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Gaucher Disease Type 1Phase 1/2GDNCT06818838

A Clinical Study Evaluating LY-M001 Injection in the Treatment of Adult Patients With Type I Gaucher Disease

A Phase 1/2 study testing LY-M001 in people with Gaucher Disease Type 1, run by Lingyi Biotech Co., Ltd. at 3 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Gaucher disease (GD) is caused by mutations in the GBA1 gene, which leads to a lack or reduction of GCase activity. The consequences of this deficiency are generally attributed to the accumulation of the GCase substrate, Glucosylceramide (GlcCer), in macrophages in the liver, spleen, kidney, bone, lung, and even the… Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Gaucher Disease Type 1
What is being tested?
LY-M001
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
3 sitesChina
Study dates
5 Jul 2024to 30 Jul 2031
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Age ≥ 18 years and ≤ 60 years, male or female.
  • The subjects should fully understand the purpose, nature, and method of this study as well as possible adverse reactions, and sign the informed consent form (ICF) voluntarily.
  • Patients with confirmed double mutations in the GBA1 allele through laboratory testing, and the glucocerebrosidase activity was reduced to less than 30% of the normal value(For example, the result of the dried blood spot (DBS) method is < 1.19 μmol/L/h), and meeting the standard clinical diagnosis criteria for GD1.
  • Patients who meet a) or b) below:
  • Treated patients with Gaucher disease type I who had previously received enzyme replacement therapy (ERT) or substrate clearance therapy (SRT) with GD, were on stable medication, eluted 5 drugs for a half-life or more before administration, or were comprehensively judged to be stable by the investigator.
  • Newly treated or untreated GD1 patients who meet one or more of the following criteria at screening:
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  • Hemoglobin ≥80g/L and less than the lower limit of normal;
  • Platelets ≥40×10^9/L and less than the lower limit of normal;
  • Hepatomegaly;
  • Splenomegaly.
  • Negative pregnancy test for female subjects of childbearing potential (WOCBP). Notes: WOCBP is defined as the absence of postmenopausal status (continuous amenorrhea of at least 12 months with no identifiable cause other than menopause), and the absence of surgical (i.e., ovarian, salpingectomy, and/or hysterectomy) or Investigator-determined cause of permanent infertility due to other causes (e.g., lenticular hypoplasia) after menarche in female subjects.
  • Subjects and their partners have no childbearing plans from the screening period to 6 months after the end of the study, and voluntarily adopt effective contraceptive measures (e.g., abstinence, condoms, etc.); subjects have no plans to donate sperm or eggs.
  • Subjects are not to donate blood during the study and for at least 1 year after the end of the study.

Who cannot join

  • AAV8 neutralizing antibody positive (Antibody titer > 1:40).
  • Patients with clinically diagnosed Gaucher disease type II or III (GD2 or GD3).
  • Active and progressive bone disease that is expected to require surgical treatment within the next 6 months.
  • Subject has idiopathic thrombocytopenic purpura (ITP), thrombotic thrombocytopenic purpura (TTP), thrombocytopenia, anemia, hepatomegaly, splenomegaly, and/or osteoporosis unrelated to GD as judged by the Investigator.
  • Treatment or disposal of investigational drugs or investigational devices received in other clinical studies within 28 days prior to screening or within 5 half-lives (drugs only), whichever is older.
  • Evidence of clinically significant liver disease, fragile liver, or history of exposure to hepatotoxins that meets, but is not limited to, any of the following at the time of screening:
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  • Progressive hepatomegaly larger than 3 times the normal volume.
  • History of stage 2 or above liver fibrosis.
  • AST, ALT, or TBIL are 1.5 times higher than ULN.
  • A history of alcohol or drug abuse within the previous 2 years (defined as having consumed more than 14 standard units of alcohol per week [1 standard unit containing 14 g of alcohol, such as 360 mL beer, 45 mL spirits containing 40% or more alcohol, or 150 mL wine]).
  • Hepatitis B surface antigen (HBsAg) positive and HBV deoxyribonucleic acid (HBV-DNA) positive (HBV-DNA>10^3 copy number /mL); Or take hepatitis B drugs (such as interferon, lamivudine, adefovir and entecavir); Or antibodies to hepatitis C virus (HCV) and positive for hepatitis C virus RNA.
  • Human immunodeficiency virus (HIV) antibody positive or Treponema pallidum antibody positive.
  • Severe hyperlipidemia (triglycerides > 11.29mol/L).
  • Uncontrolled concomitant or infectious diseases (need to be determined by the investigator based on clinical practice).
  • The subject has received or plans to receive bone marrow transplantation, hematopoietic stem cell transplantation and/or major organ transplantation, including but not limited to liver transplantation, kidney transplantation, etc.
  • Subject has received erythropoietin, transfusion, or red blood cell transfusion within 3 months prior to screening; or platelet transfusion within 1 month prior to screening.
  • Clinically diagnosed or investigator-determined serious cardiovascular disease (such as heart failure ≥3 from the New York College of Cardiology [NYHA]).
  • Hypersensitivity to any component of LY-M001 injection.
  • Previous treatment with any type of gene therapy or cell therapy.
  • Use of systemic immunosuppressive agents or steroid therapy other than those required by the protocol for prophylactic administration within 3 months prior to dosing.
  • History of cancer within 5 years prior to screening, or currently active neoplastic disease, except for basal or squamous cell carcinoma of the skin or carcinoma in situ that has been definitively treated.
  • Has received a live attenuated vaccine within 4 months prior to screening or plans to receive a live attenuated vaccine during the clinical trial.
  • Other conditions that, in the opinion of the Investigator, make the subject unsuitable for the study.

