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Angelman SyndromePhase 3AspireNCT06617429

Phase 3 Efficacy and Safety Study of GTX-102 in Pediatric Subjects With Angelman Syndrome (AS)

A Phase 3 study testing GTX-102 in people with Angelman Syndrome, run by Ultragenyx Pharmaceutical Inc at 28 sites in 6 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The primary objective of this study is to evaluate the effect of GTX-102 in cognitive function in participants with deletion-type Angelman Syndrome (AS). Read more about this study

Who is it for?
Ages 4 to 17 years
Conditions the study is for
Angelman Syndrome
What is being tested?
GTX-102
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
129 participants
Where
28 sitesin 6 countries
Study dates
3 Dec 2024to 30 Oct 2026
Phase
Phase 3
Are there results?
None posted in the registry

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 4 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Signed informed consent from parent(s) or legal guardian(s)
  • Confirmed diagnosis of AS with genetic confirmation of full maternal ubiquitin-protein ligase E3A (UBE3A) gene deletion causing AS in the region of 15q11.2 q13
  • Able to ambulate independently, or with assistance at the Screening Visit (note, a child whose primary means of mobility is by wheelchair is excluded from the study)
  • Platelet count, prothrombin time / international normalized ratio, and partial thromboplastin time within 1.5x the normal limits at the Screening Visit
  • Willing and able to comply with scheduled visits, drug administration plan, laboratory tests, and all study procedures, including LP procedure, MRI, and tolerating anesthesia without intubation
  • From the time of informed consent through to at least 6 months after the final dose of GTX-102, females of childbearing potential who are sexually active must use highly effective contraception or abstinence. Males are able to participate if they agree to remain abstinent (refrain from heterosexual intercourse) or use acceptable contraceptive methods during the study and for at least 3 months after the final dose of GTX-102

Who cannot join

  • Any change in medications or diet/supplements intended to treat symptoms of AS (eg, sleeping aids, antiseizure medications, supplements, dietary change including ketogenic or low-glycemic index diet, other) within the month prior to the Screening Visit (excluding weight-based adjustments)
  • Any condition that creates an increased risk of unsuccessful LP
  • Current or expected concomitant use of drugs that increase the risk of bleeding (eg, heparin, low molecular weight heparin, platelet inhibitors)
  • Known hypersensitivity to GTX-102 or its excipients that, in the judgment of the Investigator, places the subject at increased risk for adverse effects
  • Presence or history of any condition, lab abnormality, or infection, that, in the judgement of the Investigator, would interfere with participation, pose undue safety risk, or would confound interpretation of results
  • Pregnant or breastfeeding or planning to become pregnant (self or partner) at any time during the study
  • Use of any investigational product or investigational medical device within 6 months or 5 half-lives prior to the Screening Visit or any prior use of gene therapy or ASO regardless of duration since last administration
  • Concurrent participation in any interventional study

Trial locations and contacts

28 sites in 6 countries.

