An Observational Study Comparing Delandistrogene Moxeparvovec (ELEVIDYS) With Standard of Care in Participants With Duchenne Muscular Dystrophy
ENDURE
A Long-term Multicenter Prospective Observational Study Evaluating the Comparative Effectiveness and Safety of Sarepta Gene Transfer Therapy vs. Standard of Care in Participants With Duchenne Muscular Dystrophy Under Conditions of Routine Clinical Practice
1 other identifier
observational
500
1 country
25
Brief Summary
This is a multicenter, prospective, observational Phase 4 study including a post marketing safety requirement, designed to collect both medical history data and prospective data on Duchenne muscular dystrophy (DMD) treatment outcomes in participants receiving delandistrogene moxeparvovec (ELEVIDYS) as part of clinical care, compared to participants with DMD receiving or prescribed to start chronic glucocorticoid treatment at the time of study enrollment in routine clinical practice.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Feb 2024
Longer than P75 for all trials
25 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 24, 2024
CompletedStudy Start
First participant enrolled
February 7, 2024
CompletedFirst Posted
Study publicly available on registry
February 21, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2038
May 4, 2026
April 1, 2026
5.9 years
January 24, 2024
April 28, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Mean Change From Baseline in Time to Walk/Run 10 Meters (10MWR) (Calculated Velocity) at Month 12
Baseline, Month 12
Number of Participants Experiencing Acute Liver Injury (ALI)
Baseline through Month 12
Secondary Outcomes (11)
Time to Rise From Floor (Supine to Stand)
Up to 10 years
Loss of Ambulation (LOA)
Up to 10 years
Performance of Upper Limb (PUL) Version 2.0 Entry Item A Score or Brooke Upper Extremity Scale Score
Up to 10 years
Patient-reported Outcomes Measurement Information (PROMIS) Domain Scores of Mobility, Upper Extremity, and Fatigue
Up to 10 years
Pulmonary Function as Measured by Forced Vital Capacity (FVC)
Up to 10 years
- +6 more secondary outcomes
Study Arms (2)
Cohort 1 (Treated)
Cohort 1: participants prescribed ELEVIDYS in a commercial setting. Cohort 1a (Ambulatory ELEVIDYS Prospectively Treated Cohort): participants prescribed ELEVIDYS by commercially treating physicians with consent no later than 30 days from infusion. All participants will be dosed with ELEVIDYS based on United States prescribing information (USPI). The Post Market Requirement (PMR) Cohort (sub-cohort of 1a) consists of participants with laboratory data as specified in the ELEVIDYS USPI. Cohort 1b (Non-ambulatory ELEVIDYS Prospectively Treated Cohort): non-ambulatory DMD participants prescribed ELEVIDYS commercially and recruited by treating physicians before infusion (enrollment currently closed). Cohort 1c (ELEVIDYS Retrospectively Treated Cohort): participants dosed with ELEVIDYS with complete baseline data within 6 months prior to dosing and complete prospectively collected annual follow-up data after infusion until the time of cohort entry (sponsor approval required for enrollment).
Cohort 2 (Standard of Care)
Cohort 2: ambulatory DMD participants who are at least 4 years of age at baseline, unexposed to DMD gene therapy, and receiving or prescribed chronic glucocorticoids at study entry.
Interventions
No study medication will be provided by the sponsor during this study.
No study medication will be provided by the sponsor during this study.
Eligibility Criteria
DMD participants within each prescriber's practice who either (1) have been prescribed delandistrogene moxeparvovec or (2) are receiving or have been prescribed to begin chronic glucocorticoid therapy in routine clinical practice, and who meet the study eligibility criteria, will be invited to enroll into the study and will be followed according to the protocol.
You may qualify if:
- Has an established clinical diagnosis of DMD based on documentation of clinical findings and prior confirmatory genetic testing using a clinical diagnostic genetic test.
- Is currently receiving or has been prescribed to start chronic glucocorticoid therapy at the time of this observational study enrollment.
- For ELEVIDYS-treated Participants (Cohorts 1a, 1b, and 1c):
- Is at least 4 years of age at the time of infusion
- Will either: a) be initiating or has initiated ELEVIDYS within the last 30 days in routine clinical practice at the time of this observational study enrollment, or b) was administered ELEVIDYS in routine clinical practice and has the required minimum dataset for entry into the observational study per Sponsor approval
- For Standard of Care Comparators (Cohort 2):
- Is at least 4 years of age at the time of enrollment
- Is unexposed to DMD gene therapy at the time of this observational study enrollment
You may not qualify if:
- Has any deletion of exon 8 and/or exon 9 in the DMD gene.
- Is currently participating in any DMD interventional study at the time of this observational study enrollment.
- Has any prior exposure to DMD gene therapy other than that described for Cohort 1c (ELEVIDYS Retrospectively Treated Cohort).
- Has a medical condition or confounding circumstances (for example, prior traumatic limitation for mobility or significant behavioral comorbidity) that, in the opinion of the Investigator, might compromise:
- The participant's ability to comply with the protocol-required procedures,
- The participant's wellbeing or safety, and/or
- The clinical interpretability of the data collected from the participant.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (25)
Arkansas Children's Hospital
Little Rock, Arkansas, 72202, United States
Children's Hospital Los Angeles - PIN
Los Angeles, California, 90027, United States
University of Colorado - PPDS
Aurora, Colorado, 80045, United States
Connecticut Children's Medical Center - Hartford
Hartford, Connecticut, 06106, United States
Children's National Medical Center
Washington D.C., District of Columbia, 20010, United States
Nicklaus Children's Hospital
Miami, Florida, 33155, United States
Nemours Children's Hospital - Orlando
Orlando, Florida, 32827, United States
All Children's Research Institute, Inc
St. Petersburg, Florida, 33701, United States
Ann and Robert H Lurie Childrens Hospital of Chicago
Chicago, Illinois, 60611-2991, United States
Indiana Clinical and Translational Science Institute
Indianapolis, Indiana, 46202, United States
University of Kansas Medical Center
Kansas City, Kansas, 66160, United States
University of Michigan
Ann Arbor, Michigan, 48109, United States
Duke Lenox Baker Children's Hospital
Durham, North Carolina, 27704, United States
Childrens Hospital Medical Center of Akron
Akron, Ohio, 44302, United States
OHSU Healthcare (Oregon Health and Science University)
Portland, Oregon, 97239, United States
Penn State Health Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
Le Bonheur Children's Hospital
Memphis, Tennessee, 38103, United States
Vanderbilt University Medical Center
Nashville, Tennessee, 37232, United States
Cook Children's Hospital
Fort Worth, Texas, 76104, United States
University of Virginia
Charlottesville, Virginia, 22903, United States
Children's Hospital of the King's Daughters
Norfolk, Virginia, 23507, United States
Seattle Children's Hospital
Seattle, Washington, 98105, United States
The Board of Regents of the University of Wisconsin
Madison, Wisconsin, 53715-1218, United States
The Medical College of Wisconsin
Milwaukee, Wisconsin, 53226-4874, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 24, 2024
First Posted
February 21, 2024
Study Start
February 7, 2024
Primary Completion (Estimated)
December 31, 2029
Study Completion (Estimated)
December 31, 2038
Last Updated
May 4, 2026
Record last verified: 2026-04