This study focuses on treating patients with Crigler-Najjar syndrome, a severe condition that requires daily light therapy (phototherapy) to control high levels of bilirubin in the blood. The main treatment being tested combines two medications: GNT0003, which is a gene therapy given through an intravenous infusion, and imlifidase, which is given before the gene therapy. GNT0003 contains a modified virus that carries a working copy of the UGT1A1 gene, which is defective in people with this condition.
The purpose of this study is to determine if this combination treatment can help reduce bilirubin levels in adults with Crigler-Najjar syndrome who have existing antibodies against the viral carrier. During the study, participants will receive imlifidase followed by a single dose of GNT0003. Other medications that may be used during the study include sirolimus, prednisolone, and methylprednisolone to help manage the body’s response to treatment.
The study will monitor participants for 60 months after treatment to check if the therapy is working and safe. Researchers will measure bilirubin levels in the blood and track how long participants can stay off phototherapy. They will also monitor participants’ overall health and quality of life throughout the study period.



France