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TerminatedNCT05677659Updated Jun 11, 2025

A Study of VGL101 in Patients With Adult-Onset Leukoencephalopathy With Axonal Spheroids and Pigmented Glia

A Phase 2 interventional study of VGL101 in ALSP, sponsored by Vigil Neuroscience, Inc.. Terminated at 10 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-11.

Sponsored by Vigil Neuroscience, Inc. (part of Sanofi) · Phase 2, Interventional, and Treatment

Why this study was terminated
No beneficial effects on biomarker or clinical efficacy endpoints

From the registry’s dates

  • Primary completion was Feb 2025, 1 year 8 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a multicenter, open-label study to assess the safety and tolerability of iluzanebart (also referred to as VGL101) in subjects with documentation of a gene mutation in the CSF1R gene for the treatment of adult-onset leukoencephalopathy with axonal spheroids and pigmented glia (ALSP) and to evaluate the effects of iluzanebart on imaging and biomarkers of disease progression in subjects with ALSP. Participants will receive infusions of iluzanebart approximately every 4 weeks for 1 year. The study includes a 52-week, open-label Core Study, followed by a Long-Term Extension (LTE), which provides subjects who complete the original 52-week study (Core Study) with the option to continue treatment for up to an additional 2 years.

02

Conditions studied

  • ALSP

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Keywords

  • ALSP
  • CSF1R
  • leukoencephalopathy
  • Hereditary Diffuse Leukoencephalopathy with Spheroids
  • HDLS
  • CSF1R-related Leukoencephalopathy
  • Adult-Onset Leukoencephalopathy with Axonal Spheroids and Pigmented Glia
  • CSF1R gene mutation
  • IGNITE
03

In context

Leukoencephalopathies

39 studies on the registry are indexed under Leukoencephalopathies; 16 are open to participants now.

Browse Leukoencephalopathies studies →

Lead sponsor

Vigil Neuroscience, Inc. is the lead sponsor of 3 studies on the registry; none are open to participants now.

First submitted before Vigil Neuroscience, Inc. became part of Sanofi.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Participants who have documentation of a gene mutation in the CSF1R gene
  • Participants fulfill both (Parts A and B) of the following criteria:

    1. The participant has more than 2 findings of clinical signs or symptoms in the following categories:

      1. Cognitive impairment or psychiatric problem
      2. Pyramidal signs on neurological examination
      3. Extrapyramidal signs, such as rigidity.
      4. Epilepsy
    2. MRI findings consistent with ALSP, specifically, bilateral cerebral white matter lesions with or without thinning of the corpus callosum, on the Screening MRI.
  • The participant must have a study partner (i.e., caregiver, family member, friend, etc.) who, in the investigator's judgment, has frequent and sufficient contact with the subject so as to be able to provide accurate information about the participant's health and cognitive and functional abilities. The study partner must be willing to sign a study partner ICF.

Key Exclusion Criteria:

  • The participant has any neurological disease that poses a risk to the participant or can produce cognitive, motor, or behavioral impairment similar to ALSP, including, but not limited to, brain tumor, hydrocephalus, Alzheimer's disease, frontotemporal dementia (FTD), ALS, stroke, Huntington disease, multiple sclerosis, Parkinson's disease, and Down syndrome.
  • Participant with any condition or situation that, in the opinion of the investigator or sponsor medical personnel, may place the subject at significant risk, confound the study results, or interfere significantly with the participant's participation in the study.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    VGL101

    Solution administered via Intravenous Infusion (IV)

    Drug: VGL101

Interventions

  • DrugVGL101

    Solution administered via Intravenous Infusion (IV)

06

What researchers measure

Primary outcomes

  1. Core Study Adverse Events

    To evaluate the safety and tolerability of iluzanebart for the treatment of adult-onset leukoencephalopathy with axonal spheroids and pigmented glia (ALSP) by adverse events in the Core Study

    Time frame: Through Week 52

  2. Long-Term Extension Adverse Events

    To evaluate the safety and tolerability of iluzanebart for the treatment of ALSP by adverse events in the Long-Term Extension

