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AAV2-hAQP1

Phase 2

Grade 2 and 3 Late Xerostomia Caused by Radiotherapy for Cancers of the Upper Aerodigestive Tract, Excluding the Parotid Glands | Gene therapy | ENT |MeiraGTx Holdings plc|Trials Updated: Aug 24, 2026

AAV2-hAQP1 development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Aug 2024

AAV2-hAQP1 target and mechanism

Molecular targetAQP1
ModalityGene therapy

Also known as AAV2-hAQP1 Concentration 1

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment583

FDA Designations

RMATORPHAN_DRUGBREAKTHROUGH_THERAPY

AAV2-hAQP1 clinical trials

AAV2-hAQP1 · 3 trials · 4 indications

Phase 2 2Phase 1 1
NCT06544798Long-term Follow-up of Gene Therapy for Radiation-Induced XerostomiaGrade 2 and 3 Late Xerostomia Caused by Radiotherapy for Cancers of the Upper Aerodigestive Tract, Excluding the Parotid Glands
ENROLLING BY_INVITATION276 Analytics
NCT05926765A Study of AAV2-hAQP1 Gene Therapy in Participants With Radiation-Induced Late XerostomiaGrade 2 and 3 Late Xerostomia Caused by Radiotherapy for Cancers of the Upper Aerodigestive Tract, Excluding the Parotid Glands
ACTIVE NOT_RECRUITING290 Analytics
PHASE2ENROLLING BY_INVITATION
Long-term Follow-up of Gene Therapy for Radiation-Induced Xerostomia
Grade 2 and 3 Late Xerostomia Caused by Radiotherapy for Cancers of the Upper Aerodigestive Tract, Excluding the Parotid GlandsUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
A Study of AAV2-hAQP1 Gene Therapy in Participants With Radiation-Induced Late Xerostomia
Grade 2 and 3 Late Xerostomia Caused by Radiotherapy for Cancers of the Upper Aerodigestive Tract, Excluding the Parotid GlandsUnlock trial analytics

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
Change from Baseline to Month 12 in Xerostomia-specific Questionnaire (XQ) Total Score
12 months

The XQ consists of 8 symptom-specific questions the participant rates from 0 (not present) to 10 (worst possible). The XQ Total Score is the sum of all individual item ratings and ranges from 0 to 80.

Safety of vector
36 months

Secondary Endpoints

Change from Baseline to Month 12 in unstimulated whole saliva flow rate
12 months
The number of participants with treatment-emergent adverse events (AEs) and serious adverse events (SAEs)
from Baseline to Month 12
Efficacy of treatment
36 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Follow-up groupNO_INTERVENTIONParticipants who were randomized to AAV2-hAQP1 treatment in Study MGT-AQP1-201 will continue in this long-term follow-up schedule to complete an additional 48 months of follow-up after their end-of-study visit in Study MGT-AQP1-201. All study participants are to be followed for a period of 60 months after vector administration.
Active treatment groupEXPERIMENTALParticipants who were randomized to placebo treatment in Study MGT-AQP1-201, will be offered to transition from the long-term follow-up schedule to an active treatment schedule at the time of unblinding. Study drug administration should be completed after unblinding and after confirmation of the participant's continued eligibility for treatment. Upon completion of the 12-month primary treatment period, participants will continue in the study according to a follow-up schedule, to complete a total of 60 months of follow-up after AAV2-hAQP1 administration.
Cohort 1: AAV2-hAQP1 Group 1EXPERIMENTALEligible participants will receive up to 3 mL of concentration 1 of AAV2-hAQP1 via Stensen's duct to each parotid gland
Cohort 1: AAV2-hAQP1 Group 2EXPERIMENTALEligible participants will receive up to 3 mL of concentration 2 of AAV2-hAQP1 via Stensen's duct to each parotid gland
Cohort 1: Placebo groupPLACEBO_COMPARATOREligible participants will receive up to 3 mL of diluent via Stensen's duct to each parotid gland
Cohort 2: AAV2-hAQP1 Group 3EXPERIMENTALEligible participants will receive up to 3 mL of concentration 3 of AAV2-hAQP1 via Stensen's duct to each parotid gland
Cohort 2: AAV2-hAQP1 Group 4EXPERIMENTALEligible participants will receive up to 3 mL of concentration 4 of AAV2-hAQP1 via Stensen's duct to each parotid gland
Cohort 2 Placebo groupPLACEBO_COMPARATOREligible participants will receive up to 3 mL of diluent via Stensen's duct to each parotid gland
single arm dose escalationEXPERIMENTALsingle arm dose escalation

