Broad Institute of MIT and Harvard
The purpose of this trial is to evaluate safety, tolerability, pharmacokinetics and pharmacodynamic impact of PrP-siRNA in symptomatic prion disease patients and in pre-symptomatic adults at genetic risk for prion disease.
This is a first-in-human, open label, single ascending dose study. The study will consist of a screening period of up to 2 weeks, administration of a single intrathecal dose of PrP-siRNA, and a 24-week follow-up period. Multiple dose levels will be tested. This trial also includes an observational arm in which symptomatic participants will not receive investigational drug, and will be followed for an 8-week period after baseline.
Key inclusion criteria for symptomatic patients: 1. clinically manifested symptoms of prion disease, in the opinion of the investigator 2. a diagnosis of probable prion disease according to CDC criteria 3. a positive CSF RT-QuIC or PRNP genetic test 4. no more than moderate functional impairment as quantified by an MRC-PDRS score ≥15 5. availability of a caregiver to assist with study procedures Key inclusion criteria for pre-symptomatic patients: 1. lack of clinically manifested symptoms of prion disease, as demonstrated by an MRC Score of 20, a MoCA score between 24-30 inclusive, and a ne…
Intrathecally administered divalent siRNA designed to target the PRNP mRNA. The structure has been published in PMID: 42033217