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Enrolling by Invitation

NCT Number: NCT06369974

Single Participant Study of an Experimental ASO Treatment for TUBB4A-related Leukodystrophy

This research project entails delivery of a personalized antisense oligonucleotide (ASO) drug designed for a single pediatric participant with TUBB4A associated leukodystrophy.

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Key information

Age range

4 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Massachusetts General Hospital

Boston, Massachusetts, 02114, 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 pediatric participant with a de novo pathogenic gain of function TUBB4A mutation associated with severe leukodystrophy with hypomyelination with atrophy of the basal ganglia and cerebellum (H-ABC)

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.
  • Clinical phenotype and neuroimaging consistent with a diagnosis of TUBB4A-related leukodystrophy/Hypomyelination with Atrophy of the Basal Ganglia and Cerebellum (H-ABC)
  • Documented genetic mutation in TUBB4A

Exclusion criteria

  • Participant has any known contraindication to or unwillingness to undergo lumbar puncture
  • Use of investigational medication within 5 half-lives of the drug at enrolment
  • Participant has any condition that in the opinion of the Site Investigator, would ultimately prevent the completion of study procedures.

Treatment and study plan

Antisense oligonucleotide treatment (ASO)

Drug

Drug: nL-TUBB4-001; Personalized antisense oligonucleotide

Other names: nL-TUBB4-001

Primary outcomes

  1. Neurological assessments

    Time frame: Baseline to 24 months

    Change from baseline at 24 months post nL-TUBB4-001 administration in scores on the GMFM88, HINE-1, HINE-2, Bayley-4, and Vineland-3 developmental assessment scales, as well as the Tardieu Spasticity Scale and PedsQL Family Impact Module

Secondary outcomes

  1. Feeding and swallow evaluation

    Time frame: Baseline to 24 months

    Change from baseline at 24 months post nL-TUBB4-001 administration in assessment of feeding and swallow evaluation.

  2. Safety and tolerability

    Time frame: Baseline to 24 months

    Safety and tolerability

Sponsors and collaborators

Lead sponsor

Massachusetts General Hospital

Other

Collaborators

  • n-Lorem Foundation

Registry information

Official study title

An Open-label Single Center, Single Participant Study of an Experimental Antisense Oligonucleotide Treatment for TUBB4A-related Leukodystrophy

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Apr 17, 2024
Registry last updated
Mar 2, 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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