University of North Carolina Chapel Hill
Chapel Hill, North Carolina, 27599, United States
NCT Number: NCT07197268
This research project entails delivery of a personalized antisense oligonucleotide (ASO) drug designed for a single participant with Bainbridge-Ropers Syndrome (BRPS) due to a pathogenic, de novo nonsense variant in ASXL3
This study is active but is not currently recruiting participants.
4 year–4 year
Male
Interventional
Phase 1 / Phase 2
Chapel Hill, North Carolina, 27599, United States
This is an interventional study to evaluate the safety and efficacy of treatment with an individualized antisense oligonucleotide (ASO) treatment in a single participant with BRPS due to a pathogenic, de novo nonsense variant in ASXL3
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Personalized antisense oligonucleotide
Time frame: Baseline to 24 months
Incidence and severity of treatment-emergent adverse events (AEs) from baseline to 12- and 24-months post nL-ASXL3-001 administration
Time frame: Baseline to 24 months
Changes from baseline to 12- and 24-months post nL-ASXL3-001 administration in physical examination (changes in appearance, skin, neck, ears, nose, throat, heart/lungs, abdomen, lymph nodes, and extremities compared to baseline)
Time frame: Baseline to 24 months
Changes from baseline to 12- and 24-months post nL-ASXL3-001 administration in neurological examination (changes in mental status, gait, cerebellar, cranial nerve, motor, reflex, and sensations compared to baseline)
Time frame: Baseline to 24 months
Emergent abnormalities in laboratory analyses (results outside of normal range for CSF, chemistry, hematology, coagulation, and urinalysis)
Time frame: Baseline to 24 months
Change in gross motor function from baseline to 12- and 24-months post nL-ASLX3-001 administration as measured by the Vineland Adaptive Behavior Scales - Third Edition (Vineland-3) score.
Time frame: Baseline to 24 months
Change in gross motor function from baseline to 12- and 24-months post nL-ASXL-001 administration as measured by the Gross Motor Function Measure (GMFM 88/66)
Time frame: Baseline to 24 months
Change in feeding tolerance and growth from baseline to 6-, 12-, 18-, and 24-months post nL-ASXL3-001 administration as measured by body mass index (BMI).
Time frame: Baseline to 24 months
Change in feeding tolerance and growth from baseline to 6-, 12-, 18-, and 24-months post nL-ASXL3-001 administration as measured by % oral feeding vs G tube reported by parent feeding diary
Time frame: Baseline to 24 months
Change in feeding tolerance and growth from baseline to 6-, 12-, 18-, and 24-months post nL-ASXL3-001 administration as measured by Functional Oral Intake Score (FOIS)
Time frame: Baseline to 24 months
Change in feeding tolerance and growth from baseline to 6-, 12-, 18-, and 24-months post nL-ASXL3-001 administration as measured by Bristol Stool Scale
Time frame: Baseline to 24 months
Change in communication from baseline to 12- and 24-months post nL-ASXL3-001 administration as measured by Vineland Adaptive Behavior Scales - Third Edition (Vineland-3): growth scale values (GSVs) for Expressive Language and Receptive Language subdomains
Time frame: Baseline to 24 months
Change in cognition, communication, and behavior from baseline to 12- and 24-months post nL-ASXL3-001 administration as measured by Bayley Scales of Infant and Toddler Development 4th Edition (BSID-4): Expressive and Receptive Language Domains and Receptive Language Domains and Cognition Domain
Time frame: Baseline to 24 months
Change in cognition, communication, and behavior from baseline to 12- and 24-months post nL-ASXL3-001 administration as measured by Observer-Related Communication Ability (ORCA) overall T score
Time frame: Baseline to 24 months
Change in cognition, communication, and behavior from baseline to 12- and 24-months post nL-ASXL3-001 administration as measured by Aberrant Behavior Checklist (ABC)
Time frame: Baseline to 24 months
Change in cognition, communication, and behavior from baseline to 12- and 24-months post nL-ASXL3-001 administration as measured by Repetitive Behavior Scale
Time frame: Baseline to 24 months
Change in quality of life from baseline to 6-, 12-, 18-, and 24-months post nL-ASXL3-001 administration as measured by the Quality-of-Life Inventory - Disability (QI-Disability)
Time frame: Baseline to 24 months
Change in swallowing function from baseline to 12- and 24-months post nL-ASXL3-001 administration as measured by video fluoroscopic swallow study (VFSS)
Time frame: Baseline to 24 months
Change in swallowing function from baseline to 12- and 24-months post nL-ASXL3-001 administration as measured by modified barium swallow study (MBSS)
Time frame: Baseline to 24 months
Change in vision from baseline to 12- and 24-months post nL-ASXL3-001 administration as measured by cortical vision impairment assessment
Time frame: Baseline to 24 months
Change in Sleep from baseline to 6-, 12-, 18-, and 24-months post nL-ASXL3-001 administration as measured by parent-reported sleep diary
Time frame: Baseline to 24 months
Change in Sleep from baseline to 6-, 12-, 18-, and 24-months post nL-ASXL3-001 administration as measured by Sleep Disturbances Scale for Children (SDSC)
n-Lorem Foundation
Other
An Open-Label Single Center, Single Participant Study of an Experimental Antisense Oligonucleotide Treatment for Bainbridge-Ropers Syndrome Due to ASXL3 Gene Variant
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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