Recruiting
Phase 1
Phase 2

ION337

Sponsor:

Ionis Pharmaceuticals, Inc.

Code:

NCT07531745

Conditions

Dravet Syndrome

Eligibility Criteria

Sex: All

Age: 2 - 12

Healthy Volunteers: Not accepted

Interventions

ION337

Study Details

Brief summary:

The primary purpose of this study is to evaluate the safety and tolerability of ION337 in participants with Dravet syndrome (DS).

Conditions

Dravet Syndrome

Study ID

NCT07531745

Start date

May 21, 2026

Status verified date

Sep, 2026

Completion date

Dec, 2030

Anticipated

Primary completion date

Dec, 2030

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 2 - 12

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

1. Participant is aged ≥ 2 to ≤ 12 years old at the time of informed consent.
2. Participant has at least 1 parent or caregiver ≥ 18 years old who is willing and able to provide informed consent (signed and dated) and attend all scheduled study visits.
3. Has a documented diagnosis of DS according to the International League Against Epilepsy (ILAE) criteria and as agreed by the Epilepsy Study Consortium, Inc (ESCI).
4. Has confirmation of a pathogenic or likely pathogenic SCN1A variant.
5. Must be currently receiving ≥ 1 concomitant ASM at a stable dose/regimen for ≥ 4 weeks prior to informed consent.
6. Must have all other interventions for epilepsy (including ketogenic diet or VNS) as well as any other concomitant medications including medications for behavioral management, sleep, and supplements or nutritional support stable for ≥ 4 weeks prior to informed consent. Vagus nerve stimulator implantation must have occurred ≥ 6 months prior to informed consent.
7. Experiences the required number of major motor seizures during the Screening Period.

Key Exclusion Criteria:

1. Known brain or spinal disease that would interfere with the LP procedure or CSF circulation, or presence of other factors that would affect the safety of the LP procedure.
2. Pathogenic or likely pathogenic variant in another gene that causes epilepsy.
3. Has had prior treatment with or is currently enrolled in an interventional clinical trial for a gene therapy or for another antisense oligonucleotide (ASO) for the treatment of DS.
4. Has had treatment with or is currently enrolled in an interventional clinical trial of any other investigational drug, biological agent, or device within 30 days prior to Screening, or 5 half-lives of investigational agent, whichever is longer.
5. Current treatment with an anti-seizure medication (ASM) acting primarily as a sodium channel blocker, as maintenance treatment.
6. Prior brain surgeries including: corpus callosotomy, implantation of device for deep brain stimulation or any other palliative brain surgery intended to reduce seizure burden.

Note: Other protocol pre-specified inclusion/exclusion criteria may apply.

Study Design

Enrollment

32 participants

Anticipated

Allocation

Non randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Part 1: Single Ascending Dose (SAD): Dose Level 1

Participants aged 2 to ≤ 12 years will receive a single intrathecal bolus (ITB) injection of ION337.

experimental: Part 1: SAD: Dose Level 2

Participants aged 2 to ≤ 12 will receive a single dose of ION337.

experimental: Part 1: SAD: Dose Level 3

Participants aged 2 to ≤ 12 will receive a single dose of ION337.

experimental: Part 1: SAD: Dose Level 4

Participants aged 2 to ≤ 12 will receive a single dose of ION337.

experimental: Part 2: Multiple Ascending Dose (MAD): Dose Level 1-4

Only participants who complete Part 1 will be eligible to participate in Part 2. Participants will receive multiple doses of ION337. Participants will begin treatment at the same dose level assigned in Part 1.

Interventions

ION337

ION337 will be administered by ITB injection.

Primary outcome measure

  • Parts 1 and 2: Number of Participants with Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs [ Time Frame: Part 1: up to 6 months; Part 2: up to 31 months ]
  • Number of Participants With Clinically Significant Change From Baseline in Safety Laboratory Values [ Time Frame: Part 1: up to 6 months; Part 2: up to 31 months ]
  • Parts 1 and 2: Number of Participants With Clinically Significant Change From Baseline in Vital Signs [ Time Frame: Part 1: up to 6 months; Part 2: up to 31 months ]
  • Parts 1 and 2: Number of Participants With Clinically Significant Change From Baseline in Electrocardiogram (ECG) [ Time Frame: Part 1: up to 6 months; Part 2: up to 31 months ]
  • Parts 1 and 2: Number of Participants With Clinically Significant Change From Baseline in Physical and Neurological Examination Findings [ Time Frame: Part 1: up to 6 months; Part 2: up to 31 months ]
  • Parts 1 and 2: Number of Participants with Change in Columbia Suicidality Severity Rating Scale (C-SSRS) [ Time Frame: Part 1: up to 6 months; Part 2: up to 31 months ]

Central Contacts and Locations

Central contacts

Locations

University of Michigan Health System

Recruiting

Ann Arbor, Michigan, United States, 48109

Mayo Clinic

Recruiting

Rochester, Minnesota, United States, 55905

Duke University Health Systems

Recruiting

Durham, North Carolina, United States, 27705

Le Bonheur Children's Hospital

Recruiting

Memphis, Tennessee, United States, 38103

Seattle Children's Hospital

Recruiting

Seattle, Washington, United States, 98105

McGill University Health Center - Research Institute

Recruiting

Montreal, Canada, H4A 3J1

More Information

Sponsor

Ionis Pharmaceuticals, Inc.

Last update posted

Sep 3, 2026

Last verified

Sep, 2026

Keywords

  • Dravet syndrome

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Ionis Pharmaceuticals, Inc. on 2026-09-03.