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| Name | Class |
|---|---|
| Institut de Myologie, France | OTHER |
| Consultants for Research in Imaging and Spectroscopy | OTHER |
| Great Ormond Street Hospital for Children NHS Foundation Trust | OTHER |
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This is a first-in-human, multiple-dose 2-part study to assess the safety, tolerability, efficacy, and pharmacokinetics of SRP-4053 in Duchenne muscular dystrophy (DMD) patients with deletions amenable to exon 53 skipping.
Part 1: Randomized, placebo-controlled dose-titration to assess safety, tolerability and pharmacokinetics of 4 dose levels of SRP-4053 in genotypically-confirmed DMD patients with deletions amenable to exon 53 skipping.
Part 2: Open-label evaluation of SRP-4053 in patients from Part 1, along with newly enrolled DMD patients with deletions amenable to exon 53 skipping and an untreated group of DMD patients with deletions not amenable to exon 53 skipping.
Safety, including adverse event monitoring and routine laboratory assessments, will be followed on an ongoing basis for all patients.
Clinical efficacy, including functional tests such as the six-minute walk test (6MWT), will be assessed at regularly scheduled study visits. Patients in the treated groups will undergo one baseline and one follow-up muscle biopsy. Patients in the untreated group will not undergo biopsies and will follow an abbreviated schedule of study assessments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: SRP-4053 | Experimental | Patients will receive SRP-4053 (golodirsen) intravenous (IV) infusions, weekly, at escalating dose levels as follows: Weeks 1-2, 4 mg/kg/week; Weeks 3-4, 10 mg/kg/week; Weeks 5-6, 20 mg/kg/week; Weeks 7-12, 30 mg/kg/week. Dosing will be interrupted or halted if specific predefined stopping criteria are met or if warranted at the discretion of the Sponsor or Investigator. |
|
| Part 1: Placebo | Placebo Comparator | Patients will receive SRP-4053 placebo-matching IV infusions, weekly, for 12 weeks. Dosing will be interrupted or halted if specific predefined stopping criteria are met or if warranted at the discretion of the Sponsor or Investigator. |
|
| Part 2: SRP-4053 | Experimental | All eligible patients from Part 1, as well as new patients, will receive SRP-4053 (golodirsen) 30 mg/kg/week IV infusions, weekly, for up to 168 weeks. |
|
| Part 2: Untreated Group | No Intervention | Patients with DMD who have a genotypically confirmed deletion of exon(s) not amenable to treatment by exon 53 skipping, but who otherwise meet the same eligibility criteria as treated patients newly recruited to Part 2, will undergo the same study assessments as treated Patients (except for pharmacokinetic [PK] sampling and muscle biopsies), but at a reduced schedule through Week 144. The untreated patients are not considered as control group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo | Drug | SRP-4053 placebo-matching solution for IV infusion. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs and TEAEs Leading to Discontinuation | Adverse event (AE) was any untoward medical occurrence in a clinical trial participant, which does not necessarily have a causal relationship with the investigational drug. A Serious adverse event (SAE) was an AE resulting in any of the following outcomes: death; Life-threatening event; Required or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. TEAEs were defined as AEs that were reported or worsened on or after the start of study drug dosing through 12 weeks. TEAEs included both Serious TEAEs and non-serious TEAEs. | Baseline up to Week 12 |
| Part 1: Number of Participants With Potentially Clinically Significant (PCS) Laboratory Abnormalities Reported as TEAEs | Laboratory parameters included hematology, serum chemistry (SC), urinalysis and coagulation. Number of participants with at least one potentially clinically significant abnormal finding were reported as TEAEs. The Investigator determined whether abnormal assessment results were potentially clinically significant or not. Potentially clinical significance was defined as any variation in assessment results that had medical relevance resulting in an alteration in medical care. | Baseline up to Week 12 |
| Part 1: Number of Participants With Potentially Clinically Significant Abnormalities in Vital Signs Reported as TEAEs | Vital sign parameters included systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and body temperature. Number of participants with at least one potentially clinically significant abnormal vital signs findings were reported as TEAEs. The Investigator determined whether abnormal assessment results were potentially clinically significant or not. Potential clinical significance was defined as any variation in assessment results that had medical relevance resulting in an alteration in medical care. | Baseline up to Week 12 |
| Part 1: Number of Participants With Potentially Clinically Significant Abnormalities in Physical Examinations |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Maximum Plasma Concentration (Cmax) of Golodirsen | Maximum Concentration (Cmax) of golodirsen in plasma was evaluated. | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
| Part 1: Time to Reach Maximum Plasma Concentration (Tmax) of Golodirsen |
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Inclusion Criteria:
Exclusion Criteria:
Other inclusion and exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Sarepta Therapeutics, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Boston Children's Hospital | Boston | Massachusetts | 02116 | United States | ||
| Institute de Myologie |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32139505 | Background | Frank DE, Schnell FJ, Akana C, El-Husayni SH, Desjardins CA, Morgan J, Charleston JS, Sardone V, Domingos J, Dickson G, Straub V, Guglieri M, Mercuri E, Servais L, Muntoni F; SKIP-NMD Study Group. Increased dystrophin production with golodirsen in patients with Duchenne muscular dystrophy. Neurology. 2020 May 26;94(21):e2270-e2282. doi: 10.1212/WNL.0000000000009233. Epub 2020 Mar 5. | |
| 34788571 |
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Study conducted in 2 parts: Part 1 and Part 2. When Part 1 was completed and cumulative safety data was reviewed by an independent Data Safety Monitoring Board (DSMB), Part 2 was conducted.
