AzTrials
AzTrials

Duchenne Muscular DystrophyPhase 2NCT05938023

A Study of ATL1102 or Placebo in Participants With Non-ambulatory Duchenne Muscular Dystrophy

A Phase 2 study testing ATL1102 25mg and ATL1102 50mg in people with Duchenne Muscular Dystrophy, run by Percheron Therapeutics at 13 sites in 5 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

This Phase IIb study is a two part, multicenter study to evaluate the efficacy, safety, pharmacokinetics and pharmacodynamics of ATL1102 in non-ambulant boys with Duchenne Muscular Dystrophy aged 10 to <18 years old. Read more about this study

Who is it for?
Ages 10 to 17 years, men only
Conditions the study is for
Duchenne Muscular Dystrophy
What is being tested?
ATL1102 25mg and ATL1102 50mg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
13 sitesin 5 countries
Study dates
18 May 2023to 15 Jan 2025
Phase
Phase 2
Are there results?
None posted in the registry

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 10 to 17 years
  • Men only
  • No healthy volunteers
  • Child

Who may be able to join

  • Has a clinical diagnosis of DMD confirmed by validated genetic testing
  • Is considered to be non-ambulatory, defined as unable to walk 10 meters without assistance or help at Screening.
  • Male aged 10 to less than 18 years, at the time of Screening.
  • Body weight of at least 25 kg at Screening.
  • If receiving corticosteroid therapy, therapy was initiated at least six months prior to the baseline visit and a stable daily dose for at least 3 months prior to baseline
  • Participant has a Performance of Upper Limb Module for DMD 2.0 (PUL 2.0) Entry Item A score ≥2.
Show all 9Show fewer
  • Able to perform spirometry and has sufficient Respiratory function defined as reproducible percent predicted FVC ≥50%.
  • Has adequate cardiac function defined as left ventricular ejection fraction (LVEF) ≥45% by echocardiogram and if receiving cardiac medication, must be currently on a stable regimen and doses of cardiac therapy (at least 3 months prior to baseline Day 1)
  • Participant and their parent/guardian/carer are willing and able to comply with scheduled visits, study medication administration and study procedures.

Who cannot join

  • Participation in another clinical trial (non-interventional) or administration of any investigational product or experimental product within 12 weeks or 5 half-lives (whichever is longer) preceding Day 1.
  • Exposure to more than 3 investigational products within the 12 months prior to Day 1.
  • History of clinically significant bleeding or coagulation abnormalities or clinically significant abnormal coagulation parameters.
  • Currently receiving antiplatelet or anticoagulant therapy or has taken medication with an antiplatelet or anticoagulant effect within 4 weeks prior Day 1
  • Any evidence of clinically significant structural or functional heart abnormality (cardiomyopathy that is managed by ACEi or beta blockers is acceptable provided the LVEF inclusion criterion is met).
  • Known history of or a positive test for hepatitis B surface antigen (HBsAg), hepatitis C (HCV) antibodies, human immunodeficiency virus (HIV) antibodies at Screening.
Show all 13Show fewer
  • Evidence of renal impairment and/or cystatin C >1.4 mg/L.
  • Received a live vaccine (including intranasal influenza vaccine) within 4 weeks prior to Day 1 or planned live vaccination during the study period.
  • Asthma (if requiring regular medication), bronchitis/chronic obstructive pulmonary disease (COPD), bronchiectasis, emphysema, pneumonia or the presence of any non-DMD respiratory illness that affects PEF and FVC or other respiratory measures.
  • Requires day-time assisted mechanical or non-invasive ventilation (NIV) (night time NIV is permitted).
  • Chronic use (daily intake >14 days), within one month of Day 1, of beta-2 agonists or any use of other bronchodilating medication (e.g., inhaled steroids, sympathomimetics, anticholinergics).
  • Used carnitine, creatine, glutamine, oxatomide, idebenone or other forms of coenzyme Q10 or vitamin E or any other nutritional or antioxidant supplements or herbal medicines or anabolic steroids other than standard corticosteroids or puberty testosterone supplementation within 4 weeks of Day 1.
  • Has an increased risk for opportunistic infections or systemic medical conditions resulting in significantly compromised immune system function

Trial locations and contacts

13 sites in 5 countries.

