BridgeMD
A PHASE 1/2, OPEN-LABEL, EXPLORATORY CLINICAL TRIAL TO EVALUATE THE SAFETY AND EFFICACY OF DT-DEC01 THERAPY IN PATIENTS WITH DUCHENNE MUSCULAR DYSTROPHY
EU CTIS ID: 2024-519004-27-00
What this study is testing
Phase 1 primary objectives include (i) evaluation of safety by clinical observation of the incidence and severity of all adverse events: Adverse Events (AEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESI) to assess the potential risks (ii) evaluation of efficacy, based on functional assessments of muscle strength and function adjusted to the stage of the disease: (a) for ambulatory patients: Six-Minute Walk Test (6MWT); timed functions of NorthStar Ambulatory Assessment (NSAA): supine to rise and 10-meter walk/run); (b) for non-ambulatory patients: PUL 2.0 and (c) assessments for both ambulatory and non-ambulatory patients: electromyography (EMG) assessment of duration of motor unit potential (MUP) of the selected muscles. Phase 2 primary objectives include evaluation of safety by clinical observation of the incidence and severity of all adverse events: AEs, SAEs and AESI and to assess the potential risks; and evaluation of the efficacy, based on the functional assessments of muscle strength and function adjusted to the stage of the disease including: (a) for ambulatory patients: 6MWT; timed functions of NSAA: supine to rise and 10-meter walk/run), (b) for non-ambulatory patients: PUL 2.0, (c) for both, the ambulatory and non-ambulatory patients: EMG assessment of duration of the MUP of the selected muscles.
- Phase I and Phase II (Integrated)- First administration to humans
A plain-language read of the study's public EU CTIS listing. The study team confirms the details.
Who can take part
You may be able to join if
- Subject and his legal representative/parent(s)/legal guardian have understood and accepted to participate in the study according to all study procedures by signing the approved informed consent.
- Boys of age 5 to 18 years old (at the time of screening), diagnosed with DMD confirmed by genetic testing.
- Subjects must be receiving glucocorticosteroids for a minimum of 6 months prior to the biopsy of muscle tissue.
- Subjects with progressive, symmetrical proximal muscle weakness of arms and legs.
- Willingness and ability to comply with scheduled visits, tissue biopsy procedure under anesthesia, drug administration plan, laboratory tests, study restrictions, study procedures, and functional testing adapted to the stage of the disease.
- Willingness to use acceptable forms of contraception if the subject is sexually active.
You likely can't join if
- Subject was previously exposed to the IMP, any similar experimental therapy with the use of ATMP or any other cell-based product, gene therapy or translarna / ataluren prior to screening.
- Any injury or procedure which may impact functional testing. Previous injuries must be fully healed prior to consenting. Prior lower limb fractures must be fully healed and at least 3 months should pass from injury date.
- Presence or history of other musculoskeletal or neurologic disease or somatic disorder not related to DMD including pulmonary and cardiac disease.
- History of allergic or anaphylactic reaction to a therapeutic or diagnostic protein or additives of the investigational product.
- Ongoing chronic use of any agents with an immunomodulating (activating or suppressing) effect, such as, but not limited to, immunosuppressants or drugs related to immunotherapy (e.g. based on antibodies), chemotherapy or similar therapy affecting cell proliferation.
- Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for inclusion into this study.
See the full eligibility criteria
- Subject and his legal representative/parent(s)/legal guardian have understood and accepted to participate in the study according to all study procedures by signing the approved informed consent.
- Boys of age 5 to 18 years old (at the time of screening), diagnosed with DMD confirmed by genetic testing.
- Subjects must be receiving glucocorticosteroids for a minimum of 6 months prior to the biopsy of muscle tissue.
- Subjects with progressive, symmetrical proximal muscle weakness of arms and legs.
- Willingness and ability to comply with scheduled visits, tissue biopsy procedure under anesthesia, drug administration plan, laboratory tests, study restrictions, study procedures, and functional testing adapted to the stage of the disease.
- Willingness to use acceptable forms of contraception if the subject is sexually active.
- Patients must be cleared by anesthesiologist for tissue biopsy and DT-DEC01 intraosseous injection procedures which will be performed under anesthesia (local anesthesia / general anesthesia / analgosedation).
- Subject was previously exposed to the IMP, any similar experimental therapy with the use of ATMP or any other cell-based product, gene therapy or translarna / ataluren prior to screening.
- Any injury or procedure which may impact functional testing. Previous injuries must be fully healed prior to consenting. Prior lower limb fractures must be fully healed and at least 3 months should pass from injury date.
- Presence or history of other musculoskeletal or neurologic disease or somatic disorder not related to DMD including pulmonary and cardiac disease.
- History of allergic or anaphylactic reaction to a therapeutic or diagnostic protein or additives of the investigational product.
- Ongoing chronic use of any agents with an immunomodulating (activating or suppressing) effect, such as, but not limited to, immunosuppressants or drugs related to immunotherapy (e.g. based on antibodies), chemotherapy or similar therapy affecting cell proliferation.
- Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for inclusion into this study.
- Subject has known history of immune reaction to the administered therapies or history of GvHD.
- Subjects with known cognitive impairment or behavioral issues that would impede the ability to follow instructions.
- Subject is positive for human immunodeficiency virus (HIV) 1 or 2, hepatitis B (HBV) or C (HCV*), cytomegalovirus (CMV*), toxoplasmosis* or syphilis at screening visit (V0a). *In case of positive or doubtful result of anti-CMV IgG and anti-Toxo IgG, anti-HCV total the final qualification decision can be made after confirming the negative Nucleic Acid Test (NAT) results in cell culture.
- Subject has a history of any autoimmune disease.
- Ongoing participation in any other therapeutic clinical trial.
- Presence of pre-existing antibodies in the subject’s serum against the donor lymphocytes.
- Subject has undergone an organ or bone marrow transplantation.
- Change in systemic corticosteroid therapy (e.g. initiation of treatment; cessation of treatment; change in dose, schedule, or type of steroid) within 3 months prior to administration of the investigational product.
The study team makes the final eligibility decision.
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling male, 0-17 years. The study team makes the final eligibility decision.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.