One-Time gene shot aims to stop rare nerve disease in kids
NCT ID NCT07447557
First seen Jun 25, 2026 · Last updated Sep 10, 2026 · Updated 5 times
Summary
This early-phase trial tests a single injection of gene therapy (ELP-02) into the spinal fluid of 8 children and young adults with CMT4J, a rare genetic nerve disease that causes muscle weakness. The therapy delivers a working copy of the FIG4 gene to nerve cells, potentially slowing or stopping the disease. The main goals are to check safety and see if the treatment can stabilize muscle health and function.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ELP-02 (a gene therapy that delivers a working copy of the FIG4 gene)
- What this could lead to
- If successful, this could provide a one-time treatment that slows or halts the progression of CMT4J, a rare and severe nerve disease.
- What could go wrong
- This is a very early, first-in-human trial with only 8 participants, so safety and effectiveness are not yet known. Gene therapies can have unpredictable side effects, and the 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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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 8 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Dec 2032
An estimate. End dates often move.
- 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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3 to 20 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: * Male and females between the ages of 3 and 20 years at the time of screening. * Molecularly-confirmed diagnosis of CMT4J (confirmed by a CLIA certified, CE-marked, or equivalent lab) due to bi-allelic pathogenic variants (by ACMG criteria) in the FIG4 gene where one of the mutations must be the pathogenic I41T variant, with the second mutation either being another pathogenic or likely pathogenic variant (by ACMG criteria). * Clinical signs and symptoms consistent with CMT4J disease/motor symptoms * No more than moderate severity of the disease as measured by a CMTPeds score of \<35 or investigator's discretion * Written informed consent provided by subject/parent/guardian and willingness to participate and comply with all the study related visits and procedures. Assent provided by children 10 to 17 years old based on their ability to understand the risks and possible benefits, and the activities expected of them. * Subjects able to reproduce must use a barrier method of contraception for the first 12 months after dosing as well as at least one additional acceptable birth control method if sexually active * Male subjects must agree not to donate sperm for the remainder of their lifetime after receiving ELP-02 * Female subjects must agree not to donate eggs for the remainder of their lifetime after receiving ELP-02 Exclusion Criteria: * Prior or ongoing medical condition, medical history, physical findings, cardiovascular/ECG findings, or laboratory abnormality that, in the investigator's opinion, could adversely affect the safety of the subject, makes it unlikely that the course of treatment or follow-up would be completed, or could impair the assessment of study results. * Clinically significant abnormal laboratory values (hemoglobin \< 6 or \> 20 g/dL; white blood cell \> 20,000 per cmm, platelets count \< 100,000 per cmm; INR \> ULN; GGT, ALT, and AST or total bilirubin \> 2x ULN, creatinine ≥ 1.5 mg/dL) prior to gene replacement therapy. * History of HbA1C \> 6.0% * Contraindication or unwillingness to undergo lumbar puncture. * Presence of a concomitant medical condition that precludes use of anesthetics for sedated procedures. * History of hypersensitivity to sirolimus, tacrolimus, corticosteroids, gadolinium, iodine or shellfish. * Concomitant chronic drug treatment that would cause clinically significant interactions with immunosuppressive agents used in the study. * The presence of significant CNS impairment or behavioral disturbances that would confound the scientific rigor or interpretation of results of the study. * Recent or planned elective surgical procedures that would confound the scientific rigor or interpretation of results of the study. * Reason to believe that the subject or parents of the subject will not comply with the study procedures outlined in the study protocol. * Have received an investigational drug within 30 days prior to screening or plan to receive an investigational drug (other than gene therapy) during the study. * Enrollment and participation in another interventional clinical trial 90 days before first visit. * Diagnosis of a second neurodegenerative/peripheral neuropathy disease or another genetic syndrome with a progressive course. * Advanced stage disease defined by the use of chronic invasive ventilatory support (tracheostomy with ventilator dependence) and a non-communicative status. * Active viral infection (including HIV or serology positive for Hepatitis B or C, or COVID-19). * Bacterial infection requiring antibiotics within the 6 weeks prior to infusion. * Positive beta hCG pregnancy test (females of childbearing age will have pregnancy test at Screening and Day-1).
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
2 sites. 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
Show contact details
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Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Stanford University
RECRUITINGPalo Alto, California, 94304, United States
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University of Iowa
NOT_YET_RECRUITINGIowa City, Iowa, 52242, United States
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