ClinicalTrials.gg
RecruitingNCT06971094Updated Jun 5, 2025

Safety and Efficacy Evaluation of GC101 Gene Therapy Via Intrathecal (IT) Injectionin the Treatment of Patients With Type 2 Spinal Muscular Atrophy (SMA) - Phase III

A Phase 3 interventional study of GC101 adeno-associated virus injection in SMA - Spinal Muscular Atrophy, sponsored by GeneCradle Inc. Recruiting at 7 sites in China. Open to participants aged 2 Years to 12 Years. Per ClinicalTrials.gov, last updated 2025-06-05.

Sponsored by GeneCradle Inc · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started May 2025; still recruiting 1 year 5 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
2 Years to 12 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 23 studies in Muscular Atrophy, Spinal with a site in China — 8 open to participants now, 13 under way, 4 of them phase 3. Muscular Atrophy, Spinal · China.

Planned enrollment
7th of 16
50 · median 35
Started
2025
with 3 others
Phase 3
7 of 23
3 open now
Primary completion
2026-12
later than 1 of 12 live
Registered
19th of 23
by date
Lead sponsor
2 of 23
GeneCradle Inc

Among the 23 studies in Muscular Atrophy, Spinal with a site in China, this one is the 7th largest by planned enrollment of the 16 interventional ones that give a count, is one of 4 that started in 2025, is one of 7 in phase 3, reaches primary completion later than 1 of the 12 other live ones, and was the 19th registered.

Muscular Atrophy, Spinal

282 studies on the registry are indexed under Muscular Atrophy, Spinal; 73 are open to participants now.

Browse Muscular Atrophy, Spinal studies →

Open to participants now

8 of the 23 studies in Muscular Atrophy, Spinal with a site in China are open now. Recruiting first, the newest first:

2 more — sign in →

All 8 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 58 Muscular Atrophy, Spinal studies recruiting now, 28 (48%) set no upper age limit and 27 (47%) stop at 75 or younger; 46 take children under 18; 11 take healthy volunteers.

This study: 2 Years to 12 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 23 studies in Muscular Atrophy, Spinal with a site in China, or all of them as a file.
02

Study summary

This trial employs a multicenter, randomized, open-label, standard-of-care-controlled design and plans to enroll 50 patients with Type 2 SMA aged 2 to 12 years who have previously received nusinersen. The primary objective of the trial is to evaluate the efficacy of GC101 in treating Type 2 SMA. The secondary objectives are to assess the efficacy, safety, and pharmacokinetic (PK) profile of GC101 in treating Type 2 SMA.

Read the detailed description

The trial is divided into two groups: one group will receive a single intrathecal injection of GC101 at a dose of 1.2E+14 vg per person and discontinue their previous standard-of-care treatment with nusinersen; the other group will continue their previous standard-of-care treatment with nusinersen. Participants will be randomly assigned to the trial group or the control group in a 1:1 ratio.

03

Conditions studied

  • SMA - Spinal Muscular Atrophy

Keywords

  • SMA, type II, AAV gene therapy
  • Genecradle
04

Who can participate

Ages eligible
2 Years to 12 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

  • Patients with a confirmed diagnosis of Type 2 5q-SMA through clinical phenotype and genetic testing.
  • Patients who have been receiving regular treatment with nusinersen for more than one year prior to screening.
  • Patients who have not received treatment with risdiplam within 2 months prior to screening and have no plans to receive risdiplam treatment within 12 months after enrollment.
  • Patients who can sit independently but cannot walk independently at the time of screening (according to the definitions of independent sitting and walking in the WHO-MGRS motor milestones scale), and have an HFMSE score of ≥10 points.
  • Patients and/or their legal guardians are able to understand and are willing to comply with the requirements and procedures of the trial protocol, and voluntarily participate and sign the form

Exclusion criteria

Exclusion Criteria:

  • Patients with serum anti-AAV9 neutralizing antibody titers > 1:50 at the time of screening.
  • Patients who have received nusinersen treatment within 2 months prior to enrollment.
  • Patients with any medical conditions that may affect the interpretation of study results or pose a risk to the safety of the participants, including but not limited to organ dysfunction of any cause, acute infectious diseases, primary/acquired immunodeficiency diseases, severe cardiovascular/cerebrovascular diseases, gastrointestinal diseases, diabetes, known epilepsy, meningitis, seizure or convulsion history, or a family history of psychiatric disorders; and those with cerebrospinal fluid circulation disorders.
  • Patients with severe liver injury/hepatic insufficiency of any cause, including but not limited to (ALT), aspartate aminotransferase (AST) ≥3 times the (ULN); total (TBil) ≥1.5 times the ULN.
  • Patients deemed by the investigator to have to use, such as severe hypertension, diabetes, systemic infectious diseases, fungal infections, glaucoma, osteoporosis, peptic ulcer disease, tuberculosis, etc.
  • Patients with contraindications to lumbar puncture or intrathecal injection therapy.
  • Patients with any medical conditions that may affect the assessment of motor function, such as severe scoliosis, severe joint contracture deformities, planned spinal correction surgery during the trial period, severe osteoporosis, or a history of fractures.
  • Patients positive for surface antigen (HBsAg), (HIV) antibodies, virus (HCV) antibodies, or syphilis antibodies.
  • Patients who have received vaccinations within 2 weeks prior to dosing.
  • Patients who have previously received gene therapy or participated in any clinical trial within 3 months prior to screening.
  • Patients deemed by the investigator to be unsuitable for participation in this study.
Terms in these criteria, in plain language(9)

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.