28 sites in 6 countries

United States14 sites
  • Rare Disease Research

    Atlanta, Georgia, 30329

  • Children's Hospital Colorado

    Aurora, Colorado, 80045

  • The University of Texas

    Austin, Texas, 78723

  • Boston Children's Hospital

    Boston, Massachusetts, 02115

  • UNC Chapel Hill Pediatrics

    Chapel Hill, North Carolina, 27599

  • Rush University

    Chicago, Illinois, 60612

  • Carum Research Inc

    Dallas, Texas, 75243

  • Rare Disease Research

    Hillsborough, North Carolina, 27278

  • Children's Mercy

    Kansas City, Missouri, 64108

  • Cedars Sinai

    Los Angeles, California, 90048

  • Nicklaus Children's Hospital

    Miami, Florida, 33155

  • Columbia University Medical Center

    New York, New York, 10032

  • UCSD, Rady Children's Hospital

    San Diego, California, 92123

  • UCSF

    San Francisco, California, 94143

Other trials in United States

Spain4 sites
  • Hospital Universitario Parc Tauli

    Barcelona, 08208

  • Hospital Sant Joan de Deu

    Barcelona, 08950

  • Hospital Universitario Puerta de Hierro

    Madrid, 28222

  • Hospital Universitario Virgen del Rocio

    Seville, 41013

Other trials in Spain

Germany3 sites
  • Universitaetsklinikum Hamburg-Eppendorf

    Hamburg, 20251

  • University of Leipzig

    Leipzig, 04155

  • Haunersche Kinderklinik

    Munich, 80336

Other trials in Germany

Japan3 sites
  • Nagoya City University Graduate School of Medical Sciences

    Nagoya, Aichi-ken, 467-0001

  • Osaka City General Hospital

    Osaka, 543-0021

  • Hokkaido University Hospital

    Sapporo, 060-8648

Other trials in Japan

Canada2 sites
  • McGill University Health Centre

    Montreal, Quebec, H4A3J1

  • British Columbia Children's Hospital

    Vancouver, V6H 3V4

Other trials in Canada

Poland2 sites
  • Medical University of Gdańsk

    Gdansk, 80211

  • Polish Mothers Memorial Institute

    Lodz, 93-338

Other trials in Poland

About this study

Official title: A Phase 3, Randomized, Double-blind, Sham-controlled Study Investigating the Efficacy and Safety of GTX-102 in Pediatric Subjects With Angelman Syndrome

The primary objective of this study is to evaluate the effect of GTX-102 in cognitive function in participants with deletion-type Angelman Syndrome (AS).

Being tested
GTX-102, Sham-LP
Keywords
Angelman Syndrome
Medical subject headings
Angelman Syndrome

What participants receive

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

  • GTX-102Drug

    Also called apazunersen

    antisense oligonucleotide

  • Sham-LPProcedure or surgery

    Small needle prick on the lower back at the location where the LP injection is normally made

Study groups in NCT06617429
Study groupRoleWhat they receive
GTX-102ExperimentalParticipants will receive GTX-102 via lumbar puncture (LP) during both the double-blind and open-label period
Receives: Drug: GTX-102
Sham-LP then GTX-102Sham comparatorParticipants will receive sham procedure during the double-blind period and then will receive GTX-102 via LP during the open-label period
Receives: Drug: GTX-102; Procedure: Sham-LP

What is being measured

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

  1. Change from Baseline in Bayley-4 Cognitive Raw Score Without Caregiver Input at Day 338

    Measured: Baseline, Day 338

Secondary outcomes (9)
  1. Net Response in Multidomain Responder Index (MDRI)

    Measured: Day 338

  2. Change from Baseline in ABC-C Hyperactivity/Noncompliance Subscale Score at Day 338

    Measured: Baseline, Day 338

  3. Change from Baseline in Bayley-4 Receptive Communication Raw Score at Day 338

    Measured: Baseline, Day 338

  4. Change from Baseline in Angelman Severity Assessment (ASA) Sleep Rating Raw Score at Day 338

    Measured: Baseline, Day 338

  5. Change from Baseline in Vineland Adaptive Behavior Scales-3 (Vineland-3) Receptive Communication Raw Score at Day 338

    Measured: Baseline, Day 338

  6. Change from Baseline in Vineland-3 Expressive Communication Raw Score at Day 338

    Measured: Baseline, Day 338

  7. Change from Baseline in Bayley-4 Gross Motor Raw Score at Day 338

    Measured: Baseline, Day 338

  8. Change from Baseline in ASA Gross Motor Rating at Day 338

    Measured: Baseline, Day 338

  9. Number of Participants with Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs), Severity of AEs and Relationship to Investigational Drug, Procedure, and Premedication

    Measured: 2 Years

Timeline

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

  1. First posted27 Sep 2024
  2. Study start3 Dec 2024
  3. Primary completion10 Jul 2026
  4. Study completion30 Oct 2026

Why it stopped: Lack of efficacy

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
129 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06617429
Sponsor's protocol ID
GTX-102-CL301
Other IDs
2024-512600-19-00
Acronym
Aspire
Status last verified
Oct 2026
First submitted
24 Sep 2024
Last updated
3 Nov 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing GTX-102 in people with Angelman Syndrome, run by Ultragenyx Pharmaceutical Inc at 28 sites in 6 countries.

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 6 inclusion and 8 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: stopped early, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in United States, Spain, Germany, Japan, Canada and 1 more country. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

The study was stopped early (reason given: Lack of efficacy). Results are not available in the source record.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in Bayley-4 Cognitive Raw Score Without Caregiver Input at Day 338 (time frame: Baseline, Day 338). 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 3 Nov 2026.

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