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Phase 1/2 Study of MZ-1866, an AAV-9 Gene Therapy Delivered by Intracerebroventricular Injection to Participants With Pitt Hopkins Syndrome

Phase 1/2 First-in-Human Study to Evaluate the Safety, Tolerability, and Efficacy of MZ-1866, an AAV-9 Gene Therapy Delivered by Intracerebroventricular Injection to Participants With Pitt Hopkins Syndrome

Status
Recruiting
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07135050
Enrollment
12
Registered
2025-08-21
Start date
2025-12-19
Completion date
2029-07-01
Last updated
2026-07-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pitt Hopkins Syndrome

Keywords

MZ-1866, AAV9 Gene Therapy, Gene Therapy, ICV, Intracerebroventricular, TCF4, PTHS

Brief summary

The goal of this clinical trial is to learn if MZ-1866 is a safe and tolerable treatment for children and adults with Pitt Hopkins Syndrome. To evaluate the safety of MZ-1866, the following will be evaluated: * frequency and severity of adverse events * physical exam, laboratory results and electrocardiogram findings Participants will: * receive a single dose of MZ-1866 by intracerebroventricular injection * be seen by the study physician and site staff periodically to assess changes to their health status * be periodically evaluated using neurodevelopmental tools Caregivers will: * be interviewed periodically about the health status and development of the participant * keep diaries and complete periodic questionnaires regarding participant symptoms

Interventions

GENETICMZ-1866

AAV-9 gene therapy delivered by intracerebroventricular injection

Sponsors

Mahzi Therapeutics
Lead SponsorINDUSTRY
California Institute for Regenerative Medicine (CIRM)
CollaboratorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
2 Years to 25 Years
Healthy volunteers
No

Inclusion criteria

* The participant has a TCF4 gene mutation confirmed as "pathogenic" or "likely pathogenic" by whole exome sequencing, whole genome sequencing, gene panel, single gene testing, or microarray, performed at an accredited laboratory * Clinical phenotype consistent with Pitt Hopkins Syndrome, in the opinion of the investigator * The participant, or the participant's parent or legal guardian, is willing to provide access to prior medical records for the collection of demographics and diagnostic and treatment history

Exclusion criteria

* A deletion that includes the TCF4 gene that is over 12 Mbp in size * Another genetic mutation or clinical comorbidity not associated with Pitt Hopkins Syndrome that could potentially confound interpretation of the study data * A central nervous system structural or vascular abnormality that is a contraindication to the ICV administration procedure, including but not limited to: signs or symptoms of increased intracranial pressure, history of a space-occupying lesion, or presence of a ventricular shunt that would preclude ICV procedures or safety assessments, or increase risk to the participant * Not able to receive prophylactic corticosteroids due to a medical contraindication or participant has a history of a condition that could worsen with corticosteroid therapy as assessed and determined by the Investigator * Not able to undergo MRI procedures * Cannot be anesthetized for the ICV injection

Design outcomes

Primary

MeasureTime frameDescription
To evaluate the safety and tolerability of MZ-1866 in participants with Pitt Hopkins SyndromeWeek 104Frequency and severity of adverse events of special interest

Secondary

MeasureTime frameDescription
To evaluate the safety and tolerability of MZ-1866 in participants with Pitt Hopkins SyndromeWeek 104Frequency and severity of adverse events
To further assess the safety and tolerability of MZ-1866 in participants with Pitt Hopkins SyndromeWeek 104Frequency of clinically significant physical examination findings, vital signs, laboratory tests and electrocardiograms that are considered outside normal range.

Countries

Israel, United States

Contacts

CONTACTEmily Radomile
clinicaltrials@mahzi.com1-844-446-2494

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 1, 2026