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Glutamic Acid Decarboxylase (GAD) Gene Therapy


Treatment of Motor Symptoms

This interventional study involved surgical infusion of the GAD 65 and GAD 67 genes by attaching them to a harmless adeno-associated virus (AAV) and injecting it into the subthalamic nucleus (STN), which is overactive in PD patients. (ClinicalTrials.gov)

Gene Therapy

"GAD treatment involves injecting a small amount of a gene-carrying virus (AAV) into the STN region of the brain to calm it down by turning the excitatory chemical glutamate into the inhibitory brain chemical GABA."  (The Guardian, Oct. 11, 2002)  The optimal location is determined with an MRI image and CT scan.  The final target is confirmed with fine electrical probes with the patient awake.  The AAV-GAD is slowly delivered through a very fine catheter for 90 minutes. (Weill Cornell Press Release, August 20, 2003)

A web cast explaining the phase II trial is available for patients. Register at http://www.neurologixpdtrial.com/

Non-dopaminergic treatment: According to the sponsor's press release in June 2010, "While dopamine clearly plays a role in Parkinson's disease, dopamine levels in the brain are inherently difficult to control, resulting in sub-optimal treatment outcomes for patients. We believe that by altering chemical targets further downstream in the brain's network that regulates movement, we have the potential to help improve outcomes and restore motor function for patients with advanced Parkinson's disease," added Matthew J. During, MD, DSc, scientific co-founder of Neurologix, "


This Phase I trial was the first FDA-approved clinical trial of gene therapy for PD.  It was an open-label, dose-escalation study involving 12 patients with severe PD of at least a five-year duration that is refractory to currently available medical therapies.  As a safety precaution, only one side of their brains was treated.  The trial consisted of three cohorts with four patients each, with the third cohort receiving 10 times the dose of the first.  (Medpage Today, Sept. 27, 2005)  Based on the UPDRS scale, average improvement of the 12 patients receiving treatment was 23%.  Improvement was dose-related with 5 of the 12 patients who received the highest dose showing improvement of 40-60%. (John Mordock, Neurologix CEO, Webcast:  Sixth Annual North American Forum for Investing and Partnering in Biotech)


"Another area of investigation is the use of neurotrophic factors for neuroprotection and degeneration, another promising approach for Huntington's Disease." (The HD Lighthouse, Oct. 18, 2006) The company announced in March 2008 it was plannning a phase I trial for epilepsy.

In Clinical Trials (US)

Trial is not recruiting Patients

The results of the phase I trial were published in the June 23, 2007 issue of the journal The Lancet (see Phase Details).

John Mordock, Neurologix President and CEO stated that the company anticipates beginning a larger Phase 2 study in Parkinson's disease later in 2007.(company press release 6/21/07)

It was announced on Dec. 13, 2007 that the U.S. Food and Drug Administration has granted Fast Track Designation to Neurologix for its “experimental gene transfer procedure” to treat advanced Parkinson’s disease. Neurologix plans to launch Phase II studies of its process by early 2008.

On March 26, 2008, during a year end 2007 financial report, CEO John Mordock stated, "We are now completing steps to initiate a Phase 2 clinical trial of our Parkinson's product in the first half of 2008, subject to clearance from the FDA. " He also stated, "We completed a $15 million private placement in November 2007 for our Series D Convertible Preferred Stock, with participation from both current and new investors. This financing gives us the resources to advance our Parkinson's disease program through a Phase 2 clinical trial and our epilepsy program through a Phase 1 clinical trial." (Business Wire 3/26/08)

It was reported on March 27, 2008 that the FDA approved a Phase II trial, and expected to start recruiting 44 participants in the U.S. during the 2nd quarter of 2008. (BusinessWire 3/27/08)

In December 2009, Neurologix "announced the completion of all planned surgeries in an ongoing Phase 2 clinical trial. The controlled, double blinde blinded, 44 patient Phase 2 trial is investigating the safety and efficacy of a novel non-dopamine approach to restore motor function in Parkinson’s patients who are sub-optimally responsive to available drug therapy. The company expects to announce initial efficacy results from the trial in mid-2010. " (Businesswire 12/03/09) The investigators are assessing each of the trial participants over time for treatment effects, with the primary trial endpoint being a clinical assessment of motor function at 6 months using the Unified Parkinson’s Disease Rating Scale (UPDRS). All participants in the trial will also be monitored for safety for 12 months following their gene transfer procedure.

On June 22, 2010, Neurologix, Inc. "announced positive results in a Phase 2 trial of its investigational gene therapy for advanced Parkinson's disease (PD), NLX-P101. Study participants who received NLX-P101 experienced statistically significant and clinically meaningful improvements in off-medication motor scores compared to control subjects who received sham surgery. In the trial, this benefit was seen at one month and continued virtually unchanged throughout the six month blinded study period...." (Neurologix press release

Sponsor(s)
Sponsor (click for details) URL
Primary Sponsor Neurologix, Inc. (USA) http://www.neurologix.net
Regulatory Information

This gene transfer experiment was the first Parkinson's Disease protocol to be submitted to the NIH Recombinant DNA Advisory Committee (RAC). (Human Gene Therapy, August 10, 2001)  The protocol for the Phase I trial in humans for GAD gene therapy was granted by the RAC in August 2002.