    Time frame: Week 52 through Week 148

Secondary outcomes

  1. To evaluate the effects of iluzanebart on brain volume loss on MRI in subjects with ALSP in the Core Study

    Percentage of subjects with minimal radiological progression from Baseline to Week 52

    Time frame: Baseline and Week 52

  2. To assess the correlation between brain volume loss on MRI and clinical measures of disease progression in subjects with ALSP in the Core Study

    * Correlation between brain volume loss and Montreal Cognitive Assessment (MoCA) changes from Baseline to Week 52 * Correlation between brain volume loss and Cortical basal ganglia functional scale (CBFS) changes from Baseline to Week 52

    Time frame: Baseline and Week 52

  3. To evaluate the effects of iluzanebart on clinical measures of disease progression in subjects with ALSP in the Core Study

    * Percentage of subjects with minimal progression in the MoCA scale, from Baseline to Week 52 * Percentage of subjects with minimal progression in CBFS from Baseline to Week 52 * Percentage of subjects who did not worsen in the Clinical Global Impression - Change (CGI-C) scale at Week 52

    Time frame: Baseline and Week 52

  4. To evaluate the effects of iluzanebart on fluid biomarkers of neurodegeneration in subjects with ALSP in the Core Study

    Change from Baseline to Week 52 in neurofilament light chain (NfL) in and blood

    Time frame: Baseline and Week 52

  5. To evaluate the pharmacokinetics of iluzanebart in subjects with ALSP in the Core Study

    Serum and cerebrospinal fluid (CSF) concentrations of iluzanebart

    Time frame: Through Week 52

  6. To evaluate the effects of iluzanebart on brain volume loss on MRI in subjects with ALSP in the Long-Term Extension

    Change from Baseline to Weeks 76, 100, 124, and 148 in brain volume loss

    Time frame: Baseline and Weeks 76, 100, 124, and 148

  7. To assess the correlation between brain volume loss on MRI and clinical measures of disease progression in subjects with ALSP in the Long-Term Extension

    * Correlation between brain volume loss and MoCA changes from Baseline to Weeks 76, 100, 124, and 148 * Correlation between brain volume loss and CBFS changes from Baseline to Weeks 76, 100, 124, and 148

    Time frame: Baseline and Weeks 76, 100, 124, and 148

  8. To evaluate the effects of iluzanebart on clinical measures of disease progression in subjects with ALSP in the Long-Term Extension

    * Change from baseline to Weeks 64, 76, 88, 100, 112, 124, 136, and 148 in the MoCA and CBFS * Mean CGI-C score at Weeks 64, 76, 88, 100, 112, 124, 136, and 148

    Time frame: Baseline and Weeks 64, 76, 88, 100, 112, 124, 136, and 148

  9. To evaluate the effects of iluzanebart on fluid biomarkers of neurodegeneration in subjects with ALSP in the Long-Term Extension

    Change from Baseline to Weeks 76, 100, 124, and 148 in NfL in blood

    Time frame: Baseline and Weeks 76, 100, 124, and 148

  10. To evaluate the pharmacokinetics of iluzanebart in subjects with ALSP in the Long-Term Extension

    Serum and CSF concentrations of iluzanebart

    Time frame: Week 52 through Week 148

07

Study locations

10 sites
  • Investigative Site 3
    San Francisco, California 94158, United States
  • Investigative Site 2
    Englewood, Colorado 80113, United States
  • Investigative Site 1
    Jacksonville, Florida 32224, United States
  • Investigative Site 5
    Boston, Massachusetts 02114, United States
  • Investigative Site 6
    Philadelphia, Pennsylvania 19104, United States
  • Investigative Site 10
    Paris, France
  • Investigative Site 7
    Leipzig, Germany
  • Investigative Site 9
    Tübingen, Germany
  • Investigative Site 8
    Amsterdam, Netherlands
  • Investigative Site 4
    London, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

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 Jun 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05677659
Responsible party
Sponsor
First posted
Jan 10, 2023
Start date
Dec 14, 2022
Primary completion
Feb 14, 2025
Completion
Jun 4, 2025
Last update
Jun 11, 2025

Oversight

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

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