Can a One-Time gene injection halt nerve damage in CMT1A?
NCT ID NCT03520751
First seen Jul 29, 2026 · Last updated Jul 30, 2026 · Updated 1 time
Summary
This trial tests a one-time gene therapy injection for people with Charcot-Marie-Tooth disease type 1A (CMT1A), a genetic nerve disorder that causes progressive muscle weakness. The therapy delivers a gene that produces a protein to support nerve health. Three adults aged 18 to 35 receive injections into leg muscles to see if it can halt the decline in muscle function and sensation.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a one-time gene therapy injection called scAAV1.tMCK.NTF3, which delivers a gene to produce neurotrophin-3, a protein that supports nerve health
- What this could lead to
- If successful, this could point toward a treatment that slows or stops the progression of CMT1A, preserving muscle strength and sensation.
- What could go wrong
- This is an early-phase trial with only three participants, so safety and effectiveness are not yet known. Gene therapies can cause immune reactions or other side effects.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Expected to start
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Apr 2027
An estimate. Start dates often move.
- Expected to finish
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Apr 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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18 to 35 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.
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: * Subjects 18- 35 years old inclusive with CMT1A will be enrolled * Must exhibit a 1.5 Mb duplication at 17p11.2 inclusive of the peripheral myelin protein 22 (PMP22) gene * Males and females of any ethnic or racial group * Must exhibit weakness of the ankle dorsiflexion muscle (but has full ROM against gravity and is able to stand on heels 3 seconds or greater) * Abnormal nerve conduction velocities * Ability to cooperate for clinical evaluation and repeat nerve conduction studies * Willingness of sexually active subjects to practice a reliable method of contraception during the study Exclusion Criteria: * Active viral infection based on clinical observations or serological evidence of HIV, or Hepatitis B or C infection, herpesvirus or adenovirus * Ongoing immunosuppressive therapy or immunosuppressive therapy within 6 months of starting the trial (e.g., corticosteroids, cyclosporine, tacrolimus, methotrexate, cyclophosphamide, intravenous immunoglobulin) * Persistent leukopenia or leukocytosis (WBC ≤ 3.5 K/µL or ≥ 20.0 K/µL) or an absolute neutrophil count \< 1.5K/µL * Subjects with AAV1 binding antibody titers ≥ 1:50 as determined by ELISA immunoassay * Subjects with circulating anti-NT-3 titers ≥ 1:50 as determined by ELISA immunoassay * Treat with any investigational medication within 30 days before the infusion of study drug * Abnormal laboratory values considered clinically significant (GGT \> 3XULN, bilirubin ≥ 3.0 mg/dL, creatinine ≥ 1.8 mg/dL, Hgb \< 8 or \> 18 g/Dl; WBC \> 15,000 per cmm) * Any medical condition or extenuating circumstance that, in the opinion of the investigator, might compromise the subject's ability to comply with the protocol required testing or procedures or compromise the subject's wellbeing, safety, or clinical interpretability * Ankle contractures or surgeries preventing proper muscle strength testing * Pregnancy or lactation (females subjects will be tested for pregnancy) * Limb surgery in the past six months * Severe infection (e.g. pneumonia, pyelonephritis, or meningitis) within 4 weeks before gene transfer visit (enrollment may be postponed) * Anyone unwilling to disclose study participation with primary care physician and other medical providers. * Concomitant illness or requirement for chronic drug treatment that in the opinion of the PI creates unnecessary risks for gene transfer
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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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Nationwide Children's Hospital
Columbus, Ohio, 43205, United States