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Duchenne Muscular DystrophyPhase 2NCT02760264

A Study to Assess Vamorolone in Boys With Duchenne Muscular Dystrophy (DMD)

A Phase 2 study testing Vamorolone 0.25 mg/kg/day, Vamorolone 0.75 mg/kg/day and Vamorolone 2.0 mg/kg/day in people with Duchenne Muscular Dystrophy, run by ReveraGen BioPharma, Inc. at 12 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to determine whether a new medication called vamorolone is safe and well-tolerated by boys with Duchenne muscular dystrophy (DMD) ages ≥ 4 and < 7 years old. Read more about this study

Who is it for?
Ages 4 to 6 years, men only
Conditions the study is for
Duchenne Muscular Dystrophy
What is being tested?
Vamorolone 0.25 mg/kg/day, Vamorolone 0.75 mg/kg/day and Vamorolone 2.0 mg/kg/day
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
12 sitesin 6 countries
Study dates
Jun 2016to 1 May 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 4 to 6 years
  • Men only
  • No healthy volunteers
  • Child

Who may be able to join

  • Subject's parent or legal guardian has provided written informed consent/Health Insurance Portability and Accountability Act (HIPAA) authorization prior to any study-related procedures;
  • Subject has a confirmed (by Central Genetic Counselor) diagnosis of DMD as defined as:
  • Dystrophin immunofluorescence and/or immunoblot showing complete dystrophin deficiency, and clinical picture consistent with typical DMD, OR
  • Identifiable mutation within the DMD gene (deletion/duplication of one or more exons) where reading frame can be predicted as 'out-of-frame', and clinical picture consistent with typical DMD, OR
  • Complete dystrophin gene sequencing showing an alteration (point mutation, duplication, other) that is expected to preclude production of the dystrophin protein (i.e. nonsense mutation, deletion/duplication leading to a downstream stop codon), with a typical clinical picture of DMD;
  • Subject is ≥ 4 years and < 7 years of age at time of enrollment in the study;
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  • Subject is able to complete the Time to Stand Test (TTSTAND) without assistance, as assessed at the Screening and Baseline Visits;
  • Clinical laboratory test results are within the normal range at the Screening Visit, or if abnormal, are not clinically significant, in the opinion of the Investigator. (Note: Serum gamma glutamyl transferase [GGT], creatinine, and total bilirubin all must be ≤ upper limit of the normal range at the Screening Visit);
  • Subject has evidence of chicken pox immunity as determined by presence of IgG antibodies to varicella, as documented by a positive test result from the testing laboratory at the Screening Visit; and
  • Subject and parent/guardian are willing and able to comply with scheduled visits, study drug administration plan, and study procedures.

Who cannot join

  • 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 had an acute illness within 4 weeks prior to the first dose of study medication;
  • 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 has evidence of symptomatic cardiomyopathy. [Note: Asymptomatic cardiac abnormality on investigation would not be exclusionary];
  • 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 corticosteroids 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];
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  • 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 taking any other investigational drug currently or has taken any other investigational drug within 3 months prior to the start of study treatment; or
  • Subject has previously been enrolled in the study.

Trial locations and contacts

12 sites in 6 countries.

12 sites in 6 countries

United States6 sites
  • Ann & Robert H. Lurie Children's Hospital

    Chicago, Illinois, 60611

  • University of Texas Southwestern Medical Center

    Dallas, Texas, 75207

  • University of California Davis

    Davis, California, 95616

  • Duke University

    Durham, North Carolina, 27710

  • University of Florida

    Gainesville, Florida, 32611

  • Nemours Children's Hospital

    Orlando, Florida, 32827

Other trials in United States

Australia2 sites
  • Royal Children's Hospital

    Melbourne

  • Sydney Children's Hospital

    Westmead

Other trials in Australia

Canada1 site
  • Alberta Children's Hospital

    Calgary, Alberta, T3B 6A8

Other trials in Canada

Israel1 site
  • Schneider Children's Medical Center

    Petah Tikvah, 49202

Other trials in Israel

Sweden1 site
  • Queen Silvia Children's Hospital

    Gothenburg, 41685

Other trials in Sweden

United Kingdom1 site
  • Newcastle upon Tyne Hospitals NHS Foundation Trust

    Newcastle upon Tyne, NE7 7DN

Other trials in United Kingdom

About this study

Official title: A Phase IIa Open-Label, Multiple Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Exploratory Efficacy of Vamorolone in Boys With Duchenne Muscular Dystrophy (DMD)

The purpose of this study is to determine whether a new medication called vamorolone is safe and well-tolerated by boys with Duchenne muscular dystrophy (DMD) ages ≥ 4 and < 7 years old.

