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RecruitingNCT07181837ASCEND-ASUpdated Jul 24, 2026

A Phase 1/2 Study of the Safety and Efficacy of MVX-220 in Angelman Syndrome

A Phase 1/2 interventional study of MVX-220 in Angelman Syndrome, sponsored by MavriX Bio, LLC. Recruiting at 3 sites in United States. Open to participants aged 4 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-07-24.

Sponsored by MavriX Bio, LLC · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
12
Allocation
Non-randomized
Ages
4 Years to 50 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and efficacy of MVX-220 gene therapy in children and adults with Angelman syndrome with UBE3A gene deletion, uniparental disomy, or imprinting center defect genotypes.

Read the detailed description

MVX-220 is an investigational gene replacement therapy intended to provide a functional copy of the UBE3A gene to individuals with Angelman syndrome. This study is designed to evaluate the safety, tolerability and efficacy of MVX-220 in participants with Angelman syndrome who have deletion, uniparental disomy, or imprinting center disorder genotypes. The study has 2 primary cohorts: Cohort 1 that includes adults followed by Cohort 2 that includes children. All patients will receive a single dose of MVX-220 administered by injection into the cisterna magna. There is no control group and all individuals will receive the gene therapy. An independent data safety monitoring board will review the safety information from Cohort 1 before individuals can be enrolled in Cohort 2. An optional cohort of adults and/or children (Cohort 3) may be enrolled based on a review of data from Cohorts 1 and 2. All patients will be required to take steroids before and for a brief period during the study to help mitigate the risk of immune response to the gene therapy. Patients will be followed for safety and efficacy for an initial 2-year period post-treatment and then transition to less frequent monitoring schedule for an additional 3 years. The total duration of follow up in the study is 5 years.

02

Conditions studied

  • Angelman Syndrome

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Keywords

  • Angelman syndrome
  • gene therapy
  • AAV
  • cisterna magna
03

In context

Angelman Syndrome

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

This study's planned enrollment of 12 is below the median of 66 across 29 interventional studies indexed under Angelman Syndrome.

Browse Angelman Syndrome studies →

Lead sponsor

This is the only study on the registry with MavriX Bio, LLC as lead sponsor.

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

04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  1. The participant's parent/legal guardian must provide written .
  2. Symptoms consistent with AS and documented genetic confirmation of one of the following genotypes resulting in a diagnosis of AS:

    1. Full maternal UBE3A gene deletion causing AS in the region of 15q11.2-q13
    2. Uniparental disomy
    3. Imprinting center defect
  3. The participant must be 18 to 50 years of age, inclusive (for adult participants), or 4 to 8 years of age, inclusive (for pediatric participants), at Screening.
  4. The participant must have the ability to ambulate independently.
  5. The participant must be on stable antiepileptic medications (with no changes within 1 month prior to the Screening visit, except for weight associated dose adjustments).

Key Exclusion Criteria:

  1. medical finding other than AS, that, in the judgment of the Investigator would make the participant unsuitable for participation.
  2. Laboratory abnormalities including but not limited to:

    1. (ALT) or aspartate aminotransferase (AST) > (ULN)
    2. Total and/or fractionated (direct and/or indirect) > ULN
    3. Gamma-glutamyl transferase (GGT) > ULN
    4. Estimated (eGFR) below the lower limit of normal (LLN) for age
    5. \< 8 g/dL
    6. White blood cell (WBC) count outside the normal range for age
    7. count \< LLN
    8. (PTT) outside the reference range
    9. PT/International normalized ratio (INR) outside the reference range
  3. Any known history and/or family history of hemophagocytic lymphohistiocytosis (HLH)/macrophage activation syndrome (MAS) or multisystem inflammatory syndrome (MIS).
  4. Any known history and/or family history of disordered complement function and/or complement gene mutation(s).
  5. History of systemic lupus erythematous, Still's disease, rheumatoid arthritis, and/or other severe conditions per judgment of the Investigator.
  6. Any known history of thrombotic microangiopathy (TMA)/microangiopathic hemolytic anemia, or hypercoagulable conditions including, but not limited to, disseminated intravascular coagulation (DIC), deep venous thrombosis, and pulmonary embolism.
  7. Current therapy with high dose .
  8. Prior or current treatment with an drug within 6 months or 5-half-lives of the hospital admission whichever is longer.
  9. Prior treatment with an antisense oligonucleotide within 1 year of hospital admission.
  10. A history of gene therapy administration.
  11. Any to ICM administration procedure, including contraindications to imaging, contrast use, anesthesia, or any condition that would increase the risk of adverse outcomes from the ICM procedure.
  12. Any contraindication to use
Terms in these criteria, in plain language(14)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    Cohort 1: Adults ages 18-50

