JR-446 for Sanfilippo Syndrome
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial evaluates the safety and effectiveness of a new treatment called JR-446 for young children with Sanfilippo Syndrome Type B, a rare genetic disorder affecting brain development. Researchers aim to observe how the drug interacts with the body and whether it shows early signs of benefiting the disease. The trial seeks children under 6 years old diagnosed with Sanfilippo Syndrome Type B, excluding those with a slowly progressing form. As a Phase 1/Phase 2 trial, it focuses on understanding how JR-446 works in young children and measuring its initial effectiveness, offering participants the opportunity to be among the first to potentially benefit from this new treatment.
Will I have to stop taking my current medications?
The trial does not specify if you need to stop taking your current medications, but you cannot have taken certain investigational drugs or gene therapies recently. It's best to discuss your specific medications with the trial team.
Is there any evidence suggesting that JR-446 is likely to be safe for humans?
Research has shown that JR-446 has received "orphan drug" status, indicating its potential to treat rare conditions like Mucopolysaccharidosis Type IIIB (MPS IIIB). JR-446 is an enzyme replacement therapy, and studies are examining its ability to cross the blood-brain barrier, which is crucial for treating this condition.
Detailed safety information from completed studies is not yet available, as the trial remains in its early stages. Researchers are still assessing the safety of JR-446. Early trials primarily focus on evaluating safety and tolerability. So far, available information has not reported any major safety issues.
Participants in these early studies help researchers determine the safety and efficacy of JR-446. Those considering participation should know that these trials closely monitor safety, ensuring participants remain as safe as possible while researchers gather more information about the treatment.12345Why do researchers think this study treatment might be promising?
Unlike the standard treatments for Sanfilippo Syndrome, which mainly focus on managing symptoms, JR-446 is designed to target the root cause of the disease. Sanfilippo Syndrome is a genetic disorder caused by the lack of certain enzymes needed to break down complex sugar molecules, leading to severe neurological symptoms. JR-446 works by introducing a novel enzyme replacement therapy that aims to provide the missing enzyme directly, potentially halting or even reversing the progression of the disease. Researchers are excited about JR-446 because it offers a more targeted approach, addressing the underlying enzyme deficiency rather than just alleviating symptoms.
What evidence suggests that JR-446 might be an effective treatment for Sanfilippo Syndrome?
Studies have shown that JR-446 aims to treat Mucopolysaccharidosis Type IIIB (MPS IIIB) using J-Brain Cargo technology, which has succeeded in similar treatments. This technology enables the drug to cross the brain's protective barrier, potentially enhancing both brain function and physical symptoms. Although no treatments for MPS III have been approved, JR-446 represents a promising enzyme replacement therapy in development. Early research suggests that JR-446 could offer benefits by targeting the disease's root cause.23678
Are You a Good Fit for This Trial?
This trial is for children under 6 years old who have been diagnosed with the more rapidly progressing form of MPS IIIB (Sanfilippo Syndrome) and can achieve a certain score on developmental tests. Children with the slowly progressive type are not eligible.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive JR-446 to assess safety, tolerability, and pharmacodynamic effects
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- JR-446
Trial Overview
The study is testing JR-446, a new treatment, to see if it is safe and well-tolerated in young children with MPS IIIB. Researchers will also look at how the drug affects disease symptoms over time.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Arm: 1
Find a Clinic Near You
Who Is Running the Clinical Trial?
JCR Pharmaceuticals Co., Ltd.
Lead Sponsor
MEDIPAL HOLDINGS CORPORATION
Collaborator
Citations
JCR Pharmaceuticals Presents Long-Term Clinical Data ...
Key findings included five-year clinical data demonstrating sustained neurocognitive and somatic benefits of pabinafusp alfa (JR-141) in ...
2.
curesanfilippofoundation.org
curesanfilippofoundation.org/2024/07/jr-446-enzyme-replacement-mps-iiib-phase-i-ii/JR-446 Enzyme Replacement | MPS IIIB | Phase I-II
JR-446 is a novel drug developed based on the J-Brain Cargo technology, which has been clinically validated through the approval of IZCARGO for the treatment ...
A Cure for Sanfilippo Syndrome? A Summary of Current ...
There are currently no approved treatments for MPS III, but a number of therapeutic approaches are under development.
Patients & families - See Therapeutic Areas & Trial Statuses
The Phase 2 study of JR-142 in Japan aims to evaluate the efficacy and safety of once-weekly administration of JR-142 in pediatric patients with growth hormone ...
Clinical Trials
An Open-label Phase I/II Study of JR-446 in Mucopolysaccharidosis Type IIIB. Phase: PHASE1, PHASE2 Updated: 8/25/2025. Locations: Hiroshima University ...
Notice of Orphan Drug Designation for JR-446 ...
JR-446 was granted orphan drug designation for the treatment of MPS IIIB by the U.S. Food and Drug Administration (FDA) in April 2025,1 and by ...
NCT06488924 | An Open-label Phase I/II Study of JR-446 ...
A Phase I/ II, open-label study, designed to evaluate the safety and explore efficacy of the study drug in development for the treatment of MPS IIIB patients.
Enzyme Replacement and Pharmacological Therapies
This clinical trial aims to evaluate the safety and pharmacological properties of high-dose Ambroxol Hydrochloride in adults diagnosed with MPS III.
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