No stranger to gene ther­a­py woes, Astel­las runs in­to an­oth­er safe­ty-re­lat­ed clin­i­cal hold

Astel­las Phar­ma, which has been at the fore­front of un­cov­er­ing the risks as­so­ci­at­ed with gene ther­a­pies de­liv­ered by ade­no-as­so­ci­at­ed virus­es, must take an­oth­er safe­ty alarm head-on.

The FDA has slapped a clin­i­cal hold on Astel­las’ Phase I/II tri­al of a gene ther­a­py can­di­date for late-on­set Pompe dis­ease, af­ter in­ves­ti­ga­tors flagged a se­ri­ous case of pe­riph­er­al sen­so­ry neu­ropa­thy.

It marks the lat­est in a streak of set­backs Astel­las has en­coun­tered since mak­ing a splashy en­try in­to the gene ther­a­py space with its $3 bil­lion buy­out of Au­dentes. But the lead pro­gram, AT132 for the treat­ment of X-linked my­otubu­lar my­opa­thy (XLMTM), had to be halt­ed more than once af­ter a to­tal of four pa­tients died in the tri­al — and the sci­en­tif­ic com­mu­ni­ty still doesn’t have all the an­swers of what caused the deaths.

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