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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05127226
Registration number
NCT05127226
Ethics application status
Date submitted
9/11/2021
Date registered
19/11/2021
Titles & IDs
Public title
HALOS: A Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of Multiple Ascending Doses of ION582 in Participants With Angelman Syndrome
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Scientific title
HALOS: A Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Intrathecally Administered ION582 in Patients With Angelman Syndrome
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Secondary ID [1]
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2021-003009-23
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Secondary ID [2]
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ION582-CS1
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Angelman Syndrome
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Neurological
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Other neurological disorders
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ION582
Experimental: Part 1 MAD: Cohort A - ION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.
Experimental: Part 1 MAD: Cohort B - ION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.
Experimental: Part 1 MAD: Cohort C - ION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.
Experimental: Part 1 MAD: Cohort D - ION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.
Experimental: Part 1 MAD: Cohort E - ION582 will be administered as IT injection of over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.
Experimental: Part 2 Group 1 - ION582 will be administered as IT injection of over a period of 49 weeks, with additional dosing intervals.
Experimental: Part 2 Group 2 - ION582 will be administered as IT injection of over a period of 49 weeks, with additional dosing intervals.
Experimental: Part 3 Group 1 - ION582 will be administered as IT injection of over a period of 145 weeks, with additional dosing intervals.
Experimental: Part 3 Group 2 - ION582 will be administered as IT injection of over a period of 145 weeks, with additional dosing intervals.
Treatment: Drugs: ION582
ION582 will be administered by IT injection.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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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).
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Assessment method [1]
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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.
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Timepoint [1]
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Part 1: Up to Week 45; Part 2: Up to Week 81
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Secondary outcome [1]
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Maximum Observed Plasma Concentration (Cmax) of ION582
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Assessment method [1]
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Timepoint [1]
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Part 1: Up to Week 45; Part 2: Up to Week 81
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Secondary outcome [2]
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Time to Reach Maximal Plasma Concentration (Tmax) of ION582
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Assessment method [2]
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Timepoint [2]
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Part 1: Up to Week 45; Part 2: Up to Week 81
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Secondary outcome [3]
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Plasma Elimination Half-Life (t1/2?z) of ION582
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Assessment method [3]
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Timepoint [3]
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Part 1: Up to Week 45; Part 2: Up to Week 81
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Secondary outcome [4]
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Concentration ION582 in CSF
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Assessment method [4]
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Timepoint [4]
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Part 1: Up to Week 13; Part 2: Up to Week 49
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Eligibility
Key inclusion criteria
1. Participant has a documented and certified diagnosis of Angelman syndrome (AS) (ubiquitin-protein ligase E3A [UBE3A] deletion or UBE3A mutation)
2. Male or female between the ages of 2-50 years of age, with signed informed consent from parent(s) or legal guardian(s)
3. 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.
4. 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.
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Minimum age
2
Years
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Maximum age
50
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Has documented molecular AS confirmation of paternal uniparental disomy (UPD) or imprinting defect (ID).
2. 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.
3. 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.
4. 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.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
22/12/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/03/2029
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Actual
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Sample size
Target
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Accrual to date
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Final
51
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Sydney Children's Hospital, Kids Cancer Centre - Randwick
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Recruitment postcode(s) [1]
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NSW 2031 - Randwick
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Recruitment outside Australia
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United States of America
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State/province [1]
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California
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United States of America
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Colorado
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United States of America
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Illinois
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United States of America
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Massachusetts
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Country [5]
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United States of America
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North Carolina
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United States of America
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State/province [6]
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Texas
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France
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State/province [7]
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Paris
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Country [8]
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Israel
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State/province [8]
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Ramat Gan
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Country [9]
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Italy
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State/province [9]
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Pisa
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Country [10]
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United Kingdom
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State/province [10]
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Oxfordshire
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Ionis Pharmaceuticals, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the safety and tolerability of ascending doses of ION582 administered intrathecally in participants with Angelman syndrome.
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Trial website
https://clinicaltrials.gov/study/NCT05127226
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05127226