RecruitingPhase 1NCT06672445

Study of ARO-ATXN2 Injection in Adults With Spinocerebellar Ataxia Type 2

A Phase 1 Placebo-Controlled Dose Escalating Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of ARO-ATXN2 in Adult Subjects With Spinocerebellar Ataxia Type 2


Sponsor

Arrowhead Pharmaceuticals

Enrollment

36 participants

Start Date

Dec 17, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Adult participants with spinocerebellar ataxia type 2 (SCA2) who carry ≥33 cytosine, adenine, guanine (CAG) repeats in the ATXN2 gene, and who have met all protocol eligibility criteria will be randomized to receive a single dose of ARO-ATXN2 or placebo and be evaluated for safety, tolerability, pharmacokinetic (PK) and pharmacodynamic (PD) parameters.


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria4

  • Non-pregnant, non-lactating
  • Diagnosis of symptomatic SCA2 and ≥33 CAG repeats in the ATXN2 gene based on source verifiable medical records or genetic testing at Screening
  • Scale of Assessment and Rating of Ataxia (SARA) score ≤14
  • Subjects of childbearing potential must agree to use highly effective contraception in addition to a condom during the study and for at least 90 days following the end of the study or last dose of study drug, whichever is later. Subjects must not donate sperm or eggs during the study and for at least 90 days following the end of the study or last dose of study drug whichever is later

Exclusion Criteria8

  • Uncontrolled hypertension (blood pressure >160/100 mmHg)
  • History of having received stem cell therapy
  • Clinically significant cardiac, liver, or renal disease
  • Human immunodeficiency virus (HIV) infection (seropositive at Screening)
  • Seropositive for hepatitis B (HBV) or hepatitis C (HCV) at Screening
  • Intellectual disability or significant behavioral neuropsychiatric manifestation
  • Any contraindications to lumbar puncture, including INR >1.4, platelet count <100,000, and use of anticoagulant or antiplatelet medications that cannot be safely interrupted
  • Presence of an implanted shunt for drainage of CSF or an implanted central nervous system (CNS) catheter

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Interventions

DRUGARO-ATXN2 Injection

single dose of ARO-ATXN2 by intrathecal (IT) administration

DRUGPlacebo

calculated volume to match active treatment by IT administration


Locations(16)

Research Site 8

Sydney, New South Wales, Australia

Research Site 7

Melbourne, Victoria, Australia

Research Site 2

Montreal, Quebec, Canada

Research Site 1

Montreal, Quebec, Canada

Research Site 9

Edmonton, Canada

Research Site 15

Paris, Paris, France

Research Site 13

Tübingen, Baden-Wurttemberg, Germany

Research Site 14

Ulm, Baden-Wurttemberg, Germany

Research Site 16

Milan, Italy

Research Site 4

Auckland, New Zealand

Research Site 3

Christchurch, New Zealand

Research Site 10

Barcelona, Spain

Research Site 11

Barcelona, Spain

Research Site 12

Seville, Spain

Research Site 5

Kaohsiung City, Taiwan

Research Site 6

Taipei, Taiwan

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NCT06672445


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