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RGX-121

Phase 2

Mucopolysaccharidosis Type II (MPS II) | Gene therapy | Rare Disease |REGENXBIO Inc.|Last Updated: Jan 28, 2025

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials2
Total Enrollment54

FDA Designations

RMATORPHAN_DRUGRARE_PEDIATRIC_DISEASEFAST_TRACKACCELERATED_APPROVALPRIORITY_REVIEW

Clinical trial landscape

RGX-121 · 2 trials · 1 indication

Phase 2 1Phase 1 1
NCT03566043CAMPSIITE™ RGX-121 Gene Therapy in Subjects With MPS II (Hunter Syndrome)Mucopolysaccharidosis Type II (MPS II)
ACTIVE NOT_RECRUITING48 Analytics
PHASE2ACTIVE NOT_RECRUITING
CAMPSIITE™ RGX-121 Gene Therapy in Subjects With MPS II (Hunter Syndrome)
Mucopolysaccharidosis Type II (MPS II)Unlock trial analytics

Study Endpoints

Primary Endpoints

Part 1 Safety
24 Weeks

Number of participants with treatment-related adverse events and serious adverse events as assessed by CTCAE (Version 4.03).

Part 2 Biomarkers
52 Weeks

CSF GAG levels (as measured by D2S6)

Part 2 Neurodevelopmental parameters
52 Weeks

Neurodevelopmental function as measured by the Bayley Scales of Infant and Toddler Development, 3rd Edition (BSID-III) or Mullen Scales of Early Learning (MSEL). The Bayley Scales of Infant Development, or the BSID-III is an individually administered test, designed to evaluate the developmental functioning of infants and small children, between 1 and 42 months of age. The purpose of the test is to identify infants and children with developmental delay. The Mullen Scales of Early Learning (MSEL) is a developmental test to measure cognitive ability, language and motor development. The test has five scales: gross motor, visual reception, fine motor, receptive language, and expressive language. An increase in raw and age equivalent scores indicates neurodevelopmental skill acquisition. Standard scores compare function to age matched normative data.

Number of participants with treatment-related adverse events and serious adverse events
24 Weeks

Number of participants with treatment-related adverse events and serious adverse events as assessed by CTCAE (Version 5.0)

Secondary Endpoints

Part 1 Safety
104 Weeks
Part 1 Biomarkers
104 Weeks
Part 1 Neurodevelopmental parameters
104 Weeks
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1: RGX-121 Dose 1EXPERIMENTAL1.3x10\^10 GC/g brain mass of RGX-121
Part 1: RGX-121 Dose 2EXPERIMENTAL6.5x10\^10 GC/g brain mass of RGX-121
Part 1: RGX-121 Dose 2 Expanded CohortEXPERIMENTAL6.5x10\^10 GC/g brain mass of RGX-121
Part 1: RGX-121 Dose 3EXPERIMENTAL2.0x10\^11 GC/g brain mass of RGX-121
Part 1: RGX-121 Dose 3 Expanded CohortEXPERIMENTAL2.9x10\^11 GC/g brain mass of RGX-121 (transgene-specific PCR assay) equivalent to, 2.0x10\^11 GC/g brain mass of RGX-121 (Poly-A-specific PCR assay)
Part 2: RGX-121 Pivotal ExpansionEXPERIMENTAL2.9x10\^11 GC/g brain mass of RGX-121 (transgene-specific PCR assay)
Single ArmEXPERIMENTAL6.5 × 10\^10 GC/g brain mass of RGX-121

Interventions

NameTypeDescription
RGX-121GENETICRecombinant adeno-associated virus serotype 9 capsid containing human iduronate-2-sulfatase expression cassette
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Eligibility Criteria

Age Range4 Months to 5 Years
SexMALE
Healthy VolunteersNo
Study Sites5

Part 1 Inclusion Criteria: * The subject's legal guardian(s) is (are) willing and able to provide written, signed informed consent after the nature of the study has been explained, and prior to any research-related procedures * Is a male ≥4 months to \< 5 years of age on Day 1 * Must meet any of th...

Countries:United StatesBrazilCanada
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Frequently asked questions about RGX-121

What is RGX-121 used for?

RGX-121 is an investigational gene therapy being developed for the treatment of Mucopolysaccharidosis Type II (MPS II), also known as Hunter syndrome. It is designed for patients with this rare inherited metabolic disorder, which primarily affects males. The therapy is currently in Phase 2 clinical development.

How does RGX-121 work?

RGX-121 is a gene therapy designed to deliver a functional copy of a gene to address the underlying cause of MPS II. The therapy aims to provide a lasting source of the missing enzyme by introducing the gene into cells, potentially reducing the accumulation of harmful substances associated with the disease.

Who is developing RGX-121?

RGX-121 is being developed by REGENXBIO Inc., a biotechnology company focused on gene therapies. REGENXBIO is publicly traded under the ticker symbol RGNX on the NASDAQ stock exchange. The company is conducting clinical trials to evaluate the safety and efficacy of RGX-121 in patients with MPS II.

What phase is RGX-121 in?

RGX-121 is currently in Phase 2 clinical development. It has received multiple FDA designations, including Regenerative Medicine Advanced Therapy (RMAT), Orphan Drug, Rare Pediatric Disease, Fast Track, Accelerated Approval, and Priority Review. These designations reflect the potential of the therapy to address a serious unmet medical need.

What clinical trials is RGX-121 in?

RGX-121 is being studied in two clinical trials. The first, NCT03566043, is a Phase 2 study in subjects with MPS II, with an enrollment of 48 participants, and is active but not recruiting. The second, NCT04571970, is a Phase 1 study in children aged 5 years and over, with 6 participants, and has been completed.

Is RGX-121 the same as CAMPSIITE?

RGX-121 is also known as CAMPSIITE, as indicated by the title of one of its clinical trials. The Phase 2 trial is named 'CAMPSIITE™ RGX-121 Gene Therapy in Subjects With MPS II (Hunter Syndrome).' Both names refer to the same investigational gene therapy being developed by REGENXBIO.