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Duchenne Muscular DystrophyPhase 3NCT04281485

Study to Evaluate the Safety and Efficacy of PF-06939926 for the Treatment of Duchenne Muscular Dystrophy

A Phase 3 study testing PF-06939926 in people with Duchenne Muscular Dystrophy, run by Pfizer at 53 sites in 15 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The study will evaluate the safety and efficacy of gene therapy in boys with DMD. It is a randomized, double-blind, placebo-controlled study with two thirds of participants assigned to gene therapy. Read more about this study

Who is it for?
Ages 4 to 7 years, men only
Conditions the study is for
Duchenne Muscular Dystrophy
What is being tested?
PF-06939926
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
114 participants
Where
53 sitesin 15 countries
Study dates
5 Nov 2020to 15 Apr 2039
Phase
Phase 3
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 7 years
  • Men only
  • No healthy volunteers
  • Child

Who may be able to join

  • Confirmed diagnosis of Duchenne muscular dystrophy by prior genetic testing
  • Receiving a stable daily dose (at least 0.5 mg/kg/day prednisone or prednisolone, or at least 0.75 mg/kg/day deflazacort) for at least 3 months prior to Screening
  • Ambulatory, as assessed by protocol-specified criteria

Who cannot join

  • Positive test performed by Pfizer for neutralizing antibodies to AAV9
  • Any treatment designed to increase dystrophin expression within 6 months prior to screening (e.g., Translarna™, EXONDYS 51™, VYONDYS 53™)
  • Any prior treatment with gene therapy
  • Any non-healed injury that may impact functional testing (eg NSAA)
  • Abnormality in specified laboratory tests, including blood counts, liver and kidney function
  • Any of the following genetic abnormalities in the dystrophin gene:
Show all 9Show fewer
  • Any mutation (exon deletion, exon duplication, insertion, or point mutation) affecting any exon between exon 9 and exon 13, inclusive; OR
  • A deletion that affects both exon 29 and exon 30;OR
  • A deletion that affects any exons between 56-71, inclusive.

Trial locations and contacts

53 sites in 15 countries.

53 sites in 15 countries

United States17 sites
  • Lenox Baker Children's Hospital

    Durham, North Carolina, 27705

  • KU Clinical Research Center - Clinical and Translational Science Unit (CTSU) - Fairway

    Fairway, Kansas, 66205

  • University of Florida

    Gainesville, Florida, 32610

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • KU Clinical Research Center - Clinical and Translational Science Unit (CTSU) - Rainbow

    Kansas City, Kansas, 66160

  • University of Kansas Hospital - Investigational Pharmacy

    Kansas City, Kansas, 66160

  • University of Kansas Hospital - Pediatric and Pediatric ICU - Operating Room

    Kansas City, Kansas, 66160

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • Arkansas Children's Hospital

