Frontotemporal DementiaPhase 1/2ASPIRE-FTDNCT06064890
A Study to Evaluate the Safety and Effect of AVB-101, a Gene Therapy Product, in Subjects With a Genetic Sub-type of Frontotemporal Dementia (FTD-GRN)
A Phase 1/2 study testing Intrathalamic AAV.PGRN administration and Intrathalamic AVB-101 in people with Frontotemporal Dementia and FTD, run by AviadoBio Ltd at 19 sites in 9 countries.
Trial summary
The goal of this clinical study is to learn about an investigational gene therapy product called AVB-101, which is designed to treat a disease called Frontotemporal Dementia with Progranulin Mutations (FTD-GRN). Read more about this study
- Who is it for?
- Ages 30 to 75 years
- Conditions the study is for
- Frontotemporal Dementia, FTD, FTD-GRN
- What is being tested?
- Intrathalamic AAV.PGRN administration and Intrathalamic AVB-101
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 18 participants
- Where
- 19 sitesin 9 countries
- Study dates
- 30 Aug 2023to 21 Mar 2030
- Phase
- Phase 1/2
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 30 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female, 30 to 75 years of age
- Carriers of a pathogenic GRN mutation
- FTD as evidenced by CDR + NACC FTLD global score of 0.5, 1.0, or 2.0
- Presence of 1 or more of the criteria for diagnosis of possible bvFTD or PPA
- Able and willing to comply with all procedures and the study visit schedule
- Able and willing to give written informed consent prior to study participation, and agree to designate a legal representative to act on their wishes to continue participation should they lose capacity to consent at some point during the study OR If, in the Investigator's opinion, the subject lacks capacity to consent, written informed consent of their legal representative must be obtained in accordance with local laws, regulations, and/or customs. In countries where local laws, regulations, and/or customs do not permit subjects who lack capacity to consent to participate in this study, these subjects will not be enrolled
- An identified, informed study partner who is able and willing to support the participant in the study and to provide assessments of the participant during the study
Who cannot join
- Severe dementia, defined as CDR + NACC FTLD global score of 3.0, or other symptoms that preclude the ability to comply with study procedures and/or pose unacceptable safety risk to the subject
- Any concurrent disease that may cause cognitive impairment unrelated to mutations in the GRN gene, such as other causes of dementia, neurosyphilis, hydrocephalus, stroke, small vessel ischemic disease, uncontrolled hypothyroidism, or vitamin B12 deficiency
- Clinically significant abnormality on MRI at Screening considered to be a contraindication to Intrathalamic infusion
- Surgically significant pattern of brain atrophy on MRI at Screening that interferes with planned neurosurgical trajectory
- Previous treatment with any gene or cell therapy
- Previous treatment with any investigational medicinal product (IMP) within 60 days or 5 half-lives (whichever is longer) prior to study drug treatment
- Concomitant disease, any clinically significant laboratory abnormality, or treatment which, in the opinion of the Investigator, may pose an unacceptable safety risk to the participant or interfere with study conduct or the participant's ability to comply with study procedures including neurosurgical administration under anesthesia
Trial locations and contacts
19 sites in 9 countries. Contact the study team or a site near you to ask about taking part.
19 sites in 9 countries
Poland6 sites, 6 recruiting
- Recruiting
NEURO-CARE Sp. z o.o. Sp. Komandytowa
Katowice
neuro-care@neuro-care.pl
- Recruiting
Neurologia Slaska Centrum Medyczne
Katowice
aneta.pasko@neurologiaslaska.pl
- Recruiting
Uniwersyteckie Centrum Kliniczne, SUM w Katowicach
Katowice
neurologia@uck.katowice.pl
- Recruiting
Euromedis Sp. z o.o.
Szczecin, 70-111
- Recruiting
Centrum Medyczne NeuroProtect Sp z o.o.
Warsaw
recepcja@neuroprotect.pl
- Recruiting
Mazowiecki Szpital Brodnowski Sp. z o. o.
