One-Time gene fix could free kids from lifelong diet and meds
NCT ID NCT07667387
First seen Jun 27, 2026 · Last updated Aug 27, 2026 · Updated 8 times
Summary
This early-phase trial tests a single intravenous dose of a gene editing therapy called LNP.UCD.ABE in 7 children with severe urea cycle disorders. The therapy aims to correct the genetic defect using a lipid nanoparticle to deliver a base editor. The main goal is to check safety, but researchers will also see if it allows children to eat more protein and take less medication.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- LNP.UCD.ABE (a lipid nanoparticle-delivered gene editing therapy)
- What this could lead to
- If successful, this could point toward a one-time treatment that corrects the genetic defect, potentially reducing or eliminating the need for lifelong medication and dietary restrictions.
- What could go wrong
- This is a very early, small trial (only 7 children) testing a personalized therapy. It may not work for all patients, and there are unknown risks from the gene editing process, including off-target 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.
- Participants
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About 7 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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Sep 2028
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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24 hours to 5 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: 1. Diagnosis of a severe urea cycle disorder, in the judgement of the investigators. 2. Molecular testing demonstrating homozygosity or compound heterozygosity for a disease-causing mutation in CPS1 that is targeted by a variant-specific version of the LNP.UCD.ABE drug product. 3. Current or historical biochemical testing consistent with a urea cycle disorder 4. At least one of the subject's alleles must be amenable to base editing by LNP.UCD.ABE, as assessed in vitro 5. A history of an ammonia level of ≥400 μmol/L prior to age 12 months, unless a diagnosis was made prenatally and care was initiated immediately after birth * If the patient is taking a nitrogen scavenger medication, their ammonia level may currently be in the normal range * If the patient is diagnosed prenatally, then personal history, family history, or analysis of mutations should indicate a high likelihood of a severe UCD. 6. Subjects more than 8 weeks from the initial diagnosis of a UCD must have demonstrated: * a persistent need for dietary protein restriction and chronic administration of a nitrogen scavenger medication, AND / OR * a recurrent hyperammonemic event AND / OR * a history of a hyperammonemia-induced seizure 7. Weight \>3.5 kg at the time of screening 8. Legal guardian(s) capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. Exclusion Criteria: 1. Abnormal liver function, electrolyte, coagulation, or blood count laboratory values thought not attributable to the underlying urea cycle disorder; 2. Demonstrated need for urgent liver transplantation due to liver failure, in the opinion of the investigators; 3. Participation in a prior gene therapy trial or participation in a trial of an investigational product in the last 12 months; 4. History of liver transplantation; 5. Any other diseases or conditions that the investigators would consider to pose unacceptable risk to the subject; 6. Inability or unwillingness to comply with the visit schedule and study assessments; 7. Any genetic variation in the causative urea cycle disorder gene that, in the opinion of the investigators, may decrease the potential efficacy of the drug product; 8. History of severe hypersensitivity or anaphylaxis to polyethylene glycol (PEG)-containing products, such as PEG-containing vaccines or laxatives
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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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Children's Hospital of Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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