Gene Therapy for Fabry Disease

No longer recruiting at 20 trial locations
PA
Overseen ByPatient Advocacy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new gene therapy called ST-920 for individuals with Fabry disease, a rare genetic disorder that impairs the body's ability to break down certain fatty molecules. The goal is to determine if ST-920 is safe and can sustain long-term production of an important enzyme that might alleviate disease symptoms. Participants will receive a single infusion of ST-920 and undergo monitoring for a year. The trial seeks individuals diagnosed with Fabry disease who experience symptoms such as eye issues, pain in the hands or feet, reduced sweating, or skin rashes. As a Phase 1 trial, participants will be among the first to receive this new treatment, aiding researchers in understanding its effects in people.

Will I have to stop taking my current medications?

The trial protocol does not specify if you must stop taking your current medications. However, if you are on systemic immunomodulatory agents, biologics, or steroids, you may need to stop as their use in the past 6 months is an exclusion criterion. Also, changes to ACE inhibitor or ARB therapy within 4 weeks prior to screening are not allowed.

Is there any evidence suggesting that ST-920 is likely to be safe for humans?

Research has shown that ST-920, a gene therapy for Fabry disease, has promising safety results. Studies have observed patients who received this treatment and found it might help improve kidney function, a common problem in Fabry disease. Importantly, these studies did not find any serious safety issues, suggesting that ST-920 is generally well-tolerated in people. However, since this is an early-stage trial, researchers are still learning about its safety. Participants will be closely monitored for any side effects during the study.12345

Why do researchers think this study treatment might be promising for Fabry disease?

Unlike the standard of care for Fabry Disease, which typically relies on enzyme replacement therapies, ST-920 is a gene therapy that offers a potentially transformative approach. It works by delivering a functional copy of the GLA gene directly into the patient's cells, aiming to enable the body to produce its own alpha-Gal A enzyme. This approach could eliminate the need for regular enzyme infusions and provide a long-term solution by addressing the underlying genetic cause of the disease. Researchers are particularly excited about its potential to improve outcomes across various patient groups, including those with different antibody statuses and organ involvement.

What evidence suggests that ST-920 might be an effective treatment for Fabry disease?

Research has shown that ST-920, a gene therapy under investigation in this trial, could help treat Fabry disease. In studies, patients who received ST-920 demonstrated improved kidney function and stable heart health, suggesting the treatment might manage some serious issues caused by Fabry disease. This trial includes different cohorts, such as those with varying doses and specific health conditions, to evaluate the therapy's effectiveness. The therapy uses a carrier to produce α-Gal A, an enzyme that helps remove harmful substances from the body. Early results have been positive, indicating potential long-term benefits.13678

Who Is on the Research Team?

MM

Medical Monitor

Principal Investigator

Sangamo Therapeutics, Inc.

Are You a Good Fit for This Trial?

Adults with Fabry disease can join this trial. For the cardiac group, they need heart changes like left ventricular hypertrophy or other signs of worsening disease. The renal group requires specific kidney function levels and a history of declining function. All participants must be COVID-19 vaccinated at least one month before treatment.

Inclusion Criteria

My heart shows signs of thickening or disease progression.
I have symptoms like vision changes, pain in hands/feet, less sweating, or skin spots.
I have been diagnosed with Fabry disease.
See 2 more

Exclusion Criteria

You have had problems with alcohol or drugs in the recent past.
You had a bad reaction to ERT in the last 6 months.
My heart condition severely limits my daily activities.
See 14 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a single intravenous infusion of ST-920

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

52 weeks
Regular visits over 52 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • ST-920
Trial Overview The trial is testing ST-920, a gene therapy designed to produce the enzyme α-Gal A in people with Fabry disease. It's given as a single intravenous dose, aiming to reduce or clear harmful substances in the body caused by the disease over a 52-week period.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Sequential dose escalationExperimental Treatment1 Intervention
Group II: Expansion CohortsExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Sangamo Therapeutics

Lead Sponsor

Trials
29
Recruited
950+

Published Research Related to This Trial

Enzyme replacement therapy (ERT) for adults with Fabry disease showed a statistically significant decrease in left ventricular mass index (LVMI) and a reduction in the risk of proteinuria, indicating potential benefits in heart health and kidney function over time.
In children with Fabry disease, the study found no significant evidence of effectiveness from ERT, suggesting that the treatment may not have the same benefits for younger patients as it does for adults.
Long-term effectiveness of enzyme replacement therapy in Fabry disease: results from the NCS-LSD cohort study.Anderson, LJ., Wyatt, KM., Henley, W., et al.[2022]

Citations

Investors & MediaImprovements in renal function and stable cardiac function, alongside quality of life and additional clinical benefits, show the ability of ST- ...
Study Details | NCT05039866 | Long-Term Follow-up of ...Subjects who received ST-920 in a separate parent trial will be evaluated in this trial for long-term safety. What is the study measuring? Primary Outcome ...
Sangamo hits milestone in accelerated approval of ST-920 ...Modified gene therapy may treat cardiovascular problems in Fabry · New data analysis shows continued positive results with ST-920 · Kidney ...
AAV2/6 Gene Therapy in a Murine Model of Fabry Disease ...Taken together, these data show that treatment with the ST-920 vector was safe and more potent than ST-920PC. Of note, the ST-920PC vector essentially ...
Isaralgagene Civaparvovec (ST-920) Shows Positive Mean ...A positive mean annualized eGFR slope was observed in 32 subjects with 52-weeks of follow-up and 19 subjects with. 104-weeks follow-up, ...
Updated Data Suggests Sangamo's Gene Therapy ST-920 ...ST-920, an investigational adeno-associated virus vector-based gene therapy product intended to treat Fabry disease, indicate improvements in renal function.
Study overview : Sangamo Fabry WebsiteThe STAAR Study will investigate the safety and tolerability of an investigational gene therapy called ST-920 in Fabry disease.
Fabry disease treatment ST-920 improves kidney functionPatients saw better kidney function measures in the year after receiving a single dose of Fabry disease treatment ST-920, trial data show.
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