Status:

RECRUITING

REVEAL: A Phase 3 Study of ION582 in Angelman Syndrome

Lead Sponsor:

Ionis Pharmaceuticals, Inc.

Conditions:

Angelman Syndrome

Eligibility:

All Genders

2-50 years

Phase:

PHASE3

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of ION582 in children and adults with Angelman syndrome caused by a deletion or mutation of the UBE3A gene.

Detailed Description

This is a Phase 3, randomized, double-blind, placebo-controlled study in people with Angelman syndrome. The study will consist of 4 periods: a screening period of up to 28 days, an approximate 60-week...

Eligibility Criteria

Inclusion

  • Key
  • The participants caregiver(s)/ legally authorized representative must have given written informed consent and any authorizations required by local law and be able to comply with all study requirements.
  • Medically stable and can undergo sedation and/or general anesthesia without intubation.
  • Male or female between 2 and lesser than or equal to (≤)50 years of age, depending on specific cohort, at the time of the in-clinic Screening visit.
  • Participant has a clinical diagnosis of Angelman syndrome (AS) with molecular confirmation of either Ubiquitin-protein ligase E3A (UBE3A) deletion or UBE3A mutation.
  • Currently receiving stable doses of concomitant medications typically prescribed for AS, such as anti-epileptic medication, behavioral management medications, sleep medications, gabapentin, cannabidiol, and special diets, supplements, or nutritional support for at least 8 weeks prior to the Baseline visit.
  • Legally authorized representative/caregiver(s) agree(s) not to post any of the participant's personal medical data or information related to the study on any website or social media site (e.g., Facebook, Instagram, X (formerly Twitter), YouTube, TikTok, etc.) from the time of enrollment until they are notified that the study is completed.
  • Key

Exclusion

  • Must not have any clinically significant abnormalities in medical history (e.g., major surgery within 3 months of screening), or on physical examination for which treatment with an antisense oligonucleotide (ASO) would be contraindicated or which, in the opinion of the Principal Investigator (PI), could confound the results of this study.
  • Known brain or spinal disease that would interfere with the lumbar puncture (LP) procedure, cerebrospinal fluid (CSF) circulation, or presence of other factors would affect the safety of the LP procedure.
  • Must not have any other conditions, which, in the opinion of the Investigator, would make the participant unsuitable for inclusion or could interfere with the participant participating in or completing the study.
  • Must not have any laboratory abnormalities or any other clinically significant abnormalities that would, as assessed by the Investigator, at screening or Baseline, render a participant unsuitable for inclusion.
  • Previous treatment with an oligonucleotide (including small interfering ribonucleic acid (RNA) \[siRNA\], ASOs) gene therapy or gene editing. This exclusion criterion does not apply to approved nucleic acid-based vaccines, including mRNA vaccines, which are allowed.
  • Has molecular confirmation of AS due to paternal uniparental disomy, imprinting center defect, or mosaic findings.
  • Other inclusion/exclusion criteria may apply.

Key Trial Info

Start Date :

June 10 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 1 2030

Estimated Enrollment :

158 Patients enrolled

Trial Details

Trial ID

NCT06914609

Start Date

June 10 2025

End Date

April 1 2030

Last Update

December 22 2025

Active Locations (20)

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Page 1 of 5 (20 locations)

1

Cedars-Sinai Medical Center

Los Angeles, California, United States, 90048

2

Rady Children's Hospital

San Diego, California, United States, 92123

3

Colorado Children's Hospital Research Institute

Aurora, Colorado, United States, 80045

4

Children's National Hospital

Washington D.C., District of Columbia, United States, 20011