Phase 1/2 Study in Boys With Duchenne Muscular Dystrophy



Status:Active, not recruiting
Conditions:Neurology
Therapuetic Areas:Neurology
Healthy:No
Age Range:4 - 7
Updated:10/25/2018
Start Date:April 2016
End Date:August 2019

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A Phase 1/2 Study of Edasalonexent (CAT-1004) in Pediatric Patients With Duchenne Muscular Dystrophy

The MoveDMD study is a 3-part, Phase 1/2, multi-site study to evaluate the safety, efficacy,
pharmacokinetics (PK) and pharmacodynamics (PD) of edasalonexent (also known as CAT-1004) in
pediatric patients with a genetically confirmed diagnosis of DMD. Male patients from ≥4 to <8
years of age will be enrolled.

Edasalonexent is an orally administered small molecule targeted to inhibit activated NF-κB, a
molecule that is activated from infancy in DMD and which is central to causing muscle damage
and preventing muscle regeneration. Data on magnetic resonance imaging of the lower and upper
leg muscles, physical function (including timed function tests) and muscle strength will be
studied.

Part A was a 1-week, open-label study to assess safety, tolerability, pharmacokinetics and
biomarkers for three dose levels of edasalonexent and is now complete.

Part B was a randomized, double-blind, placebo-controlled, multiple dose study to evaluate
the safety, efficacy, PK, and PD of edasalonexent over 12 weeks. Patients who participated in
Part A also participated in Part B, along with newly enrolled patients. Patients received
either edasalonexent 67 mg/kg/day, edasalonexent 100 mg/kg/day, or placebo in Part B. Part B
is now complete.

Following completion of Part B, patients receive edasalonexent for 138 weeks in Part C, the
open-label portion of the MoveDMD study. Patients on the 67 mg/kg/day treatment moved to the
100 mg/kg/day treatment. Patients on the 100 mg/kg/day treatment remained on the 100
mg/kg/day treatment. If clinically indicated, concomitant treatment with eteplirsen (Exondys
51™) may be acceptable in patients with amenable gene mutations during Part C after the
patient has been exposed to edasalonexent for 6 months.

**Following completion of MoveDMD Part C, access to edasalonexent will continue through a new
open-label extension study. Families currently enrolled in MoveDMD Part C are encouraged to
speak with their trial site for additional information.**

Inclusion Criteria:

- Written informed consent from parent or legal guardian prior to participation and, for
patients who are 7 years of age, written assent from patient

- Diagnosis of DMD based on a clinical phenotype with increased serum CK and the
presence of a mutation in the dystrophin gene known to be associated with a DMD
phenotype

- Ability to walk independently (assistive devices are permitted)

- Adequate immunization for influenza and varicella

Exclusion Criteria:

- Use of corticosteroids within prior 6 months of treatment initiation or planning to
initiate steroid therapy within the next 6 months

- Other prior or ongoing significant medical conditions

- Exposure to another investigational drug (such as eteplirsen or idebenone) within 28
days prior to start of study treatment or ongoing participation in any other
therapeutic clinical trial

- Note: There are separate criteria for patients who participated in Part A versus
newly enrolling patients. New patients must meet all of the Part A entry criteria
to participate in Part B.

Patients who participated in Part A must meet the following criteria to participate in Part
B:

- Completed Part A

- Continue to meet all of the Part A entry criteria, including an absence of safety
concerns (however, patients may be ≥8 years of age)

There are no entry criteria for Part C; all patients who complete Part B will automatically
continue in Part C
We found this trial at
5
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Portland, OR
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