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Active, not recruitingNCT05127226Updated Aug 20, 2026

HALOS: A Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of Multiple Ascending Doses of ION582 in Participants With Angelman Syndrome

A Phase 1/2 interventional study of ION582 in Angelman Syndrome, sponsored by Ionis Pharmaceuticals, Inc.. Active, not recruiting at 11 sites in 6 countries. Open to participants aged 0 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-08-20.

Sponsored by Ionis Pharmaceuticals, Inc. · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
71
Allocation
Non-randomized
Ages
0 Years to 50 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and tolerability of ascending doses of ION582 administered intrathecally in participants with Angelman syndrome.

Read the detailed description

This is a Phase 1-2a, open-label study consisting of 3 parts in approximately 70 participants. Part 1 is a multiple ascending dose (MAD) study, consisting of a 13-week MAD Treatment Period and a minimum 12-week Post-MAD Follow-Up Period. Part 2 is a multi-center 49-week study where participants who completed Part 1 will receive IT bolus doses of ION582 followed by a minimum 12-week Part 2 follow up period. Part 3 extends the treatment period for participants who completed Part 2 for up to an additional 3 years followed by a 32-week post-LTE follow up period.

02

Conditions studied

  • Angelman Syndrome

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03

In context

Angelman Syndrome

46 studies on the registry are indexed under Angelman Syndrome; 16 are open to participants now.

This study's enrollment of 71 is close to the median of 67 across 25 interventional studies indexed under Angelman Syndrome.

Browse Angelman Syndrome studies →

Lead sponsor

Ionis Pharmaceuticals, Inc. is the lead sponsor of 116 studies on the registry; 10 are open to participants now.

Of its 48 completed or terminated interventional studies of FDA-regulated products, 21 (44%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Participant has a documented and certified diagnosis of Angelman syndrome (AS) (ubiquitin-protein ligase E3A [UBE3A] deletion or UBE3A mutation)
  2. Male or female between the ages of 0-50 years of age, with signed informed consent from parent(s) or legal guardian(s)
  3. Currently receiving stable standard of care treatments such as, stable doses of anti-epileptic medication, behavioral management medications, sleep medications, gabapentin, cannabidiol, and including special diets, supplements or nutritional support for at least 3 months prior to first dose.
  4. Follow good study practice and not participate in the sharing of personal or study information on social media platforms, such as any website or social media site (e.g., Facebook, Instagram, Twitter, YouTube, etc.) until notified that the study is completed.

Key Exclusion Criteria:

  1. Has documented molecular AS confirmation of paternal uniparental disomy (UPD) or imprinting defect (ID).
  2. Any clinically significant (CS) cardiovascular, endocrine, hepatic, renal, pulmonary, gastrointestinal, neurologic, malignant, metabolic, psychiatric, or other condition that, in the judgment of the Investigator, will pose a safety risk, will make the patient unsuitable for participation in, and/or unable to complete the study procedures. Has poorly controlled seizures as determined by the Investigator or has documented Status Epilepticus in the past 6 months that could pose a safety risk while on study.
  3. Known bone, spine, bleeding, or other disorder that exposes the patient to risk of injury or unsuccessful lumbar puncture. Previous treatment with an oligonucleotide (including small interfering ribonucleic acid, antisense oligonucleotide [ASOs]). COVID-19 vaccinations are allowed.
  4. Any prior use of gene therapy. Have any other conditions, which, in the opinion of the Investigator would make the participant unsuitable for inclusion or could interfere with the participant taking part in or completing the study.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
71 participants (actual)

Study arms

  • Experimental
    Part 1 MAD: Cohort A

    ION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.

    Drug: ION582

  • Experimental
    Part 1 MAD: Cohort B

    ION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.

    Drug: ION582

  • Experimental
    Part 1 MAD: Cohort C

    ION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.

    Drug: ION582

  • Experimental
    Part 1 MAD: Cohort D

    ION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.

    Drug: ION582

  • Experimental
    Part 1 MAD: Cohort E

    ION582 will be administered as IT injection of over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.

    Drug: ION582

  • Experimental
    Part 1 MAD: Cohort F

    ION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 12 weeks between each dose administration.

    Drug: ION582

  • Experimental
    Part 2 Group 1

    ION582 will be administered as IT injection of over a period of 49 weeks, with additional dosing intervals.

    Drug: ION582

  • Experimental
    Part 2 Group 2

    ION582 will be administered as IT injection of over a period of 49 weeks, with additional dosing intervals.

    Drug: ION582

  • Experimental
    Part 3 Group 1

    ION582 will be administered as IT injection of over a period of 145 weeks, with additional dosing intervals.

    Drug: ION582

  • Experimental
    Part 3 Group 2

    ION582 will be administered as IT injection of over a period of 145 weeks, with additional dosing intervals.

    Drug: ION582

Interventions

  • DrugION582

    ION582 will be administered by IT injection.

06

What researchers measure

Primary outcomes

  1. To evaluate the safety and tolerability of single and multiple doses of ION582 (incidence, severity, and dose-relationship of adverse effects and changes in the laboratory parameters).

    The safety and tolerability of ION582 will be assessed by determining the incidence, severity, and dose relationship of adverse effects and changes in the laboratory parameters by dose.

    Time frame: Part 1: Up to Week 45; Part 2: Up to Week 81

Secondary outcomes

  1. Maximum Observed Plasma Concentration (Cmax) of ION582

    Time frame: Part 1: Up to Week 45; Part 2: Up to Week 81

  2. Time to Reach Maximal Plasma Concentration (Tmax) of ION582

    Time frame: Part 1: Up to Week 45; Part 2: Up to Week 81

  3. Plasma Elimination Half-Life (t1/2λz) of ION582

    Time frame: Part 1: Up to Week 45; Part 2: Up to Week 81

  4. Concentration ION582 in CSF

    Time frame: Part 1: Up to Week 13; Part 2: Up to Week 49

07

Study locations

11 sites
  • Rady Children's Hospital
    San Diego, California 92123, United States
  • Colorado Children's Hospital Research Institute
    Aurora, Colorado 80045, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • Boston Children's Hospital
    Boston, Massachusetts 02215, United States
  • University of North Carolina at Chapel Hill School of Medicine
    Carrboro, North Carolina 27510, United States
  • Texas Children's Hospital
    Houston, Texas 77030, United States
  • Sydney Children's Hospital, Kids Cancer Centre
    Randwick, NSW 2031, Australia
  • Necker-Enfants Malades Hospital
    Paris, 75015, France
  • Sheba Medical Center
    Ramat Gan, 5262100, Israel
  • Azienda Ospedaliera Universitaria Pisana
    Pisa, 56126, Italy
  • STRONG Group University of Oxford
    Oxford, Oxfordshire OX3 9DU, United Kingdom
08

References and documents

Individual participant data

Plan to share: Yes — Ionis may share anonymized individual participant data, aggregated clinical data, and other types of data that support the results in this study. Data requests from qualified researchers will be considered once all three of the following criteria are met: (1) 12 months from marketing approval of the study drug in both the United States and European Union; (2) 18 months from conclusion of the study; and (3) 6 months from publication of study article. Access would be via a secure environment and is contingent upon approval of a research proposal and entry into an appropriate data use agreement. Requests to access data can be submitted via the website https://vivli.org/ourmember/ionis/.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05127226
Lead sponsor
Ionis Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Nov 19, 2021
Start date
Dec 22, 2021
Primary completion
Mar 2029 (estimated)
Completion
Mar 2029 (estimated)
Last update
Aug 20, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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