A Phase 2 interventional study of AEF0217 100 µg and AEF0217 300 µg in Down Syndrome (Trisomy 21), sponsored by Aelis Farma. Recruiting at 10 sites in 3 countries. Open to participants aged 16 Years to 32 Years. Per ClinicalTrials.gov, last updated 2026-04-08.
Sponsored by Aelis Farma · Phase 2, Interventional, and Treatment
The goal of this clinical trial is to identify if AEF0217 show an improvement in adaptive behaviors (daily life activities) in adults and older adolescents with Down Syndrome. It will also learn about the safety of AEF0217.
The main questions it aims to answer are:
Researchers will compare 3 doses of AEF0217 to a placebo (a look-alike substance that contains no drug) to see if AEF0217 improves adaptative behaviours in people with Down Syndrome.
Participants will:
This trial is a randomised, double blind, placebo controlled, parallel group, multicentre, Phase 2B trial.
Approximately 188 participants will be enrolled at clinical centres in Spain, France and Italy.
After the Day 1 visit (baseline) to the site and the Day 2 visit by phone/video, the trial will include 3 visits to the site during the treatment period, i.e., at the end of Weeks 4, 12, and 24, and there will be a follow-up visit 8 weeks after the end of treatment (in Week 32). Additional phone visits (via phone or video call) will be performed at the end of Weeks 1, 2, 8 and 18.
Participants completing 24 weeks of treatment will be invited to enter an open label 12-month extension trial (OLE) when it is approved and, if choosing to do so, will continue directly into the extension trial. . The participants who do not choose to enter the extension trial will enter the follow-up period. The participants that complete the trial, before the extension trial starts, may enter when it starts.
Safety assessments will be performed at each visit to the clinical site and include blood sampling for clinical chemistry, haematology and determination of AEF0217 and endocannabinoids concentrations at Weeks 12 and 24. In addition, urine samples will be collected.
Efficacy assessments will be performed during treatment at the end of Week 4 (adaptive behaviours, cognition and sleep efficiency), Week 12 (adaptive behaviours, cognition, quality of life, sleep efficiency and clinician functional assessment ), Week 24 (adaptive behaviours, cognition, quality of life, clinician functional assessment and sleep) and Week 32 at the end of the follow-up period (adaptive behaviours, cognition, sleep efficiency and clinician functional assessment) only for the participants who enter the follow-up period.
The total duration of the trial for an individual participant will be up to 36 weeks.
An independent (from the sponsor and the investigational centres) safety data monitoring committee (IDMC) will be set up in charge of performing an independent interim safety analysis at a minimum after 40 participants (at a minimum) have been treated for 12 weeks. The membership (including physicians with experience with Down syndrome and clinical pharmacologists), role and responsibilities of the IDMC will be defined in a specific charter before the trial starts. The IDMC will make recommendations related to any potential safety issues/signals to the Steering Committee of the trial (i.e., the coordinating investigator, the principal site investigator and responsible physician in each site and sponsor representatives
The trial will be conducted in accordance with the Declaration of Helsinki and ICH Good Clinical Practice.
Before initiating the trial, the clinical trial protocol, the written participant information and informed consent forms, the investigator's brochure, the recruitment material, and any other information for the participants and caregivers will be submitted to and approved by central ethic committees and national health authorities, as applicable.
Main Statistic analysis:
For the primary endpoint descriptive analysis will include: 1. The raw scores of the 9 subdomains of the VABS 3; 2. The raw scores of the 9 subdomains standardized to 100; and 3. Change from baseline to Week 24. These variables will be presented by treatment, dose, and visit (baseline and 24 weeks).
An MMRM will be used to evaluate the primary endpoint. The model will contain as dependent variable the change from baseline to Week 24 of the raw scores of the 9 subdomains of the VABS 3 standardized to 100 and as factors:
The model will use a restricted maximum likelihood (REML) method, and an unstructured covariance matrix will be used. If the model is not estimable, a compound symmetry structure will be used instead. The primary endpoint will be reached if there is a statistically significant (p\<0.05) main effect of treatment or dose or any significant (p\<0.05) interactions between treatment or dose and subdomain and/or the previous factors with the impairment at baseline.
For the other efficacy endpoints (secondary and exploratory) and pharmacodynamic endpoints the same model with the appropriate adaptations will be used as will be described in the SAP.
Safety endpoints: TEAEs will be reported in individual data listings and frequency tables. Based on reported terms, TEAEs will be coded in and tabulated by MedDRA SOC and PT. AEs will be classified based on severity (mild, moderate, severe) and causality (related or not related) and outcome.
Summary statistics of vital signs, ECG, and safety laboratory parameters (with flagging of values outside the normal ranges and considered clinically significant) will be provided.
438 studies on the registry are indexed under Down Syndrome; 99 are open to participants now.
This study's planned enrollment of 188 is above the median of 37 across 286 interventional studies indexed under Down Syndrome.
Browse Down Syndrome studies →Aelis Farma is the lead sponsor of 11 studies on the registry; 2 are open to participants now.
Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
For females: Female participants of , defined as having a menstrual cycle that is confirmed prior to enrolment, must use highly effective contraception throughout the trial and until 3 months after the last dose of the trial intervention, be sexually abstinent, or have a vasectomized partner.
11. Vital signs, , and safety laboratory3 parameters must be without abnormalities as per the judgement of the investigator, except for:
Exclusion Criteria:
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.
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.
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.
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.
The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.
Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.
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.
Contraception
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Childbearing potential
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
BMI (body mass index)
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
ECG (electrocardiogram)
A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
DSM diagnostic criteria
The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hypersensitivity
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
CYP3A (CYP3A4) inhibitors and inducers
CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.
Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
1 sachet of AEF0217 100µg + 1 sachet of Placebo
Drug: AEF0217 100 µg · Drug: Placebo
2 sachets of AEF0217 100µg
Drug: AEF0217 100 µg
2 sachets of AEF0217 300µg
Drug: AEF0217 300 µg
2 sachets of placebo
Drug: Placebo
Sachet of granules
Also known as: 3β-benzyloxy-17α-methyl-pregn-5-en-20-one
sachet of granules
Also known as: 3β-benzyloxy-17α-methyl-pregn-5-en-20-one
sachet of matching placebo granules
Change from baseline of the normalized scores of the 9 subdomains of the VABS-3 at week 24 (end of treatment)
Raw scores will be normalised to 100. Higher scores on the VABS-3 indicate better adaptive functioning.
Time frame: Baseline and Week 24
Changes from baseline in the fluid cognition composite change sensitive score of the NIH-ToolBox for Intellectual Deficiencies at Week 24 (end of treatment)
Higher scores on the NIH-TCB for ID indicate better performance
Time frame: Baseline and Week 24
Changes from baseline in the individual change sensitive scores of the Flanker inhibitory control & attention test used to measure fluid cognition in the NIH-TB for ID at week 24 (End of treatment).
Higher scores indicate better performance
Time frame: Baseline and Week 24
Changes from baseline in the individual change sensitive scores of the Picture Sequence Memory test used to measure fluid cognition in the NIH-TB for ID at week 24 (End of treatment).
Higher scores indicate better performance
Time frame: Baseline and Week 24
Changes from baseline in the individual change sensitive scores of the List Sorting Working Memory test used to measure fluid cognition in the NIH-TB for ID at week 24 (End of treatment).
Higher scores indicate better performance
Time frame: Baseline and Week 24
Changes from baseline in the individual change sensitive scores of the Dimensional Change Card Sort test used to measure fluid cognition in the NIH-TB for ID at week 24 (End of treatment).
Higher scores indicate better performance
Time frame: Baseline and Week 24
Changes from baseline in the individual change sensitive scores of the Pattern Comparison Process Speed test used to measure fluid cognition in the NIH-TB for ID at week 24 (End of treatment).
Higher scores indicate better performance
Time frame: Baseline and Week 24
Changes from screening values used as baseline of the Verbal comprehensive Index of the WISC-V at Week 24 (end of treatment).
Higher scores on the VCI indicate better crystallized cognition
Time frame: Baseline and Week 24
Changes from screening values used as baseline of the Vocabulary test of the WISC-V at Week 24 (end of treatment).
Higher scores indicate better performance
Time frame: Baseline and Week 24
Changes from screening values used as baseline of the "Similarities" test of the WISC-V at Week 24 (end of treatment).
Higher scores indicate better performance
Time frame: Baseline and Week 24
Changes from baseline of the total score of Generic Score Scale of the Peds-QL at week 24 (end of treatment)
Higher scores indicate better health-related quality of life
Time frame: Baseline and week 24
Changes from baseline t of the total score of the cognitive functioning scale of the Peds-QL at Week 24 (end of treatment)
Higher scores indicate better health-related quality of life
Time frame: Baseline and week 24
Changes from baseline of the total score of the Family Impact scale of the Peds-QL at Week 24 (end of treatment)
Higher scores indicate better health-related quality of life
Time frame: Baseline and week 24
Changes from baseline of the Psychosocial Health summary score of the of the Peds-QL at week 24 (end of treatment)
Higher scores indicate better health-related quality of life
Time frame: Baseline and week 24
Changes from baseline of the Physical Health summary score of the of the Peds-QL at week 24 (end of treatment)
Higher scores indicate better health-related quality of life
Time frame: Baseline and Week 24
Changes from baseline of the Parent HRQL summary score of the of the Peds-QL at week 24 (end of treatment)
Higher scores indicate better health-related quality of life
Time frame: Baseline and week 24
Changes from baseline of the Family Functioning summary score of the of the Peds-QL at week 24 (end of treatment)
Higher scores indicate better health-related quality of life
Time frame: Baseline and week 24
Changes from baseline of each mean scale scores of the domains composing the Generic Core Scale at Week 24 (end of treatment)
Mean scale scores will be analysed after normalisation to 100. Higher scores indicate better health-related quality of life
Time frame: Baseline and week 24
Changes from baseline of each mean scale scores of the domains composing the Impact Family Questionnaire at Week 24 (end of treatment)
Mean scale scores will be analysed after normalisation to 100. Higher scores indicate better health-related quality of life
Time frame: Baseline and week 24
Changes from baseline of the sleep efficiency score of the PSQI at Week 24 (end of treatment)
Lower scores indicate better sleep quality
Time frame: Baseline and week 24
Number of participants reporting a Treatment Emergent Adverse Event.
