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Niemann-Pick Type C DiseasePhase 3NCT07082725

A Study to Evaluate the Safety and Efficacy of Oral Nizubaglustat (AZ-3102) in Late-infantile and Juvenile Forms of Niemann-Pick Type C Disease (NPC)

A Phase 3 study testing Nizubaglustat in people with Niemann-Pick Type C Disease, run by Azafaros B.V. at 34 sites in 15 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

An 18-month double-blind, randomized, placebo-controlled, multicenter, Phase 3 study to evaluate the safety and efficacy of oral nizubaglustat (AZ-3102) in late-infantile and juvenile forms of Niemann-Pick type C disease Read more about this study

Who is it for?
Ages 4 years and older
Conditions the study is for
Niemann-Pick Type C Disease
What is being tested?
Nizubaglustat
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
72 participants
Where
34 sitesin 15 countries
Study dates
30 Jun 2025to 14 Jun 2028
Phase
Phase 3
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 4 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Signed informed consent
  • Confirmed diagnosis of NPC disease
  • Patient is unable or unwilling to take miglustat, or is, in the opinion of the investigator, unsatisfactorily treated with miglustat
  • Male and female participants aged 4 years and older at the time of informed consent
  • Onset of neurological symptoms from 2 to 15 years
  • Disability level at Baseline: Ataxic disturbances with a total SARA score of ≥3 and ≤30 at Baseline
  • Female of childbearing potential who are sexually active willing to follow the contraceptive guidance
  • Male participants with a female partner of childbearing potential willing to follow the contraceptive guidance

Who cannot join

  • A history of medical conditions other than NPC disease that, in the opinion of the Principal Investigator, would confound scientific rigor or the interpretation of results
  • Body weight of <10 kg
  • The presence of another neurologic disease
  • The presence of moderate or severe hepatic impairment
  • The presence of moderate or severe renal impairment
  • Platelet count of <100x10^9/L
Show all 10Show fewer
  • The dose of any anti-epileptic treatment(s) was not stable (required a change in dose within the previous 3 months) and/or a new anti-epileptic treatment (drug or procedure) was prescribed in the month before Baseline
  • Prior use of an investigational drug within the 3 months before Screening; or prior participation in a clinical study involving gene therapy or stem cell transplantation within 2 years prior to Screening
  • A positive serum pregnancy test (for women of childbearing potential)
  • Current treatment with miglustat, provided the patient has been using the recommended dose for most of the past 12 months AND is, in the opinion of the investigator, satisfactorily treated with miglustat. Any participants receiving miglustat are required to undergo a 1-month washout period before starting study medication

Trial locations and contacts

34 sites in 15 countries. Contact the study team or a site near you to ask about taking part.

Patient Advocacy Representative contact

Please reach out by email

info@azafaros.com

Contact for Healthcare Professionals contact

Please reach out by email

medinfo@azafaros.com

34 sites in 15 countries

United States5 sites, 5 recruiting
  • Children's Medical Center Dallas

    Dallas, Texas, 75235

    Charina Ramirez, MD, 214-456-8000, charina.ramirez@utsouthwestern.edu

    Recruiting
  • Lysosomal Rare Disorders Research and Treatment Center

    Fairfax, Virginia, 22030-7404

    Lauren Noll, 571-732-4655, lnoll@ldrtc.org

    Recruiting
  • University of Minnesota Medical School

    Minneapolis, Minnesota, 55455

    Melissa Fetterly, 612-672-5151, melissa.fetterley@fairview.org

    Recruiting
  • UCSF Children's Hospital and Research Center at Oakland

    Oakland, California, 94609

    Veronica Cheung, CRC, 510-428-3885 ext. 2752, Veronica.Cheung@ucsf.edu

    Caroline Hastings, MD

    Recruiting
  • Mayo Clinic Children's Center - PIN

    Rochester, Minnesota, 55905

    Brad Jorde, 507-293-3609, RSTCGRESEARCH@mayo.edu

    Recruiting

Other trials in United States

India4 sites, 4 recruiting
  • Amrita Institute of Medical Sciences and Research Centre

