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Glycogen Storage Disease Type IAPhase 3NCT05139316

A Study of Adeno-Associated Virus Serotype 8-Mediated Gene Transfer of Glucose-6-Phosphatase in Patients With Glycogen Storage Disease Type Ia (GSDIa)

A Phase 3 study testing DTX401 and Oral prednisolone in people with Glycogen Storage Disease Type IA, run by Ultragenyx Pharmaceutical Inc at 20 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objectives of this study are to evaluate the efficacy of DTX401 to reduce or eliminate dependence on exogenous glucose replacement therapy to maintain euglycemia and to maintain or improve the quality of glucose control. Read more about this study

Who is it for?
Ages 8 years and older
Conditions the study is for
Glycogen Storage Disease Type IA
What is being tested?
DTX401 and Oral prednisolone
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
52 participants
Where
20 sitesin 9 countries
Study dates
8 Nov 2021to 20 Feb 2026
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 8 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Documented GSDIa with confirmation by molecular testing or enzymatic activity on liver biopsy
  • Currently receiving a therapeutic regimen of cornstarch (or equivalent), following international guidance/recommendations with stable nutrition, glycemic, and clinical status.
  • Willing and able to complete the informed consent process and to comply with study procedures and visit schedule
  • Females of childbearing potential and fertile males must consent to use highly effective contraception from the period following informed consent through the duration of the 144-week study and in cases of early withdrawal at least 48 weeks after the last dose of investigational product (IP). Female subjects must agree not to become pregnant. Male subjects must agree not to father a child or donate sperm

Who cannot join

  • Detectable pre-existing antibodies to the AAV8 capsid
  • History of liver transplant, including hepatocyte cell therapy/ transplant
  • History of liver disease
  • Presence of liver adenoma >5 cm in size
  • Presence of liver adenoma >3 cm and ≤5 cm in size that has a documented annual growth rate of ≥0.5 cm per year
  • Significant hepatic inflammation or cirrhosis as evidenced by imaging or any of the following laboratory abnormalities: alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > upper limit of normal (ULN), total bilirubin >1.5 × ULN, alkaline phosphatase >2.5 × ULN
Show all 11Show fewer
  • Non-fasting triglycerides ≥1000 mg/dL
  • Pregnant, breastfeeding, or planning to become pregnant (self or partner) at any time during the study.
  • Current or previous participation in another gene transfer study
  • History of illicit drug use within 60 days prior to screening or positive results from an 8-panel urine drug screen during the Screening Period completed at 2 time points at least 4 weeks apart
  • Note: additional inclusion/exclusion criteria may apply, per protocol

Trial locations and contacts

20 sites in 9 countries.

20 sites in 9 countries

United States9 sites
  • Children's Hospital Colorado

    Aurora, Colorado, 80045

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Duke University

    Durham, North Carolina, 27710

  • University of Connecticut Health Center

    Farmington, Connecticut, 06030

  • University of Texas

    Houston, Texas, 77030

  • Children's Hospital of Orange County

    Orange, California, 92868

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Primary Children's Hospital

    Salt Lake City, Utah, 84132

  • Mount Sinai

    The Bronx, New York, 10467

Other trials in United States

Japan3 sites
  • Kumamoto University Hospital

    Kumamoto

  • Osaka City General Hospital

    Osaka

  • Fujita Health University Hospital

    Toyoake

Other trials in Japan

Italy2 sites
  • Istituto Giannina Gaslini

    Genova, Linguria, 16147

  • University of Naples

    Naples, 80131

Other trials in Italy

Brazil1 site
  • Hospital de Clinicas de Porto Alegre

    Porto Alegre, Rio Grande do Sul, 90035-903

Other trials in Brazil

Canada1 site
  • McGill University

    Montreal, Quebec, H3H 1P3

Other trials in Canada

Denmark1 site
  • Righospitalet

    Copenhagen, Capital, 2100

Other trials in Denmark

Germany1 site
  • University Medical Center Eppendorf

    Hamburg, 20251

Other trials in Germany

Netherlands1 site
  • Groningen University

    Groningen, 9700 RB

Other trials in Netherlands

Spain1 site
  • Hospital Clinico Universitario de Santiago

    Santiago de Compostela, A Coruna, 15706

Other trials in Spain

About this study

Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of Adeno-Associated Virus Serotype 8-Mediated Gene Transfer of Glucose-6-Phosphatase in Patients With Glycogen Storage Disease Type Ia

The primary objectives of this study are to evaluate the efficacy of DTX401 to reduce or eliminate dependence on exogenous glucose replacement therapy to maintain euglycemia and to maintain or improve the quality of glucose control.

