Clinical trial • Phase I/II • Neurology|Rare Disease

2'-O-(2-METHOXYETHYL) MODIFIED ANTISENSE OLIGONUCLEOTIDE TARGETING UBE3A ANTISENSE TRANSCRIPT RNA for Angelman syndrome

Phase I/II trial of 2'-O-(2-METHOXYETHYL) MODIFIED ANTISENSE OLIGONUCLEOTIDE TARGETING UBE3A ANTISENSE TRANSCRIPT RNA for Angelman syndrome.

Overview

Trial Therapeutic Area
Neurology|Rare Disease
Trial Disease
Angelman syndrome
Trial Stage
Phase I/II
Drug Modality
Oligonucleotide
Paediatric Trial
Yes
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
16-07-2024
First CTIS Authorization Date
28-08-2024

Trial design

open-label, adaptive Phase I/II trial across 2 sites in France, Italy.

Open Label
Yes
Adaptive
True, ascending dose-levels (dose-escalation design) of multiple intrathecal bolus administrations of ION582; specific escalation rules, dose levels and stopping rules not provided in available record.
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
51

Eligibility

Recruits 51 paediatric patients.

Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected = true). Enrollment includes children (ages 0-50 years specified for inclusion). Consent must be provided by parent(s) or legal guardian(s) as stated: "Male or female between the ages of 0-50 years of age, with signed informed consent from parent(s) or legal guardian(s)". Study documents include separate caregiver and study participant ICFs; no explicit mention of assent process or age-specific assent requirements is provided in the available record.

Inclusion criteria

  • {"criterion_text":"- Participant has a documented and certified diagnosis of Angelman syndrome (ubiquitin-protein ligase E3A deletion or UBE3A mutation)"}
  • {"criterion_text":"- Male or female between the ages of 0-50 years of age, with signed informed consent from parent(s) or legal guardian(s)"}
  • {"criterion_text":"- Currently receiving stable standard of care treatments such as, stable doses of anti-epileptic medication, behavioral management medications, sleep medications, gabapentin, cannabidiol, and including special diets, supplements or nutritional support for at least 3 months prior to first dose."}
  • {"criterion_text":"- Follow good study practice and not participate in the sharing of personal or study information on social media platforms, such as any website or social media site (e.g., Facebook, Instagram, Twitter, YouTube, etc.) until notified that the study is completed."}
  • {"criterion_text":"- Other protocol-defined inclusion criteria apply"}

Exclusion criteria

  • {"criterion_text":"- Has documented molecular AS confirmation of paternal uniparental disomy or imprinting defect"}
  • {"criterion_text":"- Any clinically significant cardiovascular, endocrine, hepatic, renal, pulmonary, gastrointestinal, neurologic, malignant, metabolic, psychiatric, or other condition that, in the judgment of the Investigator, will pose a safety risk, will make the patient unsuitable for participation in, and/or unable to complete the study procedures. Has poorly controlled seizures as determined by the Investigator or has documented Status Epilepticus in the past 6 months that could pose a safety risk while on study"}
  • {"criterion_text":"- Known bone, spine, bleeding, or other disorder that exposes the patient to risk of injury or unsuccessful lumbar puncture. Previous treatment with an oligonucleotide (including small interfering ribonucleic acid, antisense oligonucleotide). COVID-19 vaccinations are allowed."}
  • {"criterion_text":"- Any prior use of gene therapy. Have any other conditions, which, in the opinion of the Investigator would make the participant unsuitable for inclusion or could interfere with the participant taking part in or completing the study."}
  • {"criterion_text":"- Other protocol-defined exclusion criteria apply"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- To evaluate the safety and tolerability of single and multiple doses of ION582 (incidence, severity, and dose-relationship of adverse effects and changes in the laboratory parameters)","definition_or_measurement_approach":"Assessment based on incidence, severity, and dose-relationship of adverse effects and changes in laboratory parameters (safety and tolerability endpoints as stated)."}

