Genetic Therapy for Ataxia Telangiectasia
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a new genetic therapy called atipeksen, designed to help individuals with Ataxia-telangiectasia (A-T), a rare disorder affecting movement and coordination. The goal is to determine if this treatment can safely enhance quality of life by slowing symptom progression. Participants must have A-T confirmed by genetic testing, including a specific change in the ATM gene. This study could lead to similar therapies for A-T and other neurodegenerative diseases. As a Phase 1/Phase 2 trial, the research focuses on understanding how the treatment works in people and measuring its effectiveness in an initial, smaller group.
Will I have to stop taking my current medications?
The trial information does not specify if you need to stop taking your current medications. However, doctors will check if any of your medicines might cause problems, so it's best to discuss your specific situation with the trial team.
Is there any evidence suggesting that this treatment is likely to be safe for humans?
Research has shown that atipeksen, a genetic therapy for Ataxia-telangiectasia (A-T), has promising safety results. Studies with similar treatments reported no serious side effects. Some patients experienced increased pressure in the fluid around the brain and spine, but this was not considered serious. Ongoing safety tests have found no side effects, which is encouraging for potential participants. These findings suggest that atipeksen is well-tolerated and could be a safe option for people with A-T.12345
Why do researchers think this study treatment might be promising for A-T?
Unlike the standard treatments for ataxia telangiectasia, which focus on managing symptoms, Atiplexen offers a pioneering approach by directly targeting the genetic root of the disorder. This treatment uses antisense oligonucleotide (ASO) therapy, which is designed to specifically alter the expression of the ATM gene variant, potentially correcting the underlying genetic defect. Researchers are excited about Atiplexen because it represents a precision medicine approach, aiming to modify the disease at a molecular level, which could lead to more effective and lasting outcomes for patients.
What evidence suggests that this genetic therapy might be an effective treatment for Ataxia-telangiectasia?
Research has shown that atipeksen, a new genetic therapy, may help treat Ataxia-telangiectasia (A-T). Changes in the ATM gene cause this condition, and atipeksen works by correcting these changes. Earlier studies found that atipeksen can restore normal gene function, which is crucial for combating the disease. Early results are promising, showing improvements in health and biological markers. Although more research is needed, these findings suggest that atipeksen might slow the disease's progression and enhance the quality of life for people with A-T.12567
Who Is on the Research Team?
Christelle Achkar, MD
Principal Investigator
Boston Children's Hospital
Timothy Yu, MD, PhD
Principal Investigator
Boston Childrens Hostpital
Are You a Good Fit for This Trial?
This trial is for people diagnosed with Ataxia-Telangiectasia (A-T) who have a specific mutation in the ATM gene called c.7865C>T. Participants should not have other major health issues that would prevent them from joining.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive intrathecal administration of atipeksen, a targeted genetic therapy, to restore ATM gene function
Follow-up
Participants are monitored for safety and effectiveness after treatment using clinical and physiological biomarkers
Long-term monitoring
Participants undergo yearly assessments to track neurodevelopmental and motor function
What Are the Treatments Tested in This Trial?
Interventions
- Atipeksen
Trial Overview
The study tests atipeksen, a precision genetic therapy given by injection into the spine, designed to restore function of the faulty ATM gene in A-T patients with the c.7865C>T mutation.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Individuals with genetically confirmed, classic ataxia telangiectasia with at least one copy of the ASO-amenable ATM variant NM\_000051.3:c.7865C\>T;p.Ala2622Val, will receive the ASO at the same dose.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Timothy Yu
Lead Sponsor
Citations
NCT07215416 | Safety and Efficacy of Mutation-targeted ...
This project aims to evaluate the safety and efficacy of precision genetic therapy for patients with Ataxia-telangiectasia (A-T), a rare neurodegenerative ...
A framework for individualized splice-switching ...
We present a framework to systematically discover and develop splice-switching treatments for individuals with rare diseases, using ataxia-telangiectasia (AT) ...
3.
ctv.veeva.com
ctv.veeva.com/study/safety-and-efficacy-of-mutation-targeted-precision-genetic-therapy-for-ataxia-telangiectasia-a-tSafety and Efficacy of Mutation-targeted Precision Genetic ...
This project aims to evaluate the safety and efficacy of precision genetic therapy for patients with Ataxia-telangiectasia (A-T), a rare neurodegenerative ...
Antisense Oligonucleotides Modulating Activation of a ... - PMC
Our RNA-Seq studies have recently revealed activation of an NMD switch exon (termed NSE) deep in ATM (ataxia-telangiectasia, mutated) intron 28 in cells ...
Atipeksen - Drug Targets, Indications, Patents
Oligonucleotide Therapy for Treatment of Ataxia-Telangiectasia 100 Clinical Results. Ataxia Telangiectasia
Targeting Mutant Ataxin-3 with Antisense Oligonucleotides ...
Together these data show that ASO treatment can effectively rescue impairments in motor activities at a time when potassium channel dysfunction is observed in ...
7.
mdsabstracts.org
mdsabstracts.org/abstract/antisense-oligonucleotide-treatment-in-ataxia-telangiectasia/Antisense Oligonucleotide Treatment in Ataxia- ...
No serious adverse events were encountered during the trial. Safety-related findings included elevated CSF opening pressure measurements and contrast ...
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