Read the detailed description

Study DTX401-CL301 is a phase 3 study to determine the efficacy and confirm the safety of DTX401 in patients 8 years and older with glycogen storage disease type Ia (GSDIa).

Participants were randomized 1:1 to DTX401 or placebo group and followed closely for 48 weeks. At week 48 eligible participants crossed over and received DTX401 if they had previously received placebo or placebo if they had previously received DTX401 and were followed closely for an additional 96 weeks. After completion of week 144 or early withdrawal, participants were offered enrollment into a Disease Monitoring Program (DMP) where they will be followed for at least 10 years post DTX401 infusion.

In Japan, there was a single open label study arm and all participants were treated with DTX401. At week 48, Japanese participants were offered enrollment into a Disease Monitoring Program (DMP) where they will be followed for at least 10 years post DTX401 infusion.

Being tested
DTX401, Placebo, Oral prednisolone, Placebo for oral prednisolone
Keywords
glycogen storage disorder Ia, AAV, gene therapy, von Gierke disease, glucose metabolism disorder, GSDIa, GSD1
Medical subject headings
Hepatorenal form of glycogen storage disease, Glycogen Storage Disease Type I, Glucose Metabolism Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DTX401Genetic

    Also called pariglasgene brecaparvovec

    nonreplicating, recombinant, adeno-associated virus (AAV) serotype 8 (AAV8)

  • PlaceboOther

    Normal Saline infusion

  • Oral prednisoloneDrug

    Participants who receive DTX401 solution will receive oral prednisolone

  • Placebo for oral prednisoloneDrug

    Participants who receive placebo will receive placebo oral prednisolone to maintain the study blind

Study groups in NCT05139316
Study groupRoleWhat they receive
Placebo Followed by DTX401ExperimentalParticipants received a single peripheral intravenous (IV) infusion of placebo on Day 1 along with a placebo-to-match (PTM) of the prophylactic steroid regimen of prednisolone. At Week 48, participants received a single peripheral IV infusion of 1.0 × 10^13 genome copies per kilogram [GC/kg]) of DTX401 along with a prophylactic steroid regimen of prednisolone.
Receives: Genetic: DTX401; Other: Placebo; Drug: Oral prednisolone; Drug: Placebo for oral prednisolone
DTX401 Followed by PlaceboPlacebo comparatorParticipants received a single peripheral IV infusion of 1.0 × 10^13 GC/kg of DTX401 on Day 1, along with a prophylactic steroid regimen of prednisolone. At Week 48, participants received a single peripheral IV infusion of placebo with a PTM of the prophylactic steroid regimen of prednisolone.
Receives: Genetic: DTX401; Other: Placebo; Drug: Oral prednisolone; Drug: Placebo for oral prednisolone
DTX401 (Japan Only)ExperimentalParticipants received a single peripheral IV infusion of 1.0 × 10^13 GC/kg of DTX401 on Day 1, along with a prophylactic steroid regimen of prednisolone.
Receives: Genetic: DTX401; Drug: Oral prednisolone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Main Study: Percent Change From Baseline to Week 48 in Daily Cornstarch Intake (Grams)

    The least square (LS) mean and standard error (SE) are based on mixed-model for repeated measures (MMRM) analysis.

    Measured: Baseline, Weeks 24, 30, 36, 42 and 48

  2. Japan Cohort: Percent Change From Baseline to Week 48 in Daily Cornstarch Intake (Grams)

    Measured: Baseline, Weeks 24, 30, 36, 42 and 48

Secondary outcomes (12)
  1. Main Study: Change From Baseline to Week 48 in Number of Total Daily Doses of Cornstarch

    The LS mean and SE are based on MMRM analysis.

    Measured: Baseline, Weeks 24, 30, 36, 42 and 48

  2. Japan Cohort: Change From Baseline to Week 48 in Number of Total Daily Doses of Cornstarch

    Measured: Baseline, Weeks 24, 30, 36, 42 and 48

  3. Main Study: Change From Baseline to Week 48 in Percentage of Glucose Values in Hypoglycemic Range (Less Than (<) 70 Milligrams Per Deciliter (mg/dL) [3.9 Millimoles Per Liter (mmol/L)])

    The LS mean and SE are based on MMRM analysis.

    Measured: Baseline, Weeks 24, 30, 36, 42 and 48

  4. Japan Cohort: Change From Baseline to Week 48 in Percentage of Glucose Values in Hypoglycemic Range (< 70 mg/dL [3.9 mmol/L])

    Measured: Baseline, Weeks 24, 30, 36, 42 and 48

  5. Main Study: Patient Global Impression of Change (PGIC) Assessment Score at Week 48

    The PGIC captures the participants' perspective on changes in their glycogen storage disease type Ia (GSDIa) since the start of the study using a 7-point response scale ranging from much improved (+ 3) to much worse (- 3). The total score ranges from + 3 to - 3, with a higher score indicating best outcome.