The study was conducted at 5 sites in the France, Italy, United Kingdom and United States from 13 January 2015 to 25 March 2019.
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| ID | Title | Description |
|---|---|---|
| FG000 | Part 1: Placebo | Participants received placebo-matched to golodirsen intravenous (IV) infusions, once weekly up to 12 weeks in Part 1. |
| FG001 | Part 1: Golodirsen | Participants received golodirsen IV infusions, at four dose levels of 4 milligrams per kilograms (mg/kg) once weekly for 2 weeks, followed by 10 mg/kg once weekly for the next 2 weeks (i.e., up to Week 4), followed by 20 mg/kg once weekly for the next 2 weeks (i.e., up to Week 6), followed by 30 mg/kg once weekly from Week 7 to Week 12 in Part 1. |
| FG002 | Part 2a: Total Golodirsen Group | All participants from Part 1 (who previously received placebo or golodirsen) and including additional new participants received golodirsen 30 milligram (mg)/kilogram (kg) once weekly, for up to 168 weeks. Dosing was interrupted or halted when any specific predefined stopping criteria was met or if warranted at the discretion of the Sponsor or Investigator. |
| FG003 | Part 2b: Untreated Group (Natural History of Non-exon 53) | Untreated participants intended to evaluate the natural history of the disease with DMD and various genetic mutations (not amenable to exon 53 skipping) were included in this group and did not received any treatment. Participants underwent the same study assessments as treated participants in other reporting groups (except for pharmacokinetic [PK] sampling and muscle biopsies), but at a reduced schedule through Week 144. Thus, the untreated participants were not considered as control group. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Part 1: Double Blind Phase (12 Weeks) |
| |||||||||||||||||||||||||
| Part 2: Open Label Phase (168 Weeks) |
|
Safety set included all randomized participants from Part 1 and all Part 2 participants amenable to exon 53 skipping who received any amount of study drug, and all untreated participants who entered Part 2.
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| ID | Title | Description |
|---|---|---|
| BG000 | Part 1: Placebo | Participants received placebo-matched to golodirsen intravenous (IV) infusions, once weekly up to 12 weeks in Part 1. |
| BG001 | Part 1: Golodirsen | Participants received golodirsen IV infusions, at four dose levels of 4 milligrams per kilograms (mg/kg) once weekly for 2 weeks, followed by 10 mg/kg once weekly for the next 2 weeks (i.e., up to Week 4), followed by 20 mg/kg once weekly for the next 2 weeks (i.e., up to Week 6), followed by 30 mg/kg once weekly from Week 7 to Week 12 in Part 1. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | All participants who were previously randomized in Part 1 were moved to Part 2a (after completion of Part 1, n=12) along with 13 new participants. Hence, total number of participants in Part 2a were 25. In Part 2b, 14 untreated new participants were enrolled. |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Part 1: Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs and TEAEs Leading to Discontinuation | Adverse event (AE) was any untoward medical occurrence in a clinical trial participant, which does not necessarily have a causal relationship with the investigational drug. A Serious adverse event (SAE) was an AE resulting in any of the following outcomes: death; Life-threatening event; Required or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. TEAEs were defined as AEs that were reported or worsened on or after the start of study drug dosing through 12 weeks. TEAEs included both Serious TEAEs and non-serious TEAEs. | Part 1 safety set included all randomized participants who received at least one dose of study drug. | Posted | Count of Participants | Participants | Baseline up to Week 12 |
|
From start of study drug administration up to 189 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part 1: Placebo | Participants received placebo-matched to golodirsen IV infusions, once weekly for up to 12 weeks in Part 1. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Haematemesis | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Rhinitis | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Sarepta Therapeutics, Inc. | 1-800-690-2003 | clinicaltrials@sarepta.com |
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Nov 8, 2017 | Sep 9, 2020 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 30, 2018 | Sep 9, 2020 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| D020388 | Muscular Dystrophy, Duchenne |
| ID | Term |
|---|---|
| D009136 | Muscular Dystrophies |
| D020966 | Muscular Disorders, Atrophic |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
Not provided
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| Catholic University of the Sacred Heart |
| OTHER |
| Royal Holloway University | OTHER |
| SYSNAV | INDUSTRY |
| University College, London | OTHER |
| University of Newcastle Upon-Tyne | OTHER |
Not provided
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Masking Description: Part 1 is double-blind and randomized; Part 2 is open-label.
