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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.

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 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
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.

AviadoBio Clinical Trials contact

+44 203-089-7917

clinicaltrials@aviadobio.com

19 sites in 9 countries

Poland6 sites, 6 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

    Recruiting

Other trials in Poland

United States3 sites, 3 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

    Recruiting

Other trials in United States

United Kingdom3 sites, 3 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

    Recruiting

Other trials in United Kingdom

Spain2 sites, 2 recruiting
  • Hospital Clinic Barcelona

    Barcelona, 08036

    Beatriz Bosch, 934 518 240, BBOSCH@recerca.clinic.cat

    Recruiting
  • Hospital Universitari i Politecnic La Fe

    Valencia, 46026

    Recruiting

Other trials in Spain

Belgium1 site, 1 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

    Recruiting

Other trials in Belgium

Canada1 site, 1 recruiting
  • Sunnybrook Health Sciences Centre

    Toronto, Ontario

    Sabrina Armstrong, (416) 480-6100 ext. 61620, sabrina.armstrong@sri.utoronto.ca

    Recruiting

Other trials in Canada

Italy1 site, 1 recruiting
  • Fondazione IRCCS Istituto Neurologico Carlo Besta

    Milan

    Giuseppe Di Fede, +39 0223942260, giuseppe.difede@istituto-besta.it

    Recruiting

Other trials in Italy

Netherlands1 site, 1 recruiting
  • Amsterdam UMC

    Amsterdam

    Recruiting

Other trials in Netherlands

Sweden1 site, 1 recruiting
  • Skåne University Hospital

    Lund

    Erica Nikalsson, +46 40335522, erica.nikalsson@skane.se

    Recruiting

Other trials in Sweden

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
  1. Is a one-time treatment with AVB-101 safe for patients with FTD-GRN?
  2. Does a one-time treatment with AVB-101 restore PGRN levels to at least normal levels?
  3. 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.

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 groups in NCT06064890
Study groupRoleWhat they receive
Cohort 1 (dose 1)ExperimentalInitial dose
Receives: Procedure: Intrathalamic AAV.PGRN administration; Genetic: Intrathalamic AVB-101
Cohort 2 (dose 2)ExperimentalEscalated dose
Receives: Procedure: Intrathalamic AAV.PGRN administration; Genetic: Intrathalamic AVB-101
Cohort 3 (dose 3)ExperimentalAdditional dose
Receives: Procedure: Intrathalamic AAV.PGRN administration; Genetic: Intrathalamic AVB-101
Cohort 4 (dose 4)ExperimentalAdditional 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.

  1. Number and incidence of AEs and SAEs

    Type and incidence of adverse events

    Measured: Up to week 26

  2. 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

  3. 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

  4. Incidence of treatment-emergent clinically significant abnormalities in clinical examination findings

    Measured: 5-year total follow-up period

  5. Incidence of treatment-emergent clinically significant abnormalities in safety laboratory values

    Measured: 5-year total follow-up period

  6. 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)
  1. 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

  2. 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

  3. 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

  4. Time to achieve clearance of vector genomes

    Measured in plasma and semen (males only)

    Measured: Up to week 26

  5. Change from baseline in brain volumes

    Calculation based upon 3DT1 MRI scans

    Measured: 5-year total follow-up period

  6. 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

  7. Change from baseline in AAV9 immunogenicity in CSF

    Measured by level of antibodies to AAV9 capsid

    Measured: 5-year total follow-up period

  8. Change from baseline in PGRN immunogenicity in CSF

    Measured by level of antibodies to PGRN protein

    Measured: 5-year total follow-up period

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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.

  1. First posted3 Oct 2023
  2. Study start30 Aug 2023
  3. Primary completion1 Apr 2027 (estimated)
  4. Study completion21 Mar 2030 (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
18 participants (estimated)
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

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