NCT03038399

Brief Summary

This long-term extension study is an open-label, multiple-dose study to evaluate the long-term safety, tolerability, efficacy and PD of vamorolone administered once daily by liquid oral suspension over a Treatment Period of 24 months to young boys with DMD who participated in the VBP15-002 Phase IIa and VBP15-003 Phase IIa extension core studies.

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
46

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Feb 2017

Typical duration for phase_2

Geographic Reach
6 countries

12 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 30, 2017

Completed
1 day until next milestone

First Posted

Study publicly available on registry

January 31, 2017

Completed
2 days until next milestone

Study Start

First participant enrolled

February 2, 2017

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2020

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

May 20, 2021

Completed
Last Updated

May 20, 2021

Status Verified

April 1, 2021

Enrollment Period

3.2 years

First QC Date

January 30, 2017

Results QC Date

April 28, 2021

Last Update Submit

April 28, 2021

Conditions

Keywords

Duchenne muscular dystrophyvamorolone

Outcome Measures

Primary Outcomes (2)

  • Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE Version 4.03

    To evaluate the long-term safety and tolerability of vamorolone, administered orally at daily doses up to 6.0 mg/kg/day over a 24- month Treatment Period, in boys ages 4-7 years with DMD; Treatment-emergent adverse events (TEAEs) are defined as any adverse event or worsening of an existing conditions after initiation of the investigational product and through the subject's last study visit (study completion or early termination);

    24 months

  • Total Number of Adverse Events as Assessed by CTCAE Version 4.03

    To evaluate the long-term safety and tolerability of vamorolone, administered orally at daily doses up to 6.0 mg/kg/day over a 24-month Treatment Period, in boys ages 4-7 years with DMD. Treatment-emergent adverse events (TEAEs) are defined as any adverse event or worsening of an existing conditions after initiation of the investigational product and through the subject's last study visit (study completion or early termination).

    24 Months

Study Arms (4)

Dose Level Group 1

EXPERIMENTAL

Participants enrolled in Dose Level Group 1 will receive vamorolone 0.25 mg/kg/day.

Drug: Vamorolone 0.25 mg/day/day

Dose Level Group 2

EXPERIMENTAL

Participants enrolled in Dose Level Group 2 will receive vamorolone 0.75 mg/kg/day.

Drug: Vamorolone 0.75 mg/day/day

Dose Level Group 3

EXPERIMENTAL

Participants enrolled in Dose Level Group 3 will receive vamorolone 2.0 mg/kg/day.

Drug: Vamorolone 2.0 mg/day/day

Dose Level Group 4

EXPERIMENTAL

Participants enrolled in Dose Level Group 4 will receive vamorolone 6.0 mg/kg/day.

Drug: Vamorolone 6.0 mg/day/day

Interventions

Oral administration of 0.25 mg/kg/day daily for 24 months.

Also known as: VBP15
Dose Level Group 1

Oral administration of 0.75 mg/kg/day daily for 24 months.

Also known as: VBP15
Dose Level Group 2

Oral administration of 2.0 mg/kg/day daily for 24 months.

Also known as: VBP15
Dose Level Group 3

Oral administration of 6.0 mg/kg/day daily for 24 months.

Also known as: VBP15
Dose Level Group 4

Eligibility Criteria

Age4 Years - 7 Years
Sexmale
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Subject's parent or legal guardian has provided written informed consent and HIPAA authorization (if applicable) prior to any VBP15-LTE long-term extension study-specific procedures;
  • Subject has previously completed study VBP15-003 up to and including the Week 24 Final assessments, prior to enrolling in the VBP15-LTE study at the conclusion of the VBP15-003 Week 24 Visit \[Note: if entering the dose-tapering period, subject is enrolling within 8 weeks after the VBP15-003 final visit following dose-tapering\]; and
  • Subject and parent/guardian are willing and able to comply with scheduled visits, study drug administration plan, and study procedures.