| SRP-4053 |
| Drug |
SRP-4053 (golodirsen) solution for IV infusion. |
|
Physical examinations were performed by the Investigator, or qualified study staff. A full physical examination included a review of general appearance, head, eyes, ears, nose and throat, heart, lungs, abdomen, extremities, skin, lymph nodes, musculoskeletal, and neurological systems. Number of participants with potentially clinically significant abnormalities in physical examinations were reported. Potentially clinically significant abnormalities in physical examinations were based on Investigator's discretion. |
| Baseline up to Week 12 |
| Part 1: Number of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Reported as TEAEs | Twelve-lead ECGs were performed at a consistent time of day throughout the study. Electrocardiograms were performed only after the participant was in the supine position, resting, and quiet for a minimum of 15 minutes. The ECG was manually reviewed and interpreted by medically qualified personnel. Number of participants with potentially clinically significant abnormalities in ECG reported as TEAEs presented here. The Investigator determined whether abnormal assessment results were potentially clinically significant or not. | Baseline up to Week 12 |
| Part 1: Number of Participants With Potentially Clinically Significant Abnormalities in Echocardiograms (ECHO) | Standard, 2-dimensional ECHOs were performed at a consistent time of day throughout the study. Cardiac function events included cardiomegaly, tachycardia, and dyspnoea. The ECHO was reviewed and interpreted by medically qualified personnel. Number of participants with potentially clinically significant abnormalities in ECHO were reported. | Baseline up to Week 12 |
| Part 2a: Change From Baseline in the Total Distance Walked During 6-Minute Walk Test (6MWT) at Week 144 in Total Golodirsen Group | 6MWT was performed by standardized procedures for all participants. Participants were asked to walk a set course of 25 meters for 6 minutes (timed), and the distance walked (in meters) was recorded. Change from baseline in 6MWT distance at Week 144 in total golodirsen group was reported. | Baseline and Week 144 |
| Part 2b: Change From Baseline in the Total Distance Walked During 6-Minute Walk Test (6MWT) at Week 144 in Untreated Group (Non-exon 53 Amenable Participants) | 6MWT was performed by standardized procedures for all participants. Participants were asked to walk a set course of 25 meters for 6 minutes (timed), and the distance walked (in meters) was recorded. Change from baseline in 6MWT distance at Week 144 in untreated group (non-exon 53 amenable participants) was calculated. | Baseline and Week 144 |
| Part 2a: Change From Baseline in Dystrophin Protein Levels Determined by Western Blot at Week 48 in Total Golodirsen Group | Change from baseline in dystrophin protein levels (in muscle biopsy samples) was determined by Western blot in total golodirsen group. | Baseline, Week 48 |
Time to reach maximum plasma concentration (Tmax) of golodirsen was evaluated. |
| Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
| Part 1: Area Under the Concentration-Time Curve From Time Zero Extrapolated to the Infinity (AUCinf) of Golodirsen in Plasma | Area under the concentration-time curve from time zero extrapolated to the infinity was evaluated. | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
| Part 1: Apparent Volume of Distribution at Steady State (Vss) of Golodirsen | Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution at steady state of golodirsen was evaluated. | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
| Part 1: Elimination Half-life (T1/2) of Golodirsen | T1/2 is the time measured for the plasma concentration of drug to decrease by one half. T1/2 of golodirsen was evaluated. | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
| Part 1: Total Clearance (CL) of Golodirsen | Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
| Part 1: Mean Residence Time (MRT) of Golodirsen | MRT= AUMCinf/AUCinf, where AUMCinf is the area under the first moment curve from time 0 extrapolated to infinite time, calculated using the linear/log trapezoidal method. Mean residence time of golodirsen was evaluated. | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
| Part 1: Renal Clearance (CLR) of Golodirsen | Renal clearance was calculated using the partial AUC0-24 from the non-compartmental analysis in plasma and AE0-24. AUC0-24 was defined as area under the plasma concentration-time curve, from time 0 to 24 hours after completion of dosing. AE0-24 was defined as total cumulative amount excreted from 0 to 24 hours. Summarized data of all urine collection intervals are reported. | 0 to 1440 min after initiation of dosing on Day 1 |
