A Study in Participants With Duchenne Muscular Dystrophy Amenable to Exon 44 Skipping to Evaluate the Safety and Efficacy of ENTR-601-44 (ELEVATE-44)
A 2-Part, Randomized, Double-Blind, Placebo-Controlled Study in Participants With Duchenne Muscular Dystrophy Amenable to Exon 44 Skipping With an Initial Multiple Ascending Dose Part A to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ENTR-601-44, Followed by Part B to Evaluate the Safety and Efficacy of ENTR-601-44 (ELEVATE-44)
This is a study of the investigational medicine ENTR-601-44 in participants who have Duchenne muscular dystrophy (DMD), a rare genetic condition.
The researchers want to: Test how safe ENTR-601-44 is, learn about any side effects, and look at the potential positive effects of ENTR-601-44, compared to placebo. Placebo looks like the investigational medicine but does not contain any active ingredient. In this summary ENTR-601-44 and placebo are both called study treatments.
The study has 2 parts:
Part A
- A Double-Blind Period, to evaluate if ENTR-601-44 is safe and to determine the best dose of ENTR-601-44 for Part B.
- Following the Double-Blind period, participants will roll into an open-label treatment period during which the safety and efficacy of extended dosing will be evaluated.
Part B
- To further evaluate the effect and safety of ENTR-601-44 at the dose determined in Part A.
Participants will:
- Receive study treatment in the form of multiple intravenous (IV) infusions (slow injection) into a vein over the course of several weeks in Part A and in Part B
- Visit the clinic regularly for checkups and tests such as: blood and urine tests, physical examinations, questionnaires, and exercise tests. Participants will have a muscle biopsy at the beginning of their participation and after their last dose to allow researchers to compare whether there have been changes in the muscle as a result of the study drug.
Participants are allowed to continue receiving their standard of care therapy for DMD during the study, as long as their health remains stable.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
-
-
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Ghent, Belgium, 9000
- Recruiting
- University Hospital Gent
-
Principal Investigator:
- Nicolas Deconinck
-
Contact:
- Nicolas Deconinck
- Phone Number: +32 473 96 66 19
- Email: Nicolas.Deconinck@uzgent.be
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Leuven, Belgium, 3000
- Recruiting
- UZ Leuven
-
Principal Investigator:
- Liesbeth De Waele
-
Contact:
- Liesbeth De Waele
- Phone Number: +32 1634 3845
- Email: Liesbeth.dewaele@uzleuven.be
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Liège, Belgium, 4000
- Recruiting
- Centre Hospitalier Régional de la Citadelle
-
Contact:
- Aurore Daron
- Phone Number: +32 4 321 8515
- Email: Aurore.daron@citadelle.be
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Principal Investigator:
- Aurore Daron
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-
-
-
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Milan, Italy, 20132
- Recruiting
- IRCCS Ospedale San Raffaele
-
Contact:
- Stefano Previtali
- Phone Number: 0226435080
- Email: previtali.stefano@hsr.it
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Principal Investigator:
- Stefano Previtali
-
Milan, Italy, 20162
- Recruiting
- Fondazione Serena Onlus - Centro Clinico NeMO Milano
-
Principal Investigator:
- Valeria Sansone
-
Contact:
- Valeria Sansone
- Phone Number: +39 3495607450
- Email: valeria.sansone@centrocliniconemo.it
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Rome, Italy, 00165
- Recruiting
- Ospedale Pediatrico Bambino Gesù
-
Contact:
- Adele D'Amico
- Phone Number: +393888449868
- Email: adele2.damico@opbg.net
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Principal Investigator:
- Adele D'Amico
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-
-
-
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Barcelona, Spain, 08950
- Recruiting
- Hospital Sant Joan de Deu
-
Principal Investigator:
- Andres Nascimento
-
Contact:
- Andres Nascimento
- Phone Number: +34936009733
- Email: andres.nascimento@sjd.es
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Barcelona, Spain, 08035
- Recruiting
- Hospital Universitario Vall d'Hebron
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Contact:
- David Gomez Andres
- Phone Number: +34620539379
- Email: david.gomezandres@vallhebron.cat
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Principal Investigator:
- David Gomez Andres
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Leeds, United Kingdom, LS1 3EX
- Recruiting
- Leeds General Infirmary
-
Contact:
- Cristina Martos Lozano
- Phone Number: +441133923113
- Email: c.martoslozano@nhs.net
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Principal Investigator:
- Cristina Martos Lozano
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Liverpool, United Kingdom, L122AP
- Not yet recruiting
- Alder Hey Children's NHS Foundation Trust
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Principal Investigator:
- Rajesh Madhu
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Contact:
- Rajesh Madhu
- Phone Number: +4401512284811
- Email: Rajesh.Madhu@alderhey.nhs.uk
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London, United Kingdom, WC1N 3JH
- Recruiting
- Great Ormond Street Hospital for Children
-
Principal Investigator:
- Mariacristina Scoto
-
Contact:
- Mariacristina Scoto
- Phone Number: 020 7405 9200
- Email: mariacristina.scoto@gosh.nhs.uk
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Manchester, United Kingdom, M13 9WL
- Not yet recruiting
- Royal Manchester Children's Hospital
-
Principal Investigator:
- Gary McCullagh
-
Contact:
- Gary McCullagh
- Phone Number: +441617012346
- Email: gary.mccullagh@cmft.nhs.uk
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Newcastle upon Tyne, United Kingdom, NE1 3BZ
- Recruiting
- Freeman Hospital
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Principal Investigator:
- Michela Guglieri
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Contact:
- Michela Guglieri
- Phone Number: 0044 1912418649
- Email: michela.guglieri@newcastle.ac.uk
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Oxford, United Kingdom, OX3 9DU
- Recruiting
- Oxford University Hospitals NHS Foundation Trust
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Principal Investigator:
- Laurent Servais
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Contact:
- Laurent Servais
- Phone Number: 07423213373
- Email: laurent.servais@paediatrics.ox.ac.uk
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
Accepts Healthy Volunteers
Description
Principal inclusion criteria
- Genetic diagnosis of Duchenne muscular dystrophy (DMD) and confirmed pathologic variant in the dystrophin gene amenable to exon 44 skipping as reviewed by a central genetic counselor.
