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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