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WAYFINDER is a Phase 1/2 study in Australia to evaluate the safety and efficacy of ETX101 in participants with SCN1A-positive Dravet syndrome aged 6 to <84 months. The study follows an open-label, dose-escalation design.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort A | Experimental | Cohort A will evaluate ETX101 dose level 1. |
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| Cohort B | Experimental | Cohort B will evaluate ETX101 dose level 2. |
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| Cohort C | Experimental | Cohort C will evaluate ETX101 dose level 3. |
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| Cohort D | Experimental | Cohort D will evaluate ETX101 dose level 4. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ETX101 | Drug | ETX101 is composed of a non-replicating, recombinant adeno-associated viral serotype 9 (rAAV9) vector used to deliver a GABAergic regulatory element (reGABA) and an engineered transcription factor that increases transcription of the SCN1A gene (eTFSCN1A). |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants experiencing any treatment-emergent adverse events (AEs), serious adverse events (SAEs), related AEs, AEs with severity Grade ≥ 3, AEs resulting in study discontinuation, and AEs with a fatal outcome. | Day 1 through Study Completion, an average of 5 years | |
| Percent change from Baseline in monthly countable seizure frequency (MCSF) at Week 52, with countable seizures defined as generalized tonic-clonic/clonic, focal motor with clearly observable clinical signs, tonic bilateral, and atonic seizures. | Between the 8-week baseline period and the 48-week post-dosing assessment period (defined as Week 5 to Week 52 following administration of ETX101) | |
| Proportion of participants free from episodes of prolonged seizures and/or status epilepticus at Week 52. | Week 5 through Week 52 |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants with ≥ 90% reduction in monthly countable seizure frequency (MCSF) from Baseline at Week 52. | Between the 8-week baseline period and the 48-week post-dosing assessment period (defined as Week 5 to Week 52 following administration of ETX101) | |
| Change from Baseline in the Vineland-Third Edition Expressive Communication raw score at Week 52. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Salvador Rico, M.D., Ph.D | Encoded Therapeutics | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Royal Children's Hospital | Melbourne | Australia |
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| Baseline through Week 52. Higher scores correspond to better outcomes. |
| ID | Term |
|---|---|
| D004831 | Epilepsies, Myoclonic |
| C565810 | Generalized Epilepsy With Febrile Seizures Plus, Type 2 |
| ID | Term |
|---|---|
| D004829 | Epilepsy, Generalized |
| D004827 | Epilepsy |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D000073376 | Epileptic Syndromes |
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