You may not qualify if:

  • Subject had a serious or severe adverse event in study VBP15-003 that, in the opinion of the Investigator, was probably or definitely related to vamorolone use and precludes safe use of vamorolone for the subject in this long-term extension study;
  • Subject has current or history of major renal or hepatic impairment, diabetes mellitus or immunosuppression;
  • Subject has current or history of chronic systemic fungal or viral infections;
  • Subject has used mineralocorticoid receptor agents, such as spironolactone, eplerenone, canrenone (canrenoate potassium), prorenone (prorenoate potassium), mexrenone (mexrenoate potassium) within 4 weeks prior to the first dose of study medication;
  • Subject is currently being treated or has received previous treatment with oral glucocorticoids or other immunosuppressive agents \[Notes: Past transient use of oral glucocorticoids or other oral immunosuppressive agents for no longer than 3 months cumulative, with last use at least 3 months prior to first dose of study medication, will be considered for eligibility on a case-by-case basis. Inhaled and/or topical glucocorticoids prescribed for an indication other than DMD are permitted but must be administered at stable dose for at least 3 months prior to study drug administration\];
  • Subject has used idebenone within 4 weeks prior to the first dose of study medication;
  • Subject has an allergy or hypersensitivity to the study medication or to any of its constituents;
  • Subject has severe behavioral or cognitive problems that preclude participation in the study, in the opinion of the Investigator;
  • Subject has 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
  • Subject is currently taking any investigational drug, or has taken any investigational drug other than vamorolone within 3 months prior to the start of study treatment.
  • Note: Subjects may be re-evaluated if ineligible due to a transient condition which would prevent the subject from participating.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (12)

University of California Davis

Davis, California, 95616, United States

Location

University of Florida

Gainesville, Florida, 32611, United States

Location

Nemours Children's Hospital

Orlando, Florida, 32827, United States

Location

Ann & Robert H. Lurie Children's Hospital

Chicago, Illinois, 60611, United States

Location

Duke University

Durham, North Carolina, 27710, United States

Location

University of Texas Southwestern Medical Center

Dallas, Texas, 75207, United States

Location

Royal Children's Hospital

Melbourne, Australia

Location

Sydney Children's Hospital

Westmead, Australia

Location

Alberta Children's Hospital

Calgary, Alberta, T3B 6A8, Canada

Location

Schneider Children's Medical Center

Petah Tikva, 49202, Israel

Location

Queen Silvia Children's Hospital

Gothenburg, 41685, Sweden

Location

Newcastle upon Tyne Hospitals NHS Foundation Trust

Newcastle upon Tyne, NE7 7DN, United Kingdom

Location

Related Publications (2)

  • Smith EC, Conklin LS, Hoffman EP, Clemens PR, Mah JK, Finkel RS, Guglieri M, Tulinius M, Nevo Y, Ryan MM, Webster R, Castro D, Kuntz NL, Kerchner L, Morgenroth LP, Arrieta A, Shimony M, Jaros M, Shale P, Gordish-Dressman H, Hagerty L, Dang UJ, Damsker JM, Schwartz BD, Mengle-Gaw LJ, McDonald CM; CINRG VBP15 and DNHS Investigators. Efficacy and safety of vamorolone in Duchenne muscular dystrophy: An 18-month interim analysis of a non-randomized open-label extension study. PLoS Med. 2020 Sep 21;17(9):e1003222. doi: 10.1371/journal.pmed.1003222. eCollection 2020 Sep.

  • Mah JK, Clemens PR, Guglieri M, Smith EC, Finkel RS, Tulinius M, Nevo Y, Ryan MM, Webster R, Castro D, Kuntz NL, McDonald CM, Damsker JM, Schwartz BD, Mengle-Gaw LJ, Jackowski S, Stimpson G, Ridout DA, Ayyar-Gupta V, Baranello G, Manzur AY, Muntoni F, Gordish-Dressman H, Leinonen M, Ward LM, Hoffman EP, Dang UJ; NorthStar UK Network and CINRG DNHS Investigators. Efficacy and Safety of Vamorolone in Duchenne Muscular Dystrophy: A 30-Month Nonrandomized Controlled Open-Label Extension Trial. JAMA Netw Open. 2022 Jan 4;5(1):e2144178. doi: 10.1001/jamanetworkopen.2021.44178.

Related Links

MeSH Terms

Conditions

Muscular Dystrophy, Duchenne

Interventions

VBP15 compound

Condition Hierarchy (Ancestors)

Muscular DystrophiesMuscular Disorders, AtrophicMuscular DiseasesMusculoskeletal DiseasesNeuromuscular DiseasesNervous System DiseasesGenetic Diseases, X-LinkedGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Results Point of Contact

Title
Dr. Eric Hoffman
Organization
ReveraGen BioPharma Inc.

Study Officials

  • Paula R Clemens, MD

    University of Pittsburgh

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 30, 2017

First Posted

January 31, 2017

Study Start

February 2, 2017

Primary Completion

April 30, 2020

Study Completion

April 30, 2020

Last Updated

May 20, 2021

Results First Posted

May 20, 2021

Record last verified: 2021-04

Locations