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| 4 Clinical Course of Infantile GM1 GM1 Gangliosidosis is a Continuum Disease Severity Residual Enzyme Activity 1,3 - 6 Imagine - 1 Trial will include Type I (Early Infantile) and Type IIa (Late Infantile) patients 7 Negligible ~1 - 5% ~3 – 10% Type I (Early Infantile) 1 • Onset <6 months 1 - 5 • Hypotonia 1 - 3 • Neurodegeneration 1,4,6 • Developmental regression 2 - 4,6 • Seizures 2 - 4,6 • Skeletal dysplasia 1,3,4 • Survival: <2 years 1 Type IIa (Late - Infantile) 3 • Onset 6 - 24 months 3,4 • Developmental plateau, followed by regression 2,3,5,6 • Impaired ambulation 2,4 - 5 • Impaired cognition 2,4 • Seizures 2 - 5 • Survival: 5 to 10 years 2,5 Type IIb (Juvenile) 3 • Onset 2 - 3 years 3,4 • Impaired ambulation 4,5 • Dysarthria 4,6 • Variable skeletal disease 4 - 6 • Decreased cognition 4,6 • Survival into 2nd decade 5 Type I/Early Infantile • No new developmental milestones reached after 3 - 6 months 5.8 Type IIa/Late - infantile • No new developmental milestone reached after 12 - 15 months 8 1. Brunetti - Pierri N., Scaglia F. Mol Genet Metab. 2008;94(4):391 - 396. 2. Jarnes JR, et al. Mol Genet Metab .. 2017;121(2):170 - 179. 3. Lang FM, et al. Mol Genet Metab. 2020;129(3):228 - 235. 4. Regier DS, et al. Am J Med Genet Part A .. 2016;170(3):634 - 644. 5. King KE, et al .. Mol Genet Meta Rep. 2020;25:100676. 6. Regier DS, Tifft CJ. Rothermel CE. GLB1 - related disorders. In: Adam MP, Ardinger HH, Pagon RA, et al, eds. GeneReviews® [Internet]. University of Washington, Seattle; 2019:1993 - 2022. https://www.n cbi.nlm.nih.gov/books/NBK164500/ October 17, 2013. Updated April 22, 2021. Accessed March 7, 2022. 7. Study of Safety, Tolerability and Efficacy of PBGM01 in Pediatric Subjects Wi th GM1 Gangliosidosis (Imagine - 1). ClinicalTrials.gov website https://www.clinicaltrials.gov/ct2/show/NCT04713475?term=passage+bio&draw=2&rank=3. January 19, 2021. Updated March 7, 2022. Acc essed March 7, 2022. 8. Nicoli E - R, et al. Front. Genet. 2021;12:734878. |