The exact cause of a fourth death in the Phase I/II ASPIRO study of Astellas Pharma, Inc.’s gene therapy AT132 in X-linked myotubular myopathy (XLMTM) remains under investigation. But while it occurred in a disease whose patients are already known to be highly vulnerable, it comes at an awkward time as the safety of adeno-associated viral (AAV) vector-based gene therapies are facing increased scrutiny.
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