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    GC101

    single dose of GC101 at dosage of 1.2E+14 vg per person via intrathecal injection

    Genetic: GC101 adeno-associated virus injection

  • No intervention
    Control

    Participants will continue to receive treatment according to their previous standard-of-care regimen with nusinersen.

Interventions

  • GeneticGC101 adeno-associated virus injection

    Self-complementary recombinant adeno-associated viral vector (scAAV) containing a single-stranded transgene encoding a codon-optimized human SMN1 gene

06

What researchers measure

Primary outcomes

  1. HFMSE score change from baseline

    HFMSE Motor Function Assessment (Hammersmith Functional Motor Scale Expanded) is a standardized tool specifically designed to evaluate motor function in patients with spinal muscular atrophy (SMA). It includes 33 test items covering actions such as head control, sitting, standing, walking, stair climbing, jumping, as well as balance and coordination, providing a comprehensive assessment of motor function in the trunk and limbs. The maximum total score is 66 points, with higher scores indicating better motor capabilities.

    Time frame: 52 weeks

Secondary outcomes

  1. HFMSE score change from baseline

    Time frame: 26 weeks

  2. The proportion of participants with an increase in HFMSE score of ≥3 points from baseline.

    Minimal clinically important differences (MCID) were defined as an HFMSE score improvement of ≥3 points.

    Time frame: 26 and 52 weeks

  3. Changes in WHO-MGRS motor milestones from baseline.

    WHO-MGRS (World Health Organization Multicenter Growth Reference Study) motor development milestones include: Sitting without support Standing with support Crawling on hands and knees Walking with support Standing alone Walking alone

    Time frame: 26 and 52 weeks

  4. RULM score change from baseline.

    RULM Motor Function Assessment (Revised Upper Limb Module) is a standardized tool designed to evaluate upper limb function in patients with spinal muscular atrophy (SMA). A maximum total score is 37 points. Higher scores indicate better upper limb performance.

    Time frame: 26 and 52 weeks

  5. SMAIS score change from baseline.

    Spinal Muscular Atrophy Independence Scale (SMAIS)is a patient- and caregiver-reported outcome measure designed to assess the level of assistance required by individuals with Type 2 and non-ambulant Type 3 spinal muscular atrophy (SMA) to perform activities of daily living. Higher scores indicate greater independence, with a range from 0 to 44

    Time frame: 26 and 52 weeks

  6. The incidence of adverse events (AEs), serious adverse events (SAEs), and adverse events of special interest (AESIs).

    Time frame: 52 weeks

07

Study locations

7 of 7 sites recruiting
  • The Seventh Medical Center of Chinese PLA General Hospital
    Beijing, 100700, China
    Recruiting
    • Juan Xu · Contactqizhongxin_gcp@163.com · 86-010-66721842
    • Zhichun Feng · Principal investigator
    • Xiuwei Ma · Sub investigator
  • Children's Medical Center of Peking University First Hospital
    Beijing, 102699, China
    Recruiting
    • Yan Liang · Contactjgbgs090101@126.com · 86-010-64008229
    • Yuwu Jiang · Principal investigator
    • Cuijie Wei · Sub investigator
  • Beijing Children's Hospital, Capital Medical University
    Beijing, China
    Recruiting
    • Qian Wang · Contacteyjdb6380@163.com · 86-010-59718709
    • Hui Xiong · Principal investigator
  • National Children's Medical Center,Shanghai Jiaotong University
    Shanghai, 200127, China
    Recruiting
    • Fulian Gong · Contactscmcgcp@126.com · 86-021-38087191
    • Jiwen Wang · Principal investigator
    • Feng Han · Sub investigator
  • Shenzhen Children's Hospital
    Shenzhen, China
    Recruiting
  • Children's Hospital of Soochow University
    Suzhou, China
    Recruiting
    • Huizhen Jin · Contactsdfrygcp@163.com · 86-0512-80692212
    • Jihong Tang · Principal investigator
    • Xiaoyan Shi · Sub investigator
  • Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology
    Wuhan, 430015, China
    Recruiting
    • Shiying Yuan · Contactwhet_ctr@163.com · 86-027-82308909
    • Dan Sun · Principal investigator
    • Jingle Wang · Sub investigator
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2025 (actual). Primary completion is estimated for Dec 2026, 19 months after the start.

Of 18 phase 3 interventional studies under Muscular Atrophy, Spinal, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 63. This study's planned 19 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
May 6, 2025
First posted
May 14, 2025
StartActual
May 27, 2025
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Jun 5, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06971094
Lead sponsor
GeneCradle Inc
Responsible party
Sponsor
First posted
May 14, 2025
Start date
May 27, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Jun 5, 2025

Study contacts

GeneCradle, Inc China
Contact
ind@bj-genecradle.com
+8613501380583

Oversight

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

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