Pfizer Pauses Experimental Gene Therapy Trial After Boy’s ‘Sudden’ Death

Pfizer said it is working with regulators and the Data Monitoring Committee to learn more about the boy’s potential cause of death.
Pfizer Pauses Experimental Gene Therapy Trial After Boy’s ‘Sudden’ Death
A man wearing facemask and shield walks past the Pfizer headquarters in New York City, on March 11, 2021. (Kena Betancur/AFP/Getty Images)
Katabella Roberts
5/8/2024
Updated:
5/8/2024
0:00

Pharmaceutical giant Pfizer Inc. has halted a study of an experimental gene therapy for muscular dystrophy after a child who received the treatment died due to cardiac arrest.

The New York City-headquartered drugmaker revealed the boy’s sudden death in a community letter shared by the nonprofit advocacy group Parent Project Muscular Dystrophy (PPMD).
The child—who was not identified by the company—received the investigational recombinant adeno-associated virus gene therapy known as fordadistrogene movaparvovec as part of Pfizer’s phase 2 “DAYLIGHT” study for Duchenne muscular dystrophy (DMD) in early 2023, the company said.

According to Pfizer, the “DAYLIGHT” study enrolled children between the ages of two and four.

The study has since concluded, Pfizer said.

Meanwhile, initial dosing for a placebo-controlled, randomized Phase 3 trial assessing its DMD therapy, which is called CIFFREO, was also completed in 2023, the company said.

The trial used a crossover design to examine whether fordadistrogene movaparvovec could slow the progression of DMD in boys aged four to less than eight years, compared to a placebo.

However, as a result of the boy’s death, Pfizer has paused dosing associated with the cross-over portion of the CIFFREO trial while it investigates the death.

The drugmaker added that it is working with regulators and the independent external Data Monitoring Committee to learn more about the boy’s potential cause of death.

Safety, Well-Being of Patients a ‘Top Priority’

“On behalf of everyone at Pfizer, we extend our sympathies to his family, friends, and those closest to his care,” Pfizer wrote in the letter.

“The safety and well-being of the patients in our clinical trials remains our top priority, and we are committed to sharing more information with the medical and patient community as soon as we can,” the company continued. “We are also aware that many in the patient community are hopeful about the potential benefit of fordadistrogene movaparvovec for the treatment of DMD, and we will continue to collect data from our trials to evaluate its ability to address this disease.”

While Pfizer has paused dosing in the CIFFREO trial, other trial activities are continuing as scheduled, the company said.

“Beyond CIFFREO, the dosing pause does not apply to other ongoing trials in the fordadistrogene movaparvovec program as dosing has been completed in those studies,” the pharmaceutical giant wrote in the letter.

Duchenne muscular dystrophy is one of the most severe forms of genetic muscular dystrophy, according to the National Institutes of Health (NIH).
The condition is characterized by progressive muscle degeneration and weakness which are caused by alterations to a protein called dystrophin, which helps keep muscle cells intact, according to the Muscular Dystrophy Association.
Pfizer logo in this illustration taken, on May 1, 2022. (Dado Ruvic/Illustration/Reuters)
Pfizer logo in this illustration taken, on May 1, 2022. (Dado Ruvic/Illustration/Reuters)

Duchenne Muscular Dystrophy Symptoms

Symptoms of DMD are typically exhibited early on in childhood around the ages of two and three, and include difficulty jumping, running, and walking as well as enlargement of the calves, a waddling gait, and an inward curve of the spine, the association states.

As the disease progresses, DMD can impact the heart and respiratory muscles leading to impaired pulmonary function, which can eventually cause acute respiratory failure.

While the condition primarily affects boys; with an estimated one in every 3,500 male births impacted worldwide, girls may be impacted in rare cases too, according to the association.

This is not the first time someone has died from Pfizer’s gene therapy candidate.

The company revealed in 2021 that a young male participant had died in the non-ambulatory cohort of its Phase 1b mini-dystrophin gene therapy trial for DMD, and shared its sympathies to his family, friends, and “those closest to his care.”
As a result of that death, the Food and Drug Administration (FDA) placed the company’s Investigational New Drug (IND) Application on clinical hold before lifting the hold in April 2022.
News of the boy’s death comes after Mikael Dolsten, Pfizer’s CSO and president of research & development, touted fordadistrogene movaparvovec during the company’s third-quarter 2023 earnings call in October, calling it the “main game in town.”

“I think our gene therapy for DMD have shown a very consistent effect across biomarkers and functional end points,” Mr. Dolsten said at the time, adding that functional data the company had reported up until that point had given “encouraging signals in both the younger and the slightly older boys.”

“This makes our gene therapy, in a way, the main game in town,” Pfizer’s CSO said.

The Epoch Times has contacted Pfizer for further comment.

Katabella Roberts is a news writer for The Epoch Times, focusing primarily on the United States, world, and business news.