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Table 4 Design of tgAAC94 trials

From: Arthritis gene therapy's first death

  

Number of patients

 

Cohort

Dose (DNase-resistant particles)

Drug

Placebo

Repeat dose (drug only)

Endpoints

Phase I (RAC 2003)

   

Primary

1

1010

6

2

 

   Safety

2

1011

6

2

 

Secondary

3

1012

6

2

 

   Changes in tenderness and swelling; injected and noninjected joints

4

TBD

6

2

 

   American College of Rheumatology and Disease Activity Score scoring

     

   Joint fluid cell counts

     

   TNFR:Fc levels in joint fluid and serum

     

   Serum neutralizing antibodies to adeno-associated virus serotype 2

     

   Presence of tgAAC94 in peripheral blood mononuclear cells

Phase I/II (RAC 2007)

    

1

1011

15

5

20

Primary

2

1012

15

5

20

   Safety

3

1013

15

5

20

Secondary

     

   Tenderness and swelling of injected joint

4

1011

15

5

20

   Time to second injection of study drug

5

1012

15

5

20

   Overall disease activity

6

1013

15

5

20

   TNFR:Fc protein levels in serum and synovial fluid

     

   Serum anti-adeno-associated virus capsid neutralizing titers

     

Explore new outcome measures for single joints

     

   Patient assessment

     

   Functional assessment

     

   Joint inflammation and damage on magnetic resonance imaging (select subjects)

  1. RAC = Recombinant DNA Advisory Committee; TBD, to be determined – the highest safe dose, as determined from cohorts 1 to 3; TNFR:Fc = tumor necrosis factor receptor:Fc domain of immunoglobulin fusion protein.