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Tralesinidase alfa

Phase 3

MPS IIIB | Small molecule | Other |Spruce Biosciences, Inc.|Last Updated: May 12, 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
RandomizedNO_TREATMENT_CONTROLLEDBiomarker
Total Trials1
Total Enrollment14
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07579910Intracerebroventricular Tralesinidase Alfa in Children With Mucopolysaccharidosis Type IIIBPHASE3 NOT YET_RECRUITING 14Dec 1, 2026Aug 1, 2033May 12, 2026 -
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Study Endpoints
Primary Endpoints
Change from Baseline in Bayley Scales of Infant and Toddler Development, Third Edition, Cognition Domain (BSID-III-C) Raw Score
Baseline to Week 260 (approximately 5 years)

The BSID-III-C is a standardized tool that evaluates cognitive development in young children, capturing skills such as processing speed, problem solving, and play. Raw scores are used to sensitively measure individual change over time, independent of age. Assessments are administered by a trained, blinded rater and reviewed by a central blinded rater. The endpoint is the difference in mean change from baseline in BSID-III-C raw score between the tralesinidase alfa and control arms at Week 260

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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Tralesinidase alfa (TA)EXPERIMENTAL -
ControlNO_INTERVENTION -
Interventions
NameTypeDescription
Tralesinidase alfa (TA)DRUGTA study drug is a sterile solution for ICV infusion.
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Eligibility Criteria
Age Range1 Year — 5 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: Has a diagnosis of MPS IIIB confirmed by deficient NAGLU enzyme activity during screening. Has nonattenuated severe MPS IIIB by the Genotype and Clinical Assessment Committee. Is ≥1 and ≤5 years of age with BSID-III-C raw score of \<70. Is male or female as identified at birth...

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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07579910primaryCompletionDate: changed
LOWMay 24, 2026NCT07579910studyFirstPostDate: changed
LOWMay 21, 2026NCT07579910NEW_TRIAL: changed
LOWMay 21, 2026NCT07579910NEW_TRIAL: changed