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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04060199
Registration number
NCT04060199
Ethics application status
Date submitted
15/08/2019
Date registered
19/08/2019
Titles & IDs
Public title
Study to Assess the Efficacy and Safety of Viltolarsen in Ambulant Boys With DMD (RACER53)
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Scientific title
A Phase 3 Randomized, Double-blind, Placebo-controlled, Multi-center Study to Assess the Efficacy and Safety of Viltolarsen in Ambulant Boys With Duchenne Muscular Dystrophy (DMD)
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Secondary ID [1]
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NS-065/NCNP-01-301
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Universal Trial Number (UTN)
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Trial acronym
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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 - Viltolarsen
Treatment: Drugs - Placebo
Experimental: Viltolarsen - Patients amenable to exon 53 skipping will receive viltolarsen intravenous (IV) infusions, weekly, at 80 mg/kg for up to 48 weeks.
Placebo comparator: Placebo - Patients amenable to exon 53 skipping will receive placebo intravenous (IV) infusions, weekly, for up to 48 weeks.
Treatment: Drugs: Viltolarsen
IV infusion
Treatment: Drugs: Placebo
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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TTSTAND
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Assessment method [1]
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Change in Time to Stand (TTSTAND)
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Timepoint [1]
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baseline to 48 weeks of treatment
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Secondary outcome [1]
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TTRW
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Assessment method [1]
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Change in Time to Run/Walk 10 Meters Test (TTRW)
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Timepoint [1]
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baseline to 48 weeks of treatment
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Secondary outcome [2]
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6MWT
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Assessment method [2]
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Change in Six-minutes Walk Test (6MWT)
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Timepoint [2]
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baseline to 48 weeks of treatment
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Secondary outcome [3]
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NSAA
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Assessment method [3]
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Change in North Star Ambulatory Assessment (NSAA)
The NSAA is a functional scale devised for use in ambulant children with Duchenne muscular dystrophy (DMD). It consists of 17 activities graded 0 (unable to perform), 1 (performs with modifications), 2 (normal movement). It assesses abilities necessary to remain ambulant that have been found to progressively deteriorate in untreated DMD patients, as well as in other muscular dystrophies such as Becker Muscular Dystrophy. NSAA Total Score ranges from 0 to 34, with a score of 34 implying normal function.
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Timepoint [3]
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baseline to 48 weeks of treatment
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Secondary outcome [4]
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TTCLIMB
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Assessment method [4]
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Change in Time to Climb 4 Steps Test (TTCLIMB)
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Timepoint [4]
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baseline to 48 weeks of treatment
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Secondary outcome [5]
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Hand-held dynamometer
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Assessment method [5]
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The force generated for each muscle strength (elbow extension, elbow flexion, knee extension, and knee flexion on the dominant side only) will be measured by Hand-held dynamometer.
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Timepoint [5]
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baseline to 48 weeks of treatment
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Eligibility
Key inclusion criteria
* Male = 4 years and < 8 years of age
* Confirmed DMD mutation(s) in the dystrophin gene that is amenable to skipping of exon 53 to restore the dystrophin mRNA reading frame
* Able to walk independently without assistive devices
* TTSTAND < 10 seconds
* Stable dose of glucocorticoid (GC) for at least 3 months prior to study entry and is expected to remain on stable dose of GC treatment for the duration of the study
* Other inclusion criteria may apply
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Minimum age
4
Years
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Maximum age
7
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Current or history of chronic systemic fungal or viral infections
* Acute illness within 4 weeks prior to the first dose of study drug
* Evidence of symptomatic cardiomyopathy (Note: Asymptomatic cardiac abnormality on investigation would not be exclusionary)
* Allergy or hypersensitivity to the study drug or to any of its constituents
* Severe behavioral or cognitive problems that preclude participation in the study, in the opinion of the investigator
* Previous or ongoing medical condition, medical history, physical findings or laboratory abnormalities that could affect safety, make it unlikely that treatment and follow-up will be correctly completed or impair the assessment of study results, in the opinion of the investigator;
* Surgery within the 3 months prior to the first dose of study drug or surgery is planned for anytime during the duration of the study
* Participant has positive test results for hepatitis B antigen, hepatitis C antibody or human immunodeficiency virus (HIV)
* Currently taking any other investigational drug or has taken any other investigational drug within 3 months prior to the first dose of study drug or within 5 times the half-life of a medication, whichever is longer
* Previously enrolled in an interventional study of viltolarsen
* Currently taking any other exon skipping agent or has taken any other exon skipping agent within 3 months prior to the first dose of study drug
* Having taken any gene therapy
* Other 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
Completed
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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
14/04/2020
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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
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Actual
19/10/2023
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Sample size
Target
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Accrual to date
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Final
77
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Queensland Children's Hospital - Brisbane
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Recruitment hospital [2]
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Perth Children's Hospital - Nedlands
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Recruitment hospital [3]
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The Childrens Hospital at Westmead - Westmead
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Recruitment postcode(s) [1]
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- Brisbane
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Recruitment postcode(s) [2]
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- Nedlands
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Recruitment postcode(s) [3]
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- Westmead
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Recruitment outside Australia
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United States of America
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California
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Chile
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Santiago
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China
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Beijing
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China
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Changsha
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China
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China
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Athens
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Kowloon Bay
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Rome
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Pusan
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Oslo
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Russian Federation
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Moscow
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Russian Federation
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Tomsk
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Istanbul
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Kyiv
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United Kingdom
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Birmingham
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Manchester
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
NS Pharma, Inc.
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Address
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Nippon Shinyaku Co., Ltd.
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Address [1]
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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 Viltolarsen compared to placebo in Duchenne muscular dystrophy (DMD) patients amenable to exon 53 skipping.
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Trial website
https://clinicaltrials.gov/study/NCT04060199
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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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)?
No
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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/NCT04060199