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NCT Number: NCT06617429

Phase 3 Efficacy and Safety Study of GTX-102 in Pediatric Subjects With Angelman Syndrome (AS)

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).

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

4 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

McGill University Health Centre, Montreal, Quebec, Canada

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Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • 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

Key Exclusion Criteria:

  • 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

Treatment and study plan

GTX-102

Drug

antisense oligonucleotide

Other names: apazunersen

Sham-LP

Procedure

Small needle prick on the lower back at the location where the LP injection is normally made

Primary outcomes

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

    Time frame: Baseline, Day 338

Secondary outcomes

  1. Net Response in Multidomain Responder Index (MDRI)

    Time frame: Day 338

  2. Change from Baseline in ABC-C Hyperactivity/Noncompliance Subscale Score at Day 338

    Time frame: Baseline, Day 338

  3. Change from Baseline in Bayley-4 Receptive Communication Raw Score at Day 338

    Time frame: Baseline, Day 338

  4. Change from Baseline in Angelman Severity Assessment (ASA) Sleep Rating Raw Score at Day 338

    Time frame: Baseline, Day 338

  5. Change from Baseline in Vineland Adaptive Behavior Scales-3 (Vineland-3) Receptive Communication Raw Score at Day 338

    Time frame: Baseline, Day 338

  6. Change from Baseline in Vineland-3 Expressive Communication Raw Score at Day 338

    Time frame: Baseline, Day 338

  7. Change from Baseline in Bayley-4 Gross Motor Raw Score at Day 338

    Time frame: Baseline, Day 338

  8. Change from Baseline in ASA Gross Motor Rating at Day 338

    Time frame: Baseline, Day 338

  9. 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

    Time frame: 2 Years

Sponsors and collaborators

Lead sponsor

Ultragenyx Pharmaceutical Inc

Industry

Registry information

Official study title

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

Acronym: Aspire

Important dates

Study start
2024
Primary completion
2026
Study completion
2027
First posted
Sep 27, 2024
Registry last updated
May 6, 2026

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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