An investigation by Science and Retraction Watch has uncovered details about a clinical trial that resulted in the death of its sole patient: a 6-year-old girl with a rare genetic mutation affecting her cognitive development.

Her death has never been reported publicly, even though the medical team published its preclinical work in Nature earlier this year. Also omitted from the paper and trial records.

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The family has asked the authors to withdraw the paper, and experts we spoke to raised issues they say may warrant a retraction.

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The parents felt they were in good hands. Xinhua Hospital, which is affiliated with the Shanghai Jiao Tong University School of Medicine, was acclaimed for its pediatrics department ... If all went well, the girl would be the first person in the world to receive a gene-editing therapy directed at the brain. It would rewrite the mutated gene in her neurons, restoring the needed DNA base so she could make a vital protein.

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Leading the effort was Zilong Qiu, a neuroscientist at the university’s brain center, the Songjiang Research Institute. At the time, in late March 2025, Qiu was one of several researchers around the world vying to push base editors — a more precise form of the powerful gene editor CRISPR — into custom treatments for children with rare diseases.

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Although news that base editing saved “Baby KJ” would soon rocket around the world — Science named the feat one of the runners-up for its 2025 Breakthrough of the Year — the story of what happened at Xinhua Hospital has remained hidden. An entry for the study posted to ClinicalTrials.gov has not been updated for more than a year. And when Qiu and his colleagues published proof-of-concept animal studies related to the trial in Nature early this year, they stripped the paper of references to the family and its financial contributions, noting only that “bridging the gap between preclinical research and clinical translation remains a significant challenge.”

That vague language glossed over tragedy: Seven days after the girl’s medical team infused trillions of viruses carrying the recipe for the base editor into her spinal fluid, she died of a severe immune reaction linked to the therapy, Science and Retraction Watch can now reveal.

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According to official documents and accounts provided by the girl’s parents, the hospital had allowed Qiu’s experimental treatment to proceed under a regulatory provision that does not require approval from national regulators. The lax oversight of this recent trial and the failure to publicly report the fatality “shows the gap between what is intended and what has been put in place,” says Joy Zhang, a sociologist at the University of Kent who has written about the pervasive culture of secrecy in Chinese scientific institutions.

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Seven experts in fields including genetics, virology, and bioethics who reviewed details of the Nature study and the clinical trial for Science and Retraction Watch expressed concern that Qiu and his team downplayed the trial’s risks in describing them to the parents, overlooked safety signals in animal studies, and proceeded even though success was unlikely. “This shouldn’t have gone to trial,” says Steven Gray of the University of Texas Southwestern Medical Center, who develops viruses for gene therapy.

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[–] 1 point 3 months ago

and then they covered it up so even the totally amoral science of it was bad? We wouldn't even have learned shit?

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  • 18 comments in c/science@lemmy.world view that post
    [–] 30 points 3 months ago* (last edited 3 months ago) (2 children)

    Wasn't even a deadly disease. I'm all for gen editing since it has potential to save lives but killing a 6 year okd because you would rather risk it than have an intellectually disabled child seems a bit intense.

    They paid like 800k for it so this very much feels like "I'm rich enough not to have to deal with the shame my child will bring me". They should of just accepted her, what she had was basically down syndrome.

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  • [–] 30 points 3 months ago

    I mean… the researchers lied to the parents about the risks. How are parents supposed to make an informed decision with false information.

    …Qiu and his team downplayed the trial’s risks in describing them to the parents, overlooked safety signals in animal studies, and proceeded even though success was unlikely. “This shouldn’t have gone to trial,” says Steven Gray of the University of Texas Southwestern Medical Center… … “Learning the reality of these missing safeguards has fundamentally changed how we now view the entire project,” says the father… “We did not realize how unusual and dangerous many of the arrangements were.

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  • [–] [S] 6 points 3 months ago*

    Yupppp, which is what IMO made this whole thing extra tragic. The disease wasn't even that bad to begin with... definitely didn't necessitate literally doing the very first in-brain gene editing (which is why they needed much higher viral dose... which caused the death)

    I have no clue where the family coughed up the $800K though. They don't seem to be the particularly rich type based on what the news report was saying, but maybe the parents did hide some information...?

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  • [–] 6 points 3 months ago (9 children)

    Can they edit the depression and OCD out of my genes?

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  • [–] 1 point 3 months ago* (1 child)

    Not currently and this would be very difficult. These disorders are linked to the physical and chemical structure of the brain. The physical structure in particular develops as you become an adult and it would be fairly difficult to reverse once this happens. Shaping the formation process in younger people would be much easier.

    The chemistry component might be easier to alter but then why not just use a safer and more reversible chemical approach for that?

    Plus a lot of depression is highly linked to the environment you are in. I know it was for me. Changing to a healthier environment is the best cure for most people, though there are some for whom it won't work.

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  • [+] -26 points 3 months ago (4 children)

    Good money in anti-china news these days.. Narratives seem to be turned on/off like a faucet..

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  • 16 comments in c/science@mander.xyz view that post
    [–] 6 points 3 months ago*

    At times during the conversation, Linda became overwhelmed and turned away from the camera, as Jason pressed on. They recalled that when Mei’s birthday came around earlier this year, they said nothing to each other, though they both assumed it was on the other’s mind.

