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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06131983
Registration number
NCT06131983
Ethics application status
Date submitted
8/11/2023
Date registered
15/11/2023
Titles & IDs
Public title
Study of ARO-DUX4 in Adult Patients With Facioscapulohumeral Muscular Dystrophy Type 1
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Scientific title
A Phase1/2a Dose-Escalating Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of ARO-DUX4 in Adult Patients With Facioscapulohumeral Muscular Dystrophy Type 1
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Secondary ID [1]
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ARODUX4-1001
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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:
Facio-Scapulo-Humeral Dystrophy
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Condition category
Condition code
Musculoskeletal
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Other muscular and skeletal disorders
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Neurological
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Other neurological disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ARO-DUX4 for Injection
Treatment: Drugs - Placebo
Experimental: ARO-DUX4 - ARO-DUX4 for Injection
Placebo comparator: Placebo - (0.9%NaCl)
Treatment: Drugs: ARO-DUX4 for Injection
single or multiple doses of ARO-DUX4 by intravenous (IV) infusion
Treatment: Drugs: Placebo
calculated volume to match active treatment by 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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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Over Time Through End of Study (EOS)
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Assessment method [1]
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Timepoint [1]
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Single dose phase: Up to Day 90; Multiple dose phase: Up to Day 360
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Secondary outcome [1]
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Pharmacokinetics (PK) of ARO-DUX4: Maximum Observed Plasma Concentration (Cmax)
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Assessment method [1]
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Timepoint [1]
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Single dose phase: through 48 hours post-dose, Multiple dose phase: through 24 hours post first and second dose
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Secondary outcome [2]
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PK of ARO-DUX4: Area Under the Plasma Concentration Versus Time Curve from Zero to 24 Hours (AUC0-24)
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Assessment method [2]
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Timepoint [2]
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Single dose phase: through 48 hours post-dose, Multiple dose phase: through 24 hours post first and second dose
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Secondary outcome [3]
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PK of ARO-DUX4: Area Under the Plasma Concentration Versus Time Curve from Zero to the Last Quantifiable Plasma Concentration (AUClast)
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Assessment method [3]
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Timepoint [3]
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Single dose phase: through 48 hours post-dose, Multiple dose phase: through 24 hours post first and second dose
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Secondary outcome [4]
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PK of ARO-DUX4: Area Under the Plasma Concentration Versus Time from Zero to Infinity (AUCinf)
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Assessment method [4]
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Timepoint [4]
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Single dose phase: through 48 hours post-dose, Multiple dose phase: through 24 hours post first and second dose
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Secondary outcome [5]
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PK of ARO-DUX4: Terminal Elimination Half-Life (t1/2)
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Assessment method [5]
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Timepoint [5]
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Single dose phase: through 48 hours post-dose, Multiple dose phase: through 24 hours post first and second dose
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Secondary outcome [6]
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PK of ARO-DUX4: Systemic Clearance (CL)
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Assessment method [6]
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Timepoint [6]
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Single dose phase: through 48 hours post-dose, Multiple dose phase: through 24 hours post first and second dose
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Secondary outcome [7]
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PK of ARO-DUX4: Volume of Distribution (Vss)
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Assessment method [7]
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Timepoint [7]
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Single dose phase: through 48 hours post-dose, Multiple dose phase: through 24 hours post first and second dose
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Secondary outcome [8]
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PK of ARO-DUX4: Recovery of Unchanged Drug in Urine Over 0-24 Hours (Amount Excreted: Ae)
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Assessment method [8]
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Timepoint [8]
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Single dose phase: through 48 hours post-dose, Multiple dose phase: through 24 hours post first and second dose
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Secondary outcome [9]
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PK of ARO-DUX4: Fraction of Drug Excreted in Urine as Percent of Intravenous (IV) Dose (Fe)
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Assessment method [9]
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Timepoint [9]
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Single dose phase: through 48 hours post-dose, Multiple dose phase: through 24 hours post first and second dose
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Secondary outcome [10]
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PK of ARO-DUX4: Renal Clearance (CLr)
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Assessment method [10]
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Timepoint [10]
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Single dose phase: through 48 hours post-dose, Multiple dose phase: through 24 hours post first and second dose
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Eligibility
Key inclusion criteria
* Genetically confirmed FSHD1 based on Screening evaluation or source verifiable medical record
* Clinical severity score between 3 and 8 (scale, 0 to 10)
* Must have eligible lower extremity muscle for biopsy as determined from MRI by a central reader
* A 12-lead electrocardiogram (ECG) at Screening with no abnormalities that may compromise participant's safety in the study
* Participants of childbearing potential and their partners must use highly effective contraception during the study and for at least 12 weeks following the end of study or last dose of study medication, whichever is later. Males must not donate sperm during the study from Day 1 until at least 12 weeks following the end of study or last dose of study medication, whichever is later.
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Human Immunodeficiency Virus (HIV) infection as shown by presence of anti-HIV antibody (seropositive) at Screening
* Seropositive for hepatitis B (HBV) or hepatitis C (HCV) at Screening
* Uncontrolled hypertension
* Severe cardiovascular disease
* History of thrombolic events
* Platelet count less that the lower limit of normal at Screening
* History or presence of: a hypercoagulable state, nephrotic range proteinuria, antiphospholipid antibody syndrome, myeloproliferative disease, inability to ambulate, use of hormone-based contraceptives.
* Any contraindication to muscle biopsy or MRI
Note: additional inclusion/exclusion criteria may apply per protocol
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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 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
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
26/02/2024
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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
1/06/2025
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Actual
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Sample size
Target
52
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Recruitment hospital [1]
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Research Site - Liverpool
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Recruitment hospital [2]
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Research Site - Birtinya
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Recruitment postcode(s) [1]
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2170 - Liverpool
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Recruitment postcode(s) [2]
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4575 - Birtinya
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Arrowhead Pharmaceuticals
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of ARO-DUX4 in participants with facioscapulohumeral muscular dystrophy Type 1 (FSHD1). In Part 1 of the study, participants will receive a single dose of ARO-DUX4 or placebo. In Part 2 of the study, participants will receive 2 or 4 doses of ARO-DUX4 or placebo. Participants who complete Part 1 will have the option to re-screen and re-randomize into Part 2. All participants will undergo pre- and post-dose MRI-guided muscle biopsies (a total of 2 biopsies). Participants who complete Part 1 and enroll in Part 2 will be required to undergo an additional screening biopsy. Participants completing Part 1 or Part 2 may have the option to continue to receive drug in an open-label extension study or may be eligible to participate in later-stage clinical studies.
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Trial website
https://clinicaltrials.gov/study/NCT06131983
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Medical Monitor
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Address
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Country
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Phone
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626-304-3400
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Fax
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Email
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[email protected]
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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/NCT06131983