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AAV-GAD

Phase 1

Parkinson's Disease | Gene therapy | Neurology |MeiraGTx Holdings plc|Last Updated: Sep 5, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindNO_TREATMENT_CONTROLLEDDMC
Total Trials2
Total Enrollment27
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05894343Long-term Follow-up of Glutamic Acid Decarboxylase (GAD) Gene Transfer in Parkinson's DiseasePHASE1 ACTIVE NOT_RECRUITING 13May 19, 2023Oct 1, 2029Aug 17, 20256 United States
NCT05603312A Double-blind Study to Evaluate the Safety of Glutamic Acid Decarboxylase Gene Transfer in Parkinson's ParticipantsPHASE1 COMPLETED 14Oct 5, 2022Sep 6, 2024Sep 5, 20256 United States
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Study Endpoints
Primary Endpoints
Number of participants with study drug-related adverse events and serious adverse events
From study start until Month 60 post treatment
Incidence of Adverse Events Related to the Treatment
Baseline to Week 26

The primary outcome measure is the safety of treatment with AAV-GAD, assessed by the absence of IMP-related treatment-emergent adverse events.

Incidence of Serious Adverse Events Related to the Treatment
Baseline to Week 26

The primary outcome measure is the safety of treatment with AAV-GAD, assessed by the absence of IMP-related serious treatment-emergent adverse events.

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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Follow-up groupNO_INTERVENTIONParticipants who were randomized to immediate treatment in Study MGT-GAD-025 will transition directly to a long-term follow-up schedule to complete an additional 54 months of follow-up. All study participants are to be followed for 60 months after vector administration.
Active treatment groupEXPERIMENTALParticipants who were randomized to sham surgery in Study MGT-GAD-025 will transition to an active treatment schedule, including open-label bilateral treatment, upon confirmation of continued eligibility. Upon completion of the treatment period, participants will enter the long-term follow-up schedule to complete a total of 60 months of follow-up.
AAV-GAD Low DoseEXPERIMENTALEligible participants received bilateral infusion of AAV-GAD low dose into the STN
AAV-GAD High DoseEXPERIMENTALEligible participants received bilateral infusion of AAV-GAD high dose into the STN
Sham SurgerySHAM_COMPARATOREligible participants underwent a sham surgical procedure
Interventions
NameTypeDescription
AAV-GADGENETICBilateral infusion of AAV-GAD
AAV-GAD Low DoseGENETICBilateral infusion of AAV-GAD low dose
AAV-GAD High DoseGENETICBilateral infusion of AAV-GAD high dose
Sham SurgeryPROCEDURESham infusion
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Eligibility Criteria
Age Range25 Years — 86 Years
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: * Previously enrolled in Study MGT-GAD-025. Exclusion Criteria: * None

Countries:United States
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT05894343Phase: PHASE1/PHASE2 → PHASE1
LOWMay 24, 2026NCT05894343studyFirstPostDate: changed