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The Sponsor has decided to focus their resources on other areas of therapy.
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| Name | Class |
|---|---|
| Sarepta Therapeutics, Inc. | INDUSTRY |
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This is an open-label study to evaluate the safety and tolerability of golodirsen injection in Non-ambulant DMD patients with confirmed genetic mutations amenable to treatment by exon 53 skipping (Golodirsen).
Golodirsen 30 mg/kg will be administered as an intravenous (IV) infusion over approximately 35 to 60 minutes once a week during the treatment period (up to 96 weeks). After the treatment period, patients can go into a safety extension period (not to exceed 48 weeks) until the patient is able to transition to commercially available drug or a separate golodirsen study.
Safety will be regularly assessed throughout the study via the collection of adverse events (AEs), laboratory tests, electrocardiograms (ECGs), echocardiograms (ECHOs), vital signs, and physical examinations. Exploratory assessments, including pulmonary function tests (PFTs), upper extremity testing, and other measurements of functional status, will occur at functional assessment visits every 12 weeks over the first year of treatment and approximately every 24 weeks over the second year of treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 30 mg/kg | Other | Golodirsen 30 mg/kg will be administered as an intravenous (IV) infusion over approximately 35 to 60 minutes once a week during the treatment period (up to 96 weeks). After the treatment period, patients can go into a safety extension period (not to exceed 48 weeks) until the patient is able to transition to commercially available drug or a separate golodirsen study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Golodirsen 50 MG/1 ML Intravenous Solution [VYONDYS 53] | Drug | Vyondys 53 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Explore the safety and tolerability of Golodirsen in number of participants with Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs | Adverse Event (AE) was any untoward medical occurrence in a participant that did not necessarily have a causal relationship with the study drug. 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. Treatment emergent adverse events were events that developed or worsened during the on-treatment period (defined as time from first dose of study drug and up to 28 days after last dose of study drug [up to 148 weeks]) that were absent before treatment or that worsened relative to pre-treatment state. AEs included both serious and non-serious adverse events. | Baseline up to 96 weeks |
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| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline to Week 96 in Forced Vital Capacity Percent (FVC%) Predicted | FVC is the total amount of air exhaled during the forced expiratory volume test that is 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 is used to dilate participant's bronchial (breathing) tubes. Percent of predicted FVC = (observed value) / (predicted value) * 100%. |
Inclusion Criteria:
Be a male with DMD with a mutation that may be amenable to exon 53 skipping as documented by a genetic report from an accredited laboratory confirming mutation endpoints by multiplex ligation-dependent probe amplification.
Be 7 years of age or older.
Has been on a stable dose of oral corticosteroids for at least 24 weeks prior to study drug administration and the dose is expected to remain constant (except for modifications to accommodate changes in weight) throughout the study or has not received corticosteroids for at least 24 weeks prior to study drug administration and does not expect to start corticosteroids throughout the study.
Be unable to ambulate ("non-ambulatory"). By definition, loss of ambulation means patient or caregiver reported continuous wheelchair use that has been verified by a clinical evaluator. The following conditions should be met:
Has stable pulmonary function that, in the opinion of the Investigator, is unlikely to decompensate over the study period.
Patients who are post-pubertal and sexually active must agree to use, for the entire duration of the study and for 90 days post last dose, a male condom and the female sexual partner must also use a medically acceptable form of birth control (eg, oral contraceptives).
Able to understand and comply with all study requirements, in the Investigator's opinion, or if under the age of 18 years, must have a parent(s) or legal guardian(s) who is able to understand.
Willing to provide informed consent to participate in the study, or if under the age of 18 years, be willing to provide informed assent, if applicable, and have a parent(s) or legal guardian(s) who is willing to provide informed consent for the patient to participate in the study.
Exclusion Criteria:
Only male patients are affected by this condition
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rare Disease Research, LLC | Atlanta | Georgia | 30318 | United States | ||
| Children's Hospital of Pittsburgh of UPMC |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| SAP | No | Yes | No | Statistical Analysis Plan | Apr 22, 2024 | Apr 22, 2024 | SAP_000.pdf |
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| ID | Term |
|---|---|
| D020388 | Muscular Dystrophy, Duchenne |
| ID | Term |
|---|---|
| D009136 | Muscular Dystrophies |
| D020966 | Muscular Disorders, Atrophic |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| C000710673 | golodirsen |
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| Baseline up to 96 weeks |
| Change from Baseline to Week 96 in Performance of Upper Limb (PUL) Score | The PUL was specifically designed for DMD patients to evaluate the progression of weakness and natural history of functional decline in DMD. Psychometric methods were employed to create a viable scale to enable a clinician-reported outcome assessment tool that can establish clinical meaningfulness and relevance of activities of daily living (ADL). | Baseline up to 96 weeks |
| Change from Baseline to Week 96 in Brooke scale for upper extremity | The Brooke Score for Arms and Shoulders was developed specifically for use in this population to assess arm and shoulder function over 6 functional grades. | Baseline up to 96 weeks |
| Change from Baseline to Week 96 in 9-Hole Peg Test | In this timed test, the patient is instructed to take 9 pegs from a shallow bowl in the testing apparatus and put each peg into a hole, 1 at a time. When all 9 pegs are in place, the patient takes them out 1 at a time and puts them back in the shallow bowl. This test is repeated twice with each hand and the best time for each hand is recorded. | Baseline up to 96 weeks |
| Pittsburgh |
| Pennsylvania |
| 15224 |
| United States |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D040181 | Genetic Diseases, X-Linked |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |