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Microdystrophin Gene Transfer Study in Adolescents and Children With DMD

Phase 1
Active, not recruiting
Conditions
Duchenne Muscular Dystrophy
Interventions
Genetic: SGT-001
Registration Number
NCT03368742
Lead Sponsor
Solid Biosciences Inc.
Brief Summary

This is a controlled, open-label, single-ascending dose study to evaluate the safety, tolerability and efficacy of SGT-001 in adolescents and children with Duchenne muscular dystrophy (DMD). Patients will receive a single intravenous (IV) infusion of SGT-001 and will be followed for approximately 5 years.

The protocol was amended to drop the control arm after 4 subjects were dosed. Subjects currently enrolling are assigned to active treatment. Control subjects enrolled under original protocol will continue through the study per the original protocol.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
Male
Target Recruitment
12
Inclusion Criteria
  • Established clinical diagnosis of DMD and documented dystrophin gene mutation predictive of DMD phenotype
  • Confirmed absence of dystrophin as determined by muscle biopsy (ambulatory patients)
  • Anti-AAV9 antibodies below protocol-specified thresholds
  • Stable cardiac and pulmonary function
  • Adolescents: non-ambulatory by protocol-specified criteria
  • Children: ambulatory by protocol-specified criteria
  • Stable daily dose (or equivalent) of oral corticosteroids ≥ 12 wks
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Exclusion Criteria
  • Prior or ongoing medical condition or physical examination, ECG or laboratory findings that could adversely affect subject safety, compromise completion of treatment and follow-up, or impair assessment of study results
  • Abnormal liver function
  • Abnormal renal function
  • Clinically significant coagulation abnormalities
  • Impaired cardiovascular function based on cardiac MRI or ECHO
  • Impaired respiratory function based on FVC % predicted or need for daytime ventilatory support
  • Significant spinal deformity or presence of spinal rods
  • Body mass index ≥ 95th percentile for age
  • Exposure to another investigational drug within 3 months or 5 half-lives prior to screening
  • Exposure to drugs affecting dystrophin or utrophin expression within 6 months prior to screening

Additional inclusion/exclusion criteria may apply. Patients over 30 kg will not be eligible for treatment at this time. A weight limit of ≤ 18 kg will be implemented for the next two patients to be dosed.

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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
SGT-001 - Dose Level 2SGT-001Single IV infusion of SGT-001 at next ascending dose
SGT-001 - Dose Level 1SGT-001Single IV infusion of SGT-001 at starting dose
Primary Outcome Measures
NameTimeMethod
Primary efficacy endpoint12 months

Change from baseline in microdystrophin protein in muscle biopsies (active treatment group)

Primary safety endpoint12 months

Incidence of abnormalities on ECGs

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

David Geffen School of Medicine at UCLA

🇺🇸

Los Angeles, California, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

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