Oral nizubaglustat (AZ-3102) for late‑infantile and juvenile Niemann‑Pick C, GM1, and GM2 gangliosidoses
Official title: 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
Run by Azafaros B.V. · NCT07054515 · Data updated 2026-11-12
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 |
| Ages | 4 Years and up |
| Sex | All |
| Enrollment | 147 (estimated) |
| Sponsor | Azafaros B.V. Industry-sponsored |
| Locations | 39 sites (Oakland, California and 38 other locations) |
| Status | Recruiting |
| Started | June 30, 2025 |
| Main results expected | May 14, 2028 |
| Study ends | June 14, 2028 |
| Registry record updated | October 27, 2026 |
| Trial ID | NCT07054515 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a 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.
✕Probably 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.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
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.
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 gone: 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.
Who can join: the full rules
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 it's running
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UCSF Children's Hospital and Research Center at Oakland
Oakland, California, United States Recruiting -
University of Minnesota Medical School
Minneapolis, Minnesota, United States Recruiting -
Mayo Clinic Childrens Center - PIN
Rochester, Minnesota, United States Recruiting -
Children's Medical Center Dallas
Dallas, Texas, United States Recruiting -
Lysosomal Rare Disorders Research and Treatment Center
Fairfax, Virginia, United States Recruiting -
Hospital de Niños de La Santisima Trinidad
Córdoba, Córdoba Province, Argentina Recruiting
Show 33 more locations
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Women's and Children's Hospital
North Adelaide, South Australia, Australia Recruiting -
Royal Melbourne Hospital
Parkville, Victoria, Australia Recruiting -
Royal Children's Hospital Melbourne - PIN
Parkville, Victoria, Australia Recruiting -
Instituto Fernandes Figueira
Rio de Janeiro, Rio de Janeiro, Brazil Recruiting -
Hospital de Clinicas de Porto Alegre (HCPA) - PPDS
Porto Alegre, Rio Grande do Sul, Brazil Recruiting -
M.A.G.I.C. Clinic Ltd. Metabolics and Genetics in Calgary
Calgary, Alberta, Canada Recruiting -
AP-HP - Hôpital Armand Trousseau
Paris, France Recruiting -
SphinCS GmbH
Höchheim, Germany 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 Recruiting -
Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan, Italy 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 -
Inselspital - Universitätsspital Bern
Bern, Canton of Bern, Switzerland Recruiting -
Cukurova Universitesi Balcali Hastanesi Saglik Uygulama ve Arastirma Merkezi
Adana, Adana, Turkey (Türkiye) Recruiting -
Gazi Universitesi Saglik Arastirma ve Uygulama Merkezi
Çankaya, Ankara, Turkey (Türkiye) Recruiting -
Ege Universitesi Tip Fakultesi
Bornova, İzmir, Turkey (Türkiye) Recruiting -
Great Ormond Street Hospital
London, London, United Kingdom Recruiting -
Royal Manchester Children's Hospital
Manchester, United Kingdom Recruiting -
Hospital Universitario Austral
Ciudad Autónoma Buenos Aires, Buenos Aires, Argentina Active not recruiting -
Hospital Pequeno Príncipe
Curitiba, Brazil 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 de la Pitié Salpétrière
Paris, France Active not recruiting -
Hospital Universitario Dr. Jose Eleuterio González
Monterrey, Nuevo León, Mexico Not yet recruiting -
Centenario Hospital Miguel Hidalgo
Aguascalientes, Mexico Not yet recruiting -
The Children's Hospital & the University of Child Health Lahore
Lahore, Punjab Province, Pakistan Not yet recruiting -
Sahlgrenska universitetssjukhuset Östra
Gothenburg, Västra Götaland County, Sweden Active not recruiting -
University College London Hospitals (UCLH)
London, Middlesex, United Kingdom Not yet recruiting
Study contacts
- Study coordinator: Patient Advocacy Representative
- Email: info@azafaros.com
- Phone: Please reach out by email
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.