Cerliponase alfa for CLN2 disease: long-term (5-year) results

The Lancet Neurology (Elsevier), Volume 23, Issue 1, January 2024, Pages 60–70

What this study looked at

CLN2 disease (a form of Batten disease) is a progressive childhood condition, and its main treatment — cerliponase alfa infused into the brain's ventricles — needed evidence on how well it holds up over time. This long-term, open-label extension of the pivotal trial followed treated children for up to five years to assess how durable the benefit is and how safe continued treatment remains.

Key takeaways

  • Treatment continued to slow the loss of motor and language function over the long term.
  • The safety profile stayed consistent over five years, with management of the infusion device remaining a key practical consideration.
  • The data support cerliponase alfa as a sustained, disease-modifying therapy rather than a short-term measure.

Why it matters

These long-term findings give families and health systems the evidence they need when weighing up a lifelong treatment, and reinforce the value of starting early.

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