- Assigned male at birth with clinical signs compatible with Duchenne muscular dystrophy as determined by the investigator.
- Part A: 4-20 years of age, inclusive.
- Ambulatory Status Part A: ambulatory with a Performance of the Upper Limb v2.0 (PUL 2.0) Entry as per protocol at Screening
- Adequate muscle for obtaining tissue biopsy as assessed by the investigator.
- Other protocol-defined criteria apply.
Principal exclusion criteria
- Any significant concomitant medical condition that might interfere with the ability to comply with protocol requirements.
- Has an acute illness within 4 weeks prior to the first dose of study drug which may interfere with study measurements or jeopardize participant's safety.
Use of the following medications:
- Prior treatment with any exon skipping therapy at any time
- Prior treatment with any gene therapy at any time
- Use of anti-coagulants, anti-thrombotics, or anti-platelet agents
- Use of an immunosuppressants (other than oral corticosteroids for DMD conditions)
- Has taken or is currently taking a histone deacetylase (HDAC) inhibitor, including (but not limited to) givinostat
- Laboratory abnormalities.
- Daytime ventilator dependence or any use of invasive mechanical ventilation via tracheostomy.
- Has an abnormal electrocardiogram (ECG) reading assessed as clinically significant by the investigator, and/or a QT interval with Fridericia correction method (QTcF) >450 msec at Screening or prior to the first dose of study drug on Day 1.
- Received any experimental or investigational drug, etc. within 3 months prior to first dose or within 5 half-lives (whichever is longer).
- Other protocol-defined criteria apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
intravenous infusion every 6 weeks
|
intravenous infusion
|
|
Experimental: ENTR-601-44
intravenous infusion every 6 weeks
|
intravenous infusion
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with Treatment Emergent Adverse Events (TEAEs) according to study protocol (Part A and Open Label (OL) Period)
Time Frame: From baseline through End of Study (up to 62 weeks).
|
Safety will be assessed by monitoring adverse events, physical examination, vital signs and clinical laboratory tests.
|
From baseline through End of Study (up to 62 weeks).
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline to End of Part A in dystrophin by Western blot from muscle biopsy (Part A)
Time Frame: Baseline, End of Part A (up to 25 weeks)
|
Baseline, End of Part A (up to 25 weeks)
|
|
|
Change from baseline to End of Part A in dystrophin expression and localization from muscle biopsy (Part A)
Time Frame: Baseline, End of Part A (up to 25 weeks)
|
Baseline, End of Part A (up to 25 weeks)
|
|
|
Percent change from baseline to End of Part A in exon 44 skipping measured in muscle biopsy at End of Study (Part A)
Time Frame: Baseline, End of Part A (up to 25 weeks)
|
Baseline, End of Part A (up to 25 weeks)
|
|
|
Anti-drug antibody (ADA) and anti-dystrophin antibody in serum (Part A and OL Period)
Time Frame: From baseline through End of Study (up to 62 weeks).
|
From baseline through End of Study (up to 62 weeks).
|
|
|
Change from baseline to End of OL Period in 10-Meter Walk/Run (10MWR) (Part A and OL Period)
Time Frame: Baseline, End of Study (up to 62 weeks)
|
Baseline, End of Study (up to 62 weeks)
|
|
|
Change from baseline to End of OL Period in Timed Rise from Floor (Part A and OL Period)
Time Frame: Baseline, End of Study (up to 62 weeks)
|
Baseline, End of Study (up to 62 weeks)
|
|
|
Change from baseline to End of OL Period in Timed 4-Stair Climb (4SC) (Part A and OL Period)
Time Frame: Baseline, End of Study (up to 62 weeks).
|
Baseline, End of Study (up to 62 weeks).
|
|
|
Change from baseline to End of OL Period in 95th centile Stride Velocity (SV95C) (Part A and OL Period)
Time Frame: Baseline, End of Study (up to 62 weeks)
|
Baseline, End of Study (up to 62 weeks)
|
|
|
Plasma, muscle, and urine concentration of ENTR-601-44 and its final metabolite (Part A and Open Label (OL) Period)
Time Frame: From Baseline through End of Study (up to 62 weeks).
|
From Baseline through End of Study (up to 62 weeks).
|
|
|
Change from baseline to End of OL Period in North Star Ambulatory Assessment (NSAA) (Part A and OL Period)
Time Frame: Baseline, End of Study (up to 62 weeks)
|
Ordinal scale with 0 as the minimum score and 34 as the maximum score (higher score - better outcome).
|
Baseline, End of Study (up to 62 weeks)
|
|
Change from baseline to End of OL Period in Performance of the Upper Limb v2.0 (PUL 2.0) (Part A and OL Period)
Time Frame: Baseline, End of Study (up to 62 weeks)
|
Ordinal scale with 0 as the minimum score and 42 as the maximum score (higher score - better outcome).
|
Baseline, End of Study (up to 62 weeks)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Entrada Therapeutics Clinical Trials, Entrada Therapeutics, Inc.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ENTR-601-44-201
- 2024-517584-23-00 (Ctis)
- U1111-1316-5469 (Other Identifier: WHO)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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