| Part 2a: Percent Change From Baseline in Forced Vital Capacity Predicted (FVC%p) at Week144 in Total Golodirsen Group | FVC was the total amount of air exhaled during the forced expiratory volume test that was measured during spirometry and the most important measurement of lung function. This test required participant to breath into a tube connected to a machine that measures the amount of air that can be moved in and out of the lungs after taking an inhaled bronchodilator medicine which was used to dilate participant bronchial (breathing) tubes. Percent of predicted FVC = (observed value)/ (predicted value) * 100%. | Baseline, Week 144 |
| Part 2b: Percent Change From Baseline in Forced Vital Capacity Predicted (FVC%p) at Week144 in Untreated Group (Non-exon 53 Amenable Participants) | FVC was the total amount of air exhaled during the forced expiratory volume test that was measured during spirometry and is the most important measurement of lung function. This test requires participant to breath into a tube connected to a machine that measures the amount of air that can be moved in and out of the lungs after taking an inhaled bronchodilator medicine which was used to dilate participant bronchial (breathing) tubes. Percent of predicted FVC = (observed value)/ (predicted value) * 100%. | Baseline, Week 144 |
| Part 2a: Change From Baseline in Dystrophin Intensity Levels Determined by Immunohistochemistry (IHC) at Week 48 in Total Golodirsen Group | Change from baseline in dystrophin Intensity levels (in muscle biopsy samples) was determined by Immunohistochemistry in total golodirsen group. | Baseline, Week 48 |
| Part 2a: Percent Change From Baseline in Exon 53 Skipping Determined by Reverse Transcription Polymerase Chain Reaction (PCR) at Week 48 in Total Golodirsen Group | Percent change from baseline in Exon 53 skipping (in muscle biopsy samples) was determined by reverse transcription polymerase chain reaction in total golodirsen group. | Baseline, Week 48 |
| Part 2a: Percent Change From Baseline in Dystrophin Positive Fibers Determined by Immunohistochemistry (IHC) at Week 48 in Total Golodirsen Group | Percent change from baseline in dystrophin positive fibers (in muscle biopsy samples) were determined by Immunohistochemistry at Week 48 in total golodirsen group. | Baseline, Week 48 |
| Paris |
| 75013 |
| France |
| Policlinico Universitario A Gemelli | Rome | 00168 | Italy |
| Great Ormond Street Hospital for Children NHS Foundation Trust | London | WC1N 3JH | United Kingdom |
| Newcastle University Hospital | Newcastle | United Kingdom |
| Derived |
| Servais L, Mercuri E, Straub V, Guglieri M, Seferian AM, Scoto M, Leone D, Koenig E, Khan N, Dugar A, Wang X, Han B, Wang D, Muntoni F; SKIP-NMD Study Group. Long-Term Safety and Efficacy Data of Golodirsen in Ambulatory Patients with Duchenne Muscular Dystrophy Amenable to Exon 53 Skipping: A First-in-human, Multicenter, Two-Part, Open-Label, Phase 1/2 Trial. Nucleic Acid Ther. 2022 Feb;32(1):29-39. doi: 10.1089/nat.2021.0043. Epub 2021 Nov 17. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
| BG002 | Part 2a: Total Golodirsen Group | All participants from Part 1 (who previously received placebo or golodirsen) and including additional new participants received golodirsen 30 milligram (mg)/kilogram (kg) once weekly, for up to 168 weeks. Dosing was interrupted or halted when any specific predefined stopping criteria was met or if warranted at the discretion of the Sponsor or Investigator. |
| BG003 | Part 2b: Untreated Group (Natural History of Non-exon 53) | Untreated participants intended to evaluate the natural history of the disease with DMD and various genetic mutations (not amenable to exon 53 skipping) were included in this group and did not received any treatment. Participants underwent the same study assessments as treated participants in other reporting groups (except for PK sampling and muscle biopsies), but at a reduced schedule through Week 144. Thus, the untreated participants were not considered as control group. |
| BG004 | Total | Total of all reporting groups |
| Mean |
| Standard Deviation |
| years |
|
| Sex: Female, Male | All participants who were previously randomized in Part 1 were moved to Part 2a (after completion of Part 1, n=12) along with 13 new participants. Hence, total number of participants in Part 2a were 25. In Part 2b, 14 untreated new participants were enrolled. | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | All participants who were previously randomized in Part 1 were moved to Part 2a (after completion of Part 1, n=12) along with 13 new participants. Hence, total number of participants in Part 2a were 25. In Part 2b, 14 untreated new participants were enrolled. | Count of Participants | Participants |
|
| Race (NIH/OMB) | All participants who were previously randomized in Part 1 were moved to Part 2a (after completion of Part 1, n=12) along with 13 new participants. Hence, total number of participants in Part 2a were 25. In Part 2b, 14 untreated new participants were enrolled. | Count of Participants | Participants |
|
Participants received placebo-matched to golodirsen IV infusions, once weekly for up to 12 weeks in Part 1.
