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Observational Study to Characterize Biomarkers and Disease Progression in Participants With Methyl CpG Binding Protein 2 (MECP2) Duplication Syndrome

Recruiting
Conditions
Methyl CpG Binding Protein 2 (MECP2) Duplication Syndrome
Registration Number
NCT06014541
Lead Sponsor
Ionis Pharmaceuticals, Inc.
Brief Summary

The purpose of the study is to prospectively assess longitudinal changes in biomarkers (MECP2, potential biomarkers of target engagement and disease activity) in cerebrospinal fluid (CSF) and blood; characterize longitudinal changes in performance on clinical scales (clinician-reported measures of neurodevelopment and functioning) and caregiver-reported outcome assessments (communication, gastrointestinal, social-emotional-adaptive behavioral measures); evaluate longitudinal changes in caregiver-reported health-related quality-of-life measures; and assess the frequency, type, and severity of seizures over time.

Detailed Description

This is a multi-center, non-randomized, non-interventional prospective and retrospective study in up to 40 participants with MECP2 duplication syndrome (MDS) who can undergo general anesthesia or conscious sedation to collect fluid biomarkers (CSF and blood), undergo electrophysiological assessments (electroencephalogram \[EEG\], evoked potentials \[EP\], pupillometry), clinical assessments and caregiver reported outcomes measures, to be used in support of the development of therapies for MDS. The study duration for each participant will be approximately 110 weeks.

Recruitment & Eligibility

Status
RECRUITING
Sex
Male
Target Recruitment
40
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Observer Reported Communication Ability MeasureBaseline and on Weeks 13, 26, 39, 52, 78, 104
Change From Baseline in MeCP2 in the CSFBaseline and on Weeks 13, 26, 39, 52
Change From Baseline in Vineland Adaptive Behavior Scales 3rd EditionBaseline and on Weeks 13, 26, 39, 52, 78, 104
Change From Baseline in the Frequency of SeizuresBaseline and on Weeks 13, 26, 39, 52, 78, 104
Change From Baseline in Global Assessment of Severity of Epilepsy Scale ScoreBaseline and on Weeks 13, 26, 39, 52, 78, 104
Change From Baseline in Quality-of-Life Inventory-Disability ScoreBaseline and on Weeks 13, 26, 39, 52, 78, 104
Laboratory biomarkers for MECP2 DuplicationBaseline and on Weeks 13, 26, 39, 52

Proteomic analysis of plasma samples to determine biomarkers of disease progression.

Change From Baseline in MECP2 Duplication Syndrome Severity Scale Across All DomainsBaseline and on Weeks 13, 26, 39, 52, 78, 104
Change From Baseline in the Revised Motor Behavioral AssessmentBaseline and on Weeks 13, 26, 39, 52, 78, 104
Change From Baseline in the Bayley Scales of Infant and Toddler Development, 3rd EditionBaseline and on Weeks 13, 26, 39, 52, 78, 104
Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Auditory Evoked PotentialBaseline and on Weeks 13, 26, 39, 52, 78, 104
Perform a retrospective chart review of the participant's medical history and family history to characterize the natural history of MDSBaseline and on Weeks 13, 26, 39, 52, 78, 104
Change From Baseline in Visual Evoked PotentialsBaseline and on Weeks 13, 26, 39, 52, 78, 104

Trial Locations

Locations (5)

UCSD - Rady Children's Hospital

🇺🇸

San Diego, California, United States

Children's Hospital of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

Baylor College of Medicine

🇺🇸

Houston, Texas, United States

Gillette Children's Specialty Healthcare

🇺🇸

Saint Paul, Minnesota, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

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