CS-121 APOC3 Base Editing in Children and Adolescents With Hyperchylomicronemia

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age4-18
SponsorShanghai Jiao Tong University School of Medicine

About this trial

This is a Prospective, Single-center, Open-label, Single-arm Clinical Study to Evaluate the Safety and Efficacy of CS-121, an In Vivo Base Editing Therapy Delivered by Lipid Nanoparticles Targeting APOC3, in Children and Adolescents (4-18 years) With Hyperchylomicronemia

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female participants aged 4 years ≤ age < 18 years.

Severe hypertriglyceridemia (sHTG), defined as a triglyceride (TG) level ≥ 500 mg/dL.

Confirmed diagnosis of genetically inherited FCS via genetic testing, or clinically diagnosed FCS plus persistent chylomicronemia.

Failure to achieve adequate TG control, For participants under 8 years of age, the investigator determine at their discretion whether prior lipidlowering therapy has been administered.

Disqualifiers

Currently participating in other interventional clinical studies, or having an insufficient washout period of less than 5 half-lives or 30 days (whichever is longer) since the last administration of other investigational drugs.

Used antisense oligonucleotide (ASO)-based or small interfering RNA (siRNA)-based lipid-lowering drugs targeting APOC3 within 3 months prior to study drug administration.

History of acute pancreatitis within 1 month before dosing.

Patients who underwent major surgery within 3 months prior to study drug administration and are judged by the investigator as unsuitable for receiving the study drug, due to potential intolerance to adverse events such as cytokine release storm.

Trial design

Design model

Sequential

Treatments tested in this trial

  • CS-121

    Biological/Vaccine

    CS-121 is a in vivo base editing therapy formulated in lipid nanoparticles for targeted editing of the APOC3 gene in hepatocytes.

Treatment groups

15 Participants
are divided into 3 treatment groups
Group A: Low Dose CS-121Experimental treatment 1 intervention
Group B: Middle Dose CS-121Experimental treatment 1 intervention
Group C: High Dose CS-121Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Dose-limiting toxicities (DLTs)

Time frame
Within 14 days post CS-121 dosing
2

The incidence and severity of treatment-emergent adverse events (TEAEs)

Time frame
from screening to 10 months post last dosing

Secondary outcomes

1

Changes in serum triglyceride (TG) levels

Time frame
From baseline to 10 months post last dosing
2

Changes in serum ApoC3 levels from baseline

Time frame
From baseline to 10 months post last dosing
3

Concentrations of the active components of CS-121 (sgRNA and mRNA)

Time frame
From baseline to 1 month post last dosing

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Shanghai Jiao Tong University School of Medicine

Lead sponsor

CorrectSequence Therapeutics Co., Ltd

Collaborator