Study Design for Durability Assessment
A successful long-term durability study is built upon a structured design incorporating multiple endpoints. The study protocol must be designed to quantify expression and assess physiological impact through the systematic collection and analysis of biological samples.
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Vector Biodistribution: We assess non-target tissue biodistribution to confirm the vector’s activity is localized to the intended tissues.
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Transgene Expression: Biological samples are collected at multiple time points throughout the study to enable the measurement of protein or RNA levels, mapping the expression curve over time.
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Histology: Microscopic tissue analysis provides direct evidence of transgene activity and evaluates any associated cellular changes.
This approach generates a comprehensive data package that addresses regulatory questions about long-term biological activity. The feasibility of achieving sustained, multi-year expression in primates has been demonstrated, with studies showing pharmacologically regulated expression for over six years from a single AAV administration (PMID: 15507527). This underscores the value of NHP models in predicting clinical outcomes.
Our preclinical programs are designed to meet harmonized international guidelines (ICH), supporting multi-jurisdictional IND and IMPD submissions. The infrastructure required to execute these complex programs is detailed in our overview of the preclinical value chain.
These specialized assessments are a core component of our work in Preclinical and Translational Services.