Duchenne Muscular DystrophyPhase 1/2NCT06053814
NS-050/NCNP-03 in Boys With DMD (Meteor50)
A Phase 1/2 study testing NS-050/NCNP-03 in people with Duchenne Muscular Dystrophy, run by NS Pharma, Inc. at 19 sites in 5 countries.
Trial summary
This is a Phase 1/2 study of Multiple-Ascending Dose (MAD) levels for 12 weeks of treatment followed by 24 weeks of open-label treatment with a selected dose of NS-050/NCNP-03 administered once weekly to ambulant boys with DMD, who have a DMD exon deletion amenable to exon 50 skipping. Read more about this study
- Who is it for?
- Ages 4 to 15 years, men only
- Conditions the study is for
- Duchenne Muscular Dystrophy
- What is being tested?
- NS-050/NCNP-03
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 20 participants
- Where
- 19 sitesin 5 countries
- Study dates
- 18 Sep 2024to Mar 2028
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
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 15 years
- Men only
- No healthy volunteers
- Child
Who may be able to join
- Male ≥ 4 years and <16 years of age;
- Confirmed DMD exon deletion in the dystrophin gene that is amenable to skipping of exon 50 to restore the dystrophin mRNA reading frame;
- Able to walk independently without assistive devices;
- Able to complete the TTSTAND without assistance in <20 seconds;
- Stable dose of glucocorticoid for at least 3 months and the dose is expected to remain on a stable dose for the duration of the study.
- Other inclusion criteria may apply.
Who cannot join
- Evidence of symptomatic cardiomyopathy;
- Current or previous treatment with anabolic steroids (e.g., oxendolone, oxandrolone) or products containing resveratrol or adenosine triphosphate within 3 months prior to first dose of study drug;
- Currently taking another investigational drug or has taken another investigational drug within 3 months prior to the first dose of study drug;
- Surgery within the 3 months prior to the first dose of study drug or planned during the study duration;
- Having taken any gene therapy.
- Other exclusion criteria may apply.
Trial locations and contacts
19 sites in 5 countries.
19 sites in 5 countries
United States6 sites
Children's Hospital Colorado
Aurora, Colorado, 80011
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, 60611
University of Kansas Medical Center
Kansas City, Kansas, 66103
Children's Hospital Los Angeles
Los Angeles, California, 90027
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
Japan5 sites
National Center of Neurology and Psychiatry
Kodaira, Tokyo, 187-8551
National Hospital Organization Nagara Medical Center
Nagara, Gifu, 502-8558
Hyogo Medical University Hospital
Nishinomiya, Hyōgo, 663-8501
Miyagi Children's Hospital
Sendai, Miyagi, 989-3126
NHO Osaka Toneyama Medical Center
Toyonaka, Osaka, 560-8552
Canada3 sites
Alberta Children's Hospital
Calgary, Alberta
London Health Sciences Centre
London, Ontario
British Columbia Children's Hospital
Vancouver, British Columbia
Turkey (Türkiye)3 sites
Ankara Bilkent City Hospital
Ankara
Istanbul University
Istanbul
Yeditepe University Kosuyolu Hospital
Istanbul
South Korea2 sites
Seoul National University Hospital
Seoul
Pusan National University Yangsan Hospital
Yangsan, Gyeongsangnam-do
About this study
Official title: A Phase 1/2, First in Human, Multiple-dose, 2-part Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of NS-050/NCNP-03 in Boys With Duchenne Muscular Dystrophy (DMD)
This is a Phase 1/2 study of Multiple-Ascending Dose (MAD) levels for 12 weeks of treatment followed by 24 weeks of open-label treatment with a selected dose of NS-050/NCNP-03 administered once weekly to ambulant boys with DMD, who have a DMD exon deletion amenable to exon 50 skipping.
- Conditions
- Duchenne Muscular Dystrophy
- Being tested
- NS-050/NCNP-03, Placebo
- 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.
NS-050/NCNP-03Drug
NS-050/NCNP-03 solution for IV infusion.
