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Angelman SyndromePhase 3NCT06914609

REVEAL: A Phase 3 Study of Obudanersen (ION582) in Angelman Syndrome

A Phase 3 study testing obudanersen in people with Angelman Syndrome, run by Ionis Pharmaceuticals, Inc. at 41 sites in 12 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the efficacy and safety of obudanersen in children and adults with Angelman syndrome caused by a deletion or mutation of the UBE3A gene. Read more about this study

Who is it for?
Ages 2 to 50 years
Conditions the study is for
Angelman Syndrome
What is being tested?
obudanersen
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
156 participants
Where
41 sitesin 12 countries
Study dates
10 Jun 2025to Apr 2030
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 50 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • The participants caregiver(s)/ legally authorized representative must have given written informed consent and any authorizations required by local law and be able to comply with all study requirements.
  • Medically stable and can undergo sedation and/or general anesthesia without intubation.
  • Male or female between 2 and lesser than or equal to (≤)50 years of age, depending on specific cohort, at the time of the in-clinic Screening visit.
  • Participant has a clinical diagnosis of Angelman syndrome (AS) with molecular confirmation of either Ubiquitin-protein ligase E3A (UBE3A) deletion or UBE3A mutation.
  • Currently receiving stable doses of concomitant medications typically prescribed for AS, such as anti-epileptic medication, behavioral management medications, sleep medications, gabapentin, cannabidiol, and special diets, supplements, or nutritional support for at least 8 weeks prior to the Baseline visit.
  • Legally authorized representative/caregiver(s) agree(s) not to post any of the participant's personal medical data or information related to the study on any website or social media site (e.g., Facebook, Instagram, X (formerly Twitter), YouTube, TikTok, etc.) from the time of enrollment until they are notified that the study is completed.

Who cannot join

  • Must not have any clinically significant abnormalities in medical history (e.g., major surgery within 3 months of screening), or on physical examination for which treatment with an antisense oligonucleotide (ASO) would be contraindicated or which, in the opinion of the Principal Investigator (PI), could confound the results of this study.
  • Known brain or spinal disease that would interfere with the lumbar puncture (LP) procedure, cerebrospinal fluid (CSF) circulation, or presence of other factors would affect the safety of the LP procedure.
  • Must not have any other conditions, which, in the opinion of the Investigator, would make the participant unsuitable for inclusion or could interfere with the participant participating in or completing the study.
  • Must not have any laboratory abnormalities or any other clinically significant abnormalities that would, as assessed by the Investigator, at screening or Baseline, render a participant unsuitable for inclusion.
  • Previous treatment with an oligonucleotide (including small interfering ribonucleic acid (RNA) [siRNA], ASOs) gene therapy or gene editing. This exclusion criterion does not apply to approved nucleic acid-based vaccines, including mRNA vaccines, which are allowed.
  • Has molecular confirmation of AS due to paternal uniparental disomy, imprinting center defect, or mosaic findings.
  • Other inclusion/exclusion criteria may apply.

Trial locations and contacts

41 sites in 12 countries.

41 sites in 12 countries

United States18 sites
  • Children's Healthcare of Atlanta

    Atlanta, Georgia, 30329

  • Colorado Children's Hospital Research Institute

    Aurora, Colorado, 80045

  • Boston Children's Hospital

    Boston, Massachusetts, 02115

  • University of North Carolina at Chapel Hill School of Medicine

    Carrboro, North Carolina, 27510

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • Cincinnati Children's Hospital

    Cincinnati, Ohio, 45229

  • Nationwide Children's Hospital

    Columbus, Ohio, 43205

  • Texas Children's Hospital

    Houston, Texas, 77030

  • Children's Mercy

    Kansas City, Missouri, 64108

  • Cedars-Sinai Medical Center

    Los Angeles, California, 90048

  • UCLA Clinical & Translational Research Center (CTRC)