    Ernākulam, Kerala, 682041

    Sheela Nampoothiri, +91 9447978222, sheelanampoothiri@aims.amrita.edu

    Recruiting
  • JK Lone Hospital

    Jaipur, Rajasthan, 302004

    Priyanshu Mathur, +91 9982451490, Priyanshujkl@gmail.com

    Recruiting
  • All India Institute of Medical Sciences (AIIMS) - New Delhi

    New Delhi, National Capital Territory of Delhi, 110029

    Faijan Beg, +91 78283 96432, faijan.crds@outlook.com

    Recruiting
  • Christian Medical College and Hospital

    Vellore, Tamil Nadu, 632004

    Sangeetha Yoganathan, Dr., +91 9442611622, doc_ys@yahoo.co.in

    Recruiting

Other trials in India

Australia3 sites, 3 recruiting
  • Women's and Children's Hospital

    North Adelaide, South Australia, 5006

    Louise Jaensch, +61 881 616 610, louise.jaensch@sa.gov.au

    Recruiting
  • Royal Melbourne Hospital

    Parkville, Victoria, 3050

    Karen Chidgey, NeuropsychiatryResearch@mh.org.au

    Recruiting
  • Royal Children's Hospital Melbourne - PIN

    Parkville, Victoria, 3052

    Heidi Peters, +61 03 9345 6205, metabolictrials@mcri.edu.au

    Recruiting

Other trials in Australia

Brazil3 sites, 3 recruiting
  • Hospital Pequeno Principe

    Curitiba

    Daniel Almeida do Valle, +55 41 9825-0325, daniel.valle@hpp.org.br

    Not yet recruiting
  • Hospital de Clinicas de Porto Alegre (HCPA) - PPDS

    Porto Alegre, Rio Grande do Sul, 90560-030

    Paula de Castro Pereira, +55 513 359 6340, paulapereira@hcpa.edu.br

    Roberto Giugliani

    Recruiting
  • Instituto Fernandes Figueira

    Rio de Janeiro, Rio de Janeiro, 22250-020

    DAFNE D. G. HOROVITZ, +55 21 2554-1709, dafne.horovitz@fiocruz.br

    Recruiting

Other trials in Brazil

Canada3 sites, 3 recruiting
  • M.A.G.I.C. Clinic Ltd. Metabolics and Genetics in Calgary

    Calgary, Alberta, T3B 6A8

    Olugbenga Olunaike, +1 587 885 3158, olugbenga.olunaike@magiccalgany.ca

    Recruiting
  • University of Alberta Medical Genetics Clinic

    Edmonton, Alberta, T6G 2B7

    Casey Brodie, +1 780-492-9277, casey.brodey@albertahealthservices.ca

    Not yet recruiting
  • Centre Hospitalier de l'Universite de Montreal-1000 rue Saint-Denis

    Montreal, Quebec, H2X 0C1

    Martine Comeau, +1 514-890-8000 ext. 30153, martine.comeau.chum@ssss.gouv.qc.ca

    Not yet recruiting

Other trials in Canada

Turkey (Türkiye)3 sites, 3 recruiting
  • Cukurova Universitesi Balcali Hastanesi Saglik Uygulama ve Arastirma Merkezi

    Adana, Adana, 1250

    Fatma Derya Bulut, +90 532 743 27 18, deryaozduran@yahoo.com

    Recruiting
  • Ege Universitesi Tip Fakultesi

    Bornova, İzmir, 35100

    Sema Kalkhan Ucar, +90 505 779 73 12, sema.kalkan.ucar@ege.edu.tr

    Recruiting
  • Gazi Universitesi Saglik Arastirma ve Uygulama Merkezi

    Çankaya, Ankara, 6500

    Fatih Suheyl Ezgu, +90 532 685 36 97, fezgu@gazi.edu.tr

    Recruiting

Other trials in Turkey (Türkiye)

United Kingdom3 sites, 3 recruiting
  • Great Ormond Street Hospital

    London, London, WC1N 3JH

    Christopher Jackson, +44 0207 762 6897, christopher.jackson@gosh.nhs.uk

    Recruiting
  • University College London Hospitals (UCLH)

