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ION440

Phase 1

Methyl CpG Binding Protein 2 (MECP2) Duplication Syndrome | Small molecule | Rare Disease |Ionis Pharmaceuticals, Inc.|Trials Updated: Oct 8, 2026

ION440 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since May 2024

ION440 target and mechanism

Molecular targetMECP2
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindSHAM_CONTROLLEDDMC
Total Trials1
Total Enrollment48

FDA Designations

No designations recorded

ION440 clinical trials

ION440 · 1 trial · 1 indication

Phase 1 1
NCT06430385ATTUNE: A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Intrathecally-Administered ION440 in Participants With Methyl CpG Binding Protein 2 (MECP2) Duplication Syndrome (MDS)Methyl CpG Binding Protein 2 (MECP2) Duplication Syndrome
RECRUITING48 Analytics
PHASE1RECRUITING
ATTUNE: A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Intrathecally-Administered ION440 in Participants With Methyl CpG Binding Protein 2 (MECP2) Duplication Syndrome (MDS)
Methyl CpG Binding Protein 2 (MECP2) Duplication SyndromeUnlock trial analytics

Study Endpoints

Primary Endpoints

Part 1: Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Up to approximately 36 weeks
Part 1: Number of Participants With Clinically Significant Change From Baseline in Vital Signs
Baseline up to approximately 36 weeks
Part 1: Number of Participants With Clinically Significant Change From Baseline in Physical and Neurological Examination Findings
Baseline up to approximately 36 weeks
Part 1: Number of Participants With Clinically Significant Change from Baseline in Laboratory Assessments
Baseline up to approximately 36 weeks
Part 1: Number of Participants With Clinically Significant Change From Baseline in Electrocardiogram (ECG)
Baseline up to approximately 36 weeks
Part 2: Number of Participants With TEAEs
Up to approximately 192 weeks
Part 2: Number of Participants With Clinically Significant Change From Baseline in Vital Signs
Baseline up to approximately 192 weeks
Part 2: Number of Participants With Clinically Significant Change From Baseline in Physical and Neurological Examination Findings
Baseline up to approximately 192 weeks
Part 2: Number of Participants With Clinically Significant Change from Baseline in Laboratory Assessments
Baseline up to approximately 192 weeks
Part 2: Number of Participants With Clinically Significant Change From Baseline in ECG
Baseline up to approximately 192 weeks

Secondary Endpoints

Part 1: Maximum Observed Concentration (Cmax) of ION440 in Plasma
Pre-dose and at multiple points post-dose up to Week 36
Part 1: Area Under the Concentration-time Curve (AUC) of ION440 in Plasma
Pre-dose and at multiple points post-dose up to Week 36
Part 1: Plasma Terminal Elimination Half-life (t½) of ION440
Pre-dose and at multiple points post-dose up to Week 36
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort 1: ION440 Dose AEXPERIMENTALParticipants will receive ION440 intrathecally at Dose A during Part 1/MAD, followed by ION440 Dose A during Part 2/LTE.
Cohort 2: ION440 Dose BEXPERIMENTALParticipants will receive ION440 intrathecally at Dose B during Part 1/MAD, followed by ION440 Dose B during Part 2/LTE.
Cohort 3: ION440 Dose CEXPERIMENTALParticipants will receive ION440 intrathecally at Dose C during Part 1/MAD, followed by ION440 Dose C during Part 2/LTE.
Sham ProcedureSHAM_COMPARATORDuring the Part 1/MAD period, a lumbar procedure (LP) will be performed at the same frequency as ION440 administration. Participants will not receive ITB injections during this period. It will be followed by the open-label Part 2/LTE period, where participants will receive ION440 at the same dose as their enrolled cohort (e.g. Dose A, Dose B or Dose C).

Interventions

NameTypeDescription
ION440DRUGION440 will be administered by intrathecal bolus (ITB) injection.
Sham procedurePROCEDUREAn LP will be performed with CSF collection but will not be followed by the administration of study treatment by ITB injection.
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Eligibility Criteria

Age Range2 Years to 65 Years
SexMALE
Healthy VolunteersNo
Study Sites12

Key Inclusion criteria for Part 1: 1. Males aged ≥ 2 to ≤ 65 years, depending on specific cohort and group, at the time of informed consent. 1. Group A: ≥ 8 to ≤ 65 years old 2. Group B: 2 to 7 years old, inclusive 2. Participant has at least one parent or caregiver ≥ 18 years old capable of...

Countries:United StatesAustriaCanadaFranceSpain
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Recent Changes (Last 90 Days)

LOWOct 8, 2026NCT06430385lastUpdatePostDate: changed
LOWOct 8, 2026NCT06430385lastUpdatePostDate: changed

Frequently asked questions about ION440

What is ION440 used for?

ION440 is being developed for the treatment of Methyl CpG Binding Protein 2 (MECP2) Duplication Syndrome, also known as MDS. This is a rare neurodevelopmental disorder caused by extra copies of the MECP2 gene. ION440 is an investigational therapy and has not been approved for any indication.

What does ION440 target?

ION440 targets MECP2, the gene and protein product that is duplicated in MECP2 Duplication Syndrome. By targeting MECP2, the drug aims to address the underlying genetic cause of the condition. ION440 is a small molecule designed to modulate MECP2 expression.

Who is developing ION440?

ION440 is being developed by Ionis Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker symbol IONS. Ionis is a biopharmaceutical company focused on RNA-targeted and other novel therapies for rare and serious diseases.

What phase is ION440 in?

ION440 is in Phase 1 clinical development. The only trial to date is a Phase 1 study that is currently recruiting participants. ION440 is investigational and has not received FDA approval.

What clinical trials is ION440 in?

ION440 is being evaluated in a single Phase 1 trial, NCT06430385, also called the ATTUNE study. This is a randomized, double-blind, sham-controlled trial testing intrathecally administered ION440 in participants with MECP2 Duplication Syndrome. It plans to enroll 48 male participants aged 2 years and older across the United States, Austria, Canada, France, and Spain.