting 3 years later.
Phase
Early Phase 1
Study type
Interventional
Enrollment
21
Allocation
Not applicable
Ages
12 Years to 55 Years
Sex
All
01

Study summary

This is an early phase 1, open-label, single-center, dose-escalation, pilot trial to evaluate the safety and efficacy of an intravenous infusion of NGGT006 in homozygous familial hypercholesterolemia (HoFH) patients with LDLR mutations. NGGT006 is an adeno-associated viral (AAV) vector carrying codon-optimized human LDLR gene, driving the expression of LDLR protein with normal function and promoting the clearance of low-density lipoprotein cholesterol (LDL-C).

Read the detailed description

Homozygous familial hypercholesterolemia (HoFH) is a rare inherited disorder of lipoprotein metabolism, characterized by extreme elevations in low-density lipoprotein cholesterol (LDL-C) and leading to early onset of severe coronary artery disease. This is an early phase 1, open-label, single-center, dose-escalation, pilot trial to evaluate the safety and efficacy of a single intravenous infusion of NGGT006 in HoFH patients with LDLR mutations. NGGT006 is an adeno-associated viral (AAV) vector carrying codon-optimized human LDLR gene, driving the expression of LDLR protein with normal function and promoting the clearance of low-density lipoprotein cholesterol (LDL-C). 4-21 subjects will be enrolled and divided into 4 groups according to the principle of dose escalation, respectively administered intravenous infusion of NGGT006 at dose group 1 (7.5e12vg/kg), dose group 2 (1.5e13vg/kg) , dose group 3 (3e13vg/kg) and dose group 4 (4e13vg/kg). The researcher is allowed to extend 0-9 patients. All subjects will undergo 52 weeks of treatment observation and further 260 weeks of long-term follow-up.

02

Conditions studied

  • Homozygous Familial Hypercholesterolemia

Keywords

  • Homozygous familial hypercholesterolemia
  • Gene therapy
  • Low-density lipoprotein cholesterol
03

In context

Homozygous Familial Hypercholesterolemia

68 studies on the registry are indexed under Homozygous Familial Hypercholesterolemia; 13 are open to participants now.

This study's planned enrollment of 21 is close to the median of 21 across 51 interventional studies indexed under Homozygous Familial Hypercholesterolemia.

Browse Homozygous Familial Hypercholesterolemia studies →

Lead sponsor

First Affiliated Hospital Xi'an Jiaotong University is the lead sponsor of 314 studies on the registry; 87 are open to participants now.

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

04

Who can participate

Ages eligible
12 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Voluntarily sign form;
  • Male or female, 12 ≤ age ≤ 55 years (first patient≥ 18 years), diagnosed as homozygous familial hypercholesterolemia with genetic confirmation of two mutant alleles of the LDL receptor (LDLR) gene;
  • AAV8 neutralizing antibodies can be negative or reduced to negative levels through methods such as plasma exchange or IgG-degrading enzymes.
  • Untreated LDL-C ≥10 mmol/L (386mg/ dL) or treated LDL-C ≥7 mmol/L (270mg/ dL) together with cutaneous or tendon xanthoma before age 18 years;
  • Had been on stable medication for ≥30 days if receiving lipid-lowering therapy (or ≥60 days if receiving alirocumab or evolocumab) prior to screening and not scheduled for addition of new drugs or dose adjustments during the study;
  • Agreed to follow a low-fat diet and comply with all study procedures, including dietary requirements, study visits, fasting blood draws, and the study treatment regimen.;
  • Agreed to maintain a similar exercise volume and intensity to baseline during the study period;
  • Agreed to maintain good lifestyle habits;
  • No history of alcohol abuse or alcohol dependence (diagnosed as F10 in ICD-10 code);
  • No sexual activity for 14 days prior to administration and negative serum pregnancy test in female participants;
  • Participants of agreed to use highly effective for at least 365 days from administration of NGGT006;
  • No plan of stent implantation within 3 months.

