The phase 3 Aspire trial is evaluating apazunersen, an investigational antisense oligonucleotide therapy, for pediatric Angelman syndrome, with completion expected in late 2026. This study aims to address a significant unmet need in this rare genetic disorder.
Apazunersen, an investigational intrathecal therapy, is being evaluated in the phase 3 Aspire trial for pediatric Angelman syndrome, with study completion anticipated in the second half of 2026. Apazunersen, an investigational intrathecal therapy, is being evaluated in the phase 3 Aspire trial for pediatric Angelman syndrome, with study completion anticipated in the second half of 2026. ... Welcome to NeurologyLive®'s Clinical Trial in Focus. Every month, an ongoing clinical trial in the landscape of neurology is featured, highlighting the design of the study, the targeted patient population, the enrollment criteria, the primary and secondary end points, and its potential implications for clinical care. This month’s spotlight is the global phase 3 Aspire study (NCT06617429) assessing apazunersen (Ultragenyx Pharmaceutical), an investigational antisense oligonucleotide therapy, in pediatric patients with Angelman syndrome (AS).1 Additional exclusions included known hypersensitivity to apazunersen or its excipients, medical conditions or laboratory abnormalities that could compromise safety or interfere with study assessments, pregnancy or breastfeeding, prior exposure to investigational treatments, including gene therapy or antisense oligonucleotides, or concurrent enrollment in another interventional trial. This region, discovered by Scott Dindot, PhD, is believed to be the structural start site and important for its regulation," Kim Goodspeed, MD, MS, senior medical director of global clinical development at Ultragenyx, told NeurologyLive. "Precise targeting of this site resulted in robust and efficient repression of the UBE3A-antisense transcript and reactivation of the paternal copy of UBE3A throughout the [central nervous system] of cynomolgus macaques." Enrollment for the Aspire study began in December 2024 and concluded in July 2025, with approximately 129 participants.3 Participants in the trial will be randomly assigned 1:1 to receive intrathecal apazunersen via lumbar puncture or a sham comparator for 48 weeks.
Original title: “Assessing Antisense Oligonucleotide Apazunersen in Pediatric Angelman Syndrome: The Aspire Study | NeurologyLive - Clinical Neurology News and Neurology Expert Insights”