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ION582

Phase 3

Angelman Syndrome | Small molecule | Other |Ionis Pharmaceuticals, Inc.|Last Updated: May 15, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment228
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06914609REVEAL: A Phase 3 Study of ION582 in Angelman SyndromePHASE3 RECRUITING 158Jun 10, 2025Apr 1, 2030May 15, 202638 United States, Australia +10
NCT05127226HALOS: A Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of Multiple Ascending Doses of ION582 in Participants With Angelman SyndromePHASE1 RECRUITING 70Dec 22, 2021Mar 1, 2029Nov 14, 202511 United States, Australia +4
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Study Endpoints
Primary Endpoints
Change in Performance on the Expressive Communication Subdomain Raw Score of the Bayley Scales for Infant and Toddler Development-4 (Bayley-4) Without Caregiver Input in Cohort 1
Baseline and Week 52

The Bayley-4 is a performance-based assessment of developmental functioning across communication, cognition, and motor skills. The expressive communication subdomain of communication measures preverbal and verbal communication. The total raw score reflects the sum of all the item scores within the expressive communication subdomain, with higher scores reflecting greater expressive communication ability.

To evaluate the safety and tolerability of single and multiple doses of ION582 (incidence, severity, and dose-relationship of adverse effects and changes in the laboratory parameters).
Part 1: Up to Week 45; Part 2: Up to Week 81

The safety and tolerability of ION582 will be assessed by determining the incidence, severity, and dose relationship of adverse effects and changes in the laboratory parameters by dose.

Secondary Endpoints
Change in Bayley Scales for Infant and Toddler Development-4 (Bayley-4): Cognition Subdomain Raw Score Without Caregiver Input
Baseline and Week 52
Change in Symptoms of Angelman Syndrome -Clinician Global Impression of Change (SAS-CGI-C): Overall AS
Baseline and Week 52
Change in Vineland Adaptive Behavior Scale-3 (Vineland-3): Receptive Communication Subdomain Raw Score
Baseline and Week 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1 ION582 80 mgEXPERIMENTALParticipants (aged 2 to \<18 years old) will be administered ION582 80 mg via IT injection Q12W during the double blind and LTE treatment periods.
Cohort 1 PlaceboPLACEBO_COMPARATORParticipants (aged 2 to \<18 years old) will be administered ION582 matching placebo via IT injection Q12W during the double-blind treatment period and then administered ION582 40 mg or 80 mg Q12W during the LTE treatment period.
Cohort 2 ION582 80 mgEXPERIMENTALParticipants (aged 18 to ≤50 years old) will be administered ION582 80 mg via IT injection Q12W during the double blind and LTE treatment periods.
Cohort 2 PlaceboPLACEBO_COMPARATORParticipants (aged 18 to ≤50 years old) will be administered ION582 matching placebo via IT injection Q12W during the double-blind treatment period and then randomized to ION582 40 mg or 80 mg Q12W during the LTE treatment period.
Part 1 MAD: Cohort AEXPERIMENTALION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.
Part 1 MAD: Cohort BEXPERIMENTALION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.
Part 1 MAD: Cohort CEXPERIMENTALION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.
Part 1 MAD: Cohort DEXPERIMENTALION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.
Part 1 MAD: Cohort EEXPERIMENTALION582 will be administered as IT injection of over a period of 13 weeks, with a minimum of approximately 4 weeks between each dose administration.
Part 1 MAD: Cohort FEXPERIMENTALION582 will be administered as IT injection over a period of 13 weeks, with a minimum of approximately 12 weeks between each dose administration.
Part 2 Group 1EXPERIMENTALION582 will be administered as IT injection of over a period of 49 weeks, with additional dosing intervals.
Part 2 Group 2EXPERIMENTALION582 will be administered as IT injection of over a period of 49 weeks, with additional dosing intervals.
Part 3 Group 1EXPERIMENTALION582 will be administered as IT injection of over a period of 145 weeks, with additional dosing intervals.
Part 3 Group 2EXPERIMENTALION582 will be administered as IT injection of over a period of 145 weeks, with additional dosing intervals.
Interventions
NameTypeDescription
ION582DRUGION582 will be administered by IT injection.
PlaceboDRUGION582 matching placebo will be administered by IT injection.
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Eligibility Criteria
Age Range2 Years — 50 Years
SexALL
Healthy VolunteersNo
Study Sites38

Key Inclusion Criteria: 1. The participants caregiver(s)/ legally authorized representative must have given written informed consent and any authorizations required by local law and be able to comply with all study requirements. 2. Medically stable and can undergo sedation and/or general anesthesia...

Countries:United StatesAustraliaCanadaGermanyIsraelItalyJapanPolandSingaporeSouth KoreaSpainUnited KingdomFrance
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05127226primaryCompletionDate: changed
LOWMay 26, 2026NCT06914609primaryCompletionDate: changed
LOWMay 24, 2026NCT05127226studyFirstPostDate: changed
LOWMay 24, 2026NCT06914609studyFirstPostDate: changed