Active

Not Available

August 2002

Not Yet Filed
Treatment Phase Details
Click on Phase Number for DETAILED INFORMATION on that phase
Phase Status Title of Trial Start Date Duration Weeks
Preclinical Phase Completed   Unknown   Neurologix, Inc. (USA)
Phase 1 Phase Completed Safety Study of Subthalamic Nucleus Gene Therapy for Parkinson's Disease 8/18/2003 48 Neurologix, Inc. (USA)
Phase 2 Phase Completed Phase 2 Safety and Efficacy Study of AAV-GAD Gene Transfer Into the Subthalamic Nucleus for Parkinson's Disease Aug. 2008 52 Neurologix, Inc. (USA)
Phase 3 Not Started       Neurologix, Inc. (USA)
Phase 4 Not Started       Neurologix, Inc. (USA)
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Partnerships and Agreements
Description Notes Url1 Url2
Neurologix has entered into a licensing agreement with a subsidiary of Diamyd Medical, a biotechnology company based in Stockholm, Sweden, and Pittsburgh PA.which will grant Neurologix a license for the use of glutamic acid decarboxylase (GAD) gene. (Therapeutics Daily, August 8, 2006.) John E. Mordock, CEO of Neurologix, stated, "This agreement will facilitate the remaining clinical trials and upon completion of the trials, the Company will file a new drug application for Parkinson's disease with the FDA." http://www.neurologix.net http://www.therapeuticsdaily.com/news/print.cfm?contenttype=sentryarticle&contentvalue=103
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Citations for this treatment information
Authors Title Source Citation Date Online Ret Date VolumeSort by this column Pages URL
Andrew Feigin, Michael G. Kaplitt, Chengke Tang, Tanya Lin, Paul Mattis, Vijay Dhawan, Matthew J. During, and David Eidelberg Modulation of metabolic brain networks after subthalamic gene therapy for Parkinson's Disease. Proceedings of the National Academies of Science Dec.4, 2007 27-NOV-07 104 19559-64
  First Parkinson's Disease Gene Therapy Administered Neurology Reviews.com October 2003 12-FEB-07 11, n.10   http://www.neurologyreviews.com/oct03/nr_oct03_genetherapy.html
Kaplitt M et al Safety and tolerability of gene therapy with an adeno-associated virus (AAV) borne GAD gene for Parkinson’s disease: an open label, phase I trial Lancet June 24, 2007   369 2097–105
Kaplitt, M et al Safety and tolerability of gene therapy with an adeno-associated virus (AAV) borne GAD gene for Parkinson's disease: an open label phase I trial The Lancet June 2007 24-JUN-07 369 2097-105 http://media.corporate-ir.net/media_files/irol/10/106413/LANCET.pdf
John Mordock, Neurologix CEO Sixth Annual North American Forum for Investing and Partnering in Biotech Webcast March 12, 2007 18-MAR-07     http://www.vcall.com/console/Console...nz&tck=NRGX.OB OR www.neurologix.net (Click on March 12, 2007,audio.)
M.J. During, et. al. Subthalamic GAD Gene Transfer in Parkinson Disease Patients Who Are Candidates for Deep Brain Stimulation Human Gene Therapy August 10, 2001 14-FEB-07     http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11529246&dopt=Abstract
Meek, James Gene Therapy Hope for Parkinson's Disease The Guardian 10-11-02 12-FEB-07     http://www.accessmylibrary.com/coms2/summary_0286-26272970_ITM
Neil Osterweil Parkinson's Gene Therapy Promising in Early Trial Results MedPage Today Sept. 27, 2005 12-FEB-07     http://www.medpagetoday.com/Neurology/ParkinsonsDisease/tb/1818
Neurologix press release Neurologix Announces Positive Interim Results in Phase I Gene Therapy Trial for Patients with Parkinson's Disease Eureka Alert 26-SEP-05 12-FEB-07     http://www.salesandmarketingnetwork.com/news_release.php?ID=2007390
  Neurologix Announces Successful Phase 2 Trial of Gene Therapy for Parkinson's Disease (press release) Neurologix web site June 22, 2010 20-JUN-10     http://phx.corporate-ir.net/phoenix.zhtml?c=106413&p=irol-newsArticle&ID=1440622&highlight
  Phase 2 Safety and Efficacy Study of AAV-GAD Gene Transfer Into the Subthalamic Nucleus for Parkinson's Disease Clinicaltrials.gov March 24, 2008 27-MAR-08     http://www.clinicaltrials.gov/ct2/show/NCT00643890?term=neurologix&rank=1
  Neurologix Announces Publication of Landmark Gene Therapy Study Demonstrating Safety and Statistically Significant Improvement in Patients With Advanced Parkinson's Disease (press release) Neurologix web site June 21, 2007 24-JUN-07     http://phx.corporate-ir.net/phoenix.zhtml?c=106413&p=irol-newsArticle&ID=1018437&highlight=
  Neurologix Receives FDA Clearance to Initiate Phase 2 Trial in Parkinson's Disease Subjects (press release) BusinessWire Mar. 27, 2008 27-MAR-08     http://phx.corporate-ir.net/phoenix.zhtml?c=106413&p=irol-newsArticle&ID=1122533&highlight=
  Ability of Neurologix's Gene Transfer Therapy to Quiet Abnormal Brain Activity in Parkinson's Disease Patients Reported in PNAS (press release) Neurologix website Nov. 19, 2007 20-NOV-07     http://phx.corporate-ir.net/phoenix.zhtml?c=106413&p=irol-newsArticle&ID=1079672&highlight=
  Parkinson's Gene Therapy Seems to Work WebMD Health News Oct. 17, 2006 12-FEB-07     http://www.webmd.com/content/article/128/117156
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Related information
Description Information
Phase II clinical trial (web cast) Register to view web cast at http://www.neurologixpdtrial.com/
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