- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07573631
An Open-Label Extension Study to Evaluate the Long-term Safety and Efficacy of BMN 351 in Participants With Duchenne Muscular Dystrophy
An Open-Label Extension Study to Evaluate the Long-term Safety and Efficacy of Weekly Intravenous Infusions of BMN 351 in Participants With Duchenne Muscular Dystrophy Amenable to Exon 51 Skipping
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
This Phase 2, multi-center, open-label extension study is designed to assess the long-term safety, tolerability, and functional efficacy of weekly intravenous doses of BMN 351 administered to participants with Duchenne muscular dystrophy (DMD) amenable to exon 51 skipping in the Phase 1/2 study, 351-201. Up to 18 participants ages 4 through 23 at baseline will enroll in the trial after completing 351-201.
The first visit for this study is the same as the final visit of 351-201. To be eligible for this study, potential participants must satisfy the eligibility criteria described in the protocol.
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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London, Det Forenede Kongerige, WC1N 3JH
- Great Ormond Street Hospital NHS Foundation Trust
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Leiden, Holland, 2333 ZA
- Leids Universitair Medisch Centrum
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Milan, Italien
- Fondazione Serena ETS - Centro Clinico NeMO Milano
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Rome, Italien
- UOC Fase I - Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro Cuore
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Barcelona, Spanien, 08950
- Hospital Sant Joan de Deu
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Seville, Spanien, 41013
- Hospital Viamed Santa Angela De la Cruz
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Turkey
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Istanbul, Turkey, Tyrkiet (Türkiye)
- Yeditepe University Kosuyolu Hospital
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Participants must have completed 351-201 without permanent discontinuation of the investigational medicinal product (IMP) or withdrawal from the study
Currently receiving treatment with oral corticosteroids, on a stable dose regimen during 351-201, and must remain on a consistent dose regimen throughout 351-202 or 351-203 except for modifications to accommodate changes in weight
- Transition to the equivalent dose of vamorolone is permitted in 351-202 where approved in participating countries.
- Willing and able to adhere to the study visit schedule and other protocol requirements
Willing to use contraception (sexually mature males) throughout the study and for 90 days after the final dose, if sexually active
- Contraceptive use by males should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- Willing and able to provide written assent (if required by local regulations or the IRB/IEC) after the nature of the study has been explained and prior to performance of any research-related procedure
- Willing and able to provide written, signed informed consent as parent or guardian after the nature of the study has been explained and prior to performance of any research-related procedure
Exclusion Criteria:
- Have known coagulation disorder
Are taking any prohibited medications
- any approved exon skipping therapy within 12 weeks prior to baseline or with any gene therapy for the treatment of DMD at any time
- anti-coagulants, anti-thrombotics, or anti-platelet agents
- immunosuppressants
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: BMN 351
Participants from 351-201 enrolling in 351-202 will initially receive BMN 351 at the dose level at which they completed 351-201.
Once all 351-201 participants have completed their Week 25 visit in 351-202, available safety and PD data will be analyzed and a single optimal dose level will be selected for 351-202.
All participants from 351-201 will transition to that dose level at their next applicable visit.
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Anti-sense Oligonucleotide BMN 351 will be administered intravenously
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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To assess the long-term safety and tolerability of BMN 351 in participants with DMD
Tidsramme: Through study completion, at least 1 year
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The safety and tolerability of BMN 351 will be assessed based on the incidence of adverse and serious adverse events.
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Through study completion, at least 1 year
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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To evaluate the effect of BMN 351 on physical function
Tidsramme: Change from baseline and subsequent 24-week incremental visits
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North Star Ambulatory Assessment (NSAA) will be assessed at the specific visits and compared to individual baseline and external contraols
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Change from baseline and subsequent 24-week incremental visits
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To evaluate the effect of BMN 351 on physical function
Tidsramme: Change from baseline and subsequent 24-week incremental visits
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Timed 4 stair climb (4SC) will be assessed at the specified visits and compared to individual baseline and external controls
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Change from baseline and subsequent 24-week incremental visits
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To evaluate the effect of BMN 351 on physical function
Tidsramme: Change from baseline and subsequent 24-week incremental visits
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SV95C will be assessed at the specified visits and compared to individual baseline and external controls
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Change from baseline and subsequent 24-week incremental visits
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To evaluate the effect of BMN 351 on physical function
Tidsramme: Change from baseline and subsequent 24-week incremental visits
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PUL 2.0 will be assessed at the specified visits and compared to individual baseline and external controls
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Change from baseline and subsequent 24-week incremental visits
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Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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To evaluate the trough plasma concentration of BMN 351
Tidsramme: Baseline, Week 13, Week 25, Week 37, Week 49
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Serial predose measurements of trough plasma PK
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Baseline, Week 13, Week 25, Week 37, Week 49
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To evaluate the immune response to BMN 351
Tidsramme: Change from baseline and subsequent 24-week incremental visits
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Anti-BMN 351 antibodies and Anti-dystrophin antibodies
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Change from baseline and subsequent 24-week incremental visits
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To evaluate lung function longitudinally for participants ages 7 and above
Tidsramme: Change from baseline to subsequent 24-week incremental visits
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Forced Expiratory Volume in 1 second (FEV1) for participants ages 7 and above
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Change from baseline to subsequent 24-week incremental visits
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To evaluate lung function longitudinally for participants ages 7 and above
Tidsramme: Change from baseline to subsequent 24-week incremental visits
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Forced Vital Capacity (FVC) for participants ages 7 and above
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Change from baseline to subsequent 24-week incremental visits
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To evaluate lung function longitudinally for participants ages 7 and above
Tidsramme: Change from baseline to subsequent 24-week incremental visits
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Peak Cough Flow (PCF) for participants ages 7 and above
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Change from baseline to subsequent 24-week incremental visits
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To evaluate lung function longitudinally for participants ages 7 and above
Tidsramme: Change from baseline to subsequent 24-week incremental visits
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Maximal Inspiratory Pressure (MIP) for participants ages 7 and above
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Change from baseline to subsequent 24-week incremental visits
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To evaluate lung function longitudinally for participants ages 7 and above
Tidsramme: Change from baseline to subsequent 24-week incremental visits
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Maximal Expiratory Pressure (MEP) for participants ages 7 and above
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Change from baseline to subsequent 24-week incremental visits
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Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 351-202
- 2024-511656-41-00 (Ctis)
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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BioMarin PharmaceuticalAfsluttetPompes sygdomForenede Stater, Det Forenede Kongerige, Australien, Frankrig, Tyskland, New Zealand
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