Read the detailed description

This study will evaluate the safety and tolerability of a new steroid-like medication called vamorolone in boys with DMD ages ≥ 4 years and < 7 years. Enrolled participants will take the study medication for 14 days followed by a 14 day follow-up period. The potential effectiveness of vamorolone in treating DMD will also be explored.

Being tested
Vamorolone 0.25 mg/kg/day, Vamorolone 0.75 mg/kg/day, Vamorolone 2.0 mg/kg/day, Vamorolone 6.0 mg/kg/day
Keywords
Duchenne Muscular Dystrophy, vamorolone
Medical subject headings
Muscular Dystrophy, Duchenne

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Vamorolone 0.25 mg/kg/dayDrug

    Also called VBP15

    Oral administration of 0.25 mg/kg/day daily for 14 days.

  • Vamorolone 0.75 mg/kg/dayDrug

    Also called VBP15

    Oral administration of 0.75 mg/kg/day daily for 14 days.

  • Vamorolone 2.0 mg/kg/dayDrug

    Also called VBP15

    Oral administration of 2.0 mg/kg/day daily for 14 days.

  • Vamorolone 6.0 mg/kg/dayDrug

    Also called VBP15

    Oral administration of 6 mg/kg/day daily for 14 days.

Study groups in NCT02760264
Study groupRoleWhat they receive
Dose Level Group 1ExperimentalParticipants enrolled in Dose Level Group 1 will receive vamorolone 0.25 mg/kg/day.
Receives: Drug: Vamorolone 0.25 mg/kg/day
Dose Level Group 2ExperimentalParticipants enrolled in Dose Level Group 2 will receive vamorolone 0.75 mg/kg/day.
Receives: Drug: Vamorolone 0.75 mg/kg/day
Dose Level Group 3ExperimentalParticipants enrolled in Dose Level Group 3 will receive vamorolone 2.0 mg/kg/day.
Receives: Drug: Vamorolone 2.0 mg/kg/day
Dose Level Group 4ExperimentalParticipants enrolled in Dose Level Group 4 will receive vamorolone 6.0 mg/kg/day.
Receives: Drug: Vamorolone 6.0 mg/kg/day

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Summary of Adverse Events as Assessed by CTCAE Version 4.03

    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). Serious adverse events were recorded for up to 30 days after the final administration of study drug.

    Note: Total Number of Treatment Emergent Adverse Events: The total incidences of TEAEs experienced in study; Any Treatment Emergent Adverse Event: TEAEs reported at least once per dose group

    Measured: Adverse events will be recorded from the date of informed consent and through the time of the subject's last study visit. Serious adverse events will be recorded from the date of informed consent and for up to 30 days after final drug administration.

Secondary outcomes (15)
  1. Serum Pharmacodynamic Biomarkers (Insulin Resistance)- Fasting Glucose

    Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-< 7 years with DMD.

    Measured: Baseline, Week 2

  2. Serum Pharmacodynamic Biomarkers (Insulin Resistance) -Fasting Glucose

    Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-< 7 years with DMD.

    Measured: Baseline, Week 2

  3. Serum Pharmacodynamic Biomarkers (Insulin Resistance)- Insulin

    Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-< 7 years with DMD.

    Measured: Baseline , Week 2

  4. Serum Pharmacodynamic Biomarkers (Insulin Resistance)- Insulin

    Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-< 7 years with DMD.

    Measured: Baseline, Week 2

  5. Serum Pharmacodynamic Biomarkers (Adrenal Axis Suppression)- First in Morning Cortisol

    Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-< 7 years with DMD.

    Measured: Week 2 (pre-dose)

  6. Serum Pharmacodynamics Biomarkers (Bone Turnover) -Osteocalcin

    Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-< 7 years with DMD.

    Measured: Baseline, Day 1, Week 2, Week 4

  7. Serum Pharmacodynamic Biomarkers (Bone Turnover)- Procollagen 1 N-Terminal Propeptide

    Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-< 7 years with DMD.

    Measured: Baseline Day 1 Week 2 Week 4

  8. Serum Pharmacodynamic Biomarkers (Bone Turnover)- Procollagen 1 N-Terminal Propeptide

    Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-< 7 years with DMD.

