Actively Recruiting

Phase 1
Phase 2
Age: 12Months - 84Months
All Genders
NCT05791864

A First-in-Human, Open-Label, Dose-Escalation Study to Evaluate the Safety and Tolerability of Gene Therapy With TTX-381 for the Ocular Manifestations Associated With Neuronal Ceroid Lipofuscinosis Type 2 (CLN2) Disease

Led by Tern Therapeutics, LLC · Updated on 2025-12-18

16

Participants Needed

2

Research Sites

428 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a first-in-human, open-label, single ascending dose study of TTX-381 for the treatment of ocular manifestations of CLN2 (Batten disease).

CONDITIONS

Official Title

A First-in-Human, Open-Label, Dose-Escalation Study to Evaluate the Safety and Tolerability of Gene Therapy With TTX-381 for the Ocular Manifestations Associated With Neuronal Ceroid Lipofuscinosis Type 2 (CLN2) Disease

Who Can Participate

Age: 12Months - 84Months
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Has biallelic CLN2 mutations
  • Has decreased leukocyte TPP1 activity
  • Has clinical signs or symptoms consistent with CLN2 disease or an older sibling with confirmed CLN2 diagnosis
  • Currently receives biweekly intracerebroventricular enzyme replacement therapy with cerliponase alfa
  • Meets baseline disease condition based on age and central retinal thickness (CRT) as assessed by SD-OCT and confirmed by CRC
  • Willing to adhere to protocol and 5-year visit schedule
  • Sexually active females of childbearing potential or fertile males must use medically accepted contraception from screening until 6 weeks after treatment
  • Previously administered TTX-381 and met eligibility criteria at that time, with trial recommendation by IDMC
Not Eligible

You will not qualify if you...

  • Any ocular or systemic condition preventing treatment or evaluation (eg, lens or corneal opacities, glaucoma, amblyopia, retinal abnormalities)
  • Difference in CRT between eyes greater than 10 micrometers
  • Prior severe hypersensitivity reaction to cerliponase alfa
  • Contraindications to cerliponase alfa administration, including device issues
  • Prior participation in a gene therapy study, except with approval for compassionate use cases
  • Prior participation in ocular clinical trials except limited prior cerliponase alfa injections with washout
  • Prior intraocular injections other than specified exceptions
  • Participation in nonocular investigational drug studies within 6 months except for cerliponase alfa
  • Ocular surgery within 6 months except subretinal TTX-381 administration
  • Prior bone marrow transplant
  • Use of specified medications within 30 days prior to treatment
  • Known sensitivity or contraindications to peri-operative medications
  • Contraindications to systemic immunosuppression
  • Severe kidney or liver insufficiency
  • Mutations in other CLN genes or inherited retinal disease genes
  • Contraindications to intraocular surgery
  • Positive pregnancy test at screening for females of childbearing potential
  • Any condition preventing follow-up or making participant unsuitable
  • Positive COVID-19 PCR test within 4 weeks or persistent COVID-19 symptoms

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

University Medical Center Hamburg-Eppendorf (UKE)- Childrens Hospital

Hamburg, Germany

Actively Recruiting

2

Greater Ormond Street Hospital

London, United Kingdom, Wc1N 3JH

Actively Recruiting

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Research Team

T

Tern Therapeutics Patient Advocacy

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

3

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