A Study to Evaluate the Safety and Efficacy of Oral Nizubaglustat (AZ-3102) in Late-infantile and Juvenile Forms of Niemann-Pick Type C Disease (NPC)

NCT ID: NCT07082725

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-30

Study Completion Date

2027-11-04

Brief Summary

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An 18-month double-blind, randomized, placebo-controlled, multicenter, Phase 3 study to evaluate the safety and efficacy of oral nizubaglustat (AZ-3102) in late-infantile and juvenile forms of Niemann-Pick type C disease

Detailed Description

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Please see NCT #07054515 for information on the AZA-001-301 Master Protocol

PRIMARY OBJECTIVE

The primary objective of this study is to demonstrate superior efficacy on ataxic manifestations with oral nizubaglustat dosing compared with placebo when administered over 18 months in participants with late-infantile and juvenile forms of NPC disease

SECONDARY OBJECTIVES

I. To assess additional efficacy in ataxic and non-ataxic manifestations comparing nizubaglustat dosing with placebo when administered over 18 months in participants with late-infantile and juvenile forms of NPC disease

II. To assess the pharmacokinetic (PK) properties of nizubaglustat after administration of the first dose (Visit 1) and at steady state after multiple once daily doses

III. To assess the pharmacodynamic (PD) effects of nizubaglustat

IV. To assess the safety and tolerability of daily oral nizubaglustat dosing compared with placebo, when administered over 18 months in participants with late-infantile and juvenile forms of NPC disease

Conditions

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Niemann-Pick Type C Disease

Keywords

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Nizubaglustat

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Nizubaglustat

Once daily oral dispersible tablets

Group Type EXPERIMENTAL

Nizubaglustat

Intervention Type DRUG

AZ-3102

Placebo

Matching placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo

Interventions

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Nizubaglustat

AZ-3102

Intervention Type DRUG

Placebo

Matching placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent
* Confirmed diagnosis of NPC disease
* Patient is unable or unwilling to take miglustat, or is, in the opinion of the investigator, unsatisfactorily treated with miglustat
* Male and female participants aged 4 years and older at the time of informed consent
* Onset of neurological symptoms from 2 to 15 years
* Disability level at Baseline: Ataxic disturbances with a total SARA score of ≥3 and ≤30 at Baseline
* Female of childbearing potential who are sexually active willing to follow the contraceptive guidance
* Male participants with a female partner of childbearing potential willing to follow the contraceptive guidance

Exclusion Criteria

* A history of medical conditions other than NPC disease that, in the opinion of the Principal Investigator, would confound scientific rigor or the interpretation of results
* Body weight of \<10 kg
* The presence of another neurologic disease
* The presence of moderate or severe hepatic impairment
* The presence of moderate or severe renal impairment
* Platelet count of \<100x10\^9/L
* The dose of any anti-epileptic treatment(s) was not stable (required a change in dose within the previous 3 months) and/or a new anti-epileptic treatment (drug or procedure) was prescribed in the month before Baseline
* Prior use of an investigational drug within the 3 months before Screening; or prior participation in a clinical study involving gene therapy or stem cell transplantation within 2 years prior to Screening
* A positive serum pregnancy test (for women of childbearing potential)
* Current treatment with miglustat, provided the patient has been using the recommended dose for most of the past 12 months AND is, in the opinion of the investigator, satisfactorily treated with miglustat. Any participants receiving miglustat are required to undergo a 1-month washout period before starting study medication
Minimum Eligible Age

4 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Azafaros A.G.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Children's Hospital and Research Center at Oakland

