Neurogene Halts High Dose NGN-401 Trials After Patient Death, Focuses on Low Dose Efficacy

A patient involved in the Neurogene clinical trial for Rett syndrome has died after receiving a high dose of their gene therapy candidate, NGN-401. The patient, who was the third to be administered this high dose, succumbed to a rare hyperinflammatory syndrome associated with high doses of adeno-associated virus (AAV), commonly used in such therapies[1]. Following this tragic event, Neurogene halted the high-dose trials but has been allowed by the FDA to continue testing with lower doses, which have demonstrated encouraging safety and efficacy results[2]. Chief Financial Officer Christine Mikail noted that the tripled dosage was part of an exploration into its effects, and some adverse reaction was anticipated[1].
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What safety measures are being implemented in the low-dose NGN-401 trials to prevent similar adverse events?
How has the recent patient death affected the overall timeline and future plans for Neurogene's NGN-401 clinical trials?
In what ways is Neurogene planning to communicate these trial changes to patients and stakeholders?
Are there potential modifications or new guidelines in the FDA's regulatory strategy in response to high-dose gene therapy risks?
How is Neurogene ensuring their low-dose trials adequately address safety while also demonstrating sufficient efficacy to regulators?