Gene therapy could free GSD ia patients from constant cornstarch
NCT ID NCT05139316
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This Phase 3 trial tested a gene therapy called DTX401 in 49 people with glycogen storage disease type Ia (GSD Ia). The goal was to see if a single infusion could reduce or eliminate the need for frequent cornstarch doses to keep blood sugar stable. Participants were randomly assigned to receive either the gene therapy or a placebo, and their cornstarch intake was measured over 48 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- DTX401 (pariglasgene brecaparvovec) gene therapy
- What this could lead to
- If successful, this gene therapy could reduce or eliminate the need for frequent cornstarch doses to maintain normal blood sugar levels in people with GSD Ia.
- What could go wrong
- This is an early-stage Phase 3 trial with only 49 participants, so results may not apply to everyone. Gene therapy carries risks like immune reactions or liver issues, and long-term effects are unknown.
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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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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49 people
The number who actually took part.
- Started
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Nov 2021
- Finished
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Feb 2026
- Lead sponsor
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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
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8 years and older
- Sex
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Anyone
- 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.
Key Inclusion Criteria: * Documented GSDIa with confirmation by molecular testing or enzymatic activity on liver biopsy * Currently receiving a therapeutic regimen of cornstarch (or equivalent), following international guidance/recommendations with stable nutrition, glycemic, and clinical status. * Willing and able to complete the informed consent process and to comply with study procedures and visit schedule * Females of childbearing potential and fertile males must consent to use highly effective contraception from the period following informed consent through the duration of the 144-week study and in cases of early withdrawal at least 48 weeks after the last dose of investigational product (IP). Female subjects must agree not to become pregnant. Male subjects must agree not to father a child or donate sperm Key Exclusion Criteria: * Detectable pre-existing antibodies to the AAV8 capsid * History of liver transplant, including hepatocyte cell therapy/ transplant * History of liver disease * Presence of liver adenoma \>5 cm in size * Presence of liver adenoma \>3 cm and ≤5 cm in size that has a documented annual growth rate of ≥0.5 cm per year * Significant hepatic inflammation or cirrhosis as evidenced by imaging or any of the following laboratory abnormalities: alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \> upper limit of normal (ULN), total bilirubin \>1.5 × ULN, alkaline phosphatase \>2.5 × ULN * Non-fasting triglycerides ≥1000 mg/dL * Pregnant, breastfeeding, or planning to become pregnant (self or partner) at any time during the study. * Current or previous participation in another gene transfer study * History of illicit drug use within 60 days prior to screening or positive results from an 8-panel urine drug screen during the Screening Period completed at 2 time points at least 4 weeks apart Note: additional inclusion/exclusion criteria may apply, per protocol
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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.
Contacts and locations
Locations
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Children's Hospital Colorado
Aurora, Colorado, 80045, United States
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Children's Hospital of Orange County
Orange, California, 92868, United States
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Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Duke University
Durham, North Carolina, 27710, United States
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Fujita Health University Hospital
Toyoake, Japan
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Groningen University
Groningen, 9700 RB, Netherlands
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Hospital Clinico Universitario de Santiago
Santiago de Compostela, A Coruna, 15706, Spain
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Hospital de Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-903, Brazil
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Istituto Giannina Gaslini
Genova, Linguria, 16147, Italy
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Kumamoto University Hospital
Kumamoto, Japan
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McGill University
Montreal, Quebec, H3H 1P3, Canada
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Mount Sinai
The Bronx, New York, 10467, United States
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Osaka City General Hospital
Osaka, Japan
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Primary Children's Hospital
Salt Lake City, Utah, 84132, United States
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Righospitalet
Copenhagen, Capital, 2100, Denmark
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University Medical Center Eppendorf
Hamburg, 20251, Germany
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University of Connecticut Health Center
Farmington, Connecticut, 06030, United States
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University of Naples
Naples, 80131, Italy
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University of Texas
Houston, Texas, 77030, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can home tests replace lab draws for rare disease patients?
- Can a simple Finger-Stick replace lab tests for rare metabolic disease?
- Gene therapy for rare Sugar-Storage disease shows promise in Long-Term safety check
- Gene therapy breakthrough aims to control rare metabolic disease
- GSDIa patients monitored for 10 years after gene therapy