Natural History Study in Adult-Onset Leukoencephalopathy With Axonal Spheroids and Pigmented Glia (ALSP)
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ClinicalTrials.gov Identifier: NCT05020743 |
Recruitment Status :
Recruiting
First Posted : August 25, 2021
Last Update Posted : May 25, 2023
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Condition or disease | Intervention/treatment |
---|---|
ALSP | Other: No intervention |
Study Type : | Observational |
Estimated Enrollment : | 50 participants |
Observational Model: | Cohort |
Time Perspective: | Prospective |
Official Title: | A Natural History Study of Patients With Adult-Onset Leukoencephalopathy With Axonal Spheroids and Pigmented Glia (ALSP) |
Actual Study Start Date : | September 13, 2021 |
Estimated Primary Completion Date : | November 2024 |
Estimated Study Completion Date : | November 2024 |

Group/Cohort | Intervention/treatment |
---|---|
Patients with ALSP |
Other: No intervention
Not applicable for a Natural History Study |
Patients with Prodromal ALSP |
Other: No intervention
Not applicable for a Natural History Study |
- Magnetic Resonance Imaging (MRI) [ Time Frame: Months 6, 12, 18, and 24 ]Change from Baseline in structural and volumetric MRI

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Sampling Method: | Non-Probability Sample |
Key Inclusion Criteria for both Definitive ALSP patients and Prodromal ALSP patients:
1. Subjects who have documentation of a gene mutation in the CSF1R gene
Key Inclusion Criteria for Definitive ALSP patients, only:
-
Subjects who fulfill both of the following criteria (a and b):
a. More than two findings of clinical signs or symptoms in the following categories: i. Cognitive impairment or psychiatric problem ii. Pyramidal signs on neurological examination iii. Extrapyramidal signs, such as rigidity, tremor, abnormal gait, or bradykinesia iv. Epilepsy b. MRI findings consistent with ALSP: specifically, bilateral cerebral white matter lesions with or without thinning of the corpus callosum NOTE: Subjects with other causes of leukoencephalopathy, including vascular dementia, multiple sclerosis, or leukodystrophy (e.g., adrenoleukodystrophy, Krabbe disease, metachromatic leukodystrophy), will be excluded.
- Subjects who, in the investigator's opinion, have demonstrated clinical progression of their ALSP within the past year.
- Subjects who have a cognitive or motor impairment that can affect their ability to comply with study requirements must have a designated caregiver who spends at least 4 hours per week with them. The caregiver must be able and willing to assist the subject in complying with the study requirements, be able to provide information during study visits, and be willing to sign a caregiver ICF.
Key Inclusion Criteria for Prodromal ALSP patients, only:
1. MRI findings consistent with ALSP: specifically, bilateral cerebral white matter lesions with or without thinning of the corpus callosum. Prodromal subjects may have none or up to and including 2 ALSP-related clinical signs or symptoms (i.e., they do not meet the clinical criteria outlined in the Definitive ALSP as "more than two").
Key Exclusion Criteria (for all study participants):
- Subjects with any neurological or psychiatric diseases that can produce cognitive, motor, or behavioral impairment similar to ALSP, including, but not limited to, Alzheimer's disease, frontotemporal dementia, ALS, stroke, Huntington disease, multiple sclerosis, Parkinson's disease, and Down syndrome, or with active alcohol/drug abuse
- Subjects who are unable to undergo MRI
- Subjects with any condition or situation that, in the opinion of the investigator or sponsor medical personnel, may place the subject at significant risk, confound the study results, or interfere significantly with the subject's participation in the study.
- Subjects who have previously undergone HSCT within 6 months prior to Screening/Baseline

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05020743
Contact: Vigil Clinical Trials | +1 857 254 4445 | trials@vigilneuro.com |
United States, California | |
Investigative Site 4 | Recruiting |
San Francisco, California, United States, 94158 | |
Contact trials@vigilneuro.com | |
United States, Colorado | |
Investigative Site 5 | Recruiting |
Englewood, Colorado, United States, 80113 | |
Contact trials@vigilneuro.com | |
United States, Florida | |
Investigative Site 1 | Recruiting |
Boca Raton, Florida, United States, 33486 | |
Contact trials@vigilneuro.com | |
Investigative Site 2 | Recruiting |
Jacksonville, Florida, United States, 32224 | |
Contact trials@vigilneuro.com | |
United States, Pennsylvania | |
Investigative Site 10 | Recruiting |
Philadelphia, Pennsylvania, United States, 19104 | |
Contact trials@vigilneuro.com | |
Canada, Ontario | |
Investigative Site 3 | Recruiting |
London, Ontario, Canada, N6C 5J1 | |
Contact trials@vigilneuro.com | |
Germany | |
Investigative Site 8 | Recruiting |
Leipzig, Germany, 04103 | |
Contact trials@vigilneuro.com | |
Investigative Site 9 | Recruiting |
Tübingen, Germany, 72076 | |
Contact trials@vigilneuro.com | |
Netherlands | |
Investigative Site 6 | Recruiting |
Amsterdam, Netherlands, 1105 AZ | |
Contact trials@vigilneuro.com | |
United Kingdom | |
Investigative Site 7 | Recruiting |
London, United Kingdom, WC1N 3BG | |
Contact trials@vigilneuro.com |
Responsible Party: | Vigil Neuroscience, Inc. |
ClinicalTrials.gov Identifier: | NCT05020743 |
Other Study ID Numbers: |
VGL101-01.002 |
First Posted: | August 25, 2021 Key Record Dates |
Last Update Posted: | May 25, 2023 |
Last Verified: | May 2023 |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
ALSP CSF1R leukoencephalopathy Hereditary Diffuse Leukoencephalopathy with Spheroids |
HDLS CSF1R-related Leukoencephalopathy Adult-Onset Leukoencephalopathy with Axonal Spheroids and Pigmented Glia CSF1R gene mutation |
Leukoencephalopathies Brain Diseases Central Nervous System Diseases Nervous System Diseases |