Interventions

NameTypeDescription
AAV2-hAQP1GENETICAdministration of a prespecified concentration of AAV2-hAQP1 via Stensen's duct to each parotid gland
AAV2-hAQP1 Concentration 1GENETICAdministration of concentration 1 of AAV2-hAQP1 via Stensen's duct to each parotid gland
AAV2-hAQP1 Concentration 2GENETICAdministration of concentration 2 of AAV2-hAQP1 via Stensen's duct to each parotid gland
PlaceboOTHERAdministration of diluent via Stensen's duct to each parotid gland
AAV2-hAQP1 Concentration 3GENETICAdministration of concentration 3 of AAV2-hAQP1 via Stensen's duct to each parotid gland
AAV2-hAQP1 Concentration 4GENETICAdministration of concentration 4 of AAV2-hAQP1 via Stensen's duct to each parotid gland
AAV2hAQP1BIOLOGICALInfusion of gene therapy
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria: * Received study drug in Study MGT-AQP1-201 Exclusion Criteria: * Withdrew consent to participate in Study MGT-AQP1-201.

Countries:United StatesCanadaUnited Kingdom
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Recent Changes (Last 90 Days)

MEDIUMSep 24, 2026NCT02446249TRIAL_REMOVED: changed
MEDIUMSep 24, 2026NCT02446249TRIAL_REMOVED: changed
MEDIUMSep 24, 2026NCT02446249TRIAL_REMOVED: changed
HIGHAug 24, 2026NCT02446249Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHAug 24, 2026NCT02446249Status: ACTIVE_NOT_RECRUITING → COMPLETED
MEDIUMAug 1, 2026NCT05926765Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMAug 1, 2026NCT05926765Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMAug 1, 2026NCT05926765Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about AAV2-hAQP1

What is AAV2-hAQP1 used for?

AAV2-hAQP1 is an investigational gene therapy being developed for grade 2 and 3 late xerostomia caused by radiotherapy for cancers of the upper aerodigestive tract, excluding the parotid glands. It is also studied in squamous cell head and neck cancer with radiation-induced xerostomia and salivary hypofunction.

What does AAV2-hAQP1 target?

AAV2-hAQP1 targets aquaporin-1, or AQP1. It is an adeno-associated viral vector that delivers the human AQP1 gene to salivary glands, with the aim of restoring water transport and improving saliva production in patients with radiation-induced xerostomia.

Who is developing AAV2-hAQP1?

AAV2-hAQP1 is being developed by MeiraGTx Holdings plc, which trades on the Nasdaq under the ticker MGTX. The company is the sponsor of the clinical program evaluating this gene therapy in radiation-induced xerostomia.

What phase is AAV2-hAQP1 in?

AAV2-hAQP1 is in Phase 2 clinical development. It has not been approved by the FDA and remains investigational. The program has received RMAT, orphan drug, and breakthrough therapy designations from the FDA.

What clinical trials is AAV2-hAQP1 in?

AAV2-hAQP1 has been studied in three trials: a completed Phase 1 trial, NCT02446249, and two Phase 2 trials, NCT05926765 and NCT06544798. The Phase 2 trials are randomized, double-blind, and placebo-controlled, enrolling adults in the United States, Canada, and the United Kingdom.

Is AAV2-hAQP1 the same as AAV2hAQP1?

Yes, AAV2-hAQP1 is also known as AAV2hAQP1 and AAV2-hAQP1 Concentration 1. These names refer to the same investigational gene therapy developed by MeiraGTx Holdings plc for radiation-induced xerostomia.