    London, Middlesex, WC1N 3BG

    Not yet recruiting
  • Royal Manchester Children's Hospital

    Manchester, M13 9WL

    Richard Curnock, +44 0161 701 2137, richard.curnock@mft.nhs.uk

    Recruiting

Other trials in United Kingdom

Mexico2 sites, 2 recruiting
  • Centenario Hospital Miguel Hidalgo

    Aguascalientes, 20000

    Not yet recruiting
  • Hospital Universitario Dr. Jose Eleuterio González

    Monterrey, Nuevo León, 64460

    Not yet recruiting

Other trials in Mexico

Spain2 sites, 2 recruiting
  • Hospital Universitario Vall d'Hebron - PPDS

    Barcelona, Barcelona, 8035

    Nuria Leal, +34677171367, nuria.leal@vhir.org

    Recruiting
  • Hospital Infantil Universitario Niño Jesus - PIN

    Madrid, Madrid, 28009

    Beatriz Bernardino Cuesta, neurologia.hnjs@salud.madrid.org

    Recruiting

Other trials in Spain

Argentina1 site, 1 recruiting
  • Hospital de Niños de La Santisima Trinidad

    Córdoba, Córdoba Province, X5004 ASL

    Recruiting

Other trials in Argentina

Germany1 site, 1 recruiting
  • SphinCS GmbH

    Höchheim, 65239

    Recruiting

Other trials in Germany

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

    Milan, 20133

    Anna Ardissone, +39 0223942210, anna.ardissone@istituto-besta.it

    Recruiting

Other trials in Italy

Pakistan1 site, 1 recruiting
  • The Children's Hospital & the University of Child Health Lahore

    Lahore, Punjab Province

    Not yet recruiting

Other trials in Pakistan

Portugal1 site, 1 recruiting
  • ULS de Santo António, EPE - Centro Materno Infantil Norte

    Porto, Porto District, 4050-651

    Anabela Bandeira, +35 915676520, anabelabandeira.dca@chporto.min-saude.pt

    Recruiting

Other trials in Portugal

Switzerland1 site, 1 recruiting
  • Inselspital - Universitätsspital Bern

    Bern, Canton of Bern, 3010

    Sandrina Schneider, +41 31 63 2 07 41, sandrina.schneider@insel.ch

    Recruiting

Other trials in Switzerland

About this study

Official title: 18-month Double-blind, Randomized, Placebo-controlled, Multicenter, Phase 3 Study to Evaluate the Safety and Efficacy of Oral Nizubaglustat (AZ-3102) in Late-infantile and Juvenile Forms of Niemann-Pick Type C Disease and in Late-infantile and Juvenile-onset Forms of GM1 Gangliosidosis or GM2 Gangliosidosis

An 18-month double-blind, randomized, placebo-controlled, multicenter, Phase 3 study to evaluate the safety and efficacy of oral nizubaglustat (AZ-3102) in late-infantile and juvenile forms of Niemann-Pick type C disease

Read the detailed description

Please see NCT #07054515 for information on the AZA-001-301 Master Protocol

PRIMARY OBJECTIVE

The primary objective of this study is to demonstrate superior efficacy on ataxic manifestations with oral nizubaglustat dosing compared with placebo when administered over 18 months in participants with late-infantile and juvenile forms of NPC disease

SECONDARY OBJECTIVES

  1. To assess additional efficacy in ataxic and non-ataxic manifestations comparing nizubaglustat dosing with placebo when administered over 18 months in participants with late-infantile and juvenile forms of NPC disease

II. To assess the pharmacokinetic (PK) properties of nizubaglustat after administration of the first dose (Visit 1) and at steady state after multiple once daily doses

III. To assess the pharmacodynamic (PD) effects of nizubaglustat

IV. To assess the safety and tolerability of daily oral nizubaglustat dosing compared with placebo, when administered over 18 months in participants with late-infantile and juvenile forms of NPC disease

Being tested
Nizubaglustat, Placebo
Keywords
Nizubaglustat
Medical subject headings
Niemann-Pick Disease, Type C

What participants receive

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

  • NizubaglustatDrug

    AZ-3102

  • PlaceboDrug

    Matching placebo

Study groups in NCT07082725
Study groupRoleWhat they receive
NizubaglustatExperimentalOnce daily oral dispersible tablets
Receives: Drug: Nizubaglustat
PlaceboPlacebo comparatorMatching placebo
Receives: Drug: Placebo

What is being measured

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

  1. Change from baseline in total Scale for the Assessment and Rating of Ataxia (SARA) score

    Total SARA comprises eight categories with a cumulative score ranging from 0 (no ataxia) to 40 (most severe ataxia)

    Measured: Baseline to month 18

  2. Change from baseline in functional SARA score

    Functional SARA uses an abbreviated scale that scores 0 to 16, with higher scores indicating more severe impairment

    Measured: Baseline to month 18

Secondary outcomes (21)
  1. Change from baseline in SARA score for gait/posture

    Assessed on a 9-point scale with higher scores indicating inability to complete the task