13 sites in 5 countries

United Kingdom4 sites
  • Birmingham Heartlands Hospital

    Birmingham, B9 5SS

  • The General Infirmary at Leeds, Leeds Teaching Hospital NHS Trust

    Leeds, LS2 9NS

  • University College London (UCL) - Great Ormond Street Institute of Child Health (ICH)

    London, WC1N 3JH

  • The Robert Jones and Agnes Hunt Orthopaedic Hospital

    Oswestry, SY10 7AG

Other trials in United Kingdom

Australia3 sites
  • Royal Childrens Hospital

    Melbourne

  • Queensland Children's Hospital

    South Brisbane

  • The Children's Hospital at Westmead

    Westmead

Other trials in Australia

Turkey (Türkiye)3 sites
  • Eskisehir Osmangazi Universitesi Tip Fakultesi

    Eskişehir

  • Yeditepe University Hospital

    Istanbul

  • Marmara University Pendik Training and Research Hospital

    Pendik

Other trials in Turkey (Türkiye)

Serbia2 sites
  • University Children's Hospital

    Belgrade, 11000

  • Mother and Child Health Care Institute

    Belgrade, 11070

Other trials in Serbia

Bulgaria1 site
  • UMHAT Aleksandrovska Neurology clinic

    Sofia, Sofia, 1432

Other trials in Bulgaria

About this study

Official title: A Multicentre, Randomised, Double-blind, Placebo-controlled and Open Label Extension Study to Assess the Efficacy, Safety, and Pharmacokinetic Profile of of ATL1102 in Non-ambulatory Participants With Duchenne Muscular Dystrophy

This Phase IIb study is a two part, multicenter study to evaluate the efficacy, safety, pharmacokinetics and pharmacodynamics of ATL1102 in non-ambulant boys with Duchenne Muscular Dystrophy aged 10 to <18 years old. The study includes a randomised, double-blind, placebo-controlled treatment period (Part A), followed by an open labelled treatment period (Part B).

Read the detailed description

This Phase IIb study is a two part, multicenter study to evaluate the efficacy, safety, pharmacokinetics and pharmacodynamics of ATL1102 and will enroll 45 non-ambulant boys with Duchenne Muscular Dystrophy (DMD) aged 10 to <18 years old.

During the 24 week randomised, double-blind, placebo-controlled treatment period (Part A) participants will be enrolled and randomised to receive either ATL1102 25mg, ATL1102 50mg or matched placebo in a 1:1:1 ratio given as a weekly subcutaneous injection.

Participants will then continue to the 24 week Open Labelled Treatment Period (Part B) and continue to receive ATL1102 25mg or ATL1102 50mg for a further 24 weeks. Participants on placebo in Part A will transition to ATL1102.

The study will consist of a 4 week screening period, 24 week randomised, double-blind, placebo-controlled treatment period (Part A), 24 week open label treatment period (Part B) and 16 week follow up period.

Being tested
ATL1102 25mg, ATL1102 50mg, Placebo
Keywords
Non-ambulatory, DMD
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.

  • ATL1102 25mgDrug

    Dose and scheduled as specified in the Arm description

  • ATL1102 50mgDrug

    Dose and scheduled as specified in the Arm description

  • PlaceboDrug

    Dose and scheduled as specified in the Arm description

Study groups in NCT05938023
Study groupRoleWhat they receive
ATL1102 25mgExperimentalATL1102 25mg administered subcutaneously once weekly
Receives: Drug: ATL1102 25mg
ATL1102 50mgExperimentalATL1102 50mg administered subcutaneously once weekly
Receives: Drug: ATL1102 50mg
PlaceboPlacebo comparatorPlacebo is administered subcutaneously once weekly
Receives: Drug: Placebo

What is being measured

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

  1. Change in the Performance of Upper Limb (PUL) 2.0 score from baseline to Week 25 (blinded treatment period).

    The PUL is an assessment used to evaluate the upper limb strength for individuals with DMD where a higher score indicates a better outcome with a minimum of 0 and a maximum score of 42

    Measured: 25 weeks

  2. Change in the Performance of Upper Limb (PUL) 2.0 score from Week 25 to Week 49 (open label treatment period).

    The PUL is an assessment used to evaluate the upper limb strength for individuals with DMD where a higher score indicates a better outcome with a minimum of 0 and a maximum score of 42