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

China3 sites, 3 recruiting
  • Guangzhou First People's Hospital

    Guangzhou, Guangdong, 510000

    Shunqing Wang, PhD, 86+13437801998, Shqwang_cn@163.com

    Shunqing Wang, PhD

    Recruiting
  • Shanxi Bethune Hospital

    Taiyuan, Shanxi, 030000

    Liangming Ma, PhD, 86+18634309908, maliangming620928@163.com

    Liangming Ma, PhD

    Recruiting
  • Hematology Hospital, Chinese Academy of Medical Sciences

    Tianjin, Tianjin Municipality, 300011

    Fengkui Zhang, PhD, 86+13821700281, fkzhang@ihcamd.ac.cn

    Fengkui Zhang, PhD

    Recruiting

Other trials in China

About this study

Official title: A Multicenter, Open, Single-arm, Single-dose, Dose-escalation, and Expanded Phase I/II Study Evaluating the Safety, Tolerability, and Efficacy of LY-M001 Injection in Adult Patients With Type I Gaucher Disease

Gaucher disease (GD) is caused by mutations in the GBA1 gene, which leads to a lack or reduction of GCase activity. The consequences of this deficiency are generally attributed to the accumulation of the GCase substrate, Glucosylceramide (GlcCer), in macrophages in the liver, spleen, kidney, bone, lung, and even the brain, inducing their transformation into Gaucher cells whose cell cytoplasm presenting a characteristic "crumpled tissue paper" appearance, leading to pathological changes in involved tissues and organs.LY-M001 Injection is an rAAV8 vector gene therapy product. It can specifically transduce the target organ liver after a single intravenous administration and express the GCase protein in liver cells for a long period of time.

Read the detailed description

The purpose of this study is to evaluate the safety, tolerability, efficacy, immunogenicity, pharmacokinetics and pharmacokinetics of LY-M001 injection in patients with GD1 using a multicenter, open, single-arm, single-dose, dose-escalation and extended clinical design. This study includes the main study phase and the long-term follow-up study phase. The primary study period is 52 weeks after LY-M001 infusion, and the long-term follow-up period is 53 weeks to 5 years after LY-M001 infusion.Subjects who complete the 52 weeks follow up period or who prematurely withdraw in this study will enter the long-term follow-up study phase to obtain long-term assessment data.

Phase I is a dose escalation study consists of three preset dose groups, including one rollback dose group and two incremental dose groups, which are: Backdose (5 × 10^12 vg/kg) group, dose group 1 (1.5 × 10^13 vg/kg) and dose group 2 (3.0 × 10^13 vg/kg), where dose group 1 was the starting dose of the Phase I study. Three subjects are enrolled in each dose group one by one, and each subject is added to the next subject after at least 28 days of DLT observation to determine safety. Phase I studies enrolled approximately 6 to 12 (up to 12) evaluable subjects.

Phase II is a dose expansion study. After all subjects in Phase I study have completed the Day 28 (D28) observation following LY-M001 infusion, the Recommended Phase 2 Dose (RP2D) will be determined by the Safety Review Committee (SRC), which will also decide whether to proceed to the dose-expansion Phase II study.

Being tested
LY-M001
Keywords
anaemia, Gene therapy
Medical subject headings
Gaucher Disease, Anemia

What participants receive

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

  • LY-M001Genetic

    Single Intravenous Infusion of LY-M001 Injection.

Study groups in NCT06818838
Study groupRoleWhat they receive
Phase I: LY-M001 BackdoseExperimentalParticipants receive a single, peripheral intravenous (IV) infusion of LY-M001 at backdose.
Receives: Genetic: LY-M001
Phase I: LY-M001 Dose group 1ExperimentalParticipants receive a single, peripheral intravenous (IV) infusion of LY-M001 at dose group 1.
Receives: Genetic: LY-M001
Phase I: LY-M001 Dose group 2ExperimentalParticipants receive a single, peripheral intravenous (IV) infusion of LY-M001 at dose group 2.
Receives: Genetic: LY-M001
Phase II: LY-M001 at the recommended doseExperimentalParticipants receive a single, peripheral IV infusion of LY-M001 at the recommended dose.
Receives: Genetic: LY-M001

What is being measured

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

  1. Phase I: Incidence of adverse events (AE) and serious adverse events (SAE) within 52 weeks after LY-M001 infusion

    Number of participants with treatment-related adverse events as assessed by CTCAE v5.0.