Presented by treatment group ; End of trial is defined as week 24 if the participant enters in the open label extension trial or week 32 (end of follow-up) if not.
Time frame: From Day 1 to Week 24 or Week 32
Percentage of participants with an Adverse Event
Presented by treatment group ; End of trial is defined as week 24 if the participant enters in the open label extension trial or week 32 (end of follow-up) if not.
Time frame: From Day 1 to week 24 or week 32
Number of events reported (AEs and TEAEs)
Presented by treatment group ; End of trial is defined as week 24 if the participant enters in the open label extension trial or week 32 (end of follow-up) if not.
Time frame: From Day 1 to week 24 or week 32
Incidence of treatment-related and not related TEAEs
Compared by treatment group ; End of trial is defined as week 24 if the participant enters in the open label extension trial or week 32 (end of follow-up) if not.
Time frame: From Day 1 to end of trial at week 24 or at week 32
Incidence of related or not Treatment Emergent SAEs
Presented by treatment group ; End of trial is defined as week 24 if the participant enters in the open label extension trial or week 32 (end of follow-up) if not.
Time frame: From Day 1 to week 24 or week 32
Vital Signs: Systolic Blood Pressure
Changes in Systolic Blood Pressure (mmHg) over the study period
Time frame: Baseline and at week 4, week 12, week 24, week 32
Vital Signs : Diastolic Blood Pressure
Changes in Diastolic BP (mmHg) over the study period
Time frame: Baseline and at week 4, week 12, week 24, week 32
Vital Signs : Heart Rate
Changes in Heart Rate (bpm) over the study period
Time frame: Baseline and at week 4, week 12, week 24, week 32
12 Lead ElectroCardiogram test
Changes in 12-lead electrocardiogram (ECG) parameters in PR, QRS, QT, QTcF, and RR intervals over the study period
Time frame: Baseline and at week 4, week 12, week 24, week 32
Changes from baseline in the total score of the Anxiety, Depression, and Mood Scale (ADAMS) at week 24
ADAMS questionnaire measures anxiety, depression and mood. Will be presented by treatment group. Range is 0 to 87 where higher scores are being indicative of more severe symptomatology.
Time frame: Baseline and at week 24
Changes from baseline in the total score of the Anxiety, Depression, and Mood Scale (ADAMS) at week 32.
ADAMS questionnaire measures anxiety, depression and mood. Will eb presented by treatment group. Range is 0 to 87 where higher scores are being indicative of more severe symptomatology.
Time frame: Baseline and at week 32
Changes from baseline to the end of trial in the score of the manic/hyperactive behaviour subscale of the Anxiety, Depression, and Mood Scale (ADAMS) at the end of trial.
End of trial is defined as week 24 if the participant enters in the open label extension trial or week 32 (end of follow-up) if not. Range is 0 to 15 where higher scores are being indicative of more severe symptomatology.
Time frame: Baseline and at week 24 or at week 32
Changes from baseline in the score of compulsive behaviour subscale of the Anxiety, Depression and Mood Scale (ADAMS) at the end of trial.
End of trial is defined as week 24 if the participant enters in the open label extension trial or week 32 (end of follow-up) if not. Range is 0 to 9 where higher scores are being indicative of more severe symptomatology.
Time frame: Baseline and at week 24 or at week 32
Changes from baseline in the scores of the general anxiety subscale of the Anxiety, Depression and Mood scale (ADAMS) to the end of trial.
End of trial is defined as week 24 if the participant enters in the open label extension trial or week 32 (end of follow-up) if not. Range is 0 to 21 where higher scores are being indicative of more severe symptomatology.
Time frame: Baseline and at week 24 or at week 32
Changes from baseline in the scores of the depressed mood subscale of the Anxiety, Depression and Mood scale (ADAMS) to the end of trial.
\- End of trial is defined as week 24 if the participant enters in the open label extension trial or week 32 (end of follow-up) if not. Range is 0 to 21 where higher scores are being indicative of more severe symptomatology.
Time frame: Baseline and at week 24 or at week 32
Changes from baseline in the scores of the social avoidance subscale of the Anxiety, Depression and Mood Scale (ADAMS) to the end of trial.
End of trial is defined as week 24 if the participant enters in the open label extension trial or week 32 (end of follow-up) if not. Range is 0 to 21 where higher scores are being indicative of more severe symptomatology.
Time frame: Baseline and at week 24 or at week 32
Plan to share: No
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Studies of the drug tested here: AEF0217
Aelis Farma