    Measured: Week 48

  6. Japan Cohort: PGIC Assessment Score at Week 48

    The PGIC captures the participants' perspective on changes in their GSDIa since the start of the study using a 7-point response scale ranging from much improved (+ 3) to much worse (- 3). The total score ranges from + 3 to - 3, with a higher score indicating best outcome.

    Measured: Week 48

  7. Main Study: Change From Baseline to Week 48 in Time to Hypoglycemia (< 54 mg/dL [3.0 mmol/L]) During the Controlled Fasting Challenge (CFC)

    The LS mean and SE are based on MMRM analysis.

    Measured: Baseline, Weeks 36 and 48

  8. Japan Cohort: Change From Baseline to Week 48 in Time to Hypoglycemia (< 54 mg/dL [3.0 mmol/L]) During the CFC

    Measured: Baseline, Weeks 36 and 48

  9. Main Study: Change From Baseline to Week 48 in Percentage of Glucose Values in the Range of 70-120 mg/dL (3.9-6.7 mmol/L)

    The LS mean and SE are based on MMRM analysis.

    Measured: Baseline, Weeks 24, 30, 36, 42 and 48

  10. Japan Cohort: Change From Baseline to Week 48 in Percentage of Glucose Values in the Range of 70-120 mg/dL (3.9-6.7 mmol/L)

    Measured: Baseline, Weeks 24, 30, 36, 42 and 48

  11. Main Study: Number of Participants With Treatment Emergent Adverse Events (TEAEs), Adverse Events of Special Interest (AESIs), Serious TEAEs, Related TEAEs, Fatal AEs, and Discontinuation From Study or Investigational Product Due to AEs

    Adverse event (AE) is defined as any untoward medical occurrence associated with use of a drug in humans, whether or not considered drug related. TEAE is defined as any AE not present prior to initiation of drug treatment or any AE already present that worsens in either intensity or frequency following exposure to drug treatment. SAE is an AE that meets any of following criteria in view of either Investigator or Ultragenyx: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; disability/incapacity; congenital anomaly/birth defect not present at screening; other important medical events. AESIs are events of scientific or medical interest specific to drug treatment requiring further investigation and close monitoring to further characterize them. Hepatic reactions (vector-induced hepatic effects) were AESIs for this study and were defined as clinically significant increases in aminotransferase levels (AST/ALT) in the judgment of Investigator.

    Measured: PEAP Arms - TEAEs with onset from Day 1 to Week 48; Crossover and Follow-up - Placebo to DTX401 Arm: TEAEs with onset after Week 48 dosing with DTX401 to Week 144; Crossover and Follow-up DTX401 Arm: TEAEs from Week 48 to Week 144

  12. Japan Cohort: Number of Participants With TEAEs, AESIs, Serious TEAEs, Related TEAEs, Fatal AEs, and Discontinuation From Study or Investigational Product Due to AEs

    AE is defined as any untoward medical occurrence associated with use of a drug in humans, whether or not considered drug related. TEAE is defined as any AE not present prior to initiation of drug treatment or any AE already present that worsens in either intensity or frequency following exposure to drug treatment. SAE is an AE that meets any of following criteria in view of either Investigator or Ultragenyx: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; disability/incapacity; congenital anomaly/birth defect not present at screening; other important medical events. AESIs are events of scientific or medical interest specific to drug treatment requiring further investigation and close monitoring to further characterize them. Hepatic reactions were considered to be important identified risk for this study and were defined as clinically significant increases in aminotransferase levels (AST/ALT) in the judgment of Investigator.

    Measured: Day 1 to Week 48

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Dec 2021
  2. Study start8 Nov 2021
  3. Primary completion20 Feb 2024
  4. Study completion20 Feb 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
52 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05139316
Sponsor's protocol ID
DTX401-CL301
Other IDs
2020-004184-12, 2023-508750-25-00, 2023
Status last verified
Sep 2026
First submitted
14 Jul 2021
Last updated
14 Oct 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing DTX401 and Oral prednisolone in people with Glycogen Storage Disease Type IA, run by Ultragenyx Pharmaceutical Inc at 20 sites in 9 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in United States, Japan, Italy, Brazil, Canada and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 14 Oct 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Main Study: Percent Change From Baseline to Week 48 in Daily Cornstarch Intake (Grams) (time frame: Baseline, Weeks 24, 30, 36, 42 and 48). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2026.

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