Gene therapy trial for rare muscle disease halted after severe side effects
NCT ID NCT03199469
First seen Jun 27, 2026 · Last updated Sep 04, 2026 · Updated 2 times
Summary
This trial tested a gene therapy called AT132 for X-linked myotubular myopathy (XLMTM), a rare muscle disease present at birth that causes severe breathing problems. The therapy aimed to deliver a healthy copy of the MTM1 gene to improve muscle function. However, the study was stopped early because of serious complications and deaths. Children who received the therapy are being monitored for long-term safety and muscle function.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AT132 (resamirigene bilparvovec) gene therapy
- What this could lead to
- If successful, this gene therapy could improve muscle function and reduce breathing support needs in children with XLMTM.
- What could go wrong
- The study was stopped early due to severe complications and deaths. The therapy may worsen liver problems and has not shown adequate safety.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
-
27 people
The number who actually took part.
- Started
-
Aug 2017
- Expected to finish
-
Mar 2030
An estimate. End dates often move.
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
Up to 5 years
- Sex
-
Male participants only
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Subject has a diagnosis of XLMTM resulting from a genetically confirmed mutation in the MTM1 gene as assessed by a Sponsor-approved testing facility. * Subject is male. * Subject is aged less than 5 years old at dosing * Subject requires mechanical ventilatory support: Part 1: Subject requires some mechanical ventilatory support (e.g., ranging from 24 hours per day full time mechanical ventilation, to noninvasive support such as continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP) during sleeping hours). Part 2: Subject requires invasive mechanical ventilatory support ranging from 20 - 24 hours per day at screening (confirmed by daytime polysomnographic study). * Subject requiring invasive mechanical ventilator support is fitted with or willing to be fitted with a cuffed tracheostomy tube for some respiratory assessments. * Subject has ventilator maximum positive end-expiratory pressure (PEEP) \<8 cm H2O at screening. * UNIQUE to France: Subject's weight is ≥ 4.8 kg. Exclusion Criteria: * Subject is participating in an interventional study designed to treat XLMTM. * Subject born \<35 weeks gestation who is still not term as per corrected age. * Subject tests positive for AAV8 neutralizing antibody with titers above protocol specified threshold. * Subject had recent surgery (\<3 months before Day 1) or has planned surgery that may confound data collection during the first 48 weeks of the study. * Subject has a clinically important condition other than XLMTM in the opinion of the investigator. * Subject has a clinically significant underlying liver disease. * Subject is currently experiencing a clinically important respiratory infection or other active infection. * Subject has received pyridostigmine or any medication to treat XLMTM within 3 months before Day 1. * Other than as required per protocol, subject has received immune-modulating agents within 3 months before Day 1 (use of inhaled corticosteroids to manage chronic respiratory conditions is allowed); use of other concomitant medications to manage chronic conditions must have been stable for at least 4 weeks before dosing. * Subject has a contraindication to prednisolone. * Subject has a contraindication to study drug or ingredients. * Subject has previous scoliosis repair surgery/procedure, or planned/expected scoliosis repair surgery/procedure in the 12 months following Day 1 (Part 2 including any subjects enrolled under protocol v8 and beyond). * Subject has contractures, scoliosis, or other medical condition that would limit the potential to achieve unassisted sitting, in the opinion of the investigator (Part 2 including any subjects enrolled under protocol V8 and beyond). * Subject is able to sit without assistance for at least 30 seconds at screening, in the opinion of the investigator (Part 2 including any subjects enrolled under protocol V8 and beyond). * Subject has a clinically important condition, including CTCAE v4.03 Grade ≥ 2 anemia (\< 10 g/dL hemoglobin). * Subject has a contraindication to ursodiol (ursodeoxycholic acid). * UNIQUE to France: Subject has a prior diagnosis or history of cardiac arrhythmias, myocarditis, or any other cardiac disease. * UNIQUE to France: Subject has a contraindication to general anesthesia and to muscle biopsy procedures.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for X-linked myotubular myopathy are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Ann & Robert H Lurie Children's Hospital of Chicago
Chicago, Illinois, 60611, United States
-
Hopital Armad Trousseau
Paris, 75012, France
-
Hospital for Sick Children
Toronto, Ontario, M5G0A4, Canada
-
Kinderklinik und Kinderpoliklinik im Dr. Von Haunerschen Kinderspital Klinikum der Universitat Munchen
München, 80337, Germany
-
National Institute of Neurological Disorders and Stroke/NIH Porter
Bethesda, Maryland, 208892, United States
-
UCLA Medical Center
Los Angeles, California, 90095, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.