ClinicalTrials.gg
Not yet recruitingNCT07579910TrAnsformUpdated Sep 21, 2026

Intracerebroventricular Tralesinidase Alfa in Participants With MPS IIIB (Sanfilippo Syndrome Type B)

A Phase 3 interventional study of Tralesinidase alfa (TA) in MPS IIIB, sponsored by Spruce Biosciences. Not yet recruiting. Open to participants aged 1 Year to 5 Years. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by Spruce Biosciences · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
14
Allocation
Randomized
Ages
1 Year to 5 Years
Sex
All
01

Study summary

The primary objectives of this study are to evaluate the effects of Tralesinidase Alfa (TA) on cognition

02

Conditions studied

  • MPS IIIB
03

In context

Mucopolysaccharidosis III

58 studies on the registry are indexed under Mucopolysaccharidosis III; 16 are open to participants now.

This study's planned enrollment of 14 is above the median of 12 across 33 interventional studies indexed under Mucopolysaccharidosis III.

Browse Mucopolysaccharidosis III studies →

Lead sponsor

Spruce Biosciences is the lead sponsor of 8 studies on the registry; 2 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

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

04

Who can participate

Ages eligible
1 Year to 5 Years
Sexes eligible
All
Accepts healthy volunteers
No

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.

Inclusion criteria

Has a diagnosis of MPS IIIB confirmed by deficient NAGLU enzyme activity during screening.

Has nonattenuated severe MPS IIIB by the Genotype and Clinical Assessment Committee.

Is ≥1 and ≤5 years of age with BSID-III-C raw score of \<70. Is male or female as identified at birth.

Exclusion criteria

Exclusion Criteria:

Genotyped for a known MPS IIIB variant associated with an attenuated phenotype or has a sibling with a known attenuated phenotype.

Has another neurological illness that may have caused cognitive decline (e.g., trauma, meningitis, or hemorrhage) before study entry.

Has received stem cell, gene therapy, or enzyme replacement therapy for MPS IIIB.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
14 participants (estimated)

Study arms

  • Experimental
    Tralesinidase alfa (TA)

    Drug: Tralesinidase alfa (TA)

  • No intervention
    Control

Interventions

06

What researchers measure

Primary outcomes

  1. Change from Baseline in Bayley Scales of Infant and Toddler Development, Third Edition, Cognition Domain (BSID-III-C) Raw Score

    The BSID-III-C is a standardized tool that evaluates cognitive development in young children, capturing skills such as processing speed, problem solving, and play. Raw scores are used to sensitively measure individual change over time, independent of age. Assessments are administered by a trained, blinded rater and reviewed by a central blinded rater. The endpoint is the difference in mean change from baseline in BSID-III-C raw score between the tralesinidase alfa and control arms at Week 260

    Time frame: Baseline to Week 260 (approximately 5 years)

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Dec 2026; primary completion for Aug 2033, 80 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 28, 2026
First posted
May 12, 2026
StartEst.
Dec 2026
Primary completionEst.
Aug 2033
CompletionEst.
Aug 2033
Last update
Sep 21, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07579910
Lead sponsor
Spruce Biosciences
Responsible party
Sponsor
First posted
May 12, 2026
Start date
Dec 2026 (estimated)
Primary completion
Aug 2033 (estimated)
Completion
Aug 2033 (estimated)
Last update
Sep 21, 2026

Study contacts

April Freeman
Contact
info@sprucebio.com
415-343-5986

Oversight

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

Not currently enrolling

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

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Discussion

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