    MVX-220, single dose intra cisterna magna injection

    Genetic: MVX-220

  • Experimental
    Cohort 2: Children ages 4-8

    MVX-220, single dose intra cisterna magna injection

    Genetic: MVX-220

  • Experimental
    Cohort 3: Optional cohort, adults and children ages 4-50

    MVX-220, single dose intra cisterna magna injection

    Genetic: MVX-220

Interventions

  • GeneticMVX-220

    AAVhu68 viral vector

06

What researchers measure

Primary outcomes

  1. Incidence of Adverse Events, Serious Adverse Events, and Adverse Events of Special Interest as assessed through clinical safety, laboratory tests, ECG, vital sign measurements, and physical examinations

    Time frame: Up to Week 104

Secondary outcomes

  1. Change in communication ability as assessed by the Observer Reported Communication Ability (ORCA) measure

    The ORCA measure is a caregiver reporter assessment of communication ability that was developed specifically for Angelman syndrome. The ORCA measure produces a single score that is an estimate of an individual's overall level of communication ability, with higher T-scores reflecting greater communication ability.

    Time frame: From Baseline to Week 104

  2. Change in developmental milestones as assessed by the Bayley Scale of Infant and Toddler Development, Fourth Edition (Bayley-4)

    The Bayley-4 is a performance-based assessment of developmental functioning across communication, cognition, and motor skills. The total raw score reflects the sum of all the item scores within a subdomain, with higher scores reflecting greater ability.

    Time frame: From Baseline to Week 104

  3. Change in adaptive behaviors as assessed by Vineland Adaptive Behavior Scale (VABS-3)

    The VABS-3 assesses adaptive behaviors across multiple domains through a clinician-directed interview of a caregiver of an individual with AS. The total raw score reflects the sum of all the item scores within a subdomain, with higher scores reflecting greater ability.

    Time frame: From Baseline to Week 104

  4. Change in Symptoms by the Angelman Severity Assessment (ASA)

    The ASA is a clinician-reported outcome measure for Angelman syndrome. The clinicians rate their overall impression of the improvement in disease-related symptoms utilizing a 7-point scale, ranging from "very much improved" to "very much worse".

    Time frame: From Baseline to Week 104

  5. Change in behaviors as assessed by the Aberrant Behavior Checklist-Community (ABC-C)

    The ABC-C is a caregiver-rated questionnaire that evaluates key domains in behavior. Items are assessed on a 4 point scale ranging from "not at all a problem" to "the behavior is a severe problem".

    Time frame: From Baseline to Week 104

  6. Change in ambulatory ability as assessed by the wearable device (Syde®)

    The Syde is a wearable device that collects continuous data on the ambulatory ability of participants with AS.

    Time frame: From Baseline to Week 104

  7. Change in sleep parameters as assessed by a sleep diary

    The sleep diary is a caregiver-reported measure of sleep in individuals with AS.

    Time frame: From Baseline to Week 104

  8. Change in health-related quality of life as assessed by Quality of Life Inventory-Disability (QI-Disability)

    The QI-Disability is a caregiver-reported outcome assessment of the health-related quality of life for children and adolescents with intellectual disabilities. Item are rated on a 5-point scale, ranging from "never" to "always ".

    Time frame: Baseline to Week 104

  9. Change in viral deoxyribonucleic acid (vDNA) levels in CSF and blood

    Time frame: Baseline to Week 104

  10. Change in viral DNA levels in urine and feces

    Time frame: From Baseline to Week 104

  11. Change in relevant Electroencephalogram (EEG) parameters (delta power, epileptiform activity)

    Time frame: From Baselien through Week 104

07

Study locations

3 of 3 sites recruiting
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 Jul 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07181837
Lead sponsor
MavriX Bio, LLC
Responsible party
Sponsor
First posted
Sep 18, 2025
Start date
Oct 29, 2025
Primary completion
Mar 31, 2028 (estimated)
Completion
May 31, 2031 (estimated)
Last update
Jul 24, 2026

Study contacts

MavriX Bio, LLC
Contact
info@mvxbio.com
978-538-8554

Oversight

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

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