January 20, 2016 7:14am

 

Data evaluating novel AAV-based gene therapy as a potential treatment for Alpha-1 Antitrypsin (AAT) Deficiency

 

Show that vector DNA persists at high levels for 12 months after one-time intramuscular injection and directs sustained expression of AAT protein


 

AGTC announced data evaluating the use of recombinant AAV-AAT vector gene delivery to muscle in patients with alpha-1-antitrypsin (AAT) deficiency, an inherited genetic disorder that results in severe loss of lung function and is caused by complete or partial deficiency of the alpha-1 antitrypsin protein.

 

Results were published online in the peer-reviewed journal Human Gene Therapy and will appear in the January print issue of the journal.

In this study, 3 cohorts of 3 subjects each had received rAAV1-AAT by intramuscular injection at doses of 6 × 1011 (low), 1.9 × 1012 (mid), or 6 × 1012 (high) vector genomes per kilogram of body weight. Muscle biopsies at the injection site were performed at 3 months after vector injection in all 9 subjects and at 12 months after vector injection in 8 of the 9 subjects enrolled in the trial. Samples of DNA obtained from these biopsies were characterized in depth by investigators at the Children’s Hospital of Philadelphia.

 

The Bottom Line: Important supporting data demonstrates sustained expression of protein (and dose response) through administration to muscle tissue which is important for systemic applications. 

Study results show that <AAV >vector DNA persists at high levels for 12 months after one-time intramuscular injection and directs sustained expression of AAT proteincurrently, individuals affected by pulmonary manifestations of AAT deficiency are frequently treated with weekly intravenous infusions of AAT derived from donated human plasma, a procedure that is inconvenient and cost prohibitive,” said Philip R. Johnson, M.D., corresponding study author.

“P2 human studies evaluating gene transfer as a potential treatment option have been encouraging and these data further suggest that a one-time, AAV-based intramuscular AAT vector injection can have a durable response and direct sustained expression of the AAT protein.”

 

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