Secondary endpoints

  • {"endpoint_text":"- Maximum Observed Plasma Concentration of ION582","definition_or_measurement_approach":"Measurement of plasma concentration (Cmax) of ION582 as observed in sampled plasma."}
  • {"endpoint_text":"- Time to Reach Maximal Plasma Concentration of ION582","definition_or_measurement_approach":"Measurement of time to observed maximal plasma concentration (Tmax) of ION582."}
  • {"endpoint_text":"- Plasma Elimination Half-Life of ION582","definition_or_measurement_approach":"Determination of plasma elimination half-life (t1/2) of ION582 from plasma concentration–time data."}
  • {"endpoint_text":"- Concentration ION582 in cerebrospinal fluid","definition_or_measurement_approach":"Measurement of ION582 concentration in cerebrospinal fluid (CSF)."}

Recruitment

Planned Sample Size
51
Recruitment Window Months
85
Consent Approach
Informed consent must be provided by parent(s) or legal guardian(s) for participants (inclusion text: "Male or female between the ages of 0-50 years of age, with signed informed consent from parent(s) or legal guardian(s)"). Study documents include subject information and informed consent forms for caregivers and study participants (documents listed for France and Italy). A French translation of study titles/documents is present; participant information/ICF versions exist for the relevant Member States. No further detail on languages or remote consent procedures is provided in the available record.

Geography

Total Number Of Sites
2
Total Number Of Participants
8

France

Earliest CTIS Part Ii Submission Date
25-07-2024
Latest Decision Or Authorization Date
19-08-2025
Processing Time Days
390
Number Of Sites
1
Number Of Participants
2

Sites

Site Name
Hopital Necker Enfants Malades
Department Name
Neurologie Infantile
Contact Person Name
Nadia Bahi-Buisson
Contact Person Email
nadia.bahi-buisson@aphp.fr
Number Of Participants
2

Italy

Earliest CTIS Part Ii Submission Date
25-07-2024
Latest Decision Or Authorization Date
21-08-2025
Processing Time Days
392
Number Of Sites
1
Number Of Participants
6

Sites

Site Name
Azienda Ospedaliero Universitaria Pisana
Department Name
Centro di Farmacologia Clinica per la Sperimentazione dei Farmaci
Contact Person Name
Roberta Battini
Contact Person Email
roberta.battini@fsm.unipi.it
Number Of Participants
6

Sponsor

Primary sponsor

Full Name
Ionis Pharmaceuticals Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Sitero LLC
Responsibilities
code: 6
Name
PPD Development LP
Responsibilities
code: 8
Name
The Emmes Company LLC
Responsibilities
Angelman Syndrome Video Assessment (code: 15)
Name
WCG Clinical Inc.
Responsibilities
Rater Training (code: 15)
Name
Medpace Finland Oy
Responsibilities
Multiple operational roles (codes: 1,10,12,2,3,5,6,7,8)

Third parties

  • {"country":"United States","full_name":"Sitero LLC","duties_or_roles":"code: 6","organisation_type":"Pharmaceutical company"}
  • {"country":"France","full_name":"Sysnav","duties_or_roles":"code: 14","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"code: 8","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Yprime LLC","duties_or_roles":"code: 15; ePRO questionnaires","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"The Emmes Company LLC","duties_or_roles":"code: 15; Angelman Syndrome Video Assessment","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"code: 15; Rater Training","organisation_type":"Pharmaceutical company"}
  • {"country":"Finland","full_name":"Medpace Finland Oy","duties_or_roles":"codes: 1,10,12,2,3,5,6,7,8","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
ION582
Active Substance
2'-O-(2-METHOXYETHYL) MODIFIED ANTISENSE OLIGONUCLEOTIDE TARGETING UBE3A ANTISENSE TRANSCRIPT RNA
Modality
Oligonucleotide
Routes Of Administration
Intrathecal
Route
Intrathecal
Orphan Designation
Yes

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