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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02500381
Registration number
NCT02500381
Ethics application status
Date submitted
14/07/2015
Date registered
16/07/2015
Titles & IDs
Public title
Study of SRP-4045 (Casimersen) and SRP-4053 (Golodirsen) in Participants With Duchenne Muscular Dystrophy (DMD)
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Scientific title
A Double-Blind, Placebo-Controlled, Multi-Center Study With an Open-Label Extension to Evaluate the Efficacy and Safety of SRP-4045 and SRP-4053 in Patients With Duchenne Muscular Dystrophy
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Secondary ID [1]
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4045-301
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Universal Trial Number (UTN)
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Trial acronym
ESSENCE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Duchenne Muscular Dystrophy
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Condition category
Condition code
Musculoskeletal
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Other muscular and skeletal disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - SRP-4045
Treatment: Drugs - SRP-4053
Treatment: Drugs - Placebo
Experimental: SRP-4045 - Participants amenable to exon 45 skipping will receive SRP-4045 IV infusions, weekly, at 30 mg/kg for up to 96 weeks in the double-blinded period. This will be followed by an open-label extension period in which all participants will receive open-label active treatment of SRP-4045 at 30 mg/kg/week IV infusions for 48 weeks (up to Week 144 in the study).
Experimental: SRP-4053 - Participants amenable to exon 53 skipping will receive SRP-4053 IV infusions, weekly, at 30 mg/kg for up to 96 weeks in the double-blinded period. This will be followed by an open-label extension period in which all participants will receive open-label active treatment of SRP-4053 at 30 mg/kg/week IV infusions for 48 weeks (up to Week 144 in the study).
Placebo comparator: Placebo followed by SRP-4045 or SRP-4053 - Participants amenable to exon 45 or 53 skipping will receive SRP-4045 or SRP-4053 placebo-matching IV infusions, weekly, at 30 mg/kg for up to 96 weeks in the double-blinded period. This will be followed by an open-label extension period in which all participants will receive open-label active treatment of SRP-4045 or SRP-4053 at 30 mg/kg/week IV infusions for 48 weeks (up to Week 144 in the study).
Treatment: Drugs: SRP-4045
SRP-4045 solution for IV infusion
Treatment: Drugs: SRP-4053
SRP-4053 solution for IV infusion
Treatment: Drugs: Placebo
SRP-4045 or SRP-4053 placebo-matching solution for IV infusion
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline in the Total Distance Walked During 6MWT at Week 96
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Assessment method [1]
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Timepoint [1]
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Baseline, Week 96
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Secondary outcome [1]
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Change from Baseline in the Total Distance Walked During 6MWT at Week 144 (Week 48 of the Open-Label Extension Period)
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Assessment method [1]
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Timepoint [1]
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Baseline, Week 144
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Secondary outcome [2]
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Change from Baseline in Dystrophin Protein Levels Determined by Western Blot at Weeks 48 or 96
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Assessment method [2]
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Timepoint [2]
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Baseline, Week 48 or Week 96
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Secondary outcome [3]
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Change from Baseline in Dystrophin Intensity Levels Determined by Immunohistochemistry (IHC) at Weeks 48 or 96
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Assessment method [3]
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Timepoint [3]
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Baseline, Week 48 or Week 96
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Secondary outcome [4]
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Participant's Ability to Rise Independently From the Floor, as indicated by a North Star Ambulatory Assessment (NSAA) Subscore
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Assessment method [4]
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The NSAA is a clinician administered scale that rates the participant's performance on various functional activities. During this assessment, the participant's ability to rise independently from the floor (without external support) will be reported as an NSAA subscore of "2" (without modification) or "1" (Gower's maneuver).
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Timepoint [4]
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Week 96, Week 144
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Secondary outcome [5]
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Time to Loss of Ambulation (LOA)
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Assessment method [5]
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Timepoint [5]
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Baseline, Week 96, and Week 144
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Secondary outcome [6]
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Change From Baseline in the NSAA Total Score at Week 96 and Week 144
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Assessment method [6]
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The NSAA is a clinician administered scale that rates the participant's performance on various functional activities. During this assessment, participants will be asked to perform 17 different functional activities, including a 10 meter walk/run, rising from a sit to standing, standing on 1 leg, climbing a box step, descending a box step, rising from lying to sitting, rising from the floor, lifting the head, standing on heels, and jumping. Participants will be graded as follows: 2 = achieves goal without any assistance; 1 = modified method but achieves goal independent of physical assistance from another person; and 0 = unable to achieve goal independently. NSAA Total Score ranges from 0 to 34, with a score of 34 implying normal function.
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Timepoint [6]
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Secondary outcome [7]
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Change From Baseline in Forced Vital Capacity Percent (FVC%) Predicted at Week 96 and Week 144
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Assessment method [7]
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Timepoint [7]
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Eligibility
Key inclusion criteria
* Genotypically confirmed DMD, with genetic deletion amenable to exon 45 or exon 53 skipping
* Stable dose of oral corticosteroids for at least 24 weeks prior to Week 1, and the dose is expected to remain constant throughout the study (except for modifications to accommodate changes in weight).
* Intact right and left biceps or 2 alternative upper muscle groups
* Mean 6MWT =300 meters and =450 meters
* Stable pulmonary function: forced vital capacity (FVC) =50% predicted
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Minimum age
6
Years
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Maximum age
13
Years
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Treatment with gene therapy at any time
* Previous treatment with SMT C1100 within 1 week prior to Week 1 and previous treatment with PRO045 (BMN 045), PRO053 (BMN 053), or PRO051 (BMN 051) within 24 weeks prior to Week 1
* Current or previous treatment with any other experimental treatment within 12 weeks prior to Week 1
* Major surgery within 3 months prior to Week 1
* Presence of other clinically significant illness
Other inclusion/exclusion criteria may apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/09/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
3/10/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
228
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Royal Children's Hospital Melbourne - Parkville
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Recruitment hospital [2]
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Queensland Children's Hospital - South Brisbane
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Children's Hospital at Westmead - Westmead
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3052 - Parkville
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Recruitment postcode(s) [2]
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4101 - South Brisbane
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Recruitment postcode(s) [3]
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2145 - Westmead
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Recruitment outside Australia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Sarepta Therapeutics, Inc.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The main objective of this study is to evaluate the efficacy of SRP-4045 (casimersen) and SRP-4053 (golodirsen) compared to placebo in participants with DMD with out-of-frame deletion mutations amenable to skipping exon 45 and exon 53, respectively.
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Trial website
https://clinicaltrials.gov/study/NCT02500381
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Trial related presentations / publications
Wagner KR, Kuntz NL, Koenig E, East L, Upadhyay S, Han B, Shieh PB. Safety, tolerability, and pharmacokinetics of casimersen in patients with Duchenne muscular dystrophy amenable to exon 45 skipping: A randomized, double-blind, placebo-controlled, dose-titration trial. Muscle Nerve. 2021 Sep;64(3):285-292. doi: 10.1002/mus.27347. Epub 2021 Jun 29.
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Public notes
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Contacts
Principal investigator
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Medical Director
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Address
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Sarepta Therapeutics, Inc.
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02500381