Ionis doses first participant in Phase 1-2 ASCEND study of ION337
Ionis Pharmaceuticals, Inc. announced the dosing of the first participant in the Phase 1-2 ASCEND study of ION337, an investigational RNA-targeted medicine for Dravet syndrome. The study evaluates safety and tolerability in children aged 2 to 12 years, utilizing advanced NMA technology to potentially support infrequent dosing. The FDA has granted Fast Track designation to ION337 for this condition.

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Ionis Pharmaceuticals, Inc. has dosed the first participant in the Phase 1-2 ASCEND study of ION337, an investigational RNA-targeted medicine for people living with Dravet syndrome. Dravet syndrome is a rare, severe, and lifelong neurological disorder that typically begins in infancy and is associated with prolonged seizures, developmental delays, cognitive impairments, and an increased risk of sudden death. The advancement of ION337 represents a potential disease-modifying therapy for this condition.
"The first participant to receive ION337 in the ASCEND study marks an important step toward advancing a potential disease modifying therapy for people living with Dravet syndrome," said Holly Kordasiewicz, Ph.D., executive vice president, chief development officer, Ionis. "ION337 is our first wholly owned medicine developed using Ionis’ advanced NMA technology, which is designed to enhance the potency of our medicines and potentially support infrequent intrathecal dosing of every six months or less. This milestone reflects a new wave of scientific innovation across Ionis’ advancing neurology pipeline for people living with serious neurological conditions. We look forward to advancing the development of ION337 alongside the Dravet syndrome community."
The ASCEND study (NCT07531745) is an open-label, Phase 1-2 study evaluating the safety and tolerability of ION337 in children aged 2 to 12 years with a clinical diagnosis of Dravet syndrome. The study consists of two parts: an initial 6-month single ascending dose (SAD) component, followed by a 24-month multiple ascending dose (MAD) component with dosing of ION337 every 6 months, and an additional 7-month safety follow-up period.
ION337 uses next-generation N-Methylacetamide modifications (NMA technology) designed to enhance the potency of splice modulating antisense oligonucleotides (ASOs). This advanced molecular design is intended to provide sustained activity, supporting infrequent dosing. ION337 is designed to increase production of the NaV1.1 protein, which is reduced in people with Dravet syndrome caused by certain SCN1A gene variants. The U.S. Food and Drug Administration (FDA) has granted ION337 Fast Track designation for the treatment of Dravet syndrome.
Study Details
| Feature | Description |
|---|---|
| Study Name | ASCEND |
| ClinicalTrials.gov Identifier | NCT07531745 |
| Phase | Phase 1-2 |
| Design | Open-label |
| Target Population | Children aged 2 to 12 years with Dravet syndrome |
| Primary Objective | Safety and tolerability |
| Dosing Components | Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) |
How will the FDA Fast Track designation impact the overall timeline for potential approval of ION337?
What specific efficacy endpoints will be evaluated in the later phases of the ASCEND study beyond safety and tolerability?
Could the successful application of NMA technology in ION337 lead to similar dosing schedules for other therapies in Ionis' neurology pipeline?
































