PrP-targeting siRNA Safety & Mechanism Study

ConditionPrion Disease
Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorBroad Institute of MIT and Harvard

About this trial

The purpose of this trial is to evaluate safety, tolerability, pharmacokinetics and pharmacodynamic impact of PrP-siRNA in symptomatic prion disease patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

clinically manifested symptoms of prion disease, in the opinion of the investigator;

a diagnosis of probable prion disease according to CDC criteria;

a positive CSF RT-QuIC or PRNP genetic test;

no more than moderate functional impairment as quantified by an MRC-PDRS score ≥15; and

Disqualifiers

pregnancy;

contraindication to LP; or

recent participation in a different prion disease clinical trial.

Trial design

Design model

Sequential

Treatments tested in this trial

  • PrP-siRNA

    Drug

    Intrathecally administered divalent siRNA designed to target the PRNP mRNA. The structure has been published in DOI: 10.1101/2024.12.05.627039

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: Arm 1: ObservationalNo intervention 0 interventions
Group B: Arm 2: Single ascending doseExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Frequency of adverse events

Time frame
Baseline to week 24

Secondary outcomes

1

CSF PrP concentration

Prion protein (PrP) concentration in cerebrospinal fluid (CSF), a pharmacodynamic (PD) biomarker for PrP-siRNA activity

Time frame
4 weeks post-dose
2

CSF PrP concentration

Prion protein (PrP) concentration in cerebrospinal fluid (CSF), a pharmacodynamic (PD) biomarker for PrP-siRNA activity

Time frame
8 weeks post-dose
3

CSF PrP concentration

Prion protein (PrP) concentration in cerebrospinal fluid (CSF), a pharmacodynamic (PD) biomarker for PrP-siRNA activity

Time frame
12 weeks post-dose
4

CSF PrP concentration

Prion protein (PrP) concentration in cerebrospinal fluid (CSF), a pharmacodynamic (PD) biomarker for PrP-siRNA activity

Time frame
24 weeks post-dose

Other outcomes

Sponsors and contacts

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Broad Institute of MIT and Harvard

Lead sponsor

National Institute of Neurological Disorders and Stroke (NINDS)

Collaborator