    Los Angeles, California, 90095

  • Nicklaus Children's Hospital

    Miami, Florida, 33155

  • Vanderbilt Clinical Research Center

    Nashville, Tennessee, 37232

  • Ichan School of Medicine at Mount Sinai

    New York, New York, 10029

  • Columbia University Irving Medical Center

    New York, New York, 10032

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Rady Children's Hospital

    San Diego, California, 92123

  • Children's National Hospital

    Washington D.C., District of Columbia, 20011

Other trials in United States

Australia4 sites
  • Austin Hospital

    Heidelberg, 3084

  • Perth Children's Hospital

    Nedlands, 6009

  • Sydney Children's Hospital

    Randwick, 2031

  • Queensland Children's Hospital

    South Brisbane, Queensland, 4101

Other trials in Australia

Canada4 sites
  • University of Alberta Hospital

    Edmonton, T6G 2B7

  • London Health Science Centre - Children's Hospital

    London, Ontario, N6A 5W9

  • McGill University Health Centre

    Montreal, Quebec, H4A 3J1

  • British Columbia Children's Hospital

    Vancouver, V6H 3V4

Other trials in Canada

Italy3 sites
  • Fondazione IRCCS Istituto Neurologico Carlo Besta

    Milan, 20133

  • Azienda Ospedaliero Universitaria Pisana

    Pisa, 56126

  • Ospedale Pediatrico Bambino Gesù

    Roma, 00165

Other trials in Italy

Japan2 sites
  • Osaka Women's and Children's Hospital

    Izumi, Osaka, 594-1101

  • National Center of Neurology and Psychiatry

    Kodaira, Tokyo, 187-8551

Other trials in Japan

South Korea2 sites
  • Seoul National University Hospital

    Seoul, 03080

  • Samsung Medical Center

    Seoul, 06351

Other trials in South Korea

Spain2 sites
  • Hospital Sant Joan de Deu

    Barcelona, 08950

  • Corporacio Sanitaria Parc Tauli - Hospital de Sabadell

    Sabadell, 08208

Other trials in Spain

United Kingdom2 sites
  • Great Ormond Street Hospital for Children - NHS Foundation Trust

    London, WC1N 3JH

  • John Radcliffe Hospital

    Oxford, OX3 9DU

Other trials in United Kingdom

Germany1 site
  • Klinikum der Ludwig-Maximilians-Universitaet Muenchen

    München, 81377

Other trials in Germany

Israel1 site
  • Sheba Medical Center

    Ramat Gan, 5265601

Other trials in Israel

Poland1 site
  • Uniwersyteckie Centrum Kliniczne

    Gdansk, 80-952

Other trials in Poland

Singapore1 site
  • KK Women's and Children's Hospital

    Singapore, 229899

Other trials in Singapore

About this study

Official title: Phase 3 Study of the Efficacy and Safety of ION582 in Children and Adults With Angelman Syndrome

The purpose of this study is to evaluate the efficacy and safety of obudanersen in children and adults with Angelman syndrome caused by a deletion or mutation of the UBE3A gene.

Read the detailed description

This is a Phase 3, randomized, double-blind, placebo-controlled study in people with Angelman syndrome. The study will consist of 4 periods: a screening period of up to 28 days, an approximate 60-week double blind, placebo-controlled treatment period, followed by an approximate 25-month Long-Term Extension (LTE) treatment period, and an approximate 8-month Post-LTE follow-up period. The study will be comprised of 2 cohorts. Cohort 1 will include pediatric participants, aged 2 to less than (<)18 years old and serve as the population for evaluation of primary and secondary outcome measures; Cohort 2 will include adult participants, aged 18 to ≤50 years old. Participants will be randomized 1:1 to 80 mg obudanersen or placebo during the double-blind placebo-controlled treatment period. Participants from both cohorts completing the placebo-controlled treatment period will be eligible to transition into the LTE Treatment Period wherein all trial participants will receive obudanersen. Participant, Caregiver, Investigator and Sponsor will remain blinded to the obudanersen dose administered to participants during the LTE.

The study initiated in 2024 with three dosing groups (40 mg obudanersen, 80 mg obudanersen, and placebo). Following additional review of data from the ongoing Phase 1/2 trial of obudanersen (HALOS), REVEAL was amended in December 2025 to its current form as a two-arm study: 80 mg obudanersen and placebo. Following the amendment, participants who were randomized to receive 40 mg obudanersen will be transitioned to receive 80 mg obudanersen.

Being tested
obudanersen, Placebo
Keywords
ION582, Angelman Syndrome
Medical subject headings
Angelman Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • obudanersenDrug

    Also called ION582

    obudanersen will be administered by IT injection.

  • PlaceboDrug

    obudanersen matching placebo will be administered by IT injection.

Study groups in NCT06914609
Study groupRoleWhat they receive
Cohort 1 obudanersen 80 mgExperimentalParticipants (aged 2 to <18 years old) will be administered obudanersen 80 mg via intrathecal (IT) injection every 12 weeks during the double blind and LTE treatment periods.
Receives: Drug: obudanersen
Cohort 1 PlaceboPlacebo comparatorParticipants (aged 2 to <18 years old) will be administered obudanersen matching placebo via IT injection every 12 weeks during the double-blind treatment period and then administered obudanersen 40 mg or 80 mg every 12 weeks during the LTE treatment period.
Receives: Drug: Placebo
Cohort 2 obudanersen 80 mgExperimentalParticipants (aged 18 to ≤50 years old) will be administered obudanersen 80 mg via IT injection every 12 weeks during the double blind and LTE treatment periods.
Receives: Drug: obudanersen
Cohort 2 PlaceboPlacebo comparatorParticipants (aged 18 to ≤50 years old) will be administered obudanersen matching placebo via IT injection every 12 weeks during the double-blind treatment period and then randomized to obudanersen 40 mg or 80 mg every 12 weeks during the LTE treatment period.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Performance on the Expressive Communication Subdomain Raw Score of the Bayley Scales for Infant and Toddler Development-4 (Bayley-4) Without Caregiver Input in Cohort 1

