New enzyme therapy aims to reach the brain in hunter syndrome
NCT ID NCT05208281
First seen Sep 21, 2026 · Last updated Sep 21, 2026
Summary
Researchers are testing a new enzyme replacement therapy called GNR-055 in people with Hunter syndrome (MPS II), a rare inherited disorder that causes harmful sugar molecules to build up in the body. The trial enrolls about 32 patients, including those who have never had enzyme treatment and those who have used standard idursulfase therapy. Participants receive weekly intravenous infusions of GNR-055 at different doses. The study measures safety, how the drug moves through the body, and whether it reduces GAG buildup in urine and spinal fluid.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- GNR-055, an enzyme replacement therapy given as a weekly intravenous infusion
- What this could lead to
- If it works, GNR-055 could offer another treatment option for Hunter syndrome, possibly reaching the brain in ways current enzyme therapies do not.
- What could go wrong
- The trial is small and early, so safety and effectiveness are not yet established. Weekly infusions can cause allergic reactions, and the body may make antibodies that reduce the drug's effect.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 32 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2021
- Expected to finish
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Mar 2028
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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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Male 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: * Signed inform consent; * Verified diagnosis of MPS II (Hunter syndrome); * Naïve patients or patients who have received standard ERT whit idursulfase products; * No contraindications for lumbar puncture as judged by the Investigator; * Willingness and ability to follow study procedures. Exclusion Criteria: * Clinically pronounced hypersensitivity to ID2S or any other component of the drug product; * History of hematopoietic stem cell transplantation (HSCT) or bone marrow transplantation; * Implanted or external non-removable metal devices, a cardiac pacemaker, or other objects sensitive to the magnetic field that may pose a danger to both the wearer and the correct operation of magnetic resonance imaging (MRI) equipment; * Concomitant diseases and conditions that, in the Investigator's opinion, can put at risk the patient's safety during his/her participation in the study, or which will influence the safety data analysis in case of the disease/condition exacerbation during the 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.
Contacts and locations
Locations
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Federal State Budgetary Educational Institution of Higher Education "St. Petersburg State Pediatric Medical University" of the Ministry of Health of the Russian Federation
Saint Petersburg, 194100, Russia
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Federal State-Funded Healthcare Institution Central Clinical Hospital of the Russian Academy of Sciences (Research Institute of Pediatrics and Child Health Protection of the Central Clinical Hospital of the Russian Academy of Sciences)
Moscow, 119333, Russia
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State Autonomous Healthcare Institution of the Sverdlovsk Region Regional Children's Clinical Hospital
Yekaterinburg, 620149, Russia
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State Budgetary Healthcare Institution Republican Medical Genetic Center
Ufa, 450076, Russia
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V.I. Vernadsky Crimean Federal University
Simferopol, 295007, Russia
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