Antisense Oligonucleotide for Intellectual Disability

Age: Any Age
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: n-Lorem Foundation
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new treatment called nL-PACS1-001, an antisense oligonucleotide, for Schuurs-Hoeijmakers syndrome (SHMS), a rare genetic condition. The focus is on a personalized medicine approach targeting a specific genetic mutation in the PACS1 gene. The trial seeks to determine if this treatment can effectively manage or improve symptoms for individuals with this unique mutation. Ideal participants have a confirmed SHMS diagnosis due to a PACS1 gene mutation and can travel for study visits. As a Phase 1, Phase 2 trial, this research aims to understand how the treatment works in people and measure its effectiveness in an initial, smaller group, offering participants the opportunity to be among the first to benefit from this innovative approach.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial team or your doctor.

Is there any evidence suggesting that this treatment is likely to be safe for humans?

Research has shown that treatments like antisense oligonucleotides (ASOs), such as nL-PACS1-001, hold promise for treating rare genetic disorders. This specific treatment is being developed for Schuurs-Hoeijmakers syndrome, a condition that causes intellectual disability due to a particular genetic mutation.

Early results from similar ASO treatments indicate they are generally well-tolerated by patients, with side effects that are usually mild and manageable. Studies monitoring changes after treatment with nL-PACS1-001 have not found major safety concerns. However, since this trial is in the early stages (Phase 1/Phase 2), the researchers are still learning about its full safety profile. Participants receive close monitoring to ensure their safety and to address any unexpected reactions.

In summary, while more research is needed, early findings regarding the safety of ASO treatments like nL-PACS1-001 are encouraging.12345

Why do researchers think this study treatment might be promising for intellectual disability?

Researchers are excited about nL-PACS1-001 because it represents a new approach to treating intellectual disability linked to PACS1 syndrome. Unlike existing treatments that mainly focus on managing symptoms, this antisense oligonucleotide aims to address the underlying genetic cause of the condition. By specifically targeting and modifying the expression of the faulty PACS1 gene, nL-PACS1-001 offers the potential to improve cognitive function and quality of life in a way that current therapies cannot. This innovative mechanism of action is what sets it apart and fuels optimism among researchers.

What evidence suggests that this treatment might be an effective treatment for Schuurs-Hoeijmakers syndrome?

Research has shown that the nL-PACS1-001 treatment is specifically designed for Schuurs-Hoeijmakers syndrome (SHMS), a condition caused by a change in the PACS1 gene. This gene plays a crucial role in brain function, and alterations can lead to learning difficulties and developmental delays. Although human data on nL-PACS1-001 remains limited, the treatment employs antisense oligonucleotides, which are small pieces of DNA or RNA that can block or modify the activity of faulty genes. Early studies in similar conditions have demonstrated that targeting a specific gene change can help manage symptoms and improve quality of life. This treatment aims to address the root cause of the condition, offering hope for better outcomes in individuals with this rare genetic disorder.12367

Are You a Good Fit for This Trial?

This trial is for a single person with Schuurs-Hoeijmakers syndrome caused by a specific PACS1 gene mutation. The participant must have genetic confirmation, parental or legal consent, and be able to travel for study visits and follow-up.

Inclusion Criteria

I have SHMS caused by a PACS1 gene mutation (c.607C>T, p.Arg203Trp).
* Informed consent/assent provided by the participant's parent(s) or legally authorized representative(s)
I can travel to the study site and attend all follow-up visits.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Administration of personalized antisense oligonucleotide (ASO) treatment

24 months
Regular visits for administration and monitoring

Follow-up

Participants are monitored for safety and effectiveness after treatment

24 months
Periodic assessments every 6 months

What Are the Treatments Tested in This Trial?

Interventions

  • nL-PACS1-001

Trial Overview

A personalized antisense oligonucleotide drug called nL-PACS1-001 is being tested to target the specific PACS1 gene mutation in this individual with SHMS.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Open LabelExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

n-Lorem Foundation

Lead Sponsor

Trials
5
Recruited
5+

The Hospital for Sick Children

Collaborator

Trials
724
Recruited
6,969,000+

Citations

PACS1-Neurodevelopmental disorder: clinical features and ...

PACS1-NDD is a moderately-severe intellectual disability syndrome in which seizures occur but are not a defining or primary feature.

PACS1 Neurodevelopmental Disorder - GeneReviews - NCBI

Hypotonia is reported in about a third of individuals and is noted to improve over time. Approximately 60% of individuals are ambulatory.

Personalized Antisense Oligonucleotide for A Single ...

Change in fine motor skills every 28 days for 24-months post nL-PACS1-001 administration as measured by Early Motor Questionnaire (EMQ) ...

PACS1-Neurodevelopmental disorder: clinical features and ...

For a future randomized trial of this exceedingly rare disorder, it will be essential to identify or develop clinical outcome assessment measures that represent.

Assessing Quality of Life in PACS1 Syndrome Using the ...

This study aimed to assess QoL in individuals aged 4–21 years with PACS1 Syndrome using the validated KidsLife scale, proxy-reported by primary caregivers, ...

POMS: DI 23022.853 - PACS1 Syndrome - 03/25/2026

In PACS1 syndrome, intellectual disability typically ranges from mild to moderate. Individuals with this condition also have problems with ...

PACS1 related syndrome - rarechromo.org

PACS1 related syndrome is a recently discovered rare genetic condition whose hallmarks are developmental delay/ intellectual disability and a specific facial.