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

    Measured: Baseline and Week 52

Secondary outcomes (9)
  1. Change in Bayley Scales for Infant and Toddler Development-4 (Bayley-4): Cognition Subdomain Raw Score Without Caregiver Input

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

    Measured: Baseline and Week 52

  2. Change in Symptoms of Angelman Syndrome -Clinician Global Impression of Change (SAS-CGI-C): Overall AS

    The SAS-CGI-C for Overall AS is a disease-specific clinician-reported outcome assessment measure for Angelman syndrome. The clinicians rate their overall impression of the change of the participant's Angelman syndrome symptoms utilizing a 7-point scale, ranging from "very much improved" (1) to "very much worse" (7).

    Measured: Baseline and Week 52

  3. Change in Vineland Adaptive Behavior Scale-3 (Vineland-3): Receptive Communication Subdomain Raw Score

    The Vineland-3 assesses adaptive behaviors across 4 domains via a semi-structured interview between a trained clinician and the caregiver of the participant with AS. The receptive communication subdomain of communication measures the participant's ability to attend, understand, and respond appropriately to information from others. The total raw score reflects the sum of all the item scores within the receptive communication subdomain, with higher scores reflecting greater receptive communication ability.

    Measured: Baseline and Week 52

  4. Change in Vineland Adaptive Behavior Scale-3 (Vineland-3): Daily Living Skills, Personal Subdomain Raw Score

    The Vineland-3 assesses adaptive behaviors across 4 domains via a semi-structured interview between a trained clinician and the caregiver of the participant with AS. The Personal subdomain of the Daily Living Skills domain measures the participant's self-sufficiency in such areas as eating, dressing, washing, hygiene, and health care. The total raw score reflects the sum of all the item scores within the Personal subdomain, with higher scores reflecting greater ability.

    Measured: Baseline and Week 52

  5. Change in Symptoms of Angelman Syndrome - Clinician Global Impression of Change (SAS-CGI-C): Sleep Problems

    The SAS-CGI-C for Sleep Problems is a disease-specific clinician-reported outcome assessment measure for Angelman syndrome. The clinicians rate their overall impression of the change in the participant's sleep problems utilizing a 7-point scale, ranging from "very much improved" (1) to "very much worse" (7).

    Measured: Baseline and Week 52

  6. Change in Bayley Scales for Infant and Toddler Development-4 (Bayley-4): Fine Motor Subdomain Raw Score Without Caregiver Input

    The Bayley-4 is a performance-based assessment of developmental functioning across communication, cognition, and motor skills. The Fine Motor subdomain of communication measures motor abilities such as reaching, object manipulation, and grasping. The total raw score reflects the sum of all the item scores within the fine motor subdomain, with higher scores reflecting greater fine motor ability.

    Measured: Baseline to Week 52

  7. Change in Observer-Reported Communication Ability (ORCA): Overall Emerging T Score

    The ORCA measure assesses, from the caregiver's perspective, the communication ability of individuals with neurodevelopmental disorders, like Angelman syndrome. This questionnaire assesses expressive, receptive, and pragmatic communication. 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.

    Measured: Baseline and Week 52

  8. Percentage of Participants with Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Measured: Up to Week 52

  9. Change in Vital Signs and Clinical Laboratory Results

    Measured: Baseline and Week 52

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Apr 2025
  2. Study start10 Jun 2025
  3. Primary completionAug 2027 (estimated)
  4. Study completionApr 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
156 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06914609
Sponsor's protocol ID
ION582-CS2
Other IDs
2024-519711-33-00, U1111-1319-2765
Status last verified
Sep 2026
First submitted
22 Mar 2025
Last updated
29 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
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/.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing obudanersen in people with Angelman Syndrome, run by Ionis Pharmaceuticals, Inc. at 41 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 29 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 41 sites in United States, Australia, Canada, Italy, Japan and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Performance on the Expressive Communication Subdomain Raw Score of the Bayley Scales for Infant and Toddler Development-4 (Bayley-4) Without Caregiver Input in Cohort 1 (time frame: Baseline and Week 52). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Sep 2026.

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