| OG001 | Part 1: Golodirsen (4 mg/kg) | Participants received golodirsen IV infusions, at dose levels of 4 mg/kg, once weekly for 2 weeks in Part 1. |
| OG002 | Part 1: Golodirsen (10 mg/kg) | Participants received golodirsen IV infusions, at a dose levels of 10 mg/kg, once weekly for the next 2 weeks (i.e., up to Week 4) in Part 1. |
| OG003 | Part 1: Golodirsen (20 mg/kg) | Participants received golodirsen IV infusions, at a dose level of 20 mg/kg, once weekly for the next 2 weeks (i.e., up to Week 6) in Part 1. |
| OG004 | Part 1: Golodirsen (30 mg/kg) | Participants received golodirsen IV infusions, at a dose level of 30 mg/kg, once weekly from Week 7 to Week 12 in Part 1. |
|
|
| Primary | Part 1: Number of Participants With Potentially Clinically Significant (PCS) Laboratory Abnormalities Reported as TEAEs | Laboratory parameters included hematology, serum chemistry (SC), urinalysis and coagulation. Number of participants with at least one potentially clinically significant abnormal finding were reported as TEAEs. The Investigator determined whether abnormal assessment results were potentially clinically significant or not. Potentially clinical significance was defined as any variation in assessment results that had medical relevance resulting in an alteration in medical care. | Part 1 safety set included all randomized participants who received at least one dose of study drug. | Posted | Count of Participants | Participants | Baseline up to Week 12 |
|
|
|
| Primary | Part 1: Number of Participants With Potentially Clinically Significant Abnormalities in Vital Signs Reported as TEAEs | Vital sign parameters included systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and body temperature. Number of participants with at least one potentially clinically significant abnormal vital signs findings were reported as TEAEs. The Investigator determined whether abnormal assessment results were potentially clinically significant or not. Potential clinical significance was defined as any variation in assessment results that had medical relevance resulting in an alteration in medical care. | Part 1 safety set included all randomized participants who received at least one dose of study drug. | Posted | Count of Participants | Participants | Baseline up to Week 12 |
|
|
|
| Primary | Part 1: Number of Participants With Potentially Clinically Significant Abnormalities in Physical Examinations | Physical examinations were performed by the Investigator, or qualified study staff. A full physical examination included a review of general appearance, head, eyes, ears, nose and throat, heart, lungs, abdomen, extremities, skin, lymph nodes, musculoskeletal, and neurological systems. Number of participants with potentially clinically significant abnormalities in physical examinations were reported. Potentially clinically significant abnormalities in physical examinations were based on Investigator's discretion. | Part 1 safety set included all randomized participants who received at least one dose of study drug. | Posted | Count of Participants | Participants | Baseline up to Week 12 |
|
|
|
| Primary | Part 1: Number of Participants With Potentially Clinically Significant Abnormalities in Electrocardiogram (ECG) Reported as TEAEs | Twelve-lead ECGs were performed at a consistent time of day throughout the study. Electrocardiograms were performed only after the participant was in the supine position, resting, and quiet for a minimum of 15 minutes. The ECG was manually reviewed and interpreted by medically qualified personnel. Number of participants with potentially clinically significant abnormalities in ECG reported as TEAEs presented here. The Investigator determined whether abnormal assessment results were potentially clinically significant or not. | Part 1 safety set included all randomized participants who received at least one dose of study drug. | Posted | Count of Participants | Participants | Baseline up to Week 12 |
|
|
|
| Primary | Part 1: Number of Participants With Potentially Clinically Significant Abnormalities in Echocardiograms (ECHO) | Standard, 2-dimensional ECHOs were performed at a consistent time of day throughout the study. Cardiac function events included cardiomegaly, tachycardia, and dyspnoea. The ECHO was reviewed and interpreted by medically qualified personnel. Number of participants with potentially clinically significant abnormalities in ECHO were reported. | Part 1 safety set included all randomized participants who received at least one dose of study drug. | Posted | Count of Participants | Participants | Baseline up to Week 12 |
|
|
|
| Primary | Part 2a: Change From Baseline in the Total Distance Walked During 6-Minute Walk Test (6MWT) at Week 144 in Total Golodirsen Group | 6MWT was performed by standardized procedures for all participants. Participants were asked to walk a set course of 25 meters for 6 minutes (timed), and the distance walked (in meters) was recorded. Change from baseline in 6MWT distance at Week 144 in total golodirsen group was reported. | Efficacy set consisted of all randomized participants who had at least one post baseline functional assessment. Here, overall number of participants analyzed signifies participants who were evaluable for this outcome measure. | Posted | Mean | Standard Deviation | meters | Baseline and Week 144 |
|
|
|
| Primary | Part 2b: Change From Baseline in the Total Distance Walked During 6-Minute Walk Test (6MWT) at Week 144 in Untreated Group (Non-exon 53 Amenable Participants) | 6MWT was performed by standardized procedures for all participants. Participants were asked to walk a set course of 25 meters for 6 minutes (timed), and the distance walked (in meters) was recorded. Change from baseline in 6MWT distance at Week 144 in untreated group (non-exon 53 amenable participants) was calculated. | Efficacy set consisted of all randomized participants who had at least one post baseline functional assessment. Here, overall number of participants analyzed signifies participants who were evaluable for this outcome measure. | Posted | Mean | Standard Deviation | Meters | Baseline and Week 144 |
|
|
|