    Little Rock, Arkansas, 72202

  • Arkansas Children's

    Little Rock, Arkansas, 72202

  • UCLA Medical Center

    Los Angeles, California, 90095

  • The Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Pediatric Cardiology

    Prairie Village, Kansas, 66208

  • Primary Childrens Hospital

    Salt Lake City, Utah, 84113

  • University of Utah Clinical Neurosciences Center

    Salt Lake City, Utah, 84132

  • University of Utah Hospital

    Salt Lake City, Utah, 84132

  • Seattle Children's

    Seattle, Washington, 98105

Other trials in United States

Canada4 sites
  • Alberta Children's Hospital

    Calgary, Alberta, T3B 6A8

  • Children's Hospital - London Health Sciences Centre

    London, Ontario, N6A 4G5

  • Childrens Hospital of Eastern Ontario

    Ottawa, Ontario, K1H8L1

  • The Hospital For Sick Children

    Toronto, Ontario, M5G 1X8

Other trials in Canada

Australia3 sites
  • Perth Children's Hospital

    Nedlands, Western Australia, 6009

  • The Royal Children's Hospital Melbourne

    Parkville, Victoria, 3052

  • The Children's Hospital at Westmead

    Westmead, New South Wales, 2145

Other trials in Australia

Japan3 sites
  • Nagoya City University Hospital

    Nagoya, Aichi-ken, 467-8602

  • Hyogo College of Medicine College Hospital

    Nishinomiya, Hyōgo, 663-8501

  • National Center of Neurology and Psychiatry

    Tokyo, 187-8551

Other trials in Japan

South Korea3 sites
  • Seoul National University Hospital

    Seoul, 03080

  • Samsung Medical Center

    Seoul, 06351

  • Pusan National University Yangsan Hospital

    Yangsan, Gyeongsangnam-do, 50612

Other trials in South Korea

Spain3 sites
  • Hospital Universitario Vall d'Hebron

    Barcelona, 08035

  • Hospital Sant Joan de Déu

    Esplugues de Llobregat, Barcelona, 08950

  • Hospital Universitari i Politecnic La Fe de Valencia

    Valencia, 46026

Other trials in Spain

Taiwan3 sites
  • Kaohsiung Medical University Chung-Ho Memorial Hospital

    Kaohsiung City, 807

  • National Taiwan University Hospital

    Taipei, 100

  • Taipei Veterans General Hospital

    Taipei, 11217

Other trials in Taiwan

United Kingdom3 sites
  • Alder Hey Children's NHS Foundation Trust

    Liverpool, Merseyside, L12 2AP

  • Great Ormond Street Institute of Child Health

    London, WCIN 1EH

  • The Newcastle upon Tyne Hospitals NHS Foundation Trust, Royal Victoria Infirmary

    Newcastle upon Tyne, England, NE1 4LP

Other trials in United Kingdom

Belgium2 sites
  • UZ Gent

    Ghent, 9000

  • UZ leuven

    Leuven, 3000

Other trials in Belgium

France2 sites
  • CHU de Nantes- Hotel Dieu

    Nantes, 44093

  • Hopital Necker

    Paris, 75015

Other trials in France

Germany2 sites
  • Charité - Universitätsmedizin Berlin

    Berlin, 13353

  • Universitatsklinikum Essen

    Essen, 45147

Other trials in Germany

Israel2 sites
  • Hadassah University Medical Center, Ein Kerem

    Jerusalem, 91120

  • Schneider Children's Medical Center of Israel

    Petach Tikvah, 4920235

Other trials in Israel

Italy2 sites
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS

    Roma, 00168

  • IRCCS Ospedale Pediatrico Bambino Gesù

    Rome, 00165

Other trials in Italy

Russia2 sites
  • Saint Petersburg State Paediatric Medical University

    Saint Petersburg, 194100

  • State Autonomous Healthcare Institution of Sverdlovsk Region Children's City Clinical Hospital No 9

    Yekaterinburg, 620134

Other trials in Russia

Switzerland2 sites
  • Inselspital, University Children's Hospital Berne

    Bern, 3010

  • Universitaets-Kinderspital Zuerich

    Zurich, 8008

Other trials in Switzerland

About this study

Official title: A PHASE 3, MULTICENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO CONTROLLED STUDY TO EVALUATE THE SAFETY AND EFFICACY OF PF 06939926 FOR THE TREATMENT OF DUCHENNE MUSCULAR DYSTROPHY

The study will evaluate the safety and efficacy of gene therapy in boys with DMD. It is a randomized, double-blind, placebo-controlled study with two thirds of participants assigned to gene therapy. The one third of participants who are randomized to the placebo arm will have an opportunity for treatment with gene therapy at the beginning of the second year.

Read the detailed description

The study will assess the efficacy of PF-06939926 gene therapy on ambulatory function while also monitoring its safety. Approximately 99 boys with DMD will be enrolled and randomly assigned to one of two groups: approximately two thirds will be in Cohort 1 and receive gene therapy at the start of the study; approximately one third will be in Cohort 2 and receive placebo at the start of the study and receive gene therapy after one year, as long as it remains safe to do so. The treatment (PF-06939926 gene therapy or placebo) will be given as an intravenous infusion lasting up to 2 hours.

