Investigation the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of RO7248824 in Participants with Angelman Syndrome

2024-514797-45-00 Protocol BP41674 Human pharmacology (Phase I) - Other Ended

Start 25 Aug 2020 · End 31 Jul 2025 · Status Ended · 3 EU/EEA countries · 5 sites · Protocol BP41674

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - Other
Status Ended
Participants planned 53
Countries 3
Sites 5

Angelman Syndrome (AS)

To assess the safety and tolerability profile of RO7248824

Key facts

Sponsor
F. Hoffmann-La Roche AG
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
25 Aug 2020 → 31 Jul 2025
Decision date (initial)
2024-12-02
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
F. Hoffmann-La Roche Ltd

External identifiers

EU CT number
2024-514797-45-00
EudraCT number
2019-003787-48

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Others, Safety

To assess the safety and tolerability profile of RO7248824

Secondary objectives 1

  1. To investigate the plasma pharmacokinetics (PK) of RO7248824

Conditions and MedDRA coding

Angelman Syndrome (AS)

VersionLevelCodeTermSystem organ class
20.0 PT 10049004 Angelman's syndrome 100000004850

Study design 3 periods

#TitleAllocationBlindingRoles blindedArms
1 Multiple Ascending Dose Part
Dose escalation steps within and across cohorts with a range of 15 to 240 mg for cohorts A1 to A5 and 6 to 240 mg for cohorts B1 to B5.
Not Applicable None cohorts A1 to A5.: 15 to 240 mg
cohorts B1 to B5: 6 to 240 mg
2 Long-Term Extension Part
After Multiple Ascending Dose Part
Not Applicable None “A” cohorts: Age ≥5 to ≤12 years

∙ Participants, enrolling directly into the LTE part of the study will be included in cohort EA1 and will receive 60 mg RO7248824 every 16 weeks.
∙ Participants from MAD cohorts A1 and A2 may transition to Cohort EA2 and will receive 120 mg RO7248824 every 16 weeks.
∙ Participants from MAD cohorts A3 and A4 may transition to Cohort EA3 and will receive 180 mg RO7248824 every 24 weeks.
∙ Participants from MAD cohort A5 may transition to Cohort EA4 and will receive 240 mg RO7248824 every 24 weeks.
“B” cohorts: Age ≥ 1 to ≤ 4 years

∙ Participants, enrolling directly into the LTE part of the study will be included into cohort EB1 and will receive 60 mg RO7248824 every 16 weeks.
∙ Participants from cohorts B1 and B2 may transition to Cohort EB2 and will receive 120 mg RO7248824 every 16 weeks.
∙ Participants from cohorts B3 and B4 may transition to Cohort EB3 and will receive 180 mg RO7248824 every 24 weeks.
∙ Participants from MAD cohort B5 may transition to Cohort EB4 and will receive 240 mg RO7248824 every 24 weeks.
3 Optional Open-Label Extension Part
The dose regimens administered during the OOE part will be the same dose(s) explored during the LTE part. Participants should start the OOE part on the same dose and dosing interval as their last dose in the LTE part of the study, unless there is a need to reduce the dose for safety or tolerability reasons.
Not Applicable None

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
Plan to share IPD
No
IPD plan description
N/A

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. The participant has a parent, caregiver or legal representative (hereinafter “caregiver”) who is reliable, competent and at least 18 years of age. The caregiver is willing and able to accompany the participant to clinic visits and to be available to the Investigational Site by phone or email if needed and who (in the opinion of the investigator) is and will remain sufficiently knowledgeable of participant’s ongoing condition to respond to any inquiries about the participant from personnel from the Study Site
  2. Clinical diagnosis of AS confirmed by a molecular diagnosis with genotypic classification of either: ••Ubiquitin-protein ligase E3A (UBE3A) mutation of maternal allele Deletion on the maternally inherited chromosome 15q11q13 that includes the UBE3Agene and is less than 7 Mb in size
  3. Stable medical status for at least 4 weeks prior to Screening and at the time of enrollment
  4. Have adequate supportive psychosocial circumstances
  5. Able to tolerate blood draws
  6. Have adequate supportive psychosocial circumstances

Exclusion criteria 6

  1. Clinically relevant hematological, hepatic, cardiac, renal disease event, or laboratory abnormality, in the judgment of the Investigator
  2. Any concomitant condition that might interfere with the clinical evaluation of AS and that is not related to AS
  3. Known history of human immunodeficiency virus (HIV) or hepatitis B virus (HBV) or hepatitis C virus (HCV)
  4. Any condition that increases risk of meningitis
  5. History of bleeding diathesis or coagulopathy
  6. History of clinically significant post-lumbar-puncture headache of moderate or severe intensity and/or blood patch

