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Phase 2 Study of EDG-5506 in Becker Muscular Dystrophy (GRAND CANYON)

Primary Purpose

Becker Muscular Dystrophy

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
EDG-5506 10 mg
EDG-5506 5 mg
EDG-5506 12.5 mg
Placebo
Sponsored by
Edgewise Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Becker Muscular Dystrophy focused on measuring Becker Muscular Dystrophy

Eligibility Criteria

12 Years - 50 Years (Child, Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adults (aged 18 to 50 years, inclusive) with a documented dystrophin mutation and phenotype consistent with Becker muscular dystrophy, and history of being ambulatory beyond 16 years of age without steroids; history of being ambulatory beyond 18 years of age with steroids, OR Adolescents (12 to 17 years, inclusive) with genetic confirmation of an in-frame dystrophin mutation and a phenotype consistent with Becker muscular dystrophy as determined by the Investigator
  2. Able to complete the 100-meter timed test in < 150 seconds.
  3. Able to perform the North Star Ambulatory Assessment scale and achieve a score of 10 to 32, inclusive for adults or a score of greater than 10 for adolescents.
  4. Vaccinated against SARS-CoV-2 per local requirements

Exclusion Criteria:

  1. Medical history or clinically significant physical examination/laboratory result that, in the opinion of the investigator, would render the participant unsuitable for the study. This includes contraindications to magnetic resonance imaging such as non-compatible implanted medical devices or severe claustrophobia.
  2. Cardiac echocardiogram ejection fraction < 40%
  3. Forced vital capacity predicted <60% or using daytime ventilatory support
  4. Receipt of oral corticosteroids for >5 days in the previous 6 months at a dose of >5 mg equivalent per day. Lower oral doses or inhaled/intranasal steroids are permitted.
  5. Receipt of an investigational drug within 30 days or 5 half-lives (whichever is longer) of the screening visit in the present study.

Sites / Locations

  • Arkansas Children's HospitalRecruiting
  • UC Davis Medical CenterRecruiting
  • UC DenverRecruiting
  • Rare Disease ResearchRecruiting
  • University of IowaRecruiting
  • University of Kansas Medical CenterRecruiting
  • Kennedy Krieger InstituteRecruiting
  • University of Massachusetts Memorial Medical CenterRecruiting
  • Washington University School of MedicineRecruiting
  • University of Cincinnati Gardner Neuroscience InstituteRecruiting
  • Nationwide Children's HospitalRecruiting
  • Neurology Rare Disease CenterRecruiting
  • Virginia Commonwealth University HealthRecruiting
  • Leids Universitair Medisch CentrumRecruiting
  • University College London HospitalRecruiting
  • Newcastle Freeman HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Adult Cohort 1

Adult Cohort 2

Adult Cohort 6

Adolescent Cohort 4

Adolescent Cohort 5

Arm Description

Drug: EDG-5506 Drug: Placebo

Drug: EDG-5506 Drug: Placebo

Drug: EDG-5506 Drug: Placebo

Drug: EDG-5506 Drug: Placebo

Drug: EDG-5506 Drug: Placebo

Outcomes

Primary Outcome Measures

Number of adverse events in those treated with EDG-5506 or placebo
All participants
Severity of adverse events in those treated with EDG-5506 or placebo
All participants
Change from Baseline in serum Creatine Kinase
Adult participants
Change from Baseline in the North Star Ambulatory Assessment scale
Adult participants

Secondary Outcome Measures

Change from Baseline in the protein fast skeletal muscle Troponin I
Adult participants
Change from Baseline in the North Star Ambulatory Assessment scale
Adult participants
Change from Baseline in the North Star Assessment for Limb-Girdle Type Muscular Dystrophies scale
Adult participants
Change from Baseline in the 10-meter walk/run test
Adult participants
Change from Baseline in 100-meter timed test
Adult participants
Change from Baseline in stride velocity (95th percentile)
Adult participants
Pharmacokinetics as measured by steady state plasma concentration
All participants
Change from Baseline in growth as assessed by height centile on World Health Organization growth charts
Adolescent participants
Month 18 change from Baseline in fat fraction of upper leg muscles as assessed by Magnetic Resonance Imaging
Adult participants

Full Information

First Posted
March 14, 2022
Last Updated
October 4, 2023
Sponsor
Edgewise Therapeutics, Inc.
Collaborators
Medpace, Inc., ImagingNMD, Sysnav
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1. Study Identification

