NCT07487389

Brief Summary

The purpose of the expanded access program (EAP) is to provide access to zilganersen for eligible individuals with Alexander disease (AxD).

Trial Health

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 17, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 23, 2026

Completed
Last Updated

March 23, 2026

Status Verified

March 1, 2026

First QC Date

March 17, 2026

Last Update Submit

March 17, 2026

Conditions

Keywords

Alexander diseaseleukodystrophyexpanded access

Interventions

zilganersen

Eligibility Criteria

Age2 Years - 99 Years
Sexall
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Approved drug or drugs available for treatment did not work for the patient, or the patient cannot tolerate the side effects of the FDA-approved drug or drugs for treatment of AxD.
  • Patients who are ≥ 2 years old.
  • Patients who have a clinical phenotype and brain imaging consistent with a diagnosis of AxD.
  • Patients who have a documented variant in the GFAP gene.
  • Patient resides in and is a resident of the US.

You may not qualify if:

  • Patients who have any medical history, physical exam findings, or clinically significant laboratory abnormalities that contraindicate performing an LP for ITB administration of zilganersen.
  • Patients who have current obstructive hydrocephalus.
  • Patients who have the presence of a functional ventriculoperitoneal shunt for the drainage of CSF.
  • Patients who are pregnant or plan to become pregnant, or patients who are breastfeeding.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Links

MeSH Terms

Conditions

Alexander Disease

Condition Hierarchy (Ancestors)

Hereditary Central Nervous System Demyelinating DiseasesBrain Diseases, Metabolic, InbornBrain Diseases, MetabolicBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesLeukoencephalopathiesDemyelinating DiseasesHeredodegenerative Disorders, Nervous SystemNeurodegenerative DiseasesGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesMetabolism, Inborn ErrorsMetabolic DiseasesNutritional and Metabolic Diseases

Central Study Contacts

Ionis Pharmaceuticals, Inc.

CONTACT

Study Design

Study Type
expanded access
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 17, 2026

First Posted

March 23, 2026

Last Updated

March 23, 2026

Record last verified: 2026-03