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Can a One-Time gene therapy fix the root cause of rett syndrome?

NCT ID NCT06739434

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only This study
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Sep 11, 2026 · Last updated Sep 16, 2026 · Updated 2 times

Summary

Rett syndrome is a rare genetic disorder that mostly affects girls and stems from mutations in the MECP2 gene. This trial tests GCB-002, an experimental gene therapy given as a single injection into the spinal fluid, in 6 to 9 girls aged 2 to 10 who have a confirmed MECP2 mutation. Researchers escalate the dose in small groups and track safety for 52 weeks, with five years of follow-up, to see whether the treatment is tolerable and whether it improves behavior and daily function.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
GCB-002, an experimental gene therapy that delivers a working copy of the MECP2 gene
What this could lead to
If it works, a single spinal injection could one day correct the underlying genetic cause of Rett syndrome rather than just easing symptoms.
What could go wrong
This is a very small, first-in-human dose-escalation study in 6 to 9 girls, so safety and any benefit remain unproven. Gene therapy carries risks of immune reactions, and delivering the MECP2 gene at the wrong level could cause harm.

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

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 6 people

The number the study aims to enrol. It can still change while the study runs.

Started

Nov 2024

Expected to finish

Dec 2030

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

2 to 10 years

Sex

Female 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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: 1. Age range from 2 to 10 years old, female; 2. The clinical diagnosis of the subject is RTT, and after genetic testing, it was found to be a pathogenic variant of the MECP2 gene; 3. The legal guardian is able to understand the requirements and procedures of the research plan, voluntarily participate, and sign an informed consent form. Exclusion Criteria: 1. Has participated in or is currently participating in other RTT drug clinical trials or other AAV gene therapy clinical studies; 2. The subject has a history of head injuries that can cause neurological disorders such as epilepsy, physical disabilities, etc; 3. The subject has MECP2 gene mutation but does not cause RTT; 4. Subjects with allergic constitution, including those allergic or hypersensitive to prednisolone, other glucocorticoids, their excipients, and local anesthetics; 5. The subjects had status epilepticus in the 3 months prior to enrollment; 6. Subjects require invasive or non-invasive ventilation support; 7. Serum anti AAV9 neutralizing antibody titer\>1:200; 8. During the screening visit, subjects with the following abnormal findings: ALT, AST, and γ-glutamyl transferase (GGT) levels all ≥1.0×ULN, TBIL ≥1.0×ULN; serum creatinine (Scr) \>1.0×ULN; activated partial thromboplastin time (APTT) prolonged \>1.5×ULN / INR \>1.5; platelet count (PLT) \<100×10\^9/L or investigator judgment that PLT results are abnormal and clinically significant; 9. Contraindications for lumbar puncture or intrathecal therapy exist; 10. Positive for human immunodeficiency virus antibody, or hepatitis B surface antigen, or hepatitis C antibody, or Treponema pallidum antibody, or current TORCH viral infection, or current Epstein-Barr virus infection; 11. Combination use of any of the following drugs within 90 days prior to administration, and planned immunotherapy therapy (cyclosporine, tacrolimus, methotrexate, cyclophosphamide, intravenous immunoglobulin, rituximab) other than prophylactic medication as specified in the protocol within 3 months after the start of the trial; 12. The researchers believe that it is not suitable to participate in this study.

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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.

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    The full official record for this study. This one lists no contact details, but it is the first place any would appear.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Locations

  • Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

    Shanghai, Shanghai Municipality, 200092, China

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Other studies related to the condition(s) this trial covers.