    Measured: Baseline, Day 1, Week 2, Week 4

  9. Serum Pharmacodynamic Biomarkers (Bone Turnover)-Type I Collagen C-Telopeptides

    Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-< 7 years with DMD.

    Measured: Baseline, Day 1, Week 4

  10. Pharmacokinetic (PK) Assessments (Tmax)

    Plasma concentrations of vamorolone were measured using a specific and validated liquid chromatography tandem mass spectrometry (LC-MS) assay. tmax= time when plasma concentration is at maximum.

    Measured: Day 1, Week 2

  11. Pharmacokinetic (PK) Assessments (AUC Inf)

    Plasma concentrations of vamorolone were measured using a specific and validated liquid chromatography tandem mass spectrometry (LC-MS) assay. AUC inf= Area under the concentration vs. time curve to time infinity.

    Measured: Day 1, Week 2

  12. Pharmacokinetic (PK) Assessments CL (ml/hr/kg)

    Plasma concentrations of vamorolone were measured using a specific and validated liquid chromatography tandem mass spectrometry (LC-MS) assay

    Measured: Day 1, Week 2

  13. Pharmacokinetic (PK) Assessments t(1/2)

    Plasma concentrations of vamorolone were measured using a specific and validated liquid chromatography tandem mass spectrometry (LC-MS) assay. t1/2= elimination half life.

    Measured: Day 1, Week 2

  14. Pharmacokinetic (PK) Assessments (Cmax)

    Plasma concentrations of vamorolone were measured using a specific and validated liquid chromatography tandem mass spectrometry (LC-MS) assay

    Measured: Day 1, Week 2

  15. Metabolites in Safety Testing (MIST) Assessment

    A portion of each blood sample of the Week 2 (Day 14) pharmacokinetic assessment time points for the subjects receiving vamorolone 2 mg/kg/day was used for analysis of vamorolone metabolites.

    Measured: Week 2 (Day 14)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 May 2016 (estimated)
  2. Study startJun 2016
  3. Primary completion1 May 2018
  4. Study completion1 May 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02760264
Sponsor's protocol ID
VBP15-002
Other IDs
1R44NS095423-01, 1U34AR068616-01
Status last verified
Dec 2018
First submitted
28 Apr 2016
Last updated
2 Jan 2019
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Dang UJ, Fang Y, Sabbatini D, Pegoraro E, Bello L, Clemens PR, Guglieri M, van den Anker J, Damsker J, Hagerty L, Hathout Y, Ziemba M, Morgenroth L, Bhattacharya S, Nagaraju K, Jaiswal JK, Hoffman EP. Integrating Genetic Modifier Genotype With Serum Proteomics in Duchenne Muscular Dystrophy Clinical Trials Links LTBP4 Genetic Modifier to IL-23/CD93 Pathways in Muscle. Am J Med Genet A. 2026 Aug 18. doi: 10.1002/ajmg.a.70277. Online ahead of print.

    PubMed 42613652
  • Hoffman E, Gaglianone S, Ketema R, Tu W, Peay H, Clemens P, Dang U, Conklin L. Return of participant-level clinical trial results to participants: pilot of a simplified centralised approach. BMJ Open. 2024 Mar 23;14(3):e080097. doi: 10.1136/bmjopen-2023-080097.

    PubMed 38521535
  • 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.

    PubMed 32956407
  • Li X, Conklin LS, van den Anker J, Hoffman EP, Clemens PR, Jusko WJ. Exposure-Response Analysis of Vamorolone (VBP15) in Boys With Duchenne Muscular Dystrophy. J Clin Pharmacol. 2020 Oct;60(10):1385-1396. doi: 10.1002/jcph.1632. Epub 2020 May 20.

    PubMed 32434278

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Vamorolone 0.25 mg/kg/day, Vamorolone 0.75 mg/kg/day and Vamorolone 2.0 mg/kg/day in people with Duchenne Muscular Dystrophy, run by ReveraGen BioPharma, Inc. at 12 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United States, Australia, Canada, Israel, Sweden and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 2 Jan 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Summary of Adverse Events as Assessed by CTCAE Version 4.03 (time frame: Adverse events will be recorded from the date of informed consent and through the time of the subject's last study visit. Serious adverse events will be recorded from the date of informed consent and for up to 30 days after final drug administration.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02760264, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jan 2019.

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