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OpenTrials
Active, Not Recruiting

NCT Number: NCT07197268

Personalized Antisense Oligonucleotide Therapy for A Single Participant With ASXL3 Gene Mutation

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

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

4 year–4 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

University of North Carolina Chapel Hill

Chapel Hill, North Carolina, 27599, United States

About this study

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

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Informed consent/assent provided by the participant (when appropriate), and/or participant's parent(s) or legally authorized representative(s)
  • Ability to travel to the study site and adhere to study-related follow-up examinations and/or procedures and provide access to participant's medical records
  • Genetically confirmed ASXL3 genetic variant

Exclusion criteria

  • Participant has any condition that, in the opinion of the Site Investigator, would ultimately prevent the completion of stud procedures

Treatment and study plan

nL-ASXL3-001

Drug

Personalized antisense oligonucleotide

Primary outcomes

  1. Safety and Tolerability

    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

  2. Safety and Tolerability

    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)

  3. Incidence of Treatment Emergent Abnormalities in Neurological Exam [Safety and Tolerability]

    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)

  4. Incidence of Treatment-Emergent Abnormalities in Safety Labs (CSF, chemistry, hematology, coagulation, urinalysis) [Safety and Tolerability]

    Time frame: Baseline to 24 months

    Emergent abnormalities in laboratory analyses (results outside of normal range for CSF, chemistry, hematology, coagulation, and urinalysis)

  5. Motor Skills

    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.

  6. Motor Skills

    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)

Secondary outcomes

  1. Feeding Tolerance and Growth

    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).

  2. Feeding tolerance and growth

    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

  3. Feeding tolerance and growth

    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)

  4. Feeding Tolerance and Growth

    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

  5. Cognition, Communication, and Behavior

    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

  6. Cognition, Communication, and Behavior

    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

  7. Cognition, Communication, and Behavior

    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

  8. Cognition, Communication, and Behavior

    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)

  9. Cognition, Communication, and Behavior

    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

  10. Quality of Life

    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)

Other outcomes

  1. Swallow Function

    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)

  2. Swallow Function

    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)

  3. Vision

    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

  4. Sleep

    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

  5. Sleep

    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)

Sponsors and collaborators

Lead sponsor

n-Lorem Foundation

Other

Collaborators

  • University of North Carolina, Chapel Hill

Registry information

Official study title

An Open-Label Single Center, Single Participant Study of an Experimental Antisense Oligonucleotide Treatment for Bainbridge-Ropers Syndrome Due to ASXL3 Gene Variant

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Sep 29, 2025
Registry last updated
Sep 29, 2025

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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