NCT06411288

Brief Summary

A Phase 3 Randomized, Double-Blind, Placebo-Controlled, Global Study to Evaluate the Efficacy and Safety of Intravenous Delpacibart Etedesiran (abbreviated del-desiran, formerly AOC 1001) for the Treatment of Myotonic Dystrophy Type 1

Trial Health

87
On Track

Trial Health Score

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

Enrollment
159

participants targeted

Target at P25-P50 for phase_3

Timeline
3mo left

Started May 2024

Geographic Reach
10 countries

34 active sites

Status
active not recruiting

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

Study Progress86%
May 2024Sep 2026

First Submitted

Initial submission to the registry

May 8, 2024

Completed
5 days until next milestone

First Posted

Study publicly available on registry

May 13, 2024

Completed
17 days until next milestone

Study Start

First participant enrolled

May 30, 2024

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2026

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2026

Last Updated

January 22, 2026

Status Verified

January 1, 2026

Enrollment Period

2.2 years

First QC Date

May 8, 2024

Last Update Submit

January 20, 2026

Conditions

Keywords

DM1Myotonic DystrophyMyotonic Dystrophy 1MyotoniaMyotonic Dystrophy Type 1 (DM1)Dystrophy MyotonicMyotonic DisordersSteinert DiseaseSteinertMyotonic Muscular DystrophyHARBORAvidity BiosciencesAvidityAOC 1001Del-desiranDelpacibart etedesiran

Outcome Measures

Primary Outcomes (1)

  • Hand function

    video Hand Opening Time (vHOT)

    Through Week 54

Secondary Outcomes (4)

  • Hand grip strength

    Through Week 54

  • Quantitative Muscle Testing composite score

    Through Week 54

  • Myotonic Dystrophy Type 1 activity and participation scale c

    Through Week 54

  • 10-Meter Walk/Run Test

    Through Week 54

Study Arms (2)

Del-desiran

EXPERIMENTAL

Del-desiran (AOC 1001) will be administered seven times

Drug: AOC 1001 (del-desiran)

Placebo

PLACEBO COMPARATOR

Saline will be administered seven times

Drug: Placebo

Interventions

Del-desiran will be administered by intravenous (IV) infusion.

Del-desiran

Placebo will be administered by intravenous (IV) infusion.

Placebo

Eligibility Criteria

Age16 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Clinical and genetic diagnosis (CTG repeat ≥ 100) of DM1
  • Ability to walk independently (orthoses and ankle braces allowed) for at least 10 meters at screening

You may not qualify if:

  • Breastfeeding, pregnancy, or intent to become pregnant during the study
  • Unwilling or unable to comply with contraceptive requirements
  • Abnormal lab values, conditions or diseases that would make the participant unsuitable for the study
  • Diabetes that is not adequately controlled
  • History of decompensated heart failure within 3 months of screening. Participants with preexisting pacemaker/ICD are not excluded.
  • Body Mass Index \> 35 kg/m2 at Screening
  • Recently treated with an investigational drug or biological agent
  • Treatment with anti-myotonic medication within 5 half-lives or 14 days of baseline, whichever is longer, prior to baseline.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (34)

Stanford University

Stanford, California, 94305, United States

Location

University of Colorado

Denver, Colorado, 80045, United States

Location

University of Florida

Gainesville, Florida, 32608, United States

Location

University Research Center of South Florida

Tampa, Florida, 33612, United States

Location

Indiana University (IU)

Indianapolis, Indiana, 46202, United States

Location

Kansas University Medical Center

Kansas City, Kansas, 66205, United States

Location

Kennedy Krieger Institute

Baltimore, Maryland, 21205, United States

Location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Location

University of Minnesota

Minneapolis, Minnesota, 55455, United States

Location

University of Rochester Medical Center

Rochester, New York, 14642, United States

Location

Duke University Medical Center

Durham, North Carolina, 27708, United States

Location

Wake Forest

Winston-Salem, North Carolina, 27157, United States

Location

University of Cincinnati Gardner Neuroscience Institute

Cincinnati, Ohio, 45219, United States

Location

Ohio State University

Columbus, Ohio, 43221, United States

Location

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

Houston Methodist Neurological Institute

Houston, Texas, 77030, United States

Location

Virginia Commonwealth University

Richmond, Virginia, 23298, United States

Location

University of Washington

Seattle, Washington, 98104, United States

Location

The Ottawa Hospital

Ottawa, Ontario, K1Y 4E9, Canada

Location

Montreal Neurological Institute

Montreal, Quebec, H3A 2B4, Canada

Location

Aarhus University Hospital

Aarhus N, 8200, Denmark

Location

Rigshospitalet

Copenhagen, 2100, Denmark

Location

AP-HP Hopital Pitie-Salpetriere

Paris, 75013, France

Location

Klinikum der Ludwig-Maximilians-Universitaet Muenchen

Munich, 80336, Germany

Location

Fondazione Serena Onlus - Centro Clinico NeMO Milano

Milan, 20162, Italy

Location

Aomori Hospital

Aomori, Aomori, 038-1331, Japan

Location

National Hospital Organization Osaka Toneyama Medical Center

Osaka, 560-8552, Japan

Location

Osaka University Hospital

Osaka, 565-0871, Japan

Location

National Center of Neurology and Psychiatry

Tokyo, 187-8551, Japan

Location

Maastricht University Medical Center

Maastricht, 6229 HX, Netherlands

Location

Stichting Radboud Universitair Medisch Centrum

Nijmegen, 6525 GA, Netherlands

Location

Hospital Universitario Donostia

Donostia / San Sebastian, 20014, Spain

Location

University College London Hospital

London, NW1 2BU, United Kingdom

Location

St. Georges University Hospitals NHS Foundation Trust

London, SW17 0QT, United Kingdom

Location

MeSH Terms

Conditions

Myotonic DystrophyMyotoniaMyotonic Disorders

Condition Hierarchy (Ancestors)

Muscular DystrophiesMuscular Disorders, AtrophicMuscular DiseasesMusculoskeletal DiseasesHeredodegenerative Disorders, Nervous SystemNeurodegenerative DiseasesNervous System DiseasesNeuromuscular DiseasesGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesNeuromuscular ManifestationsNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 8, 2024

First Posted

May 13, 2024

Study Start

May 30, 2024

Primary Completion (Estimated)

August 1, 2026

Study Completion (Estimated)

September 1, 2026

Last Updated

January 22, 2026

Record last verified: 2026-01

Locations