HALOS: A Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of Multiple Ascending Doses of ION582 in Participants With Angelman Syndrome

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age0-50
SponsorIonis Pharmaceuticals, Inc.

About this trial

The purpose of this study is to evaluate the safety and tolerability of ascending doses of ION582 administered intrathecally in participants with Angelman syndrome.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participant has a documented and certified diagnosis of Angelman syndrome (AS) (ubiquitin-protein ligase E3A [UBE3A] deletion or UBE3A mutation)

Male or female between the ages of 0-50 years of age, with signed informed consent from parent(s) or legal guardian(s)

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.

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.

Disqualifiers

Has documented molecular AS confirmation of paternal uniparental disomy (UPD) or imprinting defect (ID).

Any clinically significant (CS) 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.

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 [ASOs]). COVID-19 vaccinations are allowed.

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.

Trial design

Design model

Sequential

Treatments tested in this trial

  • ION582

    Drug

    ION582 will be administered by IT injection.

Treatment groups

70 Participants
are divided into 10 treatment groups

10

Treatment groups

See each treatment group below.

Group A: Part 1 MAD: Cohort AExperimental treatment 1 intervention
Group B: Part 1 MAD: Cohort BExperimental treatment 1 intervention
Group C: Part 1 MAD: Cohort CExperimental treatment 1 intervention
Group D: Part 1 MAD: Cohort DExperimental treatment 1 intervention
Group E: Part 1 MAD: Cohort EExperimental treatment 1 intervention
Group F: Part 1 MAD: Cohort FExperimental treatment 1 intervention
Group G: Part 2 Group 1Experimental treatment 1 intervention
Group H: Part 2 Group 2Experimental treatment 1 intervention
Group I: Part 3 Group 1Experimental treatment 1 intervention
Group J: Part 3 Group 2Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

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).

The safety and tolerability of ION582 will be assessed by determining the incidence, severity, and dose relationship of adverse effects and changes in the laboratory parameters by dose.

Time frame
Part 1: Up to Week 45; Part 2: Up to Week 81

Secondary outcomes

1

Maximum Observed Plasma Concentration (Cmax) of ION582

Time frame
Part 1: Up to Week 45; Part 2: Up to Week 81
2

Time to Reach Maximal Plasma Concentration (Tmax) of ION582

Time frame
Part 1: Up to Week 45; Part 2: Up to Week 81
3

Plasma Elimination Half-Life (t1/2λz) of ION582

Time frame
Part 1: Up to Week 45; Part 2: Up to Week 81
4

Concentration ION582 in CSF

Time frame
Part 1: Up to Week 13; Part 2: Up to Week 49

Other outcomes

Sponsors and contacts

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