Can a One-Time gene therapy fix the root cause of rett syndrome?
NCT ID NCT06739434
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
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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
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About 6 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2024
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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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
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2 to 10 years
- Sex
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Female participants only
- Healthy volunteers
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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: 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.
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The places running it
1 site. The list below names each one and where it is.
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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.
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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
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Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200092, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.