Actively Recruiting

Phase 1
Phase 2
Age: 2Weeks - 12Months
All Genders
NCT07070999

Study of Safety, Tolerability and Efficacy of GB221 in Infants With Spinal Muscular Atrophy Type 1

Led by Gemma Biotherapeutics · Updated on 2026-03-02

22

Participants Needed

1

Research Sites

168 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

GB221 is a gene therapy that delivers a working SMN1 gene to the motor neurons of people with spinal muscular atrophy (SMA) Type 1. This study will evaluate the safety, tolerability and efficacy of GB221 in two groups: 1. participants aged from 2 weeks to younger than 12 months presenting with symptoms of SMA Type 1 who have never received a treatment OR are receiving the drug risdiplam 2. participants aged from 2 weeks to younger than 5 months who are at risk of developing SMA Type 1 (presymptomatic) and have never received treatment OR are receiving the drug risdiplam.

CONDITIONS

Official Title

Study of Safety, Tolerability and Efficacy of GB221 in Infants With Spinal Muscular Atrophy Type 1

Who Can Participate

Age: 2Weeks - 12Months
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of SMA Type 1 by gene mutation analysis with bi-allelic SMN1 mutations and up to 3 copies of SMN2 (for symptomatic participants)
  • Age 2 weeks to younger than 12 months with disease onset during first 6 months of life (for symptomatic participants)
  • At risk of SMA Type 1 by gene mutation analysis with bi-allelic SMN1 mutations and up to 2 copies of SMN2 (for presymptomatic participants)
  • Age 2 weeks to younger than 5 months at time of dosing (for presymptomatic participants)
Not Eligible

You will not qualify if you...

  • Any suspected or confirmed active viral infection at screening baseline including HIV, Hepatitis B or C, or HTLV
  • History of invasive ventilatory support (tracheotomy with positive pressure) or pulse oximetry less than 95% saturation
  • Ongoing or recent (within 3 months) immunosuppressive therapy such as corticosteroids, cyclosporine, tacrolimus, methotrexate, cyclophosphamide, intravenous immunoglobulin, or rituximab
  • Participation in a recent SMA treatment clinical trial that poses unnecessary risks for gene transfer
  • Prior gene therapy, hematopoietic transplant, or solid organ transplant
  • Severe scoliosis
  • Known allergy or hypersensitivity to prednisolone, glucocorticosteroids, or their excipients

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil, 90035-903

Actively Recruiting

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Research Team

J

Jenna Tress

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

4

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Study of Safety, Tolerability and Efficacy of GB221 in Infants With Spinal Muscular Atrophy Type 1 | DecenTrialz