One-Time gene shot could free wilson patients from daily pills
NCT ID NCT06650319
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-phase trial tests a single dose of LY-M003, a gene therapy that delivers a working copy of the ATP7B gene to liver cells. The goal is to see if it is safe and can reduce the need for standard Wilson disease medications. The study enrolls 18 adults and children with confirmed Wilson disease.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- LY-M003 (gene therapy using a harmless virus to deliver a working ATP7B gene to liver cells)
- What this could lead to
- If successful, this could reduce or eliminate the need for daily medication to manage copper buildup in Wilson disease patients.
- What could go wrong
- This is a very early, small trial (18 people) focused on safety. Gene therapy can have side effects, and it may not work as hoped. Long-term benefits are uncertain.
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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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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About 18 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Mar 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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10 to 60 years
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. The subject must be able to fully understood the purpose, nature, method, and possible adverse effects of the study, must be able to voluntarily participate in the study and voluntarily able to provide the written informed consent form (ICF). 2. Patients diagnosed with Wilson Disease . 3. Wilson Disease (WD) patients confirmed by laboratory tests to have biallelic mutations in the ATP7B gene. 4. Subjects must be treatment-experienced to WD who have received standard treatment (eg, D-penicillamine or zinc acetate) for at least 6 months prior to the screening period. 5. Subjects must restrict food with high copper content for at least 6 months prior to screening and continue this restriction during the entire duration of study participation. 6. Subjects must be willing to refrain from donating blood, organs, tissues or cells during study participation. 7. Negative pregnancy test in women of childbearing potential (WOCBP). 8. Subjects and their partners who have no childbearing plans from the screening period to 6 months after the end of the study and are willing to adopt effective contraceptive measures (e.g., abstinence, condoms, etc.); subjects have no plans to donate sperm or ova. Exclusion Criteria: 1. AAV8 neutralizing antibody titer \> 1:10 . 2. Active gastrointestinal bleeding within the past 3 months. 3. Decompensated cirrhosis or advanced hepatic disease, manifested as portal hypertension, ascites, splenomegaly, esophageal varices, hepatic encephalopathy, etc. 4. Subjects with other liver diseases as determined by the investigator, such as immune hepatitis, alcoholic liver disease, primary biliary cholangitis, primary sclerosing cholangitis, and/or drug or toxic liver disease 5. Subjects considered as complicated with severe hypersplenism and requiring splenectomy as judged by the investigator. 6. Model for End-Stage Liver Disease (MELD) Score \> 13. 7. Other disorders of copper metabolism, such as chronic cholestatic liver diseases, disorders of glycosylation, copper metabolism disorders, etc. 8. History of noncompliance with copper chelators or zinc agents within 6 months prior to screening, as determined by the investigator. 9. Subjects with treatment-experienced WD who have ALT and/or AST 5 times greater than the upper limit of normal (ULN). 10. Severe central nervous system symptoms urgent for intensive hospitalization judged by the investigator. 11. Hemoglobin \< 90 g/L. 12. A history of epileptic seizures or other diseases that may potentially affect compliance with study procedures within 6 months prior to the screening period. 13. Hepatitis B surface antigen (HBsAg) positive, hepatitis C virus (HCV) antibody positive, human immunodeficiency virus (HIV) antibody positive or Treponema pallidum antibody positive. 14. Subjects with end-stage renal disease receiving dialysis (chronic kidney disease stage 3 and above) or creatinine clearance \< 60 mL/min. 15. Severe hyperlipidemia (triglycerides \> 1000 mg/dL). 16. Subject received or plans to receive bone marrow transplantation, hematopoietic stem cell transplantation and/or major organ transplantation, including but not limited to liver transplantation, kidney transplantation, etc. 17. Clinically diagnosed or judged as serious cardiovascular disease by the investigator (eg, classification of heart failure ≥ 3 according to New York Heart Association \[NYHA\]). 18. Patients with uncontrolled concomitant diseases or infectious diseases as judged by the investigator. 19. Subjects who have hypersensitivity to any component of LY-M003 injection. 20. Subjects who have previously received gene therapy or cell therapy of any kind. 21. Subjects who use systemic immunosuppressive agents or receive steroid therapy within 3 months prior to dosing (except for prophylactic immunosuppressive therapy as specified in protocol). 22. Subjects with history of cancer within 5 years prior to screening, except for completely resected non-melanoma skin cancer, non-metastatic prostate cancer and completely cured ductal carcinoma in situ. 23. Subjects who have vaccinated with attenuated live vaccine within 4 months prior to screening or plan to receive a live attenuated vaccine during the clinical trial. 24. Subjects who have received treatment or disposition with another investigational drug or investigational device within 28 days or 5 half-lives (drug only), whichever is longer, prior to screening. 25. Pregnant women (or women planning to become pregnant) or lactating women. 26. Other circumstances in which the investigator deems the subject inappropriate for study participation.
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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
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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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First Affiliated Hospital of Zhejiang University
RECRUITINGHangzhou, Zhejiang, 312000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a One-Time gene fix cure wilson disease?
- Can a single infusion rewrite the genetic code behind wilson disease?
- Newborn screening study aims to catch rare diseases at birth
- Building a database to unlock wilson disease mysteries
- New Free-Breathing MRI could make liver scans easier for kids