| Primary | Part 2a: Change From Baseline in Dystrophin Protein Levels Determined by Western Blot at Week 48 in Total Golodirsen Group | Change from baseline in dystrophin protein levels (in muscle biopsy samples) was determined by Western blot in total golodirsen group. | Muscle biopsy set included all participants who received at least one dose of study drug and who had data from both baseline (pre-treatment) and Part 2 Week 48 (on-treatment) muscle biopsy samples. Data was not planned to be collected and analyzed for untreated group. | Posted | Mean | Standard Deviation | Percent normal dystrophin protein level | Baseline, Week 48 |
|
|
|
| Secondary | Part 1: Maximum Plasma Concentration (Cmax) of Golodirsen | Maximum Concentration (Cmax) of golodirsen in plasma was evaluated. | Pharmacokinetic (PK) set consisted of all randomized participants from Part 1 who received the planned full dose of study drug and for whom there were adequate PK samples from which to estimate PK parameters. Data were not planned to be collected and analyzed for the placebo arm. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanogram per milliliter (ng/mL) | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
|
|
|
| Secondary | Part 1: Time to Reach Maximum Plasma Concentration (Tmax) of Golodirsen | Time to reach maximum plasma concentration (Tmax) of golodirsen was evaluated. | PK set consisted of all randomized participants from Part 1 who received the planned full dose of study drug and for whom there were adequate PK samples from which to estimate PK parameters. Data were not planned to be collected and analyzed for the placebo arm. | Posted | Median | Full Range | hour | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
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| Secondary | Part 1: Area Under the Concentration-Time Curve From Time Zero Extrapolated to the Infinity (AUCinf) of Golodirsen in Plasma | Area under the concentration-time curve from time zero extrapolated to the infinity was evaluated. | PK set: all randomized participants from Part 1 who received the planned full dose of study drug and for whom there were adequate PK samples from which to estimate PK parameters. "Overall number of participants analyzed"= number of participants evaluable for this outcome. Data were not planned to be collected and analyzed for the placebo arm. | Posted | Geometric Mean | Geometric Coefficient of Variation | hr*ng/mL | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
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| Secondary | Part 1: Apparent Volume of Distribution at Steady State (Vss) of Golodirsen | Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution at steady state of golodirsen was evaluated. | PK set: all randomized participants from Part 1 who received planned full dose of study drug, for whom there were adequate PK samples from which to estimate PK parameters. "Overall number of participants analyzed"= number of participants evaluable for this outcome. Data were not planned to be collected and analyzed for the placebo arm. | Posted | Geometric Mean | Geometric Coefficient of Variation | Liter per kilogram (L/kg) | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
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| Secondary | Part 1: Elimination Half-life (T1/2) of Golodirsen | T1/2 is the time measured for the plasma concentration of drug to decrease by one half. T1/2 of golodirsen was evaluated. | PK set: all randomized participants from Part 1 who received planned full dose of study drug, for whom there were adequate PK samples from which to estimate PK parameters. "Overall number of participants analyzed"= number of participants evaluable for this outcome. Data were not planned to be collected and analyzed for the placebo arm. | Posted | Mean | Standard Deviation | hour | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
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| Secondary | Part 1: Total Clearance (CL) of Golodirsen | Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. | PK set: all randomized participants from Part 1 who received planned full dose of study drug, for whom there were adequate PK samples from which to estimate PK parameters. "Overall number of participants analyzed"= number of participants evaluable for this outcome. Data were not planned to be collected and analyzed for the placebo arm. | Posted | Mean | Standard Deviation | Liters per hour per kilogram (L/h/kg) | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
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| Secondary | Part 1: Mean Residence Time (MRT) of Golodirsen | MRT= AUMCinf/AUCinf, where AUMCinf is the area under the first moment curve from time 0 extrapolated to infinite time, calculated using the linear/log trapezoidal method. Mean residence time of golodirsen was evaluated. | PK set: all randomized participants from Part 1 who received planned full dose of study drug, for whom there were adequate PK samples from which to estimate PK parameters. "Overall number of participants analyzed"= number of participants evaluable for this outcome. Data were not planned to be collected and analyzed for the placebo arm | Posted | Mean | Standard Deviation | hour | Pre-dose, 5 to 10 minutes, 1, 1.5, 2, 4, 6, 8, 12, 16 and 24 hours post-dose at Weeks 1 (for 4 mg/kg arm), 3 (for 10 mg/kg arm), 5 (for 20 mg/kg arm) and 7 (for 30 mg/kg arm) |
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| Secondary | Part 1: Renal Clearance (CLR) of Golodirsen | Renal clearance was calculated using the partial AUC0-24 from the non-compartmental analysis in plasma and AE0-24. AUC0-24 was defined as area under the plasma concentration-time curve, from time 0 to 24 hours after completion of dosing. AE0-24 was defined as total cumulative amount excreted from 0 to 24 hours. Summarized data of all urine collection intervals are reported. | PK set: all randomized participants from Part 1 who received planned full dose of study drug, for whom there were adequate PK samples from which to estimate PK parameters. "Overall number of participants analyzed"= number of participants evaluable for this outcome. Data were not planned to be collected and analyzed for the placebo arm. | Posted | Geometric Mean | Geometric Coefficient of Variation | L/h/kg | 0 to 1440 min after initiation of dosing on Day 1 |
