Gene therapy injection into the brain aims to treat rare genetic disorder
NCT ID NCT07014020
First seen Jun 30, 2026 · Last updated Jul 29, 2026 · Updated 5 times
Summary
This early-stage trial tests a single injection of RB001, a gene therapy, directly into the fluid around the brain of children with Phelan-McDermid syndrome caused by SHANK3 gene changes. The study includes up to 8 children aged 3 to 17 and primarily checks whether the treatment is safe and tolerable over 52 weeks. Researchers will also look for any signs of improvement in behavior and development.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- RB001 (gene therapy)
- What this could lead to
- If safe and effective, this could point toward a treatment that addresses the genetic root of Phelan-McDermid syndrome, potentially improving development and behavior.
- What could go wrong
- This is a very early, small (8 participants) dose-escalation study focused on safety, not proof of benefit. Gene therapies can have serious side effects, and it may not improve symptoms.
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
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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8 people
The number who actually took part.
- Started
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Jun 2025
- Expected to finish
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Dec 2027
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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3 to 18 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: * Age ≥3 years and \<18 years (at the time of signing informed consent), any gender * Genetic test and clinical confirmed diagnosis of SHANK3-related PMS * Meets diagnostic criteria for moderate or more severe Autism Spectrum Disorder (ASD) * Intelligence Quotient (IQ) score \<70 or Developmental Quotient (DQ) (excluding gross motor) average score \<70 * Willing to provide biological samples required for the study (e.g., blood, urine) * Consent to hospitalization for intracerebroventricular injection surgery * The holders of parental authority who are able to understand and willing to comply with study requirements and procedures, voluntarily participating and signing the informed consent Exclusion Criteria: A pediatric participant who meets any of the following criteria will be excluded from this study: * Previous or current participation in other PMS drug clinical trials or other AAV gene therapy clinical studies * Has known allergic constitution, including allergy or hypersensitivity to prednisone acetate, other glucocorticosteroids, their excipients, or local anesthetics * Subjects with status epilepticus within 3 months prior to enrollment * Subjects requiring invasive or non-invasive ventilatory support * Serum anti-AAV neutralizing antibody titer \>1:200 * Significant laboratory abnormalities: alanine aminotransferase (ALT), aspartate aminotransferase (AST), γ-glutamyl transferase (GGT) with any value above the upper limit of normal; total bilirubin above the upper limit of normal; creatinine ≥159 μmol/L; hemoglobin (Hb) \<80 g/L; prothrombin time (PT) prolonged by ≥3 seconds; activated partial thromboplastin time (APTT) prolonged by ≥10 seconds; fasting blood glucose ≥7.0 mmol/L; glycated hemoglobin (HbA1c) ≥6.5%; platelets (PLT) \<100×10\^9/L * Subjects with liver disease or history of heart disease that may pose drug-related risks as assessed by the investigator * Subjects deemed unsuitable for intracerebroventricular administration or with other special circumstances as assessed by the investigator * Positive for human immunodeficiency virus antibody, hepatitis B surface antigen, hepatitis C antibody, syphilis antibody, active TORCH virus infection, or active Epstein-Barr virus infection * Concomitant use of any of the following medications within 90 days prior to administration, or planned immunosuppressive treatment within 3 months after starting the trial, except for prophylactic medications specified in the protocol (cyclosporine, tacrolimus, methotrexate, cyclophosphamide, intravenous immunoglobulin, rituximab, etc. ) * Other conditions deemed unsuitable for participation in this study by the investigator
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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
-
Peking University First Hospital
Beijing, Beijing Municipality, China
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Other studies related to the condition(s) this trial covers.
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