Pompe disease is a hereditary genetic disease that causes deficiency of an enzyme – acid alpha-glucosidase – which affects the heart and leads to muscle weakness and breathing difficulties. A product featuring technologies developed at Genethon is currently undergoing clinical trials by Spark Therapeutics.
The product was licensed to Spark, which finalized the pre-clinical development, carried out the clinical development and is now the sponsor of the clinical trial started in 2021.
What is Pompe disease?
Pompe disease is a hereditary genetic disorder caused by a deficiency of acid alpha-glucosidase leading to build-up of glycogen in the lysosomes, which then causes cell damage in various tissues, in particular the heart, the muscles, the liver and the nervous system. In newborns with a serious form of the disease, the cardiac muscle is often affected; this is the main cause of death. In patients with a late-onset form, the respiratory system and mobility are generally the most affected by the disease, often requiring the use of a wheelchair and respiratory assistance, and life expectancy can be reduced.
Enzyme replacement therapy (ERT) is available for Pompe disease, but its effectiveness is limited and immunogenicity is high especially in the infant form of the disease, since the body’s defenses gradually neutralize this molecule as the therapy is administered. As a result, this approach cannot fully correct the pathological build-up of glycogen in the nerve tissues and the skeletal muscles.
Pompe disease: Genethon’s role
Genethon has developed a gene therapy product to correct the build-up of glycogen in the muscle and the central nervous system, and to improve cardiac hypertrophy as well as muscular and respiratory malfunction in a mouse model of the disease.
Pompe disease: what’s happening today?
Genethon has collaborated since 2017 with the bio-pharmaceutical company Spark Therapeutics to prepare a clinical trial to adjust and develop a viral gene therapy targeting the liver to treat Pompe disease.
Spark Therapeutics began a clinical trial in 2021 (NCT04093349) to test SPK-3006, a product resulting from the collaboration with Genethon. The goal of this study is to assess the harmlessness, tolerance and effectiveness of an intravenous injection of SPK-3006 in adults with the late-onset form of Pompe disease, receiving enzyme replacement therapy (ERT). This study is scheduled to take place in American centers, then European ones.