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tividenofusp alfa

Phase 2FDA approved

Mucopolysaccharidosis II | Small molecule | Rare Disease |Denali Therapeutics Inc.|Trials Updated: Sep 9, 2026

tividenofusp alfa development status

FDA approval on record Mar 25, 2026
Highest phase Phase 2
Registered trials 3 across 1 sponsor since Jan 2020

tividenofusp alfa target and mechanism

Molecular targetIDS
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials3
Total Enrollment211

FDA Designations

PRIORITY_REVIEWBREAKTHROUGH_THERAPYORPHAN_DRUGFAST_TRACKRARE_PEDIATRIC_DISEASE

tividenofusp alfa clinical trials

tividenofusp alfa · 3 trials · 1 indication

Phase 2 2Phase 1 1
NCT06075537An Extension Study of the Long-Term Safety, Tolerability, and Efficacy of Tividenofusp Alfa (DNL310) in Participants With Mucopolysaccharidosis Type II (MPS II) From Study DNLI-E-0002 or Study DNLI-E-0007Mucopolysaccharidosis II
ENROLLING BY_INVITATION99 Analytics
NCT05371613A Study to Determine the Efficacy and Safety of Tividenofusp Alfa (DNL310) vs Idursulfase in Pediatric and Young Adult Participants With Neuronopathic (nMPS II) or Non-Neuronopathic Mucopolysaccharidosis Type II (nnMPS II)Mucopolysaccharidosis II
ACTIVE NOT_RECRUITING65 Analytics
PHASE2ENROLLING BY_INVITATION
An Extension Study of the Long-Term Safety, Tolerability, and Efficacy of Tividenofusp Alfa (DNL310) in Participants With Mucopolysaccharidosis Type II (MPS II) From Study DNLI-E-0002 or Study DNLI-E-0007
Mucopolysaccharidosis IIUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
A Study to Determine the Efficacy and Safety of Tividenofusp Alfa (DNL310) vs Idursulfase in Pediatric and Young Adult Participants With Neuronopathic (nMPS II) or Non-Neuronopathic Mucopolysaccharidosis Type II (nnMPS II)
Mucopolysaccharidosis IIUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence and intensity of treatment-emergent adverse events (TEAEs)
5 years
Clinically significant changes in urine total glycosaminoglycan (GAG) concentrations throughout the treatment period
5 years
Incidence and intensity of infusion-related reactions (IRRs)
5 years

The intensity of IRRs will be assessed following each infusion of DNL310 using the categories of Mild, Moderate and Severe. IRRs will be summarized overall as well as stratified by intensity.

Ratio to baseline in cerebrospinal fluid (CSF) heparan sulfate (HS) concentration (Cohort A)
24 weeks
Change from baseline in the Vineland Adaptive Behavior Scale, Third Edition (Vineland-3)(Cohort A)
96 weeks
Incidence and severity of treatment-emergent adverse events (TEAEs)
24 weeks, 104 weeks, and 357 weeks
Change from baseline in urine total glycosaminoglycan (GAG) concentrations
24 weeks, 104 weeks, and 357 weeks
Incidence and severity of infusion-related reactions (IRRs)
24 weeks, 104 weeks, and 357 weeks
Change from baseline in concomitant medications
24 weeks, 104 weeks, and 357 weeks