PlaceboDrug
NS-050/NCNP-03 placebo-matching solution for IV infusion.
| Study group | Role | What they receive |
|---|---|---|
| Part 1: NS-050/NCNP-03 | Experimental | Participants will be randomized and receive NS-050/NCNP-03 intravenous (IV) infusions once weekly for 2 weeks at each of MAD levels (1.95, 5, 10, 20, 40, and 80 mg/kg). Receives: Drug: NS-050/NCNP-03 |
| Part 1: Placebo | Placebo comparator | Participants will be randomized and receive NS-050/NCNP-03 placebo-matching IV infusions once weekly for 2 weeks at each of MAD levels. Receives: Drug: Placebo |
| Part 2: NS-050/NCNP-03 | Experimental | Participants will receive NS-050/NCNP-03 IV infusions once weekly for 24 weeks at the dosage selected by the Data and Safety Monitoring Board (DSMB) at the conclusion of Part 1. Receives: Drug: NS-050/NCNP-03 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1: Overall Summary of Treatment-emergent Adverse Events (TEAEs)
TEAEs will be summarized both at the patient level for number of TEAEs, highest severity, relationship, action, and outcome, and at the TEAE level (summarizing events) by system organ class (SOC) and preferred term (PT) as well as severity, relationship, action, and outcome.
The most recent version of the Medical Dictionary for Regulatory Activities (MedDRA) will be used for coding TEAEs.
Measured: Baseline up to Week 24
Part 1: Area Under the Plasma Concentration Versus Time Curve (AUC) of NS-050/NCNP-03
Blood samples will be collected at the designated time frame. Pharmacokinetic (PK) parameters of NS-050/NCNP-03 will be calculated using non-compartmental methods.
Measured: Day 1 (1st dose) for each dose level
Part 1: Amount of Drug Excreted in Urine of NS-050/NCNP-03
Urine samples will be collected at the designated time frame. PK parameters of NS-050/NCNP-03 will be calculated using non-compartmental methods.
Measured: Day 1 (1st dose) for each dose level
Part 2: Change from baseline in skeletal muscle dystrophin protein by immunoblot (Western blot)
Measured: Baseline, Week25
Secondary outcomes (11)
Part 2: Change from baseline in skeletal muscle dystrophin protein by mass spectrometry
Measured: Baseline, Week25
Part 2: Change from baseline in skeletal muscle dystrophin protein levels by immunofluorescence staining
Measured: Baseline, Week25
Part 2: Change from baseline in percentage of exon 50-skipped mRNA of skeletal muscle dystrophin
Measured: Baseline, Week25
Part 2: North Star Ambulatory Assessment (NSAA) score
The NSAA is a functional scale devised for use in ambulant children with Duchenne muscular dystrophy (DMD). It consists of 17 activities graded 0 (unable to perform), 1 (performs with modifications), 2 (normal movement). It assesses abilities necessary to remain ambulant that have been found to progressively deteriorate in untreated DMD patients, as well as in other muscular dystrophies such as Becker Muscular Dystrophy. NSAA Total Score ranges from 0 to 34, with a score of 34 implying normal function.
Measured: Baseline, Week13, Week25
Part 2: Time to Stand (TTSTAND)
Measured: Baseline, Week13, Week25
Part 2: Time to Run/Walk 10 Meters (TTRW)
Measured: Baseline, Week13, Week25
Part 2: Time to Climb 4 Stairs (TTCLIMB)
Measured: Baseline, Week13, Week25
Part 2: Total distance of 6 Minute Walk Test (6MWT)
Measured: Baseline, Week13, Week25
Part 2: Muscle strength measured by Quantitative Muscle Testing (QMT)
Measured: Baseline, Week13, Week25
Part 2: Grip/Pinch Strength
Measured: Baseline, Week13, Week25
Part 2: Performance of Upper Limb (PUL) 2.0. score
The PUL 2.0 provides both a total score and sub-scores for the 3 domains (shoulder, middle, and distal) that in DMD are progressively involved with a proximal to distal gradient. The PUL includes 22 items with an entry item to define the starting functional level. The 22 items are subdivided into the high level shoulder dimension (6 items), middle level elbow dimension (9 items), and distal wrist and hand dimension (7 items). For weaker patients, a low score on the entry item (0 2) means high level items do not need to be performed. Scoring options vary across the scale between 0-1 and 0-2 according to performance. Each dimension can be scored separately with a maximum score of 12 for the high level shoulder dimension, 17 for the middle level elbow dimension, and 13 for the distal wrist and hand dimension. A total score can be achieved by adding the 3 level scores (maximum total score of 42).
