Evidence map›Paper›PMID 42674977›Full record

Trial reportJournal of inherited metabolic disease2026

Phase 3 Randomized Trial Results of DTX401 AAV Gene Therapy for the Treatment of GSDIa.

John J Mitchell, Jose E Abdenur, Foekje de Boer, Monica Boyer, Margo Sheck Breilyn, María-Luz Couce, Diva D De Leon, Terry G Derks, Areeg El-Gharbawy, Andrea B Haijer-Schreuder and 28 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Journal of inherited metabolic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

38 authors.

John J MitchellMontreal Children's Hospital, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0002-6055-6858
Jose E AbdenurRady Children's Health, Orange, California, USA.
Foekje de BoerUniversity of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Section of Metabolic Diseases, Groningen, the Netherlands.ORCID https://orcid.org/0009-0002-5179-9484
Monica BoyerRady Children's Health, Orange, California, USA.
Margo Sheck BreilynMount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0002-8786-4543
María-Luz CouceHospital Clínico Universitario de Santiago de Compostela, IDIS, CIBERER, Santiago de Compostela, Spain.ORCID https://orcid.org/0000-0003-4861-9905
Diva D De LeonChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-1225-8087
Terry G DerksUniversity of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Section of Metabolic Diseases, Groningen, the Netherlands.ORCID https://orcid.org/0000-0002-7259-1095
Areeg El-GharbawyDuke University Medical Center, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-0682-388X
Andrea B Haijer-SchreuderUniversity of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Section of Metabolic Diseases, Groningen, the Netherlands.ORCID https://orcid.org/0000-0002-9050-5808
Karen LoechnerUniversity of Connecticut, Farmington, Connecticut, USA.
Nicola LongoUniversity of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0002-3677-1216
Allan M LundCentre for Inherited Metabolic Diseases, Rigshospitalet, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-6091-7879
Miguel Angel Martinez OlmosHospital Clínico Universitario de Santiago de Compostela, IDIS, CIBEROBN, Santiago de Compostela, Spain.
Shawn E McCandlessChildren's Hospital Colorado, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0001-5719-1520
Bibiana Mello de OliveiraHospital de Clinicas de Porto Alegre, Porto Alegre, Brazil.ORCID https://orcid.org/0000-0002-2679-6858
Malaya MountUniversity of Connecticut, Farmington, Connecticut, USA.
Nicole MuscholUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Kristina PytlakCleveland Clinic Childrens, Cleveland, Ohio, USA.
Kadakkal RadhakrishnanCleveland Clinic Childrens, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-9111-8316
Rebecca Riba-WolmanUniversity of Connecticut, Farmington, Connecticut, USA.
David F Rodriguez-BuriticaDepartment of Pediatrics, Division of Medical Genetics, McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth Houston) and Children's Memorial Hermann Hospital, Houston, Texas, USA.ORCID https://orcid.org/0000-0003-1836-9853
Alessandro La RosaPediatric Clinic and Endocrinology Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID https://orcid.org/0000-0003-0020-9413
Alessandro RossiDepartment of Translational Medicine, University of Naples Federico II, Naples, Italy.ORCID https://orcid.org/0000-0002-1689-4948
Heather SaavedraDepartment of Pediatrics, Division of Medical Genetics, McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth Houston) and Children's Memorial Hermann Hospital, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-1169-7072
René SanterUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID https://orcid.org/0000-0002-3670-5657
Brian ShayotaUniversity of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0003-4657-6454
G Peter A SmitUniversity of Groningen, University Medical Center Groningen, Beatrix Children's Hospital, Section of Metabolic Diseases, Groningen, the Netherlands.ORCID https://orcid.org/0009-0006-0855-0615
Carolina F Moura De SouzaHospital de Clinicas de Porto Alegre, Porto Alegre, Brazil.ORCID https://orcid.org/0000-0002-7280-6260
Melanie M van der KlauwDepartment of Endocrinology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0001-7178-009X
David A WeinsteinUniversity of Connecticut, Farmington, Connecticut, USA.ORCID https://orcid.org/0000-0002-1341-9367
Joseph I WolfsdorfBoston Children's Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-6220-6758
Anne BlakeUltragenyx Pharmaceutical Inc., Novato, California, USA.
Andrew A GrimmUltragenyx Pharmaceutical Inc., Novato, California, USA.
Deepali MitragotriUltragenyx Pharmaceutical Inc., Novato, California, USA.
Syeda RahmanUltragenyx Pharmaceutical Inc., Novato, California, USA.
Diane M Turner-BowkerUltragenyx Pharmaceutical Inc., Novato, California, USA.ORCID https://orcid.org/0000-0002-8491-5704
Richard CollisUltragenyx Pharmaceutical Inc., Novato, California, USA.

Funding

Ultragenyx Pharmaceutical
6 · The paper itself

Abstract

Glycogen storage disease type Ia (GSDIa) is a rare, life-threatening inherited carbohydrate metabolism disorder caused by biallelic pathogenic G6PC gene variants resulting in deficiency of glucose-6-phosphatase. DTX401 is an investigational AAV8 vector containing the human G6PC gene. DTX401-CL301 is a pivotal, phase 3, double-blind, randomized, placebo-controlled trial of DTX401 in patients ≥ 8 years with GSDIa. The primary endpoint was percent change from Baseline to Week 48 in daily cornstarch intake for the DTX401 versus placebo group. Participants were randomly assigned (1:1) to blinded DTX401 or placebo. After the 48-week Primary Efficacy Analysis Period (PEAP), participants crossed over in a blinded manner for an additional 48-week blinded Crossover Period. Following randomization: 21 participants received DTX401; 25 received placebo. At Week 48, DTX401 treatment resulted in a statistically significant least squares (LS) mean (SE) daily cornstarch intake reduction of 41% (4.6) versus 10% (4.1) for Placebo (p < 0.0001). Clinical meaningfulness was evidenced by a mean desired percent reduction in daily cornstarch intake among those reporting in Baseline interviews (n = 33) of 45% (median = 41%). Greater and faster reductions in cornstarch were observed at Week 96 for the Crossover DTX401 group compared with the DTX401 group in the PEAP. The DTX401 safety profile was acceptable, and expected hepatic reactions consisting of transaminase elevations were managed with prophylactic corticosteroids. Treatment with DTX401 resulted in both a statistically significant and clinically meaningful reduction in cornstarch intake in the 48-week PEAP versus placebo, with greater cornstarch reductions in both groups at Week 96.

Indexed as

DependovirusGenetic TherapyGlucose-6-PhosphataseGlycogen Storage Disease Type IAdolescentAdultChildCross-Over StudiesDouble-Blind MethodFemaleGene Therapy AgentsGenetic VectorsHumansMaleStarchTreatment OutcomeGlucose-6-PhosphataseStarchAAV8DTX401gene therapyGSDIa

Identifiers

PMID42674977
PMCPMC13529436

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.