Recent Updates
Recently added Catalysts

VO659

Phase 1

Spinocerebellar Ataxia Type 1 | Small molecule | Rare Disease |cbdMD, Inc.|Last Updated: Aug 19, 2026

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment68

FDA Designations

No designations recorded

Clinical trial landscape

VO659 · 1 trial · 3 indications

Phase 1 1
NCT05822908A Safety and Pharmacokinetics Trial of VO659 in SCA1, SCA3 and HDSpinocerebellar Ataxia Type 1
RECRUITING68 Analytics
PHASE1RECRUITING
A Safety and Pharmacokinetics Trial of VO659 in SCA1, SCA3 and HD
Spinocerebellar Ataxia Type 1Unlock trial analytics

Study Endpoints

Primary Endpoints

Incidence & dose relationships of treatment-related AEs, SAEs, AEs of special interest (AESI), severe events (NCI- CTCAE Grade 3 or higher).
Day 0-253

As measured in each dose group and overall. Unit of measurement: proportion

Vital signs
Day 0-253

temperature in centigrade, heart rate in beats per minute (BPM), systolic and diastolic blood pressure blood pressure, respiratory rate in breaths per minute

Body weight
Day 0-253

In kilograms

Electrocardiogram (ECG) RR interval
Day 0-253

In milliseconds (ms)

Electrocardiogram (ECG) - PR interval
Day 0-253

In milliseconds (ms)

Electrocardiogram (ECG) - QTc interval
Day 0-253

In milliseconds (ms)

Laboratory safety parameters in blood - white blood cell count
Day 0-253

In cells/mL

Laboratory safety parameters in blood - hemoglobin
Day 0-253

In g/dL

Laboratory safety parameters in blood - platelets
Day 0-253

In cells/cL

Laboratory safety parameters in blood - prothrombin time (PT)
Day 0-253

In seconds

Laboratory safety parameters in blood - activated partial thromboplastin clotting time (aPTT)
Day 0-253

In seconds

Laboratory safety parameters in blood - international normalised ratio (INR)
Day 0-253

as a ration

Laboratory safety parameters in blood - blood urea nitrogen
Day 0-253

In mg/dL

Laboratory safety parameters in blood - carbon dioxide
Day 0-253

In mEq/L

Laboratory safety parameters in blood - creatinine
Day 0-253

In mg/dL

Laboratory safety parameters in blood - glucose
Day 0-253

In mg/dL

Laboratory safety parameters in blood - chloride
Day 0-253

In mEq/L

Laboratory safety parameters in blood - potassium
Day 0-253

In mEq/L

Laboratory safety parameters in blood - sodium
Day 0-253

In mEq/L

white blood cell (WBC) count in cerebrospinal fluid (CSF)
Day 0-253

1/µL

Protein levels in cerebrospinal fluid (CSF)
Day 0-253

in g/L

Structural imaging assessment of any new abnormalities
Day 0-253

Structural MRI sequences to assess safety as qualitatively assessed by a trained neuroradiologist (3D T1 weighted, 3D T2weighted-FLAIR and susceptibility-weighted imaging (SWI) sequences)

Percentage of participants with suicidal ideation or behaviour, as assessed by the Columbia suicide severity rating scale (C-SSRS).
Day 0-253

The C-SSRS is a structured tool to assess suicidal ideation and behavior. Four constructs are measured: severity of ideation, intensity of ideation, behavior, and lethality of actual suicide attempts. Binary (yes/no) data are collected for 10 categories, and composite endpoints based on the categories are followed over time to monitor patient safety.

Secondary Endpoints

Concentrations of VO659 in cerebrospinal fluid (CSF)
_Day 1, 29, 57, 85, 120, 204, 253
Concentrations of VO659 in plasma
_Day 1, 29, 57, 85, 120, 204, 253
Maximum plasma concentration (Cmax) for VO659
Day 1, Day 85
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort 1EXPERIMENTALA dose of 10 mg of the trial IMP VO659 will be administered intrathecally four times on Day 1, Day 29, Day 57 and Day 85 within the planned dosing blocks. The total duration of trial participation for each participant is up to approximately 42 weeks, consisting of a screening period of up to 6 weeks, a 13-week dosing period and a 23-week post-dosing period.
Cohort 2EXPERIMENTALA dose of 20 mg of the trial IMP VO659 will be administered intrathecally four times on Day 1, Day 29, Day 57 and Day 85 within the planned dosing blocks. The total duration of trial participation for each participant is up to approximately 42 weeks, consisting of a screening period of up to 6 weeks, a 13-week dosing period and a 23-week post-dosing period.
Cohort 3EXPERIMENTALA dose of 40 mg of the trial IMP VO659 will be administered intrathecally four times on Day 1, Day 29, Day 57 and Day 85 within the planned dosing blocks. The total duration of trial participation for each participant is up to approximately 42 weeks, consisting of a screening period of up to 6 weeks, a 13-week dosing period and a 23-week post-dosing period.
Cohort 4EXPERIMENTALA dose of 20 or 40 mg of the trial IMP VO659 will be randomly assigned and will be administered intrathecally. For Dose-level Cohort 4, the dosing period consists of 3 dosing blocks for participants in the 3x20 mg treatment arm (Days -1 to 3; Days 84-87; and Days 168-171) and 2 dosing blocks for participants in the 2x40 mg treatment arm (Days -1 to 3; and Days 168-171). The total duration of trial participation for each participant in Dose-level Cohort 4 is up to approximately 58 weeks, consisting of a screening period of up to 7 weeks, a 26-week dosing period, and a 25-week post dosing period.
Cohort 5EXPERIMENTALA dose of 60 mg of the trial IMP VO659 will be administered intrathecally once on day 1. The total duration of trial participation for each participant in Dose-level Cohort 5 is up to approximately 58 weeks, consisting of a screening period of up to 7 weeks, a single dosing followed by a 51-week period of non-dosing, observational visits.

Interventions

NameTypeDescription
VO659DRUGVO659 is an antisense oligonucleotide targeting CAG repeats in mRNA transcripts
Unlock Study Design Details

Eligibility Criteria

Age Range25 Years to 60 Years
SexALL
Healthy VolunteersNo
Study Sites14

Main Inclusion Criteria: * Provide written informed consent (signed and dated). Patients should be assessed for their ability to give informed consent using the Evaluation to Sign Consent tool. * Is ≥25 and ≤60 years of age inclusive, of any gender, at the time of signing the informed consent. * Ha...

Countries:DenmarkFranceGermanyIsraelNetherlandsUnited Kingdom
Unlock Eligibility Criteria