Measured: Baseline, Week13, Week25
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Sep 2023
- Study start18 Sep 2024
- Primary completionMar 2028 (estimated)
- Study completionMar 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Duchenne Muscular DystrophyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 20 participants (estimated)
Sponsor and investigators
- Lead sponsor
- NS Pharma, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Nippon Shinyaku Co., Ltd.
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06053814
- Sponsor's protocol ID
- NS-050/NCNP-03-101
- Status last verified
- Jun 2026
- First submitted
- 19 Sep 2023
- Last updated
- 16 Jun 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2, First in Human, Multiple-dose, 2-part Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of NS-050/NCNP-03 in Boys With Duchenne Muscular Dystrophy (DMD)
- ClinicalTrials.gov ID
- NCT06053814
- Acronym / sponsor ID
- NS-050/NCNP-03-101
- Conditions
- Duchenne Muscular Dystrophy
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 20 participants (estimated)
- Lead sponsor
- NS Pharma, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Nippon Shinyaku Co., Ltd.
- Study start
- 18 Sep 2024 (actual)
- Primary completion
- Mar 2028 (estimated)
- Study completion
- Mar 2028 (estimated)
- First posted
- 26 Sep 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 1/2 study of Multiple-Ascending Dose (MAD) levels for 12 weeks of treatment followed by 24 weeks of open-label treatment with a selected dose of NS-050/NCNP-03 administered once weekly to ambulant boys with DMD, who have a DMD exon deletion amenable to exon 50 skipping.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Part 1: NS-050/NCNP-03 | Experimental | Drug: NS-050/NCNP-03Participants will be randomized and receive NS-050/NCNP-03 intravenous (IV) infusions once weekly for 2 weeks at each of MAD levels (1.95, 5, 10, 20, 40, and 80 mg/kg). |
| Part 1: Placebo | Placebo comparator | Drug: PlaceboParticipants will be randomized and receive NS-050/NCNP-03 placebo-matching IV infusions once weekly for 2 weeks at each of MAD levels. |
| Part 2: NS-050/NCNP-03 | Experimental | Drug: NS-050/NCNP-03Participants will receive NS-050/NCNP-03 IV infusions once weekly for 24 weeks at the dosage selected by the Data and Safety Monitoring Board (DSMB) at the conclusion of Part 1. |
Who may qualify
- Ages
- 4 to 15 years
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (6 listed)
- Male ≥ 4 years and <16 years of age;
- Confirmed DMD exon deletion in the dystrophin gene that is amenable to skipping of exon 50 to restore the dystrophin mRNA reading frame;
- Able to walk independently without assistive devices;
- Able to complete the TTSTAND without assistance in <20 seconds;
- Stable dose of glucocorticoid for at least 3 months and the dose is expected to remain on a stable dose for the duration of the study.
Key exclusion criteria (6 listed)
- Evidence of symptomatic cardiomyopathy;
- Current or previous treatment with anabolic steroids (e.g., oxendolone, oxandrolone) or products containing resveratrol or adenosine triphosphate within 3 months prior to first dose of study drug;
- Currently taking another investigational drug or has taken another investigational drug within 3 months prior to the first dose of study drug;
- Surgery within the 3 months prior to the first dose of study drug or planned during the study duration;
- Having taken any gene therapy.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NS-050/NCNP-03NS-050/NCNP-03 solution for IV infusion. | Drug | Part 1: NS-050/NCNP-03, Part 2: NS-050/NCNP-03 |
| PlaceboNS-050/NCNP-03 placebo-matching solution for IV infusion. | Drug | Part 1: Placebo |
Primary outcome
Part 1: Overall Summary of Treatment-emergent Adverse Events (TEAEs)
Time frame: Baseline up to Week 24
TEAEs will be summarized both at the patient level for number of TEAEs, highest severity, relationship, action, and outcome, and at the TEAE level (summarizing events) by system organ class (SOC) and preferred term (PT) as well as severity, relationship, action, and outcome. The most recent version of the Medical Dictionary for Regulatory Activities (MedDRA) will be used for coding TEAEs.
Part 1: Area Under the Plasma Concentration Versus Time Curve (AUC) of NS-050/NCNP-03
Time frame: Day 1 (1st dose) for each dose level
Blood samples will be collected at the designated time frame. Pharmacokinetic (PK) parameters of NS-050/NCNP-03 will be calculated using non-compartmental methods.
Part 1: Amount of Drug Excreted in Urine of NS-050/NCNP-03
Time frame: Day 1 (1st dose) for each dose level
Urine samples will be collected at the designated time frame. PK parameters of NS-050/NCNP-03 will be calculated using non-compartmental methods.
Part 2: Change from baseline in skeletal muscle dystrophin protein by immunoblot (Western blot)
Time frame: Baseline, Week25
11 secondary outcomes
Part 2: Change from baseline in skeletal muscle dystrophin protein by mass spectrometry
Time frame: Baseline, Week25
Part 2: Change from baseline in skeletal muscle dystrophin protein levels by immunofluorescence staining
Time frame: Baseline, Week25
Part 2: Change from baseline in percentage of exon 50-skipped mRNA of skeletal muscle dystrophin
Time frame: Baseline, Week25
Part 2: North Star Ambulatory Assessment (NSAA) score
Time frame: Baseline, Week13, Week25
Part 2: Time to Stand (TTSTAND)
Time frame: Baseline, Week13, Week25
Part 2: Time to Run/Walk 10 Meters (TTRW)
Time frame: Baseline, Week13, Week25
Part 2: Time to Climb 4 Stairs (TTCLIMB)
Time frame: Baseline, Week13, Week25
Part 2: Total distance of 6 Minute Walk Test (6MWT)
Time frame: Baseline, Week13, Week25
Part 2: Muscle strength measured by Quantitative Muscle Testing (QMT)
Time frame: Baseline, Week13, Week25
Part 2: Grip/Pinch Strength
Time frame: Baseline, Week13, Week25
Part 2: Performance of Upper Limb (PUL) 2.0. score
Time frame: Baseline, Week13, Week25
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jun 2026.
Related trials for Duchenne Muscular Dystrophy
RecruitingEarly Phase 1
Safety and Dystrophin Expression of SPOT-03 in Duchenne Muscular Dystrophy (DMD) Patients
Duchenne Muscular Dystrophy (DMD)
RecruitingPhase 2
Safety and Efficacy of KER-065 in Participants With Duchenne Muscular Dystrophy
Duchenne Muscular Dystrophy
Not yet recruitingPhase 2
A Phase 2 Trial to Investigate the Efficacy, Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Tegacorat in Male Participants 4 to <7 Years of Age With Duchenne Muscular Dystrophy
Duchenne Muscular Dystrophy (DMD)
Not yet recruitingObservational study
Multimodal Study About Absence of Dp140 in Becker Muscular Dystrophy: Brain-muscle Imaging, Cognition and Muscle Function
Becker Muscular Dystrophy
Enrolling by invitationObservational study
A Long-term Observational Study Evaluating Eteplirsen, Golodirsen, or Casimersen in Routine Clinical Practice
Duchenne Muscular Dystrophy
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
19 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing NS-050/NCNP-03 in people with Duchenne Muscular Dystrophy, run by NS Pharma, Inc. at 19 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 6 inclusion and 6 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 16 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 19 sites in United States, Japan, Canada, Turkey (Türkiye), South Korea. 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 combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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?
This study is still under way. Results are not available in the source record yet.
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?
Part 1: Overall Summary of Treatment-emergent Adverse Events (TEAEs) (time frame: Baseline up to Week 24). 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 16 Jun 2026.