Can a One-Time gene infusion rewrite the fate of PKU?
NCT ID NCT06687733
First seen Aug 13, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This early-stage trial tests a single intravenous infusion of NGGT002, a gene therapy designed to deliver a working copy of the PAH gene to adults with classic phenylketonuria (PKU). The goal is to see if this approach can safely lower phenylalanine levels in the blood, which could reduce the need for a strict low-protein diet. Participants will be monitored for five years to assess long-term safety and effectiveness.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- NGGT002, a gene therapy using a harmless virus to deliver a working copy of the PAH gene
- What this could lead to
- If successful, this one-time gene therapy could provide a lasting treatment for PKU, potentially freeing patients from strict dietary restrictions.
- What could go wrong
- This is an early-stage trial with only 18 participants, so safety and effectiveness are not yet proven. Gene therapies carry risks like immune reactions or the therapy not working as intended.
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 18 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2024
- Expected to finish
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Jun 2030
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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18 to 55 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. Voluntarily participating in the study and signing the informed consent form; 2. Gender is not limited; patients must carry biallelic pathogenic or likely pathogenic variants in the PAH gene; 3. Adult patients aged 18 to 55 years; 4. In the past 24 months, at least two blood Phe concentrations have been ≥600 μmol/L (10 mg/dL), with at least one of these measurements taken within 6 months prior to the screening period; 5. Willing and able to manage their diet; 6. According to the investigator's opinion, willing and able to comply with the study procedures and requirements; 7. Women of childbearing potential must have a negative serum HCG test within 7 days before dosing. Participants must agree to use highly effective contraceptive measures for at least one year after receiving NGGT002. Exclusion Criteria: 1. Presence of anti-AAV8 neutralizing antibodies(≥1:5) 2. Participants whose disease is well-controlled with existing therapies, such as those currently receiving medications like Sapropterin Dihydrochloride tablets, Pegvaliase-pqpz, etc. (excluding participants who have previously received the above-mentioned drug therapies but did not respond, and have been off treatment for more than 6 weeks); 3. Before dosing, the patient's hematological laboratory tests exceed any of the following limits: * Alanine Transaminase (ALT) \> 1.5×ULN and/or Aspartate Aminotransferase (AST) \> 1.5×ULN * Alkaline Phosphatase (ALP) \> 1.5×ULN * Total Bilirubin (TBil) \> 1.5×ULN, Direct Bilirubin \> 1.5×ULN * International Normalized Ratio (INR) \> 1.5 * Serum Creatinine (Scr) \> 1.5×ULN * Hematological values outside the normal range (Hemoglobin: \<110 g/L for males, \<100 g/L for females, White Blood Cells \<3.0×10\^9/L, Neutrophils \<1.5×10\^9/L, Platelets \<100×10\^9/L) * Glycated Hemoglobin (HbA1c) \> 6% or Fasting Blood Glucose \> 6.1 mmol/L 4. At screening, clinically significant abnormal vital signs, physical examination, laboratory test results, or other relevant findings that, in the investigator's opinion, make the subject unsuitable for inclusion; 5. In the investigator's assessment, the participant has contraindications to corticosteroid use or conditions that could lead to a worsening of the condition; 6. Hepatitis A virus infection, active or occult hepatitis B virus infection, active hepatitis C virus infection, positive for Human Immunodeficiency Virus (HIV) antibodies, positive syphilis test, active or latent tuberculosis (TB) infection; 7. A significant history of liver disease, such as steatosis, fibrosis, non-alcoholic steatohepatitis, and cirrhosis, biliary diseases, within 6 months prior to signing the informed consent form, except for Gilbert's syndrome; 8. History of malignant tumors; 9. Imaging (liver ultrasound) evidence of severe liver diseases such as hepatic fibrosis or cirrhosis; 10. In the investigator's assessment, the subject has a history of serious cardiovascular, respiratory, gastrointestinal, endocrine, renal, hematological, neurological, psychiatric, or other systemic diseases before screening; 11. History of allergy to human serum albumin; 12. Participants with a history of substance abuse (e.g., alcohol, heroin, amphetamines, etc.); 13. Participants who have received gene therapy at any time in the past. 14. Participants who have participated in other non-gene therapy drug clinical trials and received the investigational drug within 3 months (or 5 half-lives of the other investigational drug) prior to screening; 15. Participants with elevated Alpha-fetoprotein (AFP); 16. Other conditions that, in the investigator's opinion, make the subject unsuitable for inclusion, such as severe comorbidities associated with PKU (e.g., renal insufficiency or renal failure, osteoporosis, anemia, gastroesophageal reflux or peptic ulcer, major depressive disorder, epilepsy, etc.); 17. Participants whose daily diet includes excessive natural protein intake (\>2 g/kg/day).
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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
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
Locations
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First Affiliated Hospital of Bengbu Medical College
RECRUITINGBengbu, Anhui, China
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Xinhua Hospital Affifiated to Shanghai Jiao Tong University School of Medicine
RECRUITINGShanghai, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Newborn screening study aims to catch rare diseases at birth
- PKU Drug's nutritional impact under the microscope
- PKU diet in childhood may shape adult IQ, study finds
- New PKU drink passes small taste and tolerance test
- New PKU formula shows promise in managing blood levels