Unique Protocol Identification Number
NCT05291091
Brief Title
Phase 2 Study of EDG-5506 in Becker Muscular Dystrophy (GRAND CANYON)
Official Title
A Phase 2 Randomized, Double-blind, Placebo-controlled Study to Evaluate the Effect of EDG-5506 on Safety, Biomarkers, Pharmacokinetics, and Functional Measures in Adults and Adolescents With Becker Muscular Dystrophy
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 6, 2022 (Actual)
Primary Completion Date
June 2026 (Anticipated)
Study Completion Date
June 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Edgewise Therapeutics, Inc.
Collaborators
Medpace, Inc., ImagingNMD, Sysnav

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
A study of EDG-5506 in Becker muscular dystrophy (known as CANYON) and pivotal cohort (known as GRAND CANYON). The EDG-5506-201 CANYON study was expanded to include an additional 120 adult participants in a cohort called GRAND CANYON, that is a multicenter, randomized, double-blind, placebo-controlled study to evaluate the safety and efficacy of EDG-5506 in adults with Becker. CANYON is fully enrolled; GRAND CANYON is currently enrolling.
Detailed Description
The EDG-5506-201 protocol was amended to include an additional cohort thus consists of two parts. Part 1: CANYON is a double-blind, randomized, placebo-controlled design to investigate the effect of EDG-5506 on the safety, pharmacokinetics, biomarkers, and functional measures. Approximately 32 adults and 18 adolescents with Becker muscular dystrophy are planned to enroll in this study. This study will have up to a 4-week Screening period, a 12-month Treatment period, followed by a 4-week follow-up period. Approximately 32 adult participants will randomize to Cohort 1 or Cohort 2 in a 1:1 ratio then each cohort will further randomize to EDG-5506 or placebo in a 3:1 ratio. Approximately 9 adolescent participants will enroll in Cohort 4 and randomize in a 2:1 ratio to EDG-5506 or placebo. Cohort 5 will randomize an additional 9 participants in a 2:1 ratio to either EDG-5506 or placebo after Cohort 4. CANYON is now fully enrolled. Part 2: GRAND CANYON or Cohort 6 is a double-blind, randomized, placebo-controlled design to investigate the safety and efficacy of EDG-5506 in adults with Becker muscular dystrophy after 18 months of treatment. Approximately 120 adults with Becker muscular dystrophy are planned to enroll in this study. This study will have up to a 4-week Screening period, an 18-month Treatment period, followed by a 4-week follow-up period. Approximately 120 adult participants will be randomized in Cohort 6 in a 2:1 ratio either to EDG-5506 or placebo.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Becker Muscular Dystrophy
Keywords
Becker Muscular Dystrophy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
170 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Adult Cohort 1
Arm Type
Experimental
Arm Description
Drug: EDG-5506 Drug: Placebo
Arm Title
Adult Cohort 2
Arm Type
Experimental
Arm Description
Drug: EDG-5506 Drug: Placebo
Arm Title
Adult Cohort 6
Arm Type
Experimental
Arm Description
Drug: EDG-5506 Drug: Placebo
Arm Title
Adolescent Cohort 4
Arm Type
Experimental
Arm Description
Drug: EDG-5506 Drug: Placebo
Arm Title
Adolescent Cohort 5
Arm Type
Experimental
Arm Description
Drug: EDG-5506 Drug: Placebo
Intervention Type
Drug
Intervention Name(s)
EDG-5506 10 mg
Intervention Description
EDG-5506 is administered orally once per day
Intervention Type
Drug
Intervention Name(s)
EDG-5506 5 mg
Intervention Description
EDG-5506 is administered orally once per day
Intervention Type
Drug
Intervention Name(s)
EDG-5506 12.5 mg
Intervention Description
EDG-5506 is administered orally once per day
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo is administered orally once per day
Primary Outcome Measure Information:
Title
Number of adverse events in those treated with EDG-5506 or placebo
Description
All participants
Time Frame
12 months (CANYON Cohorts 1, 2, 4, 5), 18 months (GRAND CANYON Cohort 6)
Title
Severity of adverse events in those treated with EDG-5506 or placebo
Description
All participants
Time Frame
12 months (CANYON Cohorts 1, 2, 4, 5), 18 months (GRAND CANYON Cohort 6)
Title
Change from Baseline in serum Creatine Kinase
Description
Adult participants
Time Frame
12 Months (CANYON Cohorts 1, 2)
Title
Change from Baseline in the North Star Ambulatory Assessment scale
Description
Adult participants
Time Frame
18 months (GRAND CANYON Cohort 6)
Secondary Outcome Measure Information:
Title
Change from Baseline in the protein fast skeletal muscle Troponin I
Description
Adult participants
Time Frame
12 months (CANYON Cohorts 1, 2), 18 months (GRAND CANYON Cohort 6)
Title
Change from Baseline in the North Star Ambulatory Assessment scale
Description
Adult participants
Time Frame
12 Months (CANYON Cohorts 1, 2)
Title
Change from Baseline in the North Star Assessment for Limb-Girdle Type Muscular Dystrophies scale
Description
Adult participants
Time Frame
12 Months (CANYON Cohorts 1, 2), 18 Months (GRAND CANYON Cohort 6)
Title
Change from Baseline in the 10-meter walk/run test
Description
Adult participants
Time Frame
12 Months (CANYON Cohorts 1, 2), 18 Months (GRAND CANYON Cohort 6)
Title
Change from Baseline in 100-meter timed test
Description
Adult participants
Time Frame
12 Months (CANYON Cohorts 1, 2), 18 Months (GRAND CANYON Cohort 6)
Title
Change from Baseline in stride velocity (95th percentile)
Description
Adult participants
Time Frame
18 Months (GRAND CANYON Cohort 6)
Title
Pharmacokinetics as measured by steady state plasma concentration
Description
All participants
Time Frame
12 Months (CANYON Cohorts 1, 2, 4, 5), 18 months (GRAND CANYON Cohort 6)
Title
Change from Baseline in growth as assessed by height centile on World Health Organization growth charts
Description
Adolescent participants
Time Frame
12 months (CANYON Cohorts 4, 5)
Title
Month 18 change from Baseline in fat fraction of upper leg muscles as assessed by Magnetic Resonance Imaging
Description
Adult participants
Time Frame
18 months (GRAND CANYON Cohort 6)