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| Secondary | Part 2a: Percent Change From Baseline in Forced Vital Capacity Predicted (FVC%p) at Week144 in Total Golodirsen Group | FVC was the total amount of air exhaled during the forced expiratory volume test that was measured during spirometry and the most important measurement of lung function. This test required participant to breath into a tube connected to a machine that measures the amount of air that can be moved in and out of the lungs after taking an inhaled bronchodilator medicine which was used to dilate participant bronchial (breathing) tubes. Percent of predicted FVC = (observed value)/ (predicted value) * 100%. | Efficacy set consisted of all randomized participants who had at least 1 post-baseline functional assessment. Here, "overall number of participants analyzed" = number of participants evaluable for this outcome. | Posted | Mean | Standard Deviation | Percent change | Baseline, Week 144 |
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| Secondary | Part 2b: Percent Change From Baseline in Forced Vital Capacity Predicted (FVC%p) at Week144 in Untreated Group (Non-exon 53 Amenable Participants) | FVC was the total amount of air exhaled during the forced expiratory volume test that was measured during spirometry and is the most important measurement of lung function. This test requires participant to breath into a tube connected to a machine that measures the amount of air that can be moved in and out of the lungs after taking an inhaled bronchodilator medicine which was used to dilate participant bronchial (breathing) tubes. Percent of predicted FVC = (observed value)/ (predicted value) * 100%. | Efficacy set consisted of all randomized participants who had at least 1 post-baseline functional assessment. Here, "overall number of participants analyzed" = number of participants evaluable for this outcome. | Posted | Mean | Standard Deviation | Percent change | Baseline, Week 144 |
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| Secondary | Part 2a: Change From Baseline in Dystrophin Intensity Levels Determined by Immunohistochemistry (IHC) at Week 48 in Total Golodirsen Group | Change from baseline in dystrophin Intensity levels (in muscle biopsy samples) was determined by Immunohistochemistry in total golodirsen group. | Muscle biopsy set included all participants who received at least 1 dose of study drug and who had data from both baseline (pre-treatment) and Part 2 Week 48 (on-treatment) muscle biopsy samples. Data were not planned to be collected and analyzed for the untreated group. | Posted | Mean | Standard Deviation | Percent dystrophin positive fibers | Baseline, Week 48 |
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| Secondary | Part 2a: Percent Change From Baseline in Exon 53 Skipping Determined by Reverse Transcription Polymerase Chain Reaction (PCR) at Week 48 in Total Golodirsen Group | Percent change from baseline in Exon 53 skipping (in muscle biopsy samples) was determined by reverse transcription polymerase chain reaction in total golodirsen group. | Muscle biopsy set included all participants who received at least 1 dose of study drug and who had data from both baseline (pre-treatment) and Part 2 Week 48 (on-treatment) muscle biopsy samples. Data were not planned to be collected and analyzed for the untreated group. | Posted | Mean | Standard Deviation | Percent change | Baseline, Week 48 |
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| Secondary | Part 2a: Percent Change From Baseline in Dystrophin Positive Fibers Determined by Immunohistochemistry (IHC) at Week 48 in Total Golodirsen Group | Percent change from baseline in dystrophin positive fibers (in muscle biopsy samples) were determined by Immunohistochemistry at Week 48 in total golodirsen group. | Muscle biopsy set included all participants who received at least 1 dose of study drug and who had data from both baseline (pre-treatment) and Part 2 Week 48 (on-treatment) muscle biopsy samples. Data were not planned to be collected and analyzed for the untreated group. | Posted | Mean | Standard Deviation | Percent change | Baseline, Week 48 |
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|
| 0 |
| 4 |
| 0 |
| 4 |
| 4 |
| 4 |
| EG001 | Part 1: Golodirsen (4 mg/kg) | Participants received golodirsen IV infusions, at dose levels of 4 mg/kg, once weekly for 2 weeks in Part 1. | 0 | 8 | 0 | 8 | 5 | 8 |
| EG002 | Part 1: Golodirsen (10 mg/kg) | Participants received golodirsen IV infusions, at a dose levels of 10 mg/kg, once weekly for the next 2 weeks (i.e., up to Week 4) in Part 1. | 0 | 8 | 0 | 8 | 5 | 8 |
| EG003 | Part 1: Golodirsen (20 mg/kg) | Participants received golodirsen IV infusions, at a dose level of 20 mg/kg, once weekly for the next 2 weeks (i.e., up to Week 6) in Part 1. | 0 | 8 | 0 | 8 | 3 | 8 |
| EG004 | Part 1: Golodirsen (30 mg/kg) | Participants received golodirsen IV infusions, at a dose level of 30 mg/kg, once weekly from Week 7 to Week 12 in Part 1. | 0 | 8 | 0 | 8 | 6 | 8 |
| EG005 | Part 2a: Total Golodirsen Group | All participants from Part 1 (who previously received placebo or golodirsen) and including additional new participants received golodirsen 30 mg/kg once weekly, for up to 168 weeks in Part 2. Dosing was interrupted or halted when any specific predefined stopping criteria was met or if warranted at the discretion of the Sponsor or Investigator. | 0 | 25 | 4 | 25 | 25 | 25 |
| EG006 | Part 2b: Untreated Group (Natural History of Non-exon 53) | Untreated participants intended to evaluate the natural history of the disease with DMD and various genetic mutations (not amenable to exon 53 skipping) were included in this group and did not received any treatment. Participants underwent the same study assessments as treated participants in other reporting groups (except for PK sampling and muscle biopsies), but at a reduced schedule through Week 144. Thus, the untreated participants were not considered as control group. | 0 | 14 | 2 | 14 | 10 | 14 |