Exclusion criteria

Exclusion Criteria:

  • Positive for surface antigen, , (HIV) or syphilis test;
  • abnormalities in liver function test: (ALT) >3 × (ULN) and/or aspartate aminotransferase (AST) >3 × ULN;
  • Baseline blood pressure >160/100 mmHg (1 repeat measurement is allowed);
  • Uncontrolled myocardial infarction or heart failure, or had surgery plan within 1 year;
  • Diabetes diagnosed within 3 months or with poor control ( >9%);
  • Acute or chronic kidney failure;
  • (Hb) \<120g/L (male), Hb \<110 (female);
  • test results deemed clinically significantly abnormal by the investigator;
  • History or laboratory tests suggestive of thrombosis;
  • Had to (e.g., epilepsy, severe schizophrenia, active peptic ulcer);
  • less than 1 year;
  • With malignant tumors;
  • Liver fibrosis or liver cancer;
  • Previous gene therapy treatment;
  • to any of the AAV product (including trehalose) or cortisone or (sirolimus, rituximab, tacrolimus);
  • Participation in any other clinical trial within 3 months;
  • History of stent implantation within 1 month or myocardial infarction within 3 months;
  • Breastfeeding females;
  • Any other condition that may not be appropriate for the study in the opinion of the Investigator.
Terms in these criteria, in plain language(18)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
21 participants (estimated)

Study arms

  • Experimental
    NGGT006

    4 doses of NGGT006 will be administered according to the principle of dose escalation

    Genetic: NGGT006

Interventions

  • GeneticNGGT006

    Single intravenous infusion of NGGT006 at dose 1 (7.5e12vg/kg), dose 2 (1.5e13vg/kg) , dose 3 (3e13vg/kg) and dose 4 (4e13vg/kg).

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-related adverse events (AE) and serious adverse events (SAE)

    Incidence of AE and SAE, as assessed by physical examinations, clinical laboratory parameters and adverse event reporting

    Time frame: 52 weeks

  2. Absolute change and percent change in LDL-C

    Change in LDL-C concentration from baseline to week 52

    Time frame: 52 weeks

Secondary outcomes

  1. Absolute change and percent change in apoB

    Change in lipid concentrations from baseline to week 52

    Time frame: 52 weeks

  2. Absolute change and percent change in TC

    Change in lipid concentrations from baseline to week 52

    Time frame: 52 weeks

  3. Absolute change and percent change in HDL-C

    Change in lipid concentrations from baseline to week 52

    Time frame: 52 weeks

  4. Absolute change and percent change in TG

    Change in lipid concentrations from baseline to week 52

    Time frame: 52 weeks

  5. Absolute change and percent change in Lp(a)

    Change in lipid concentrations from baseline to week 52

    Time frame: 52 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Zheng T, Gao G, Xu C, Li R, Shao J, Wang X, Han X, Li J, Liu P, Xiong Y, Song L, Wang J, Wen S, Zhuo X, Wang G, Jiang L, Qu G, Chen T, She J, Luo Y, Yuan Z, Wu Y. AAV gene therapy for homozygous familial hypercholesterolemia: a phase 1 trial. Nat Med. 2026 Jun;32(6):2137-2146. doi: 10.1038/s41591-026-04441-3. Epub 2026 Jun 4. PubMed 42243546 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06125847
Responsible party
Sponsor
First posted
Nov 9, 2023
Start date
Oct 29, 2023
Primary completion
Mar 30, 2027 (estimated)
Completion
Mar 30, 2031 (estimated)
Last update
Sep 3, 2026

Study contacts

Tao Zheng, M.D.
Contact
zhengtao900305@163.com
086-15229218127
Ge Gao, M.M.
Contact
gaoge1030@163.com
086-18229068097
Zuyi Yuan, M.D.
study chair · First Affiliated Hospital of Xian Jiaotong University

Oversight

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

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