Improvement in cardiac and motor function with gene therapy in infantile-onset Pompe disease

Four infants with Pompe disease received an intravenous injection of GC301, a gene therapy that delivers a codon-optimized gene encoding human acid alpha-glucosidase (GAA) carried by an adeno-associated viral vector serotype 9 (AAV9).

  • After 52 weeks of observation, cardiac measurements, such as left ventricular ejection fraction, improved in three of the infants.
  • Their Hammersmith Infant Neurological Examination (HINE) scores also improved, and they achieved motor milestones such as sitting, standing, and walking with assistance.
  • No anti-GAA antibodies were detected.
  • One patient was withdrawn from the study and subsequently died.
  • The most common adverse event was respiratory tract infections.

Further studies with larger cohorts and long-term follow-up are needed to assess the safety and durability of the effect of GC301.

 

AAV9-Mediated Gene Therapy for Infantile-Onset Pompe’s Disease. X. Ma, L. Zhuang, W. Ma et al. New England Journal of Medicine. 2025 Jun. doi: 10.1056/NEJMoa2407766.

 

Gene Therapy for Infantile-Onset Pompe’s Disease. G. Parenti et N. Brunetti-Pierri. New England Journal of Medicine. 2025 Jun. doi: 10.1056/NEJMe2506264.