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A Gene Transfer Therapy Study to Evaluate the Safety of and Expression From Delandistrogene Moxeparvovec (SRP-9001) in Participants With Duchenne Muscular Dystrophy (DMD) (ENDEAVOR)

Primary Purpose

Muscular Dystrophy, Duchenne

Status
Enrolling by invitation
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
delandistrogene moxeparvovec
Sponsored by
Sarepta Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Muscular Dystrophy, Duchenne focused on measuring Duchenne Muscular Dystrophy, Gene-Delivery, DMD, Ambulatory Non-ambulatory, Pediatric, Dystrophin

Eligibility Criteria

2 Years - undefined (Child, Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Cohort 1 only: Is ambulatory, and ≥4 to <8 years of age at the time of Screening.
  • Cohort 2 only: Is ambulatory, and ≥8 to <18 years of age at the time of Screening.
  • Cohort 3 and Cohort 5b: Non-ambulatory per protocol specified criteria at the time of Screening.
  • Cohort 4 only: Is ambulatory and ≥3 to <4 years of age at the time of Screening.
  • Cohort 5a only: Is ambulatory and ≥4 to <9 years of age at the time of Screening
  • For Cohort 1-5: Has a definitive diagnosis of DMD based on documented clinical findings and prior genetic testing.
  • Ability to cooperate with motor assessment testing.
  • Cohorts 1, 2, 3, and 5 only: Stable dose equivalent of oral corticosteroids for at least 12 weeks before screening and the dose is expected to remain constant (except for modifications to accommodate changes in weight) throughout the first year of the study.
  • Cohort 4: Do not yet require use of chronic steroids for treatment of their DMD, in the opinion of the Investigator, and are not receiving steroids at the time of Screening.
  • rAAVrh74 antibody titers are not elevated as per protocol-specified requirements.
  • Genetic mutation inclusion criteria vary by cohort.

Exclusion Criteria:

  • Has a concomitant illness, autoimmune disease, chronic drug treatment, and/or cognitive delay/impairment that in the opinion of the Investigator creates unnecessary risks for gene transfer.
  • Exposure to gene therapy, investigational medication, or any treatment designed to increase dystrophin expression within protocol-specified time limits.
  • Abnormality in protocol-specified diagnostic evaluations or laboratory tests.

Other inclusion/exclusion criteria apply.

Sites / Locations

  • Stanford University
  • University of California, Davis
  • Washington University in St. Louis
  • Nationwide Children's Hospital
  • Children's Hospital of The King's Daughters

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Delandistrogene Moxeparvovec

Arm Description

Participants will receive a single intravenous (IV) infusion of delandistrogene moxeparvovec on Day 1.

Outcomes

Primary Outcome Measures

Part 1: Change from Baseline in Quantity of Delandistrogene Moxeparvovec Dystrophin Expression at Week 12, as Measured by Western Blot
Part 1: Quantity of Delandistrogene Moxeparvovec Dystrophin Expression at Week 12 as Measured by Western Blot

Secondary Outcome Measures

Vector Shedding, Measured in Urine, Saliva, and Stool Samples Post-Infusion
Level of Antibody Titers to Recombinant Adeno-Associated Virus Serotype rh74 (rAAVrh74)
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Events (AEs) of Special Interest
Change from Baseline in Quantity of Delandistrogene Moxeparvovec Dystrophin Protein Expression at Week 12, as Measured by Immunofluorescence (IF) Fiber Intensity
Change from Baseline in Quantity of Delandistrogene Moxeparvovec Dystrophin Protein Expression at Week 12, as Measured by IF Percent Dystrophin Positive Fibers (PDPF)
Quantity of Delandistrogene Moxeparvovec Dystrophin Protein Expression at Week 12 as Measured by IF Fiber Intensity:
Quantity of Delandistrogene Moxeparvovec Dystrophin Protein Expression at Week 12 as Measured by IF PDPF

Full Information

First Posted
November 6, 2020
Last Updated
July 28, 2023
Sponsor
Sarepta Therapeutics, Inc.
Collaborators
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT04626674
Brief Title
A Gene Transfer Therapy Study to Evaluate the Safety of and Expression From Delandistrogene Moxeparvovec (SRP-9001) in Participants With Duchenne Muscular Dystrophy (DMD)
Acronym
ENDEAVOR
Official Title
An Open-Label, Systemic Gene Delivery Study Using Commercial Process Material to Evaluate the Safety of and Expression From SRP-9001 in Subjects With Duchenne Muscular Dystrophy (ENDEAVOR)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Enrolling by invitation
Study Start Date
November 23, 2020 (Actual)
Primary Completion Date
November 30, 2024 (Anticipated)
Study Completion Date
July 31, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sarepta Therapeutics, Inc.
Collaborators
Hoffmann-La Roche

