Oral nizubaglustat (AZ-3102) for late‑infantile and juvenile Niemann‑Pick C, GM1, and GM2 gangliosidoses
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 and in Late-infantile and Juvenile-onset Forms of GM1 Gangliosidosis or GM2 Gangliosidosis
This 18‑month study will test whether daily oral nizubaglustat (AZ‑3102) helps people age 4 and up with late‑infantile or juvenile Niemann‑Pick C, GM1, or GM2 gangliosidosis compared with placebo.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 147 (estimated) |
| Ages | 4 Years and up |
| Sex | All |
| Sponsor | Azafaros A.G. Industry-sponsored |
| Locations | 37 sites (Oakland, California and 36 other locations) |
| Trial ID | NCT07054515 on ClinicalTrials.gov |
What this trial studies
This randomized, double‑blind, placebo‑controlled Phase 3 Master Protocol tests oral nizubaglustat (AZ‑3102) over 18 months in participants with late‑infantile or juvenile NPC, GM1, or GM2 gangliosidosis. Participants are assigned to disease‑specific subprotocols and randomized to receive active drug or placebo, with detailed procedures and endpoints defined per subprotocol. The study is multicenter and includes planned safety monitoring, efficacy assessments, and disease‑specific outcome measures. Specific eligibility and exclusion criteria differ by subprotocol and are described in the corresponding clinicaltrials.gov records.
Who should consider this trial
Good fit: Children and adolescents age 4 years and older with a confirmed diagnosis of late‑infantile or juvenile‑onset Niemann‑Pick C, GM1, or GM2 gangliosidosis who meet the disease‑specific subprotocol criteria.
Not a fit: Patients with adult‑onset disease, very advanced irreversible neurological damage, or who do not meet subprotocol eligibility (including specific medical exclusions) are unlikely to receive benefit from this intervention.
Why it matters
Potential benefit: If successful, nizubaglustat could slow neurodegeneration and help preserve neurological function and quality of life in affected children and adolescents.
How similar studies have performed: Related substrate‑reduction therapies such as miglustat have shown mixed or limited benefits in NPC and are less established for GM1/GM2, so the approach has some precedent but remains incompletely proven.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male and female participants, aged 4 years and older with a diagnosis of the late-infantile or juvenile form of NPC disease. Detailed inclusion criteria are presented in the NPC disease-specific subprotocol AZA-001-301-NPC (NCT07082725). * Male and female participants, aged 4 years and older with a diagnosis of GM1 or GM2 (Tay-Sachs, Sandhoff, or GM2AB variant disease) gangliosidosis of late-infantile/ juvenile onset. Detailed inclusion criteria are presented in the GM1/GM2 gangliosidosis-specific subprotocol AZA-001-301-GMx (NCT07082543). Exclusion Criteria: * Detailed exclusion criteria are presented in the NPC disease-specific subprotocol AZA-001-301-NPC * Detailed exclusion criteria are presented in the GM1/GM2 gangliosidosis-specific subprotocol AZA-001-301-GMx
Where this trial is running
Oakland, California and 36 other locations
- UCSF Children's Hospital and Research Center at Oakland — Oakland, California, United States (Recruiting)
- University of Minnesota Medical School — Minneapolis, Minnesota, United States (Not_yet_recruiting)
- Mayo Clinic Childrens Center - PIN — Rochester, Minnesota, United States (Recruiting)
- Children's Medical Center Dallas — Dallas, Texas, United States (Not_yet_recruiting)
- Lysosomal Rare Disorders Research and Treatment Center — Fairfax, Virginia, United States (Recruiting)
- Hospital Universitario Austral — Ciudad Autónoma Buenos Aires, Buenos Aires, Argentina (Recruiting)
- Hospital de Niños de La Santisima Trinidad — Córdoba, Córdoba Province, Argentina (Recruiting)
- Women's and Children's Hospital — North Adelaide, South Australia, Australia (Recruiting)
- Royal Melbourne Hospital — Parkville, Victoria, Australia (Not_yet_recruiting)
- Royal Children's Hospital Melbourne - PIN — Parkville, Victoria, Australia (Not_yet_recruiting)
- Instituto Fernandes Figueira — Rio de Janeiro, Rio de Janeiro, Brazil (Not_yet_recruiting)
- Hospital de Clinicas de Porto Alegre (HCPA) - PPDS — Porto Alegre, Rio Grande do Sul, Brazil (Recruiting)
- Hospital Pequeno Príncipe — Curitiba, Brazil (Not_yet_recruiting)
- M.A.G.I.C. Clinic Ltd. Metabolics and Genetics in Calgary — Calgary, Alberta, Canada (Not_yet_recruiting)
- University of Alberta Medical Genetics Clinic — Edmonton, Alberta, Canada (Not_yet_recruiting)
- Centre Hospitalier de l'Universite de Montreal-1000 rue Saint-Denis — Montreal, Quebec, Canada (Not_yet_recruiting)
- AP-HP - Hôpital Armand Trousseau — Paris, France (Recruiting)
- SphinCS GmbH — Höchheim, Germany (Not_yet_recruiting)
- Amrita Institute of Medical Sciences and Research Centre — Ernākulam, Kerala, India (Recruiting)
- All India Institute of Medical Sciences (AIIMS) - New Delhi — New Delhi, National Capital Territory of Delhi, India (Recruiting)
- JK Lone Hospital — Jaipur, Rajasthan, India (Recruiting)
- Christian Medical College and Hospital — Vellore, Tamil Nadu, India (Not_yet_recruiting)
- Fondazione IRCCS Istituto Neurologico Carlo Besta — Milan, Italy (Recruiting)
- Hospital Universitario Dr. Jose Eleuterio González — Monterrey, Nuevo León, Mexico (Not_yet_recruiting)
- Centenario Hospital Miguel Hidalgo — Aguascalientes, Mexico (Not_yet_recruiting)
- ULS de Santo António, EPE - Centro Materno Infantil Norte — Porto, Porto District, Portugal (Recruiting)
- ULS de Santa Maria,EPE - Hospital de Santa Maria - PPDS — Lisbon, Portugal (Recruiting)
- Hospital Universitario Vall d'Hebron - PPDS — Barcelona, Barcelona, Spain (Recruiting)
- Hospital Infantil Universitario Niño Jesus - PIN — Madrid, Madrid, Spain (Recruiting)
- Sahlgrenska universitetssjukhuset Östra — Gothenburg, Västra Götaland County, Sweden (Recruiting)
- Inselspital - Universitätsspital Bern — Bern, Canton of Bern, Switzerland (Recruiting)
- Balcali Hastanesi Saglik Uygulama ve Arastirma Merkezi — Adana, Adana, Turkey (Türkiye) (Not_yet_recruiting)
- Gazi Universitesi Saglik Arastirma ve Uygulama Merkezi — Çankaya, Ankara, Turkey (Türkiye) (Recruiting)
- Ege Universitesi Tip Fakultesi — Bornova, İzmir, Turkey (Türkiye) (Not_yet_recruiting)
- Great Ormond Street Hospital — London, London, United Kingdom (Not_yet_recruiting)
- University College London Hospitals (UCLH) — London, Middlesex, United Kingdom (Not_yet_recruiting)
- Royal Manchester Children's Hospital — Manchester, United Kingdom (Not_yet_recruiting)
Study contacts
- Study coordinator: Patient Advocacy Representative
- Email: info@azafaros.com
- Phone: Please reach out by email
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.