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 4

  1. 1. Frequency and severity of adverse events, serious adverse events, treatment discontinuations due to adverse events (MAD, LTE, OOE)
  2. 2. Frequency of abnormal laboratory findings (blood and cerebrospinal fluid [CSF]) (MAD, LTE, OOE)
  3. 3. Frequency of abnormal vital signs and ECG values (MAD, LTE)
  4. 4. Mean changes from baseline in vital signs (temperature, systolic and diastolic blood pressure, heartrate, respiratory rate) over time (MAD, LTE)

Secondary endpoints 3

  1. 1. Time to maximum concentration (Tmax) (MAD, LTE, OOE)
  2. 2. Maximum plasma concentration observed (Cmax) (MAD, LTE, OOE)
  3. 3. AUC from Time 0 to time of last sampling point or last quantifiable sample, whichever comes first (AUClast), AUC from Time 0 to infinity (AUCinf) (MAD, LTE, OOE)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Rugonersen

PRD7896660 · Product

Active substance
Rugonersen
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRATRACHEAL USE
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/20/2379

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

F. Hoffmann-La Roche AG

Sponsor organisation
F. Hoffmann-La Roche AG
Address
Grenzacherstrasse 124
City
Basel
Postcode
4058
Country
Switzerland

Scientific contact point

Organisation
F. Hoffmann-La Roche AG
Contact name
Trial Information System - TISL

Public contact point

Organisation
F. Hoffmann-La Roche AG
Contact name
Trial Information System - TISL

Third parties 12

OrganisationCity, countryDuties
Clinical Outcomes Solutions LLC
ORG-100045476
Tucson, United States Other
Pharm Research Associates (UK) Limited
ORG-100008833
Reading, United Kingdom Other
Biotrial
ORG-100006463
Rennes, France Laboratory analysis
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States Other
Endpoint Clinical Inc.
ORG-100040567
San Francisco, United States Interactive response technologies (IRT)
Siena Imaging S.r.l.
ORG-100051846
Siena, Italy Laboratory analysis
Bioclinica Inc.
ORG-100033079
Princeton, United States Laboratory analysis
Q Squared Solutions Limited
ORG-100042527
Livingston, United Kingdom Laboratory analysis
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Syneos Health Netherlands B.V.
ORG-100013861
Amsterdam, Netherlands Data management
Cogstate Limited
ORG-100044403
Melbourne, Australia Other
Pharmaceutical Research Associates Group B.V.
ORG-100006268
Assen, Netherlands Laboratory analysis

Locations

3 EU/EEA countries · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ended 8 1
Netherlands Ended 10 1
Spain Ended 10 3
Rest of world
United States, Canada, United Kingdom
25

Investigational sites

Italy

1 site · Ended
Ospedale Pediatrico Bambino Gesu
Dipartimento di Scienze Neurologiche e Psichiatriche, Piazza Di Sant'onofrio 4, 00165, Rome

Netherlands

1 site · Ended
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Pediaetric neurology, Dr. Molewaterplein 40, 3015 GD, Rotterdam

Spain

3 sites · Ended
Parc Tauli Hospital Universitari
Child Neurology, Parc Del Tauli 1, 08208, Sabadell
University Hospital Virgen Del Rocio S.L.
Child Neurology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital Sant Joan De Deu Barcelona
Child Neurology, Passeig De Sant Joan De Deu 2, 08950, Esplugues De Llobregat

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2020-08-27 2025-06-27 2020-09-08 2022-06-28
Netherlands 2021-01-05 2025-07-18 2021-01-08 2022-06-28
Spain 2020-08-25 2025-07-02 2020-08-27 2022-06-28

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
BP41674 CTIS results summary
SUM-116546
2026-01-27T14:18:06 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Final Lay Person Summary results 2026-01-29T16:09:32 Submitted Laypersons Summary of Results

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) LPS_BP41674_TANGELO_Final results_09Dec2025_EN 1
Laypersons summary of results (for publication) LPS_BP41674_TANGELO_Final results_09Dec2025_ESP_rev 1
Laypersons summary of results (for publication) LPS_BP41674_TANGELO_Final results_09Dec2025_NL-NL_final 1
Laypersons summary of results (for publication) LPS_BP41674_TANGELO_Final-results_09Dec2025_EN-1_it_IT 1
Protocol (for publication) d1_protocol-2024-514797-45-00-redacted 10
Summary of results (for publication) BP41674_ CTIS Final Results N/A
Synopsis of the protocol (for publication) d1_protocol-synopsis_eng_2024-514797-45-00 N/A

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-11 Netherlands Acceptable with conditions
2024-10-10
2024-10-10
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-12-11 Netherlands Acceptable with conditions
2024-10-10
2024-12-11