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is an open-label gene transfer therapy study evaluating the safety of and expression from delandistrogene moxeparvovec in participants with DMD. The maximum participant duration for this study is 156 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Muscular Dystrophy, Duchenne
Keywords
Duchenne Muscular Dystrophy, Gene-Delivery, DMD, Ambulatory Non-ambulatory, Pediatric, Dystrophin

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
58 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Delandistrogene Moxeparvovec
Arm Type
Experimental
Arm Description
Participants will receive a single intravenous (IV) infusion of delandistrogene moxeparvovec on Day 1.
Intervention Type
Genetic
Intervention Name(s)
delandistrogene moxeparvovec
Other Intervention Name(s)
SRP-9001, delandistrogene moxeparvovec-rokl, ELEVIDYS
Intervention Description
Single IV infusion of delandistrogene moxeparvovec
Primary Outcome Measure Information:
Title
Part 1: Change from Baseline in Quantity of Delandistrogene Moxeparvovec Dystrophin Expression at Week 12, as Measured by Western Blot
Time Frame
Baseline, Week 12
Title
Part 1: Quantity of Delandistrogene Moxeparvovec Dystrophin Expression at Week 12 as Measured by Western Blot
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
Vector Shedding, Measured in Urine, Saliva, and Stool Samples Post-Infusion
Time Frame
Day 1 up to Week 104
Title
Level of Antibody Titers to Recombinant Adeno-Associated Virus Serotype rh74 (rAAVrh74)
Time Frame
Day 2 up to Week 156
Title
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Events (AEs) of Special Interest
Time Frame
Baseline up to Week 156
Title
Change from Baseline in Quantity of Delandistrogene Moxeparvovec Dystrophin Protein Expression at Week 12, as Measured by Immunofluorescence (IF) Fiber Intensity
Time Frame
Baseline, Week 12
Title
Change from Baseline in Quantity of Delandistrogene Moxeparvovec Dystrophin Protein Expression at Week 12, as Measured by IF Percent Dystrophin Positive Fibers (PDPF)
Time Frame
Baseline, Week 12
Title
Quantity of Delandistrogene Moxeparvovec Dystrophin Protein Expression at Week 12 as Measured by IF Fiber Intensity:
Time Frame
Week 12
Title
Quantity of Delandistrogene Moxeparvovec Dystrophin Protein Expression at Week 12 as Measured by IF PDPF
Time Frame
Week 12

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
2 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: For Cohorts 1-7: Has a definitive diagnosis of DMD based on documented clinical findings and prior genetic testing. Cohort 1: Is ambulatory, and ≥4 to <8 years of age at the time of Screening. Cohort 2: Is ambulatory, and ≥8 to <18 years of age at the time of Screening. Cohort 3: Non-ambulatory per protocol specified criteria at the time of Screening. Cohort 4: Is ambulatory and ≥3 to <4 years of age at the time of Screening. Cohort 5a: Is ambulatory and ≥4 to <9 years of age. Cohort 5b: Non-ambulatory per protocol specified criteria at the time of Screening. Cohort 6: Is ambulatory, and ≥2 to <3 years of age at the time of Screening. Cohort 7: Non-ambulatory per protocol-specified criteria at the time of Screening. Ability to cooperate with motor assessment testing. Cohorts 1, 2, 3, 5, and 7 only: Stable dose equivalent of oral glucocorticoids for at least 12 weeks before screening and the dose is expected to remain constant (except for modifications to accommodate changes in weight) throughout the first year of the study. Cohorts 4 and 6: Do not yet require use of chronic steroids for treatment of their DMD, in the opinion of the Investigator, and are not receiving steroids at the time of Screening. rAAVrh74 antibody titers are not elevated as per protocol-specified requirements. Genetic mutation inclusion criteria vary by cohort. Exclusion Criteria: Has a concomitant illness, autoimmune disease, chronic drug treatment, and/or cognitive delay/impairment that in the opinion of the Investigator creates unnecessary risks for gene transfer. Exposure to gene therapy, investigational medication, or any treatment designed to increase dystrophin expression within protocol-specified time limits. Abnormality in protocol-specified diagnostic evaluations or laboratory tests. Other inclusion/exclusion criteria apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Sarepta Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Stanford University
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States
Facility Name
University of California, Davis
City
Sacramento
State/Province
California
ZIP/Postal Code
95616
Country
United States
Facility Name
Washington University in St. Louis
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
21205
Country
United States
Facility Name
Nationwide Children's Hospital
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43205
Country
United States
Facility Name
Children's Hospital of The King's Daughters
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23507
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Gene Transfer Therapy Study to Evaluate the Safety of and Expression From Delandistrogene Moxeparvovec (SRP-9001) in Participants With Duchenne Muscular Dystrophy (DMD)

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