    “We do not discuss that,” Linda said.

    During the call, Linda finally told her husband how she had spent that day. While he was at work, she finally returned to the old apartment and sat down on Mei’s bed surrounded by all her things. She had purchased a chocolate cupcake on the way and now picked at it as she imagined that her daughter was still at her side.

    By the time she finished telling her story, Jason was welling up. Linda glanced over at him tenderly. “My husband didn’t know this,” she said. “I cannot cry every day, but that day, I think, I can cry in the room.”

    Oh man...

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  • [–] 16 points 3 months ago (11 children)

    she died of a severe immune reaction linked to the therapy

    Yeah that's something that should have been tested for prior to actually starting the therapy.

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  • [–] 8 points 3 months ago* (last edited 3 months ago) (7 children)

    How? I mean the way every drug for example is tested for safety, they give it to people (healthy volunteers) in escalating doses, and watch them for adverse effects.
    Rarely, it happens that a drug that was expected to be safe based on animal testing turns out to be dangerous in humans, and healthy volunteers die. It’s a tragedy, it happens rarely, but it happens, and safety trials are still the best way to start the process of clinical trials for new drugs. For some treatments, such as gene therapy, it’s not ethical to ask a volunteer to just try it to see if it’s safe. So they look for sick people, who are consenting to risking a new treatment with unproven safety, because their other choice is to not be treated.
    This is how it’s always done. I wonder what you mean when you say the treatment should be tested for safety before giving it to patients.

    Edit: this was a personalized experimental treatment developed specifically for this girl, on the parents’ initiative. The clinical team did test for antibodies against the virus before injecting the AAV into the csf. Lots of shady and wrong things on the research side, I’m not protecting them, just disagreeing with the previous comment that this tragedy would have been prevented by a simple test.

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  • [–] -4 points 3 months ago (6 children)

    A virus that doesn't actually do anything is how. Or a test injection that doesn't have any virus at all, if the reaction was to something else in it.

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  • [–] 7 points 3 months ago (4 children)

    Neither of those things is what the patient received. Do you mean they should test the vector without the payload on the patient? If the adverse reaction is to the vector, the patient would then experience the negative effects without a chance of getting any benefits. So why not give the real thing then? If you mean a control vector should be tested on healthy volunteers, idk, maybe, but it’s hard to come up with a relevant control that certainly doesn’t do anything to dna.

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  • [–] -4 points 3 months ago (3 children)

    If the adverse reaction is to the vector, the patient would then experience the negative effects without a chance of getting any benefits.

    Yeah but she wouldn't be fucking dead.

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  • [–] 2 points 3 months ago (2 children)

    Wtf. If she died from the dna editing, doing the test you mention wouldn’t have prevented it. If she died from the formulation, she would have died from the test you talk about. I don’t see a scenario where a test with a control virus makes a difference.

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  • [–] 0 points 3 months ago (1 child)

    An allergy test uses small amounts to test for a reaction.

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  • [–] 8 points 3 months ago

    She died in kidney failure and thrombotic microangiopathy, not an allergic reaction. They did test for antibodies against the virus. The injection was directly into the cerebrospinal fluid, not exactly the same exposure you get with a skin allergy test.

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  • [–] 5 points 3 months ago

    It has to be the exact virus or it's irrelevant, and it kind of can't be done.

    The virus has to get to the brain and spread around and "infect" cells in order to edit the DNA. It's why it had trillions of the virus. It needs a slow and unprepared immune response so it can do the editing.

    If they did a small dose test, you just vaccinated her against the virus. Her immune system would more quickly go after and destroy the virus. They expected her to get sick. They didn't expect it to get that bad. She needed more powerful immunosuppressants beforehand.

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  • [–] 3 points 3 months ago* (last edited 3 months ago) (2 children)

    Turns out they did on both mice and primates, and the side effect is also evaluated:

    Another potential concern, however, emerged about 1 month before Mei was treated: the final conclusions of a primate toxicology study conducted at PriMed. The company’s report, dated 17 February 2025, concluded all four monkeys that received the therapy, whether at low or high doses, developed moderate to severe liver damage.

    However, the ethics board did not review the safety report:

    An ethics panel at Xinhua Hospital in China approved a gene-editing trial, but had not reviewed primate data suggesting safety concerns. Another hospital panel later concluded the experimental treatment was “definitely related” to Mei’s death.

    Even worse, the brain development data from the primate study is entirely unconvincing:

    But four of the experts Science asked to assess this figure, including one of the original reviewers of the Nature manuscript, expressed concerns about how well the primate proof-of-concept study was conducted. The submitted paper had no control samples to show the stain was selectively highlighting the gene editor. “It’s completely unconvincing,” says David Sanders, a biochemist at Purdue University who has studied gene therapy. “One can’t have the confidence that one isn’t mostly looking at background staining.”

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  • [–] 4 points 3 months ago

    Blinded by fame and greediness

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  • [–] 4 points 3 months ago

    This is sad, but its going to happen quite a few more times before they really understand large scale gene editing. And even after they do understand it better, probably some percentage of the time its gonna go wrong.

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  • [–] 2 points 3 months ago