Oakland, California, United States

Site Status RECRUITING

University of Minnesota Medical School

Minneapolis, Minnesota, United States

Site Status NOT_YET_RECRUITING

Children's Medical Center Dallas

Dallas, Texas, United States

Site Status NOT_YET_RECRUITING

Lysosomal Rare Disorders Research and Treatment Center

Fairfax, Virginia, United States

Site Status NOT_YET_RECRUITING

Hospital Universitario Austral

Ciudad Autónoma Buenos Aires, Buenos Aires, Argentina

Site Status NOT_YET_RECRUITING

Hospital de Niños de La Santisima Trinidad

Córdoba, Córdoba Province, Argentina

Site Status NOT_YET_RECRUITING

Women's and Children's Hospital

North Adelaide, South Australia, Australia

Site Status NOT_YET_RECRUITING

Royal Melbourne Hospital

Parkville, Victoria, Australia

Site Status NOT_YET_RECRUITING

Royal Children's Hospital Melbourne - PIN

Parkville, Victoria, Australia

Site Status NOT_YET_RECRUITING

Instituto Fernandes Figueira

Rio de Janeiro, Rio de Janeiro, Brazil

Site Status NOT_YET_RECRUITING

Hospital de Clinicas de Porto Alegre (HCPA) - PPDS

Porto Alegre, Rio Grande do Sul, Brazil

Site Status NOT_YET_RECRUITING

Hospital Pequeno Principe

Curitiba, , Brazil

Site Status NOT_YET_RECRUITING

M.A.G.I.C. Clinic Ltd. Metabolics and Genetics in Calgary

Calgary, Alberta, Canada

Site Status NOT_YET_RECRUITING

University of Alberta Medical Genetics Clinic

Edmonton, Alberta, Canada

Site Status NOT_YET_RECRUITING

Centre Hospitalier de l'Universite de Montreal-1000 rue Saint-Denis

Montreal, Quebec, Canada

Site Status NOT_YET_RECRUITING

SphinCS GmbH

Höchheim, , Germany

Site Status NOT_YET_RECRUITING

Amrita Institute of Medical Sciences and Research Centre

Ernākulam, Kerala, India

Site Status NOT_YET_RECRUITING

Seth G S Medical College and K E M Hospital

Mumbai, Maharashtra, India

Site Status NOT_YET_RECRUITING

All India Institute of Medical Sciences (AIIMS) - New Delhi

New Delhi, National Capital Territory of Delhi, India

Site Status NOT_YET_RECRUITING

JK Lone Hospital

Jaipur, Rajasthan, India

Site Status NOT_YET_RECRUITING

Fondazione IRCCS Istituto Neurologico Carlo Besta

Milan, , Italy

Site Status RECRUITING

ULS de Santo António, EPE - Centro Materno Infantil Norte

Porto, Porto District, Portugal

Site Status RECRUITING

Hospital Universitario Vall d'Hebron - PPDS

Barcelona, Barcelona, Spain

Site Status RECRUITING

Hospital Infantil Universitario Niño Jesus - PIN

Madrid, Madrid, Spain

Site Status RECRUITING

Inselspital - Universitätsspital Bern

Bern, Canton of Bern, Switzerland

Site Status NOT_YET_RECRUITING

Balcali Hastanesi Saglik Uygulama ve Arastirma Merkezi

Adana, Adana, Turkey (Türkiye)

Site Status NOT_YET_RECRUITING

Gazi Universitesi Saglik Arastirma ve Uygulama Merkezi

Çankaya, Ankara, Turkey (Türkiye)

Site Status NOT_YET_RECRUITING

Ege Universitesi Tip Fakultesi

Bornova, İzmir, Turkey (Türkiye)

Site Status NOT_YET_RECRUITING

Great Ormond Street Hospital

London, London, United Kingdom

Site Status NOT_YET_RECRUITING

University College London Hospitals (UCLH)

London, Middlesex, United Kingdom

Site Status NOT_YET_RECRUITING

Royal Manchester Children's Hospital

Manchester, , United Kingdom

Site Status NOT_YET_RECRUITING

Countries

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France United States Argentina Australia Brazil Canada Germany India Italy Portugal Spain Switzerland Turkey (Türkiye) United Kingdom

Central Contacts

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Patient Advocacy Representative

Role: CONTACT

Phone: Please reach out by email

Email: [email protected]

Contact for Healthcare Professionals

Role: CONTACT

Phone: Please reach out by email

Email: [email protected]

Other Identifiers

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2024-515778-28-00

Identifier Type: CTIS

Identifier Source: secondary_id

AZA-001-301-NPC

Identifier Type: -

Identifier Source: org_study_id