    Measured: 49 weeks

  3. Change in the Performance of Upper Limb (PUL) 2.0 score from baseline to Week 49 (combined treatment period).

    The PUL is an assessment used to evaluate the upper limb strength for individuals with DMD where a higher score indicates a better outcome with a minimum of 0 and a maximum score of 42

    Measured: 49 weeks

  4. Safety measured by the incidence and frequency of adverse events, serious adverse events and suspected unexpected adverse events from baseline to Week 65

    An Adverse Event is any untoward medical occurrence in a participant and does not necessarily have to have a causal relationship with the intervention.

    Measured: 65 weeks

Secondary outcomes (20)
  1. Change in the grip strength of the hand from baseline to Week 25 using a handheld dynamometer tool (MyoGrip) (blinded treatment period).

    The handheld dynamometer tool (MyoGrip) use strain gauge technology to measure the hand strength in Kilograms exerted by the participants with higher recordings indicating greater hand strength.

    Measured: 25 weeks

  2. Change in the pinch strength of the fingers from baseline to Week 25 using handheld dynamometer tool (MyoPinch) (blinded treatment period).

    The handheld dynamometer tool (MyoPinch) use strain gauge technology to measure the pinch strength of the fingers in Kilograms exerted by the participants with higher recordings indicating greater hand strength.

    Measured: 25 weeks

  3. Change in the respiratory function assessed by Forced Vital Capacity (FVC) from baseline to Week 25 (blinded treatment period).

    The percent predicted for Forced Vital Capacity (FVC%p) will be calculated at multiple timepoints after respiratory function is assessed using spirometry tests

    Measured: 25 weeks

  4. Change in the respiratory function assessed by peak expiratory flow (PEF) from baseline to Week 25 (blinded treatment period).

    The percent predicted for peak expiratory flow (PEF%p) will be calculated at multiple timepoints after respiratory function is assessed using spirometry tests

    Measured: 25 weeks

  5. Change in the Paediatric Quality of Life (PedsQL™) questionnaire Duchenne Muscular Dystrophy (DMD) Module from baseline to Week 25 (blinded treatment period).

    Health related quality of life is assessed by percentage of change in the score collected in the Paediatric Quality of Life (PedsQL™) Duchenne Muscular Dystrophy (DMD) Module for participants and parents at multiple timepoints. A higher score indicates a better health related quality of life with a minimum of 0 and a maximum score of 100.

    Measured: 25 weeks

  6. Safety measured by the incidence and frequency of adverse events, serious adverse events and suspected unexpected adverse events from baseline to Week 25 (blinded treatment period).

    An Adverse Event is any untoward medical occurrence in a participant and does not necessarily have to have a causal relationship with the intervention.

    Measured: 25 weeks

  7. Maximum and minimum plasma concentration (Cmax and Cmin) for ATL1102 over multiple timepoints

    Pharmacokinetic evaluation to evaluate dose response

    Measured: 65 weeks

  8. Area under the plasma concentration time curve (AUC) for ATL1102 over multiple timepoints

    Pharmacokinetic evaluation to evaluate dose concentration over time

    Measured: 65 weeks

  9. Time to Cmax and Cmin for ATL1102 over multiple timepoints

    Pharmacokinetic evaluation to evaluate concentration of ATL1102

    Measured: 65 weeks

  10. The terminal half life for ATL1102

    Pharmacokinetic evaluation to evaluate the time for the ATL1102 concentration to reduce by half

    Measured: 65 weeks

  11. Change in the grip strength of the hand from Week 25 to Week 49 using a handheld dynamometer tool (MyoGrip) (open label treatment period).

    The handheld dynamometer tool (MyoGrip) use strain gauge technology to measure the hand strength in Kilograms exerted by the participants with higher recordings indicating greater hand strength.

    Measured: 49 weeks

  12. Change in the pinch strength of the fingers from Week 25 to Week 49 using handheld dynamometer tool (MyoPinch) (open label treatment period).

    The handheld dynamometer tool (MyoPinch) use strain gauge technology to measure the pinch strength of the fingers in Kilograms exerted by the participants with higher recordings indicating greater hand strength.