Warsaw
gutowskasia@gmail.com
United States3 sites, 3 recruiting
- Recruiting
The Ohio State University (OSU) Wexner Medical Center
Columbus, Ohio, 43210
Jennifer Icenhour, 614-293-6882, jennifer.icenhour@osumc.edu
Andrea Davis, 614-688-6412, andrea.davis@osumc.edu
- Recruiting
Houston Methodist Hospital
Houston, Texas, 77030
Manuel Navarro, 346-238-1564, mnavarro2@houstonmethodist.org
- Recruiting
Vanderbilt University Medical Centre
Nashville, Tennessee, 37232
United Kingdom3 sites, 3 recruiting
- Recruiting
Cambridge University Hospitals NHS Foundation Trust
Cambridge, CB2 0QQ
CUH Dementia Trials, cuh.dementiatrials@nhs.net
- Recruiting
University Hospital of Wales
Cardiff, CF14 4XW
- Recruiting
University College London Hospitals
London
GENFI Research Team, +442034483962, genfi@ucl.ac.uk
Spain2 sites, 2 recruiting
- Recruiting
Hospital Clinic Barcelona
Barcelona, 08036
Beatriz Bosch, 934 518 240, BBOSCH@recerca.clinic.cat
- Recruiting
Hospital Universitari i Politecnic La Fe
Valencia, 46026
Belgium1 site, 1 recruiting
- Recruiting
UZ Leuven
Leuven
Dipti Wagle, +32 16 34 60 39, diptiwagle@uzleuven.be
Jorien Poels, +32 16 34 75 90, jorien.poels@uzleuven.be
Canada1 site, 1 recruiting
- Recruiting
Sunnybrook Health Sciences Centre
Toronto, Ontario
Sabrina Armstrong, (416) 480-6100 ext. 61620, sabrina.armstrong@sri.utoronto.ca
Italy1 site, 1 recruiting
- Recruiting
Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan
Giuseppe Di Fede, +39 0223942260, giuseppe.difede@istituto-besta.it
Sweden1 site, 1 recruiting
- Recruiting
Skåne University Hospital
Lund
Erica Nikalsson, +46 40335522, erica.nikalsson@skane.se
About this study
Official title: A Phase 1/2 Open-Label, Ascending Dose, Multicenter Study to Evaluate the Safety and Preliminary Efficacy of AVB-101 Administered by Bilateral Intrathalamic Infusion in Subjects With Frontotemporal Dementia With Progranulin Mutations (FTD-GRN)
The goal of this clinical study is to learn about an investigational gene therapy product called AVB-101, which is designed to treat a disease called Frontotemporal Dementia with Progranulin Mutations (FTD-GRN). FTD-GRN is an early-onset form of dementia, a progressive brain disorder that affects behavior, language and movement. These symptoms result from below normal levels of a protein called progranulin (PGRN) in the brain, which leads to the death of nerve cells (neurons), affecting the brain's ability to function.
The main questions that the study aims to answer are:
Read more
- Is a one-time treatment with AVB-101 safe for patients with FTD-GRN?
- Does a one-time treatment with AVB-101 restore PGRN levels to at least normal levels?
- Could AVB-101 work as a treatment to slow down or stop progression of FTD-GRN?
In this study there is no placebo (a dummy pill or treatment used for comparison purposes), so all participants will receive a one-time treatment of AVB-101 delivered directly to the brain, with follow-up assessments for 5 years.
- Conditions
- Frontotemporal Dementia, FTD, FTD-GRN, Dementia, Frontotemporal
- Being tested
- Intrathalamic AAV.PGRN administration, Intrathalamic AVB-101
- Keywords
- Gene Therapy, AAV, Intrathalamic, Intraparenchymal, Progranulin, Behavioral Variant FTD, Primary Progressive Aphasia, PGRN, Granulin, Dementia, Dementia Gene Therapy, AAV9
- Medical subject headings
- Frontotemporal Dementia, Aphasia, Primary Progressive, Dementia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Intrathalamic AAV.PGRN administrationProcedure or surgery
One-time MRI-guided stereotaxic infusion of AAV.PGRN into the brain
Intrathalamic AVB-101Genetic
AVB-101 is made from an adeno-associated virus, serotype 9 (AAV9). AAVs are small viruses that are naturally occurring and do not cause illness or infection on their own. AVB-101 has been modified to contain a copy of the correct (non-mutated) GRN gene, plus some other genetic material to enable the GRN gene to function inside neurons (cells within the brain). AVB-101 has also been modified so that it cannot divide and make new copies of itself (known as 'replication'), which means that it cannot cause disease or a large immune response in your body.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1 (dose 1) | Experimental | Initial dose Receives: Procedure: Intrathalamic AAV.PGRN administration; Genetic: Intrathalamic AVB-101 |
| Cohort 2 (dose 2) | Experimental | Escalated dose Receives: Procedure: Intrathalamic AAV.PGRN administration; Genetic: Intrathalamic AVB-101 |
| Cohort 3 (dose 3) | Experimental | Additional dose Receives: Procedure: Intrathalamic AAV.PGRN administration; Genetic: Intrathalamic AVB-101 |
| Cohort 4 (dose 4) | Experimental | Additional dose Receives: Procedure: Intrathalamic AAV.PGRN administration; Genetic: Intrathalamic AVB-101 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number and incidence of AEs and SAEs
Type and incidence of adverse events
Measured: Up to week 26
Change from baseline in the Mini-Mental State Examination (MMSE)
Mini-Mental State Examination (MMSE) is a global assessment of cognitive status. Score range 0-30; higher scores reflect better cognitive function. Change in MMSE score from baseline visit to post-treatment visit will be assessed.
