Recruiting
Phase 3

ION582

Sponsor:

Ionis Pharmaceuticals, Inc.

Code:

NCT06914609

Conditions

Angelman Syndrome

Eligibility Criteria

Sex: All

Age: 2 - 50

Healthy Volunteers: Not accepted

Interventions

obudanersen

Placebo

Study Details

Brief summary:

The purpose of this study is to evaluate the efficacy and safety of obudanersen in children and adults with Angelman syndrome caused by a deletion or mutation of the UBE3A gene.

Conditions

Angelman Syndrome

Study ID

NCT06914609

Start date

Jun 10, 2025

Status verified date

Aug, 2026

Completion date

Apr, 2030

Anticipated

Primary completion date

Aug, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 2 - 50

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

1. The participants caregiver(s)/ legally authorized representative must have given written informed consent and any authorizations required by local law and be able to comply with all study requirements.
2. Medically stable and can undergo sedation and/or general anesthesia without intubation.
3. Male or female between 2 and lesser than or equal to (≤)50 years of age, depending on specific cohort, at the time of the in-clinic Screening visit.
4. Participant has a clinical diagnosis of Angelman syndrome (AS) with molecular confirmation of either Ubiquitin-protein ligase E3A (UBE3A) deletion or UBE3A mutation.
5. Currently receiving stable doses of concomitant medications typically prescribed for AS, such as anti-epileptic medication, behavioral management medications, sleep medications, gabapentin, cannabidiol, and special diets, supplements, or nutritional support for at least 8 weeks prior to the Baseline visit.
6. Legally authorized representative/caregiver(s) agree(s) not to post any of the participant's personal medical data or information related to the study on any website or social media site (e.g., Facebook, Instagram, X (formerly Twitter), YouTube, TikTok, etc.) from the time of enrollment until they are notified that the study is completed.

Key Exclusion Criteria:

1. Must not have any clinically significant abnormalities in medical history (e.g., major surgery within 3 months of screening), or on physical examination for which treatment with an antisense oligonucleotide (ASO) would be contraindicated or which, in the opinion of the Principal Investigator (PI), could confound the results of this study.
2. Known brain or spinal disease that would interfere with the lumbar puncture (LP) procedure, cerebrospinal fluid (CSF) circulation, or presence of other factors would affect the safety of the LP procedure.
3. Must not have any other conditions, which, in the opinion of the Investigator, would make the participant unsuitable for inclusion or could interfere with the participant participating in or completing the study.
4. Must not have any laboratory abnormalities or any other clinically significant abnormalities that would, as assessed by the Investigator, at screening or Baseline, render a participant unsuitable for inclusion.
5. Previous treatment with an oligonucleotide (including small interfering ribonucleic acid (RNA) \[siRNA\], ASOs) gene therapy or gene editing. This exclusion criterion does not apply to approved nucleic acid-based vaccines, including mRNA vaccines, which are allowed.
6. Has molecular confirmation of AS due to paternal uniparental disomy, imprinting center defect, or mosaic findings.

Other inclusion/exclusion criteria may apply.

Study Design

Enrollment

158 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Cohort 1 obudanersen 80 mg

Participants (aged 2 to <18 years old) will be administered obudanersen 80 mg via intrathecal (IT) injection every 12 weeks during the double blind and LTE treatment periods.

placebo comparator: Cohort 1 Placebo

Participants (aged 2 to <18 years old) will be administered obudanersen matching placebo via IT injection every 12 weeks during the double-blind treatment period and then administered obudanersen 40 mg or 80 mg every 12 weeks during the LTE treatment period.

experimental: Cohort 2 obudanersen 80 mg

Participants (aged 18 to ≤50 years old) will be administered obudanersen 80 mg via IT injection every 12 weeks during the double blind and LTE treatment periods.

placebo comparator: Cohort 2 Placebo

Participants (aged 18 to ≤50 years old) will be administered obudanersen matching placebo via IT injection every 12 weeks during the double-blind treatment period and then randomized to obudanersen 40 mg or 80 mg every 12 weeks during the LTE treatment period.

Interventions

obudanersen

obudanersen will be administered by IT injection.

Placebo

obudanersen matching placebo will be administered by IT injection.

Primary outcome measure

  • Change in Performance on the Expressive Communication Subdomain Raw Score of the Bayley Scales for Infant and Toddler Development-4 (Bayley-4) Without Caregiver Input in Cohort 1 [ Time Frame: Baseline and Week 52 ]

Central Contacts and Locations

Central contacts

Locations

Cedars-Sinai Medical Center

Recruiting

Los Angeles, California, United States, 90048

UCLA Clinical & Translational Research Center (CTRC)

Recruiting

Los Angeles, California, United States, 90095

Rady Children's Hospital

Recruiting

San Diego, California, United States, 92123

Colorado Children's Hospital Research Institute

Recruiting

Aurora, Colorado, United States, 80045

Children's National Hospital

Recruiting

Washington D.C., District of Columbia, United States, 20011

Nicklaus Children's Hospital

Recruiting

Miami, Florida, United States, 33155

Children's Healthcare of Atlanta

Recruiting

Atlanta, Georgia, United States, 30329

Rush University Medical Center

Recruiting

Chicago, Illinois, United States, 60612

Boston Children's Hospital

Recruiting

Boston, Massachusetts, United States, 02115

Children's Mercy

Recruiting

Kansas City, Missouri, United States, 64108

Ichan School of Medicine at Mount Sinai

Recruiting

New York, New York, United States, 10029

Columbia University Irving Medical Center

Recruiting

New York, New York, United States, 10032

University of North Carolina at Chapel Hill School of Medicine

Recruiting

Carrboro, North Carolina, United States, 27510

Cincinnati Children's Hospital

Recruiting

Cincinnati, Ohio, United States, 45229

Nationwide Children's Hospital

Recruiting

Columbus, Ohio, United States, 43205

Children's Hospital of Philadelphia

Recruiting

Philadelphia, Pennsylvania, United States, 19104

Vanderbilt Clinical Research Center

Recruiting

Nashville, Tennessee, United States, 37232

Texas Children's Hospital

Recruiting

Houston, Texas, United States, 77030

London Health Science Centre - Children's Hospital

Recruiting

London, Ontario, Canada, N6A 5W9

McGill University Health Centre

Recruiting

Montreal, Quebec, Canada, H4A 3J1

University of Alberta Hospital

Recruiting

Edmonton, Canada, T6G 2B7

British Columbia Children's Hospital

Recruiting

Vancouver, Canada, V6H 3V4

More Information

Sponsor

Ionis Pharmaceuticals, Inc.

Last update posted

Aug 28, 2026

Last verified

Aug, 2026

Keywords

  • ION582
  • Angelman Syndrome

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Ionis Pharmaceuticals, Inc. on 2026-08-28.