    Measured: From enrollment to 52 weeks after administration

  2. Phase I: Incidence rate of dose-limiting toxicity (DLT) events determined by the data safety review committee (SRC) within at least 28 days after LY-M001 infusion.

    Number of participants with treatment-related adverse events as assessed by CTCAE v5.0.The adverse events defined as dose-limiting toxicity (DLT) have been clearly specified in the protocol.

    Measured: From enrollment to 52 weeks after administration

  3. Phase I: Liver function levels (including alanine aminotransferase [ALT], aspartate aminotransferase [AST], total bilirubin [TBIL], alkaline phosphatase [ALP], gamma-glutamyl transferase [GGT]) within 52 weeks after LY-M001 infusion.

    Incidence rate of liver function-related adverse events evaluated by CTCAE V5.0.

    Measured: From enrollment to 52 weeks after administration

  4. Phase II: Blood glucocerebrosidase (GCase) activity level.

    Evaluation based on the detected values of blood glucocerebrosidase(GCase).

    Measured: From enrollment to 52 weeks after administration

  5. Phase II: The incidence rates of adverse events (AEs) and serious adverse events (SAEs), as well as the occurrence of abnormalities in 12-lead electrocardiogram (ECG) findings, vital signs, laboratory test parameters, and physical examination results.

    Number of participants with treatment-related adverse events as assessed by CTCAE v5.0.

    Measured: From enrollment to 52 weeks after administration

Secondary outcomes (15)
  1. Phase I: Liver volume and spleen volume (if applicable)

    1. Change from baseline in liver volume as measured by MRI through 52 weeks after infusion of LY-M001;
    2. Change from baseline in spleen volume as measured by MRI through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  2. Phase I: Hemoglobin levels

    Evaluate the change from baseline in hemoglobin levels through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  3. Phase I:Bone mineral density (BMD) after administration

    Evaluate the change from baseline in bone mineral density (BMD) by dual-energy X-ray absorptiometry through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  4. Phase I: Glucocerebrosidase (GCase) protein levels in blood

    Evaluate the change from baseline in GCase protein levels through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  5. Phase I: Glucosylsphingosine (Lyso-GL1) in blood

    Evaluate the change from baseline in Lyso-GL1 levels in blood through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  6. Phase I: Platelet count

    Evaluate the change from baseline in platelet count through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  7. Phase I: Bone marrow burden (BMB) after administration

    Evaluate the change from baseline in bone marrow burden as measured by MRI through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  8. Phase I: Glucocerebrosidase (GCase) enzyme activity levels in blood

    Evaluate the change from baseline in GCase enzyme activity levels in blood through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  9. Phase II: Glucocerebrosidase (GCase) protein levels in blood

    Evaluate the change from baseline in GCase protein levels in blood through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  10. Phase II: Glucosylsphingosine (Lyso-GL1) in blood

    Evaluate the change from baseline in Lyso-GL1 levels in blood through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  11. Phase II: Liver volume and spleen volume (if applicable)

    1. Change from baseline in liver volume as measured by MRI through 52 weeks after infusion of LY-M001;
    2. Change from baseline in spleen volume as measured by MRI through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  12. Phase II: Hemoglobin levels

    Evaluate the change from baseline in hemoglobin levels through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  13. Phase II: Platelet count

    Evaluate the change from baseline in platelet count through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  14. Phase II: Bone mineral density (BMD)

    Evaluate the change from baseline in bone mineral density by dual-energy X-ray absorptiometry through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

  15. Phase II: Bone marrow burden (BMB)

    Evaluate the change from baseline in bone marrow burden as measured by MRI through 52 weeks after infusion of LY-M001.

    Measured: From enrollment to 52 weeks after administration

Timeline

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

  1. First posted11 Feb 2025
  2. Study start5 Jul 2024
  3. Primary completion30 Jul 2027 (estimated)
  4. Study completion30 Jul 2031 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
12 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06818838
Sponsor's protocol ID
LY-M001-GD-101
Acronym
GD
Status last verified
Jan 2026
First submitted
24 Jan 2025
Last updated
26 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The study is in its early stages and will consider releasing data and related information when detailed and sufficient safety and efficacy data are available in subjects.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing LY-M001 in people with Gaucher Disease Type 1, run by Lingyi Biotech Co., Ltd. at 3 sites in China.

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 13 inclusion and 23 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: looking for participants now, as of the sponsor's last update on 26 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in China. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Qing Lin, PhD (86+19121572057, qing.lin@lingyimed.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase I: Incidence of adverse events (AE) and serious adverse events (SAE) within 52 weeks after LY-M001 infusion (time frame: From enrollment to 52 weeks after administration). The study lists 5 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 26 Jan 2026.

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