Intracerebroventricular Tralesinidase Alfa in Children With Mucopolysaccharidosis Type IIIB
TrAnsform
A Phase 3, Randomized, Single-blind, Parallel Group, Controlled, Multicenter Study to Evaluate the Safety, Tolerability, and Efficacy of Intracerebroventricular Tralesinidase Alfa Treatment Compared to Standard of Care in Mucopolysaccharidosis Type IIIB (MPS IIIB, Sanfilippo Syndrome Type B)
1 other identifier
interventional
14
0 countries
N/A
Brief Summary
The primary objectives of this study are to evaluate the effects of Tralesinidase Alfa (TA) on cognition
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Dec 2026
Longer than P75 for phase_3
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 28, 2026
CompletedFirst Posted
Study publicly available on registry
May 12, 2026
CompletedStudy Start
First participant enrolled
December 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2033
Study Completion
Last participant's last visit for all outcomes
August 1, 2033
May 12, 2026
May 1, 2026
6.7 years
April 28, 2026
May 6, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Change from Baseline in Bayley Scales of Infant and Toddler Development, Third Edition, Cognition Domain (BSID-III-C) Raw Score
The BSID-III-C is a standardized tool that evaluates cognitive development in young children, capturing skills such as processing speed, problem solving, and play. Raw scores are used to sensitively measure individual change over time, independent of age. Assessments are administered by a trained, blinded rater and reviewed by a central blinded rater. The endpoint is the difference in mean change from baseline in BSID-III-C raw score between the tralesinidase alfa and control arms at Week 260
Baseline to Week 260 (approximately 5 years)
Study Arms (2)
Tralesinidase alfa (TA)
EXPERIMENTALControl
NO INTERVENTIONInterventions
TA study drug is a sterile solution for ICV infusion.
Eligibility Criteria
You may qualify if:
- Has a diagnosis of MPS IIIB confirmed by deficient NAGLU enzyme activity during screening.
- Has nonattenuated severe MPS IIIB by the Genotype and Clinical Assessment Committee.
- Is ≥1 and ≤5 years of age with BSID-III-C raw score of \<70. Is male or female as identified at birth.
You may not qualify if:
- Genotyped for a known MPS IIIB variant associated with an attenuated phenotype or has a sibling with a known attenuated phenotype.
- Has another neurological illness that may have caused cognitive decline (e.g., trauma, meningitis, or hemorrhage) before study entry.
- Has received stem cell, gene therapy, or enzyme replacement therapy for MPS IIIB.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 28, 2026
First Posted
May 12, 2026
Study Start (Estimated)
December 1, 2026
Primary Completion (Estimated)
August 1, 2033
Study Completion (Estimated)
August 1, 2033
Last Updated
May 12, 2026
Record last verified: 2026-05