Posted on 18th April 2024

Ionis PMD clinical study

We have received an update from Ionis regarding their Pelizaeus-Merzbacher Disease (PMD) clinical study.

If you have any questions, please email info@alextlc.org

Update from Robert N. Goldstein-Mahon (Director of Patient Advocacy) and Courtney Bisbee (Assistant Director of Patient Advocacy)

Ionis has activated the first clinical trial sites for ORBIT, our Phase 1 clinical trial of an investigational drug, ION356, in people with Pelizaeus-Merzbacher Disease (PMD). Site investigators at the Amsterdam University Medical Center in the Netherlands and Assistance Publique-Hôpitaux of Paris in France can now screen potential trial participants.

ORBIT is an important step in the clinical development process for the investigational drug, ION356. As we reach this milestone, we want to provide education about what this clinical trial is designed to do and what it is not. ORBIT is a Phase 1 clinical trial and the first time that this investigational drug, ION356, will be administered to people. Up to 24 people with ‘Classic PMD’ caused by PLP1 duplication will be enrolled into ORBIT. Additional inclusion and exclusion criteria apply. During the trial, everyone enrolled will receive ION356; there is no placebo control arm in ORBIT. The primary purpose of this study is to evaluate the safety and tolerability of ION356. ORBIT is not designed to determine the efficacy of ION356 as a potential treatment option for PMD.

More information about the purpose of clinical trials is available online at the World Health Organization (WHO) and the European Medicines Agency (EMA). Additionally, the US Food & Drug Administration (FDA) website has online resources that help explain the drug development process, including the different phases of clinical trials. The US Health and Human Services website has helpful educational fact sheets and videos regarding participating in research, including a suggested “Questions to Ask” when considering participating in a clinical trial.

The Ionis ION356 team is focused on working with ORBIT site investigators and the PMD community to enroll ORBIT as quickly as possible. We are grateful for our partnership with the PMD community and express our gratitude to the patients, caregivers, and families who will participate in ORBIT.  We will continue to provide you with updates at key program milestones in the future.

 

Questions and Answers

Where can someone interested in participating in ORBIT go for more information?

Individuals interested in participating in ORBIT should discuss it with their doctor. Individuals may call +1-844-387-9520 or email IonisPelizaeusMerzbacherStudy2@clinicaltrialmedia.com for information about open trial site locations. Please note that Ionis is not involved in individual enrollment decisions at clinical trial sites.

When will additional sites be opened?

Ionis is working with planned trial investigators and their institutions to open enrollment at a limited number of sites across multiple different countries. Each site will be activated only after all regulatory and individual institutional requirements are met. Therefore, additional sites will be ready to screen people for potential enrollment into the trial on a rolling basis. We will update the clinicaltrials.gov page as new trial sites are added.

When will ION356 be tested for connatal PMD?

ORBIT is an early-phase study and the first time that the investigational drug will be given to anyone with PMD. The study’s objectives and design were developed with input from regulators, clinicians, ethicists, and PMD community members. The study’s objectives are to investigate the potential safety and tolerability of ION356. Considering the study’s objectives and stakeholder feedback, we decided to focus enrollment on people with ‘Classic PMD’ (PLP1 duplications) between the ages of 2 and 17. We appreciate that there are several different types of PMD. Results from this study will inform potential future studies of ION356, which may include research in people with connatal PMD.

Is there a way to receive ION356 outside the clinical trial, such as for people who are not eligible for this clinical trial and those who don’t live near a clinical trial site?

Evaluation of both the potential safety and efficacy of the investigational drug, ION356, in clinical trials is essential to establishing whether ION356 can help people diagnosed with PMD. For this reason, ION356 is not available outside this clinical trial. We are working diligently to complete the clinical trials necessary to evaluate ION356 in individuals with PMD.  For more information about Ionis’ expanded access policy, click here.

Must a person be a citizen or resident in the same country as the trial site to participate in the trial? (aka cross-border/cross-country participation)?

For this study, Ionis does not require a person to be a citizen or resident of the country where the trial site is located. However, each site may have its own policies for receiving individuals from other countries. These policies are independent of Ionis. Prospective study participants should speak directly with their preferred study site to identify any restrictions or challenges based on the institution’s policies.