The study includes boys who are at least 4 years old and less than 8 years old (including 7 year olds up until their 8th birthday). All boys will need to be on a daily dose of glucocorticoids (prednisone, prednisolone, or deflazacort) for at least 3 months prior to enrolling and to stay on daily glucocorticoids for the first 2 years of the study. All boys will need to be negative for neutralizing antibodies against AAV9, as measured by the test done for the study as part of screening.

The primary outcome of the study will be assessed at 52 weeks. All participants will be followed in the study for 15 years after treatment with gene therapy. Participants who received fordadistrogene movaparvovec in Pfizer studies C3391001 and C3391008 or are currently enrolled in Pfizer study C3391011 will be allowed to roll over into the long-term safety follow-up period of this study and will be considered Cohort 3.

The study medication, all medical tests associated with the study, and the visits to the study sites are free of charge. Participants will also be supported for travel costs associated with study visits.

Being tested
PF-06939926, Placebo
Keywords
Clinical trial, Gene therapy, Duchenne muscular dystrophy, fordadistrogene movaparvovec
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.

  • PF-06939926Genetic

    PF-06939926 will be administered as a single IV infusion at Year 1 for Cohort 1.

  • PlaceboOther

    Placebo will be administered as a single IV infusion at Year 1 for Cohort 2.

  • PlaceboOther

    Placebo will be administered as a single IV infusion at Year 2 for Cohort 1.

  • PF-06939926Genetic

    PF-06939926 will be administered as a single IV infusion at Year 2 for Cohort 2

Study groups in NCT04281485
Study groupRoleWhat they receive
Cohort 1OtherApproximately two thirds of participants will be randomized to Cohort 1.
Receives: Genetic: PF-06939926; Other: Placebo
Cohort 2OtherApproximately one third of participants will be randomized to Cohort 2.
Receives: Other: Placebo; Genetic: PF-06939926

What is being measured

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

  1. Change From Baseline in North Star Ambulatory Assessment (NSAA) Total Score at Week 52

    The NSAA was a 17-item test that graded performance of various functional skills using the following scale: 0 (unable to achieve independently), 1 (modified method but achieves goal independent of physical assistance from another), and 2 ("normal"- no obvious modification of activity). Total score was calculated as the sum of all 17 individual item responses and ranged from 0 (worst) to 34 (fully independent function) with higher scores indicating better function. Baseline NSAA total score is defined as the last non-missing NSAA total score collected prior to Year 1 drug administration.

    Measured: Baseline, Week 52

Secondary outcomes (9)
  1. Change From Baseline in Percent Normal Dystrophin Expression Level in Muscle Biopsies by Liquid Chromatography Mass Spectrometry (LC-MS) Based on LLQV Peptide at Week 52

    The LC-MS assay measured the LLQVAVEDR (LLQV) peptide that detected full-length endogenous dystrophin as well as the mini-dystrophin transgene protein.

    Measured: Baseline, Week 52

  2. Change From Baseline in Percent of Muscle Fibers Expressing Mini-Dystrophin in Muscle Biopsies by Immunofluorescence at Week 52

    Muscle fibers expressing mini-dystrophin transgene protein were evaluated by immunofluorescent staining using the mini-dystrophin specific antibody which only recognized the mini-dystrophin transgene protein.

    Measured: Baseline, Week 52

  3. Change From Baseline in Serum Creatine Kinase (CK) Concentration at Week 52

    The CK results were analyzed by the central laboratory.

    Measured: Baseline, Week 52

  4. Least Square Mean of Proportion of Skills Gained Based on the Individual Items of the NSAA at Week 52

    Proportion of skills gained at Week 52 were expressed as a proportion of the number of skills at Baseline that could be gained (numerator was number of items on NSAA gained at Week 52, with response 1 or 2 and denominator was number of items on NSAA with score 0 at baseline). The NSAA was a 17-item test that graded performance of various functional skills using the following scale: 0 (unable to achieve independently), 1 (modified method but achieves goal independent of physical assistance from another), and 2 ("normal"- no obvious modification of activity). Total score was calculated as the sum of all 17 individual item responses and ranged from 0 (worst) to 34 (fully independent function) with higher scores indicating better function.