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
The CANYON Study including the adolescent cohorts are fully enrolled. GRAND CANYON eligibility is listed below. Key Inclusion Criteria: Adults (aged 18 to 50 years, inclusive) with a documented dystrophin mutation and phenotype consistent with Becker muscular dystrophy, and history of being ambulatory beyond 16 years of age without steroids; history of being ambulatory beyond 18 years of age with steroids. Able to complete the 100-meter timed test in < 200 seconds with or without use of mobility aid devices. Able to perform the North Star Ambulatory Assessment scale and achieve a score of 5 to 32, inclusive. Key Exclusion Criteria: Medical history or clinically significant physical examination/laboratory result that, in the opinion of the investigator, would render the participant unsuitable for the study. This includes contraindications to magnetic resonance imaging such as non-compatible implanted medical devices or severe claustrophobia. Cardiac echocardiogram ejection fraction < 40% Forced vital capacity predicted <60% or using daytime ventilatory support Receipt of oral corticosteroids for the treatment of BMD in the previous 6 months. Receipt of an investigational drug within 30 days or 5 half-lives (whichever is longer) of the screening visit in the present study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Edgewise Therapeutics
Phone
720-262-7002
Email
studies@edgewisetx.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sam Collins, MBBS, PhD
Organizational Affiliation
Edgewise Therapeutics, Inc.
Official's Role
Study Chair
Facility Information:
Facility Name
Arkansas Children's Hospital
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72202
Country
United States
Individual Site Status
Recruiting
Facility Name
UC Davis Medical Center
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Individual Site Status
Recruiting
Facility Name
UC Denver
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Individual Site Status
Recruiting
Facility Name
Rare Disease Research
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30329
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Iowa
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Kansas Medical Center
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States
Individual Site Status
Recruiting
Facility Name
Kennedy Krieger Institute
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Massachusetts Memorial Medical Center
City
Worcester
State/Province
Massachusetts
ZIP/Postal Code
01605
Country
United States
Individual Site Status
Recruiting
Facility Name
Washington University School of Medicine
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Cincinnati Gardner Neuroscience Institute
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Individual Site Status
Recruiting
Facility Name
Nationwide Children's Hospital
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43205
Country
United States
Individual Site Status
Recruiting
Facility Name
Neurology Rare Disease Center
City
Denton
State/Province
Texas
ZIP/Postal Code
76208
Country
United States
Individual Site Status
Recruiting
Facility Name
Virginia Commonwealth University Health
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23298
Country
United States
Individual Site Status
Recruiting
Facility Name
Leids Universitair Medisch Centrum
City
Leiden
ZIP/Postal Code
2333 ZA
Country
Netherlands
Individual Site Status
Recruiting
Facility Name
University College London Hospital
City
London
ZIP/Postal Code
NW1 2PG
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Newcastle Freeman Hospital
City
Newcastle
ZIP/Postal Code
NE7 7DN
Country
United Kingdom
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
http://www.edgewisetx.com
Description
Sponsor Website

Learn more about this trial

Phase 2 Study of EDG-5506 in Becker Muscular Dystrophy (GRAND CANYON)

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