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临床试验/NCT06617429
NCT06617429进行中(未招募)3 期

A Phase 3, Randomized, Double-blind, Sham-controlled Study Investigating the Efficacy and Safety of GTX-102 in Pediatric Subjects With Angelman Syndrome

Ultragenyx Pharmaceutical Inc43 个研究点 分布在 6 个国家目标入组 129 人开始时间: 2024年12月3日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
进行中(未招募)
入组人数
129
试验地点
43
主要终点
Change from Baseline in Bayley-4 Cognitive Raw Score Without Caregiver Input at Day 338

研究概览

简要总结

The primary objective of this study is to evaluate the effect of GTX-102 in cognitive function in participants with deletion-type Angelman Syndrome (AS).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
4 Years 至 17 Years(Child)
性别
All
接受健康志愿者

入选标准

  • Signed informed consent from parent(s) or legal guardian(s)
  • Confirmed diagnosis of AS with genetic confirmation of full maternal ubiquitin-protein ligase E3A (UBE3A) gene deletion causing AS in the region of 15q11.2 q13
  • Able to ambulate independently, or with assistance at the Screening Visit (note, a child whose primary means of mobility is by wheelchair is excluded from the study)
  • Platelet count, prothrombin time / international normalized ratio, and partial thromboplastin time within 1.5x the normal limits at the Screening Visit
  • Willing and able to comply with scheduled visits, drug administration plan, laboratory tests, and all study procedures, including LP procedure, MRI, and tolerating anesthesia without intubation
  • From the time of informed consent through to at least 6 months after the final dose of GTX-102, females of childbearing potential who are sexually active must use highly effective contraception or abstinence. Males are able to participate if they agree to remain abstinent (refrain from heterosexual intercourse) or use acceptable contraceptive methods during the study and for at least 3 months after the final dose of GTX-102

排除标准

  • Any change in medications or diet/supplements intended to treat symptoms of AS (eg, sleeping aids, antiseizure medications, supplements, dietary change including ketogenic or low-glycemic index diet, other) within the month prior to the Screening Visit (excluding weight-based adjustments)
  • Any condition that creates an increased risk of unsuccessful LP
  • Current or expected concomitant use of drugs that increase the risk of bleeding (eg, heparin, low molecular weight heparin, platelet inhibitors)
  • Known hypersensitivity to GTX-102 or its excipients that, in the judgment of the Investigator, places the subject at increased risk for adverse effects
  • Presence or history of any condition, lab abnormality, or infection, that, in the judgement of the Investigator, would interfere with participation, pose undue safety risk, or would confound interpretation of results
  • Pregnant or breastfeeding or planning to become pregnant (self or partner) at any time during the study
  • Use of any investigational product or investigational medical device within 6 months or 5 half-lives prior to the Screening Visit or any prior use of gene therapy or ASO regardless of duration since last administration
  • Concurrent participation in any interventional study

研究组 & 干预措施

Sham-LP then GTX-102

Sham Comparator

Participants will receive sham procedure during the double-blind period and then will receive GTX-102 via LP during the open-label period

干预措施: Sham-LP (Procedure)

GTX-102

Experimental

Participants will receive GTX-102 via lumbar puncture (LP) during both the double-blind and open-label period

干预措施: GTX-102 (Drug)

Sham-LP then GTX-102

Sham Comparator

Participants will receive sham procedure during the double-blind period and then will receive GTX-102 via LP during the open-label period

干预措施: GTX-102 (Drug)

结局指标

主要结局

Change from Baseline in Bayley-4 Cognitive Raw Score Without Caregiver Input at Day 338

时间窗: Baseline, Day 338

次要结局

  • Net Response in Multidomain Responder Index (MDRI)(Day 338)
  • Change from Baseline in ABC-C Hyperactivity/Noncompliance Subscale Score at Day 338(Baseline, Day 338)
  • Change from Baseline in Bayley-4 Receptive Communication Raw Score at Day 338(Baseline, Day 338)
  • Change from Baseline in Angelman Severity Assessment (ASA) Sleep Rating Raw Score at Day 338(Baseline, Day 338)
  • Change from Baseline in Vineland Adaptive Behavior Scales-3 (Vineland-3) Receptive Communication Raw Score at Day 338(Baseline, Day 338)
  • Change from Baseline in Vineland-3 Expressive Communication Raw Score at Day 338(Baseline, Day 338)
  • Change from Baseline in Bayley-4 Gross Motor Raw Score at Day 338(Baseline, Day 338)
  • Change from Baseline in ASA Gross Motor Rating at Day 338(Baseline, Day 338)
  • Number of Participants with Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs), Severity of AEs and Relationship to Investigational Drug, Procedure, and Premedication(2 Years)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (43)

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