Investigation of Individualised Antisense Oligonucleotides (ASOs) in People With Unique Genetic Variants Causing Severely Debilitating, Life Threatening (SDLT) Central Nervous System (CNS) Conditions (EOM-MP1)
Investigation of Individualised Antisense Oligonucleotides (ASOs) in People With Unique Genetic Variants Causing Severely Debilitating, Life Threatening (SDLT) Central Nervous System (CNS) Conditions.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
-
-
-
London, United Kingdom
- Great Ormond Street Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- The first participant receiving the individualised ASO, must be between 1 and 17 years of age (inclusive) at the time they receive their first ASO dose.
- The CNS condition is severely debilitating and/or life threatening.
- The identified genetic variant is unique.
- The identified genetic variant is considered the underlying cause of disease.
- The identified genetic variant is amenable to correction by an ASO.
- In the opinion of the investigator, the disease is at a stage that, if halted or slowed by treatment with the individualised ASO, has a reasonable chance to improve the participant's overall disease burden/impact on quality of life.
- In the opinion of the investigator, participant, and/or the participant's legally authorised representative, existing therapies have not resulted in meaningful benefit.
Exclusion Criteria:
- Known history or presence of any clinically significant hepatic, renal/genitourinary, gastrointestinal, cardiovascular, cerebrovascular, pulmonary, endocrine, immunological, musculoskeletal, neurological, psychiatric, dermatological, or haematological disease or condition other than the primary disease for which the individualised ASO is being developed that in the opinion of the Investigator could affect patient safety or interfere with study outcomes.
- Any contraindication to brain MRI scans.
- Any contraindication to sedation or anaesthesia.
- Any contraindication to lumbar punctures or IT infusions.
- Treatment with another ASO within 24 weeks of Screening.
- Treatment with any gene replacement therapy at any time.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Individualized ASO
|
Individualized ASO
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability)
Time Frame: 48 Weeks
|
Treatment-related incidence and severity of adverse events (AEs), including any unfavorable and unintended signs such as abnormal laboratory or test findings
|
48 Weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Peak Plasma Concentration (Cmax)
Time Frame: Plasma collected pre-dose and at .5, 1, 2, 6, 24, and 48 hour post-infusion
|
Estimates of ASO maximum plasma concentration (Cmax)
|
Plasma collected pre-dose and at .5, 1, 2, 6, 24, and 48 hour post-infusion
|
|
Area Under the Plasma Concentration-time Curve (AUC)
Time Frame: Plasma collected Pre-dose and .5, 1, 2, 6, 24, and 48 hours post infusion
|
Area under the plasma concentration-time curve (AUC) from time zero to infinity following a dosing of study drug.
It is an integrated measure of study drug plasma exposure.
|
Plasma collected Pre-dose and .5, 1, 2, 6, 24, and 48 hours post infusion
|
|
Plasma Half-life (T1/2)
Time Frame: Plasma collected pre-dose and .5, 1, 2, 6, 24, and 48 hours post infusion
|
Apparent terminal plasma half-life (T1/2) is the amount of time for plasma concentrations to decline by 50%.
|
Plasma collected pre-dose and .5, 1, 2, 6, 24, and 48 hours post infusion
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- EOM-MP1
- 1012261 (Other Identifier: IRAS ID)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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