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Canavan DiseasePhase 1/2NCT04998396

A Study of AAV9 Gene Therapy in Participants With Canavan Disease (CANaspire Clinical Trial)

A Phase 1/2 study testing AAV9 BBP-812 in people with Canavan Disease, run by Aspa Therapeutics at 4 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The main objective of this trial is to evaluate the safety, tolerability, and pharmacodynamic activity of BBP-812, an investigational AAV9-based gene therapy, in pediatric participants with Canavan disease. Read more about this study

Who is it for?
Ages Up to 30 months
Conditions the study is for
Canavan Disease
What is being tested?
AAV9 BBP-812
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
26 participants
Where
4 sitesUnited States
Study dates
8 Sep 2021to 8 Oct 2032
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Up to 30 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Maximum age for inclusion is 30 months.
  • Participant has stable health in the opinion of the investigator and as confirmed by medical history and laboratory studies with no acute or chronic hematologic, renal, liver, immunologic, or neurologic disease (other than Canavan disease).
  • Participant has biochemical, genetic, and clinical diagnosis of Canavan disease:
  • Elevated urinary NAA and
  • Biallelic mutation of the ASPA gene determined at Screening or documented in the participant's medical history.
  • Active clinical signs of Canavan disease
  • Participant is up to date on all immunizations per local guidelines

Who cannot join

  • Tests positive for total anti-AAV9 antibodies determined by enzyme-linked immunosorbent assay (ELISA).
  • Received prior gene therapy or other therapy (including vaccines) involving AAV.
  • Participant is receiving high-dose therapy with immunosuppressants.
  • Participant has significantly progressed Canavan disease characterized as:
  • Presence of continuous/constant decerebrate or decorticate posturing,
  • Recurrent status epilepticus, or
  • Recalcitrant seizures that do not respond while on 3 or more anti-epileptic medications

Trial locations and contacts

4 sites in 1 country. Contact the study team or a site near you to ask about taking part.

clinicaltrials@aspatx.com contact

United States4 sites, 3 recruiting
  • Massachusetts General Hospital (MGH); Center for Rare Neurological Diseases (CRND)

    Boston, Massachusetts, 02114

    Sam Kartsonis, 610-766-2583, skartsonis@mgh.harvard.edu

    Aliza (Hattie) Wilson, awilson65@bwh.harvard.edu

    Recruiting
  • Ann & Robert H. Lurie Children's Hospital of Chicago

    Chicago, Illinois, 60611

    Prachi Patel, 312-227-0067, prachipatel@luriechildrens.org

    Jennifer Rubin, MD

    Recruiting
  • Weill Cornell Medicine; Division of Pediatric Neurology

    New York, New York, 10065

    Completed
  • UCSF Benioff Children's Hospital Oakland

    Oakland, California, 94609

    Marissa Evans, 510-428-3885 ext. 5421, Marissa.Evans@ucsf.edu

    Grace Sobrero, 510-428-3885 ext. 5421, grace.sobrero@ucsf.edu

    Recruiting

Other trials in United States

About this study

Official title: A Phase 1/2 Open-Label Study of the Safety and Clinical Activity of Gene Therapy for Canavan Disease Through Administration of an Adeno-Associated Virus (AAV) Serotype 9-Based Recombinant Vector Encoding the Human ASPA Gene

The main objective of this trial is to evaluate the safety, tolerability, and pharmacodynamic activity of BBP-812, an investigational AAV9-based gene therapy, in pediatric participants with Canavan disease.

Read the detailed description

Canavan disease is an ultra-rare, profoundly disabling and fatal disease with no approved therapy. The Sponsor is developing BBP-812, an investigational gene therapy product for systemic delivery in participants with Canavan disease. BBP-812 is a recombinant adeno-associated virus serotype 9 (rAAV9) vector engineered to deliver the aspartoacylase (ASPA) transgene under control of a ubiquitous promoter to restore ASPA expression in both neuronal and non-neuronal cell types.

Conditions
Canavan Disease
Being tested
AAV9 BBP-812
Keywords
Canavan Disease, AAV, AAV9, Gene therapy, Aspartoacylase, ASPA, ASPA gene, rAAV9, ACY2, Aminoacylase 2, Spongy degeneration, N-acetyl-L-aspartic acid (NAA), N-acetylaspartate, Rare disease, Inherited Metabolic Disorders, Leukodystrophy, Leukoencephalopathies, Autosomal Recessive Disorder, Neurodevelopmental diseases, CANaspire Clinical Trial
Medical subject headings
Canavan Disease, Rare Diseases, Leukoencephalopathies

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AAV9 BBP-812Biological

    Sterile solution for injection for 1-time use via volumetric infusion pump

Study groups in NCT04998396
Study groupRoleWhat they receive
Dose-Finding Phase: BBP-812 Dose Level 1 (Cohort 1)ExperimentalParticipants will receive a single intravenous (IV) infusion of low-dose BBP-812 on Day 0 in the dose-finding phase of the study.
Receives: Biological: AAV9 BBP-812
Dose-Finding Phase: BBP-812 Dose Level 2 (Cohort 2)ExperimentalParticipants will receive a single IV infusion of high-dose BBP-812 on Day 0 in the dose-finding phase of the study.
Receives: Biological: AAV9 BBP-812
Enrollment Expansion Phase: BBP-812ExperimentalParticipants will receive a single IV infusion of BBP-812 at the selected dose from the dose-finding phase on Day 0 in expansion phase of the study.
Receives: Biological: AAV9 BBP-812

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants with Adverse Events (AEs)

    Measured: Baseline up to Week 52

  2. Change from Baseline to 12 Months Post-Infusion in Urine N-acetylaspartate (NAA) Levels

    Measured: Baseline, Month 12

  3. Change from Baseline to 12 Months Post-Infusion in Central Nervous System (CNS) NAA, as Measured by Magnetic Resonance Spectroscopy (MRS)

    Measured: Baseline, Month 12

Secondary outcomes (5)
  1. Change from Baseline to Week 52 in Gross Motor Assessment, Gross Motor Function Measure-88

    Measured: Baseline, Week 52

  2. Change from Baseline to Week 52 in Fine Motor Assessment, Bayley-4

    Measured: Baseline, Week 52

  3. Change from Baseline to Week 52 in Cognitive Assessment, Bayley-4

    Measured: Baseline, Week 52

  4. Change from Baseline to Week 52 in Communication Assessment, Bayley-4

    Measured: Baseline, Week 52

  5. Change from Baseline to Week 52 in Adaptive Function, Vineland-3

    Measured: Baseline, Week 52

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Aug 2021
  2. Study start8 Sep 2021
  3. Primary completion13 Oct 2026 (estimated)
  4. Study completion8 Oct 2032 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
26 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04998396
Sponsor's protocol ID
CVN-102
Status last verified
Apr 2026
First submitted
5 Aug 2021
Last updated
17 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing AAV9 BBP-812 in people with Canavan Disease, run by Aspa Therapeutics at 4 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 17 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Alicia Gomez (833-764-2267 or 617-861-4617, CANaspire@aspatx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants with Adverse Events (AEs) (time frame: Baseline up to Week 52). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Apr 2026.

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