Measured: Up to week 12
Incidence of treatment emergent suicidal ideation or behavior
The Columbia-Suicide Severity Rating Scale (C-SSRS) is an assessment tool that evaluates suicidal ideation and behavior. C-SSRS will be measured at each visit to assess for absence/presence of suicidal ideation and/or behavior.
Measured: 26 week initial, 5-year total follow-up period
Incidence of treatment-emergent clinically significant abnormalities in clinical examination findings
Measured: 5-year total follow-up period
Incidence of treatment-emergent clinically significant abnormalities in safety laboratory values
Measured: 5-year total follow-up period
Change from baseline in brain structure
Assessed by presence of any clinically significant MRI findings at post treatment visits including brain swelling or bleeding
Measured: 5-year total follow-up period
Secondary outcomes (14)
Change from baseline in PGRN protein levels in CSF and blood
Change over time in level of PGRN
Measured: 26-week initial and 5-year total follow-up period
Change from baseline in NfL levels in CSF and blood
Change over time in level of NfL
Measured: 26-week initial and 5-year total follow-up period
Change from baseline in CDR + NACC FTLD-SB score
The Clinical Dementia Staging Instrument (CDR) plus National Alzheimer's Coordinating Center Frontotemporal Degeneration domains (NACC FTLD) was developed as a way to improve characterization of cognitive and global function in patients with FTLD. The CDR+NACC FTLD score will capture patients' disease status. CDR+NACC FTLD Sum of Boxes (SB) score refers to the sum of the scores of each domain (sum of boxes) that ranges from 0 to 24.
Measured: 5-year total follow-up period
Time to achieve clearance of vector genomes
Measured in plasma and semen (males only)
Measured: Up to week 26
Change from baseline in brain volumes
Calculation based upon 3DT1 MRI scans
Measured: 5-year total follow-up period
Change from baseline in AAV9 immunogenicity in blood
Measured by level of antibodies and ELISPOT to AAV9 capsid
Measured: 5-year total follow-up period
Change from baseline in AAV9 immunogenicity in CSF
Measured by level of antibodies to AAV9 capsid
Measured: 5-year total follow-up period
Change from baseline in PGRN immunogenicity in CSF
Measured by level of antibodies to PGRN protein
Measured: 5-year total follow-up period
Change from baseline in PGRN immunogenicity in blood
Measured by level of antibodies and ELISPOT to PGRN protein
Measured: 5-year total follow-up period
Change in Caregiver Global Impression of Change (CaGI-C)
Global impression of change as assessed by the caregiver. The CaGI-C is a 7 point scale where 1= very much improved, 7= very much worse.
Measured: 5-year total follow-up period
Change in Patient Global Impression of Change (PGI-C)
Global impression of change as assessed by the patient. The PGI-C is a 7 point scale where 1= very much improved, 7= very much worse.
Measured: 5-year total follow-up period
Change in Clinical Global Impression of Change (CGI-C)
Global impression of change as assessed by the investigator (clinician). The CGI-C is a 7 point scale where 1= very much improved, 7= very much worse.
Measured: 5-year total follow-up period
Change from baseline in GRN-specific Genetic Frontotemporal Initiative Cognitive (GENFI-Cog) composite score
Calculated from the neuropsychological test battery that assesses various cognitive domains: language, attention/processing speed, executive function, verbal and visuospatial memory and social cognition.
Scores from the neuropsychological test battery are converted using standard statistical methods into the composite score. The GRN specific composite score is expected to be more sensitive to detect changes in cognition that are associated with FTD, and will be compared to the baseline score. Lower scores indicate worse performance.
Measured: 5-year total follow-up period
Change from baseline in GFAP levels in CSF and blood
Change over time in level of GFAP
Measured: 5-year total follow-up period
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Oct 2023
- Study start30 Aug 2023
- Primary completion1 Apr 2027 (estimated)
- Study completion21 Mar 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Frontotemporal DementiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 18 participants (estimated)
Sponsor and investigators
- Lead sponsor
- AviadoBio Ltd
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06064890
- Sponsor's protocol ID
- AVB-PGRN-001
- Other IDs
- 2023-509444-10-00, 2023
- Acronym
- ASPIRE-FTD
- Status last verified
- Jul 2026
- First submitted
- 12 Sep 2023
- Last updated
- 13 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No