    Measured: 49 weeks

  13. Change in the respiratory function assessed by Forced Vital Capacity (FVC) from Week 25 to Week 49 (open label treatment period).

    The percent predicted for Forced Vital Capacity (FVC%p) will be calculated at multiple timepoints after respiratory function is assessed using spirometry tests

    Measured: 49 weeks

  14. Change in the respiratory function assessed by peak expiratory flow (PEF) from Week 25 to Week 49 (open label treatment period).

    The percent predicted for peak expiratory flow (PEF%p) will be calculated at multiple timepoints after respiratory function is assessed using spirometry tests

    Measured: 49 weeks

  15. Change in the Paediatric Quality of Life (PedsQL) questionnaire Duchenne Muscular Dystrophy (DMD) Module from Week 25 to Week 49 (open label treatment period).

    Health related quality of life is assessed by percentage of change in the score collected in the Paediatric Quality of Life (PedsQL™) Duchenne Muscular Dystrophy (DMD) Module for participants and parents at multiple timepoints. A higher score indicates a better health related quality of life with a minimum of 0 and a maximum score of 100.

    Measured: 49 weeks

  16. Change in the grip strength of the hand from baseline to Week 49 using a handheld dynamometer tool (MyoGrip) (combined treatment period).

    The handheld dynamometer tool (MyoGrip) use strain gauge technology to measure the hand strength in Kilograms exerted by the participants with higher recordings indicating greater hand strength.

    Measured: 49 weeks

  17. Change in the pinch strength of the fingers from Baseline to Week 49 using handheld dynamometer tool (MyoPinch) (combined treatment period).

    The handheld dynamometer tool (MyoPinch) use strain gauge technology to measure the pinch strength of the fingers in Kilograms exerted by the participants with higher recordings indicating greater hand strength.

    Measured: 49 weeks

  18. Change in the respiratory function assessed by Forced Vital Capacity (FVC) from Baseline to Week 49 (combined treatment period).

    The percent predicted for Forced Vital Capacity (FVC%p) will be calculated at multiple timepoints after respiratory function is assessed using spirometry tests

    Measured: 49 weeks

  19. Change in the respiratory function assessed by peak expiratory flow (PEF) from baseline to Week 49 (combined treatment period).

    The percent predicted for peak expiratory flow (PEF%p) will be calculated at multiple timepoints after respiratory function is assessed using spirometry tests

    Measured: 49 weeks

  20. Change in the Paediatric Quality of Life (PedsQL) questionnaire Duchenne Muscular Dystrophy (DMD) Module from Baseline to Week 49 (combined treatment period).

    Health related quality of life is assessed by percentage of change in the score collected in the Paediatric Quality of Life (PedsQL™) Duchenne Muscular Dystrophy (DMD) Module for participants and parents at multiple timepoints. A higher score indicates a better health related quality of life with a minimum of 0 and a maximum score of 100.

    Measured: 49 weeks

Timeline

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

  1. First posted10 Jul 2023
  2. Study start18 May 2023
  3. Primary completion19 Nov 2024
  4. Study completion15 Jan 2025

Why it stopped: The study failed to meet its primary or secondary efficacy endpoints. In consultation with investigators, the sponsor determined that it is not in the best interests of patients for the study to continue.

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
Randomised
Intervention model
Parallel groups
Model description
randomized, double-blind, placebo controlled treatment periods followed by open labelled treatment period
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05938023
Sponsor's protocol ID
1102-DMD-Pre-CT03
Status last verified
Jan 2025
First submitted
5 Jun 2023
Last updated
3 Feb 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ATL1102 25mg and ATL1102 50mg in people with Duchenne Muscular Dystrophy, run by Percheron Therapeutics at 13 sites in 5 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 9 inclusion and 13 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: stopped early, as of the sponsor's last update on 3 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United Kingdom, Australia, Turkey (Türkiye), Serbia, Bulgaria. 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. Some participants in this study may receive a placebo. 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?

The study was stopped early (reason given: The study failed to meet its primary or secondary efficacy endpoints. In consultation with investigators, the sponsor determined that it is not in the best interests of patients for the study to continue.). Results are not available in the source record.

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 in the Performance of Upper Limb (PUL) 2.0 score from baseline to Week 25 (blinded treatment period). (time frame: 25 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Feb 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in