No intervention: During the no treatment period participants do not receive any study drug
GTX-102: antisense oligonucleotide
Study summary
The main goal of the study is to evaluate the safety and efficacy of GTX-102 in participants with Angelman syndrome.
Eligibility
Sex
ALL
Min age
1 Year
Max age
64 Years
Healthy volunteers
No
Inclusion Criteria:
1. Signed informed consent from parent(s) or legal guardian(s)
2. Males and females of the following ages and genotypes at time of informed consent:
1. Subprotocol A: ≥ 1 to \< 4 years of age with a genetically confirmed diagnosis of deletion-type Angelman syndrome
2. Subprotocol B: ≥ 4 to \< 18 years of age with a genetically confirmed diagnosis of UPD/ICD Angelman syndrome
3. Subprotocol C: ≥ 18 to \< 65 years of age with a genetically confirmed diagnosis of Angelman syndrome, any genotype
4. Subprotocol D: ≥ 4 to \< 18 years of age with a genetically confirmed diagnosis of mutation-type Angelman syndrome
3. Weight ≥ 8 kg at Screening Visit
4. Platelet count, prothrombin time / international normalized ratio, and partial thromboplastin time \< 1.5x the upper limit of normal and platelets \> 75,000 cells/mm3 at the Screening Visit
5. Willing and able to comply with scheduled visits, drug administration plan, laboratory tests, and all study procedures, including lumbar puncture (LP) procedure, magnetic resonance imaging (MRI) and tolerating anesthesia without intubation
6. 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
Exclusion Criteria:
1. Any change in medications or diet/supplements intended to treat symptoms of Angelman Syndrome (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)
2. Any condition that creates an increased risk of unsuccessful lumbar puncture
3. Current or expected concomitant use of drugs that increase the risk of bleeding (eg, heparin, low molecular weight heparin, platelet inhibitors)
4. Known hypersensitivity to GTX-102 or its excipients or required premedication that, in the judgment of the Investigator, places the subject at increased risk for adverse effects
5. Presence or history of any condition, lab abnormality, or infection that, in the judgment of the Investigator, would interfere with study participation, pose undue safety risk, or would confound interpretation of results
6. Pregnant or breastfeeding or planning to become pregnant (self or partner) at any time during the study
7. 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 an ASO regardless of length of time since last use
8. Concurrent participation in any interventional study
Primary outcome measure(s)
Subprotocol A/B/C/D: Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs), Severe Events, and Events Related to Investigational Product, Procedure, and Premedication — Up to Day 506
Subprotocol A Only: Bayley-4 Cognitive Without Caregiver Input Raw Score Change from Baseline at Day 338 — Baseline, Day 338
Subprotocol B/D Only: Multidomain Responder Index (MDRI) Net Response at Day 338 — Baseline, Day 338 The following assessments will be included to calculate the MDRI net response: Bayley-4 Cognitive and Receptive Communication, Aberrant Behavior Checklist- Community (ABC-C) Hyperactivity/Noncompliance (H/N), Angelman Severity Assessment (ASA) Sleep, ASA Gross Motor. For each assessment a meaningful score difference (MSD) is defined. A single net response score per participant will be derived accordingly, and a summary measure of net response will then be calculated across all participants.
Subprotocol C Only: MDRI Net Response at Day 338 — Baseline, Day 338 The following assessments will be included to calculate the MDRI net response: Vineland-3 Expressive and Receptive Communication, ABC-C Irritability, ASA Gross Motor. For each assessment a meaningful score difference (MSD) is defined. A single net response score per participant will be derived accordingly, and a summary measure of net response will then be calculated across all participants.
Trial sites (21)
Facility
City
Region
Status
Cedars Sinai Medical Center
Los Angeles
California
Rush University Medical Center
Chicago
Illinois
Kennedy Kreiger Institute
Baltimore
Maryland
Clinical Trial Site
Kansas City
Missouri
Rare Disease Research
Hillsborough
North Carolina
Akron Children's Hospital
Akron
Ohio
UT Health Austin
Austin
Texas
Carum Research Inc.
Dallas
Texas
Hospital Universitario Austral
Pilar
Buenos Aires
Hospital de Crianças César Pernetta e Hospital Pequeno Príncipe
Curitiba
Paraná
Casa dos Raros
Santa Cecília
Porto Alegre
Hopital de la Timone
Marseille
France
Necker-Enfants Malades Hospital
Paris
France
Sheba Medical Center
Ramat Gan
Israel
Azienda Ospedaliera Universitaria Meyer IRCCS
Florence
Italy
Fondazione IRCCS Istituto Neurologico C. Besta
Milan
Italy
Clinical Trial Site
Rome
Italy
Hospital de Santa Maria
Lisbon
Portugal
Hospital Santa Joao
Porto
Portugal
Clinical Trial Site
London
United Kingdom
University of Oxford
Oxford
United Kingdom
Official registry record
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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