    Measured: Baseline, Week 52

  5. Least Square Mean of Proportion of Skills Either Improved or Maintained Based on the Individual Items of the NSAA at Week 52

    Proportion of skills either improved or maintained at Week 52 was expressed as a proportion of the number of items at Baseline that could be improved or maintained (numerator was the number of items on NSAA improved or maintained at Week 52 and denominator is number of items on NSAA which is 17). The NSAA was a 17-item test that graded performance of various functional skills using the following scale: 0 (unable to achieve independently), 1 (modified method but achieves goal independent of physical assistance from another), and 2 ("normal"- no obvious modification of activity). Total score was calculated as the sum of all 17 individual item responses and ranged from 0 (worst) to 34 (fully independent function) with higher scores indicating better function.

    Measured: Baseline, Week 52

  6. Change From Baseline in 10 Meter Run/Walk Velocity at Week 52

    Velocity was calculated based on the time it took to complete the 10-meter run/walk test.

    Measured: Baseline, Week 52

  7. Change From Baseline in Rise From Floor Velocity at Week 52

    Velocity was calculated based on the time it took to rise from floor.

    Measured: Baseline, Week 52

  8. Change From Baseline in Modified Pediatric Outcome Data Collection Instrument (PODCI)- Transfer and Basic Mobility Core Scale at Week 52

    Modified PODCI- transfer and basic mobility core scale (parent of pediatric participant) consisted of 11 items that assessed how caregivers of participants evaluated a participant's ability to walk, stand, and perform activities of daily living. The scale produced an independent, standardized score ranging from 0-100, with lower scores representing lower levels of function.

    Measured: Baseline, Week 52

  9. Change From Baseline in Modified PODCI- Sports and Physical Functioning Core Scale at Week 52

    Modified PODCI- sports and physical functioning core scale (parent of pediatric participant) consisted of 21 items that assessed how caregivers of participants evaluated a participant's ability to perform recreational activities. The scale produced an independent, standardized score ranging from 0-100, with lower scores representing lower levels of function.

    Measured: Baseline, Week 52

Timeline

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

  1. First posted24 Feb 2020
  2. Study start5 Nov 2020
  3. Primary completion15 May 2024
  4. Study completion15 Apr 2039 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Parallel up to the measurement of the primary outcome at Week 52. At the beginning of study Year 2 participants who were originally assigned to placebo will have the opportunity to receive PF-06939926. All participants will be followed for 5 years following treatment with PF-06939926.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
114 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04281485
Sponsor's protocol ID
C3391003
Other IDs
2023-508510-42-00, 2023
Status last verified
Jul 2026
First submitted
11 Feb 2020
Last updated
22 Jul 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Publications

  • Muntoni F, Nascimento A, Shin J, Guglieri M, Stettner GM, Veerapandiyan A, Gallo S, Shi H, Gundapaneni B, Neelakantan S, Lobello K, Shen Q, Levy DI, Mercuri E; CIFFREO Study Group. Safety and efficacy of fordadistrogene movaparvovec in ambulatory participants with Duchenne muscular dystrophy (CIFFREO): a phase 3, double-blind, randomised, placebo-controlled study. Lancet Neurol. 2026 Mar;25(3):245-255. doi: 10.1016/S1474-4422(26)00036-0.

    PubMed 41722591

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing PF-06939926 in people with Duchenne Muscular Dystrophy, run by Pfizer at 53 sites in 15 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 3 inclusion and 9 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: under way, not looking for participants, as of the sponsor's last update on 22 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in United States, Canada, Australia, Japan, South Korea and 10 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 8 Jun 2025). 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?

Change From Baseline in North Star Ambulatory Assessment (NSAA) Total Score at Week 52 (time frame: Baseline, Week 52). 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 NCT04281485, which also lists 1 linked publication.

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 22 Jul 2026; AzTrials last refreshed its copy on 7 Nov 2026.

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