A Study to Characterize Biomarkers and Disease Progression in Participants With Pelizaeus-Merzbacher Disease

Sponsor
Ionis Pharmaceuticals, Inc. (Industry)
Overall Status
Recruiting
CT.gov ID
NCT05659901
Collaborator
(none)
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Study Details

Study Description

Brief Summary

The purpose of the study is to prospectively assess longitudinal changes in proteolipid protein 1 (PLP1) protein, disease-related biomarkers in cerebral spinal fluid (CSF) and blood, neuroimaging parameters relevant to Pelizaeus-Merzbacher disease (PMD) and longitudinal changes in performance on clinical, participant, and caregiver-reported outcome assessments to inform the development of therapies for PMD.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    This is a multi-center, non-randomized, non-interventional integrated prospective and retrospective study in up to 20 participants with PMD who can undergo general anesthesia or conscious sedation (if necessary) to collect fluid biomarkers (CSF and blood), neuroimaging, and clinical assessments to be used in support of the development of therapies for PMD. The study duration for each participant will be approximately 26 months (Week 106).

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    20 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Official Title:
    Integrated Prospective and Retrospective Observational Study to Characterize Biomarkers and Disease Progression in Patients With Pelizaeus-Merzbacher Disease
    Actual Study Start Date :
    Oct 3, 2022
    Anticipated Primary Completion Date :
    Aug 1, 2025
    Anticipated Study Completion Date :
    Aug 1, 2025

    Arms and Interventions

    Arm Intervention/Treatment
    Pelizaeus-Merzbacher Disease Participants

    Participants will undergo CSF collection and neuroimaging procedures, up to Week 106 as a part of prospective study. Each participant's medical and family history data will be collected retrospectively from available medical notes and charts, from birth up to the end of the study period (up to 26 months).

    Outcome Measures

    Primary Outcome Measures

    1. Assess Longitudinal Changes in Fluid Biomarkers [Up to 26 months]

      Changes in Proteolipid Protein 1 (PLP1) in CSF and disease related biomarkers

    2. Assess Longitudinal Changes in Neuroimaging Parameters [Up to 26 months]

      Changes in regional brain volumes (MRI) and in brain metabolites (MRS)

    3. Assess longitudinal changes in performance on clinical, and patient and caregiver-reported outcome assessments [Up to 26 months]

      Includes collection of gross and fine motor outcomes, spasticity, dysphagia, cognition and behavior, and sleep.

    Secondary Outcome Measures

    1. Characterize health service utilization and economic and disease burden [Up to 26 months]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    6 Months to 8 Years
    Sexes Eligible for Study:
    Male
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    1. Participant has a parent or caregiver capable of providing informed consent (signed and dated) and able to attend all scheduled study visits and provide feedback regarding the participant's symptoms and performance as described in the protocol and be able to comply with all study requirements

    2. Participant has a diagnosis of Pelizaeus-Merzbacher Disease with genetic confirmation of PLP1 duplication

    3. Male, 6 months-8 years old, inclusive, at the time of informed consent and phenotype consistent with classic PMD

    4. No contraindications for lumbar punctures (LPs), blood draws, neuroimaging, sedation (if necessary) or other study procedures

    Exclusion Criteria:
    1. Clinically significant abnormalities in medical history or physical examination

    2. Phenotype consistent with Spastic Paraplegia Type 2 (SPG2)

    3. Have any other conditions, which, in the opinion of the investigator would make the participant unsuitable for inclusion, or could interfere with the participant taking part in or completing the study

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Ionis Investigative Site Parkville Australia
    2 Ionis Investigative Site Clermont-Ferrand France
    3 Ionis Investigative Site Paris France
    4 Ionis Investigative Site Göttingen Germany
    5 Vumc Research Amsterdam Netherlands 1081 HV

    Sponsors and Collaborators

    • Ionis Pharmaceuticals, Inc.

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Ionis Pharmaceuticals, Inc.
    ClinicalTrials.gov Identifier:
    NCT05659901
    Other Study ID Numbers:
    • NH00005
    First Posted:
    Dec 21, 2022
    Last Update Posted:
    Dec 21, 2022
    Last Verified:
    Dec 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Ionis Pharmaceuticals, Inc.
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Dec 21, 2022