Secondary Endpoints

Percentage change from baseline in cerebrospinal fluid (CSF) heparan sulfate (HS) concentration
5 years
Change from baseline in the Vineland-3 Adaptive Behavior Scale
5 years
Change from baseline in the Bayley Scales of Infant and Toddler Development, Third Edition (BSID-III) cognitive raw score
5 years
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort A2EXPERIMENTALParticipants with nMPS II, aged ≥5 to ≤10 years
Cohort B2EXPERIMENTALParticipants with nMPS II or nnMPS II, aged ≥1 to ≤18 years
Cohort C2EXPERIMENTALParticipants with nMPS II, aged \<4 years
Cohort D2EXPERIMENTALParticipants with nMPS II or nnMPS II, aged ≤18 years with preexisting hepatomegaly who have never taken standard-of-care ERT
Cohort E2EXPERIMENTALParticipants with nMPS II, aged ≥6 years; participants with nnMPS II, aged \<6 or ≥17 years; or participants with nMPS II, aged ≥1 to ≤18 years, with a history of prior HSCT or gene therapy and have completed at least 48 weeks in Study DNLI-E-0001
Cohort A7EXPERIMENTALParticipants with nMPS II, aged ≥2 to \<6 years
Cohort B7EXPERIMENTALParticipants with nnMPS II, aged ≥6 to \<17 years
Cohort A: Participants with nMPS IIEXPERIMENTAL -
Cohort B: Participants with nnMPS IIEXPERIMENTAL -
Open-label Treatment PhaseEXPERIMENTALParticipants who meet pre-specified criteria may receive DNL310 or idursulfase
Cohort AEXPERIMENTALDose escalation followed by a consistent dose level in participants with neuronopathic MPS II
Cohort BEXPERIMENTALA consistent dose level in participants with non-neuronopathic MPS II, neuronopathic MPS II, or unknown phenotype followed by dose escalation in some participants.
Cohort CEXPERIMENTALA consistent dose level in participants with neuronopathic MPS II
Cohort DEXPERIMENTALA consistent dose level in participants with non-neuronopathic MPS II or neuronopathic MPS II
Cohort EEXPERIMENTALA consistent dose level in participants with non-neuronopathic MPS II or neuronopathic MPS II

Interventions

NameTypeDescription
tividenofusp alfaDRUGIntravenous repeating dose
idursulfaseDRUGIntravenous repeating dose
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Eligibility Criteria

Age RangeN/A to 18 Years
SexALL
Healthy VolunteersNo
Study Sites29

Key Inclusion Criteria: * For participants from Study DNLI-E-0002 only: Completed at least through the Week 49 visit in Study DNLI-E-0002 and did not discontinue study intervention early * For participants from Study DNLI-E-0007 only: Completed the treatment period of 96 weeks in Cohort A for nMPS ...

Countries:United StatesArgentinaBelgiumCanadaCzechiaFranceGermanyItalyNetherlandsSpainSwedenTurkey (Türkiye)United KingdomBrazil
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Recent Changes (Last 90 Days)

MEDIUMSep 9, 2026NCT05371613Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMSep 9, 2026NCT05371613Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about tividenofusp alfa

What is tividenofusp alfa used for?

Tividenofusp alfa is an investigational therapy being developed for Mucopolysaccharidosis II, also known as Hunter syndrome, a rare inherited disorder. It is in Phase 2 clinical development and is not yet approved for commercial use. Denali Therapeutics is studying it in pediatric and young adult patients with both neuronopathic and non-neuronopathic forms of the disease.

What does tividenofusp alfa target?

Tividenofusp alfa targets IDS, the iduronate-2-sulfatase enzyme that is deficient in Mucopolysaccharidosis II. By addressing this enzyme target, the therapy aims to treat the underlying cause of the condition. It is designed as a small molecule therapeutic and is being evaluated in Phase 2 trials in patients with MPS II.

Who is developing tividenofusp alfa?

Tividenofusp alfa is being developed by Denali Therapeutics Inc., which trades under the ticker DNLI. The company is running multiple clinical studies of the candidate in Mucopolysaccharidosis II, including a Phase 2 comparison against idursulfase and a long-term extension study.

What phase is tividenofusp alfa in?

Tividenofusp alfa is in Phase 2 clinical development for Mucopolysaccharidosis II. It is investigational and has not been approved by the FDA. The program includes three active trials: two Phase 2 studies and one Phase 1 study, with a combined enrollment of 211 participants across the program.

What clinical trials is tividenofusp alfa in?

Tividenofusp alfa is being studied in three active trials. NCT05371613 is a Phase 2 study comparing it with idursulfase in pediatric and young adult patients. NCT06075537 is a Phase 2 long-term extension study, and NCT04251026 is a Phase 1 study in pediatric participants with Hunter syndrome.

Is tividenofusp alfa the same as DNL310?

Yes, tividenofusp alfa is also known as DNL310. Both names refer to the same investigational therapy from Denali Therapeutics being developed for Mucopolysaccharidosis II. The DNL310 designation appears in the trial titles for the Phase 1 and Phase 2 studies of the program.