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An Observational Study Comparing Delandistrogene Moxeparvovec With Standard of Care in Participants With Duchenne Muscular Dystrophy

Recruiting
Conditions
Duchenne Muscular Dystrophy
Interventions
Genetic: Delandistrogene Moxeparvovec
Drug: Standard of Care
Registration Number
NCT06270719
Lead Sponsor
Sarepta Therapeutics, Inc.
Brief Summary

This is a multicenter, prospective, observational Phase 4 study in the United States. The study is designed to collect both medical history and prospective data on Duchenne muscular dystrophy (DMD) treatment outcomes in participants receiving delandistrogene moxeparvovec as part of clinical care, compared to participants with DMD receiving or prescribed to start chronic glucocorticoid treatment at baseline in routine clinical practice.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Male
Target Recruitment
500
Inclusion Criteria
  • Has a definitive diagnosis of DMD prior to Screening based on documentation of clinical findings and confirmatory genetic testing.
  • Is currently receiving or has been prescribed to start chronic glucocorticoid therapy at the time of this observational study enrollment.

A participant recruited to Cohorts 1a or 2:

  • Is at least 4 years of age at the time of enrollment.
  • Is ambulatory per protocol specified criteria.

A participant recruited to Cohort 1b:

  • Is non-ambulatory per protocol-specified criteria.

For Delandistrogene Moxeparvovec-treated Participants:

  • Will be initiating usual care treatment with delandistrogene moxeparvovec at the time of study enrollment.

For Comparators:

  • Is unexposed to DMD gene therapy at the time of study enrollment.
Exclusion Criteria
  • Has any deletion of exon 8 and/or exon 9 in the DMD gene.

  • Is currently participating in any DMD interventional study at the time of this observational study enrollment.

  • Has a medical condition or confounding circumstances (for example, prior traumatic limitation for mobility or significant behavioral comorbidity) that, in the opinion of the Investigator, might compromise:

    • The participant's ability to comply with the protocol-required procedures,
    • The participant's wellbeing or safety, and/or
    • The clinical interpretability of the data collected from the participant.

Other inclusion/exclusion criteria may apply.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Cohort 1: Delandistrogene MoxeparvovecDelandistrogene MoxeparvovecParticipants in Cohort 1 will have a plan for prescription of delandistrogene moxeparvovec commercially as part of clinical care prior to entry into this study. Cohort 1a includes participants who are ambulatory and aged 4 years or greater at baseline prescribed delandistrogene moxeparvovec commercially and recruited by treating physicians before infusion is administered. Cohort 1b includes non-ambulatory DMD participants aged 4 years or greater at baseline prescribed delandistrogene moxeparvovec commercially and recruited by treating physicians before infusion is administered.
Cohort 2: Standard of CareStandard of CareCohort 2 includes ambulatory DMD participants aged 4 years or greater at baseline unexposed to DMD gene therapy and receiving standard of care therapy (chronic glucocorticoid treatment) at study entry with or without baseline use of other DMD approved therapies.
Primary Outcome Measures
NameTimeMethod
Mean Change From Baseline in Time to Walk/Run 10 Meters (10MWR) (Calculated Velocity) at Month 12Baseline, Month 12
Secondary Outcome Measures
NameTimeMethod
Time to Rise From Floor (Supine to Stand)Up to 10 years
Loss of Ambulation (LOA)Up to 10 years
Performance of Upper Limb (PUL) Version 2.0 Entry Item A ScoreUp to 10 years
Patient-reported Outcomes Measurement Information (PROMIS) Domain Scores of Mobility, Upper Extremity and FatigueUp to 10 years
Pulmonary Function, as Measured by Forced Vital Capacity (FVC) (% Predicted)Up to 10 years
Cardiac Function, Including Left Ventricular Ejection Fraction (LVEF) as Measured by Echocardiogram (ECHO)Up to 10 years
Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)Up to 10 years
Time to Walk/Run 10 Meters (Calculated Velocity)Up to 10 years

Trial Locations

Locations (15)

Ann and Robert H Lurie Childrens Hospital of Chicago

🇺🇸

Chicago, Illinois, United States

The Medical College of Wisconsin

🇺🇸

Milwaukee, Wisconsin, United States

Arkansas Children's Hospital

🇺🇸

Little Rock, Arkansas, United States

University of Colorado - PPDS

🇺🇸

Aurora, Colorado, United States

Children's National Medical Center

🇺🇸

Washington, District of Columbia, United States

Nicklaus Children's Hospital

🇺🇸

Miami, Florida, United States

Nemours Children's Hospital - Orlando

🇺🇸

Orlando, Florida, United States

Indiana Clinical and Translational Science Institute

🇺🇸

Indianapolis, Indiana, United States

University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Penn State Health Milton S. Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Children's Hospital of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

Cook Children's Hospital

🇺🇸

Fort Worth, Texas, United States

Children's Hospital of the King's Daughters

🇺🇸

Norfolk, Virginia, United States

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