The main goal of the study is to evaluate the safety and efficacy of GTX-102 in participants with Angelman syndrome.
This basket study is designed to evaluate safety and efficacy of GTX-102 in participants with Angelman syndrome across genotypes and age groups. The study consists of subprotocols A, B, C and D. All subprotocols are open-label and follow the same design which includes a Screening, Loading and Maintenance period. Subprotocols A, B and C are single arm only. In subprotocol D, participants are randomized 2:1 to a GTX-102 group or a No Treatment group. The No Treatment group follows the same schedule of events as all other groups after completion of the No Treatment period. Participants from all the subprotocols have the option to continue treatment in a long-term extension study following their end of study visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
During the no treatment period participants do not receive any study drug
antisense oligonucleotide
Cedars Sinai Medical Center
Los Angeles, California, United States
Rush University Medical Center
Chicago, Illinois, United States
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
Time frame: Up to Day 506
Subprotocol A Only: Bayley-4 Cognitive Without Caregiver Input Raw Score Change from Baseline at Day 338
Time frame: Baseline, Day 338
Subprotocol B/D Only: Multidomain Responder Index (MDRI) Net Response at 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.
Time frame: Baseline, Day 338
Subprotocol C Only: MDRI Net Response at 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.
Time frame: Baseline, Day 338
Subprotocol A/B/D Only: Change From Baseline at Day 338 in Bayley-4 Receptive Communication Raw Score
Time frame: Baseline, Day 338
Subprotocol A/B/D Only: Change From Baseline at Day 338 in Bayley-4 Gross Motor Raw Score
Time frame: Baseline, Day 338
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Kennedy Kreiger Institute
Baltimore, Maryland, United States
Clinical Trial Site
Kansas City, Missouri, United States
Rare Disease Research
Hillsborough, North Carolina, United States
Akron Children's Hospital
Akron, Ohio, United States
UT Health Austin
Austin, Texas, United States
Carum Research Inc.
Dallas, Texas, United States
Hospital Universitario Austral
Pilar, Buenos Aires, Argentina
Hospital de Crianças César Pernetta e Hospital Pequeno Príncipe
Curitiba, Paraná, Brazil
...and 11 more locations
Subprotocol B/D Only: Change From Baseline at Day 338 in Bayley-4 Cognitive Raw Score
Time frame: Baseline, Day 338
Subprotocol B/C/D Only: Change From Baseline at Day 338 in Vineland-3 Receptive Communication Raw Score
Time frame: Baseline, Day 338
Subprotocol B/C/D Only: Change From Baseline at Day 338 in Vineland-3 Expressive Communication Raw Score
Time frame: Baseline, Day 338
Subprotocol B/D: Change From Baseline at Day 338 in Aberrant Behavior Checklist-Community (ABC-C) Hyperactivity/Noncompliance Raw Score
Time frame: Baseline, Day 338
Subprotocol B/D Only: Change From Baseline at Day 338 in Angelman Severity Assessment (ASA) Sleep Rating
Time frame: Baseline, Day 338
Subprotocol B/C/D Only: Change From Baseline at Day 338 in ASA Gross Motor Rating
Time frame: Baseline, Day 338
Subprotocol C Only: Change From Baseline at Day 338 in ABC-C Irritability Raw Score
Time frame: Baseline, Day 338