| Vomiting | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Tooth development disorder | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Gastroenteritis viral | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Convulsion | Nervous system disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Tonsillar hypertrophy | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Rhabdomyolysis | Musculoskeletal and connective tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Influenza | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Ear infection | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Viral upper respiratory tract infection | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Conjunctivitis | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Gastroenteritis viral | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Lower respiratory tract infection | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Oral herpes | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Otitis media | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Respiratory tract infection | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Tonsillitis | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Device related infection | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Hordeolum | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Viral infection | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Bronchiolitis | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Scarlet fever | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Cystitis | Infections and infestations | MedDRA (17.1) | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Rectal haemorrhage | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Toothache | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Gingival pain | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Glossitis | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
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| Tooth discolouration | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Abasia | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Catheter site bruise | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Catheter site pain | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Fatigue | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Infusion site pain | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Gait disturbance | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Malaise | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Peripheral swelling | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Catheter site related reaction | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Contusion | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Limb injury | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Scratch | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Arthropod bite | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Back injury | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Ligament sprain | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Procedural pain | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
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| Head injury | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Joint injury | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Muscle strain | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Spinal compression fracture | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Hand fracture | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Non-systematic Assessment |
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| Choking | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Pharyngeal erythema | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Productive cough | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Ecchymosis | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Eczema | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Erythema | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Petechiae | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Rash papular | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Lethargy | Nervous system disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Syncope | Nervous system disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Ear pain | Ear and labyrinth disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Vitamin D decreased | Investigations | MedDRA (17.1) | Non-systematic Assessment |
|
| Platelet count increased | Investigations | MedDRA (17.1) | Non-systematic Assessment |
|
| Initial insomnia | Psychiatric disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Stress | Psychiatric disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Aggression | Psychiatric disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Panic attack | Psychiatric disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Lymphadenopathy | Blood and lymphatic system disorders | MedDRA (17.1) | Non-systematic Assessment |
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| Anaemia | Blood and lymphatic system disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Iron deficiency | Metabolism and nutrition disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Tooth extraction | Surgical and medical procedures | MedDRA (17.1) | Non-systematic Assessment |
|
| Sinus tachycardia | Cardiac disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Tachycardia | Cardiac disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Ventricular dysfunction | Cardiac disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Eye pain | Eye disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Skin papilloma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (17.1) | Non-systematic Assessment |
|
| Haemangioma of skin | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (17.1) | Non-systematic Assessment |
|
| Proteinuria | Renal and urinary disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Seasonal allergy | Immune system disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Haematoma | Vascular disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Flushing | Vascular disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Hyperbilirubinaemia | Hepatobiliary disorders | MedDRA (17.1) | Non-systematic Assessment |
|
The most restrictive relevant agreement provides that the PI can only publish the study results with the approval of Sponsor.
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D040181 | Genetic Diseases, X-Linked |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
|
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| Unknown or Not Reported |
|
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| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
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| Renal Chemistry |
|
| Hematology |
|
| Coagulation |
|
| Urinalysis |
|