    Measured: Baseline to months 6, 12, and 18

  2. Change from baseline in SARA score for speech

    Assessed on a 7-point scale with higher scores indicating unintelligible speech/anarthria

    Measured: Baseline to months 6, 12, and 18

  3. Change from baseline in SARA score for kinetics

    Assessed on a 5-point scale with higher scores indicating more severe impairment

    Measured: Baseline to months 6, 12, and 18

  4. Change from baseline in Vineland Adaptive Behavior Scale (VABS)

    Assesses four domains of function: communication, daily living skills, socialization, and motor skills

    Measured: Baseline to months 6, 12, and 18

  5. Change from baseline in Penetration-Aspiration Scale (PAS)

    Assessed on an 8-point ordinal scale, with 1 representing the lowest and 8 the highest/most severe score

    Measured: Baseline to months 6, 12, and 18

  6. Change from baseline in 9-Hole Peg Test (9-HPT-D)

    Assessed by the number of pegs per second placed in a 50-second, 9-HPT using the dominant hand

    Measured: Baseline to months 6, 12, and 18

  7. Change from baseline in NPC-Clinical Severity Scale (NPC-CSS)

    Scores can range from 0 to 61, with a higher score indicating more severe clinical impairment

    Measured: Baseline to months 6, 12, and 18

  8. Change from baseline in Goal Attainment scale (GAS)

    Assesses individual goals achieved during the study

    Measured: Baseline to months 6, 12, and 18

  9. Change from baseline in Clinician Global Impression of Change (CGI-C)

    Assessed on a 7-point scale with higher scores indicating lower improvement

    Measured: Baseline to months 6, 12, and 18

  10. Change from baseline in Participant/Caregiver Global Impression of Change (PGI-C)

    Assessed on a 7-point scale with higher scores indicating lower improvement

    Measured: Baseline to months 6, 12, and 18

  11. Change from baseline in Seizure frequency and duration, as per the seizure diary

    Measured: Baseline to months 6, 12, and 18

  12. Time-to-event comparison between nizubaglustat and placebo over the study duration for pre-defined detrimental events of an increase in total SARA score of ≥2 points

    Measured: Baseline to month 18

  13. Time-to-event comparison between nizubaglustat and placebo over the study duration for pre-defined detrimental events of an increase in functional SARA of ≥1.5 points

    Measured: Baseline to month 18

  14. Time-to-event comparison between nizubaglustat and placebo over the study duration for pre-defined detrimental events of a decrease in PAS of ≥1 point

    Measured: Baseline to month 18

  15. Time-to-event comparison between nizubaglustat and placebo over the study duration for pre-defined detrimental events of participants leaving the study due to participant/caregiver perception of disease progression/lack of efficacy

    Measured: Baseline to month 18

  16. Maximum observed plasma concentration (Cmax)

    Measured: Baseline and months 1,18, and 21

  17. Time to Cmax (Tmax)

    Measured: Baseline and months 1,18, and 21

  18. Plasma trough concentration (Ctrough)

    Measured: Baseline and month 1

  19. Area under the plasma concentration-time curve from time of dosing (zero) to 24 hours post-dose (AUC0-24) at baseline

    Measured: Baseline (Day 1)

  20. Accumulation ratio for Cmax

    Measured: Baseline and months 1,18, and 21

  21. Change from baseline in plasma concentration of glucosylceramide (GlcCer) C16:0; C18:0

    Measured: Baseline and months 1, 6, 12, and 18

Timeline

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

  1. First posted24 Jul 2025
  2. Study start30 Jun 2025
  3. Primary completion14 May 2028 (estimated)
  4. Study completion14 Jun 2028 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
72 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07082725
Sponsor's protocol ID
AZA-001-301-NPC
Other IDs
2024-515778-28-00
Status last verified
Jun 2026
First submitted
27 Jun 2025
Last updated
28 Oct 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 3 study testing Nizubaglustat in people with Niemann-Pick Type C Disease, run by Azafaros B.V. at 34 sites in 15 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 8 inclusion and 10 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 28 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States, India, Australia, Brazil, Canada and 10 more countries. 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?

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 Patient Advocacy Representative (Please reach out by email, info@azafaros.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in total Scale for the Assessment and Rating of Ataxia (SARA) score (time frame: Baseline to month 18). The study lists 2 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 28 Oct 2026; AzTrials last refreshed its copy on 7 Nov 2026.

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