RecruitingPhase 2Phase 3NCT05693142

AFFINITY DUCHENNE: RGX-202 Gene Therapy in Participants With Duchenne Muscular Dystrophy (DMD)

A Phase 1/2/3 Open-label Study to Evaluate the Safety, Tolerability, Efficacy, Pharmacodynamics, and Pharmacokinetics of Intravenous RGX-202 Gene Therapy in Males With Duchenne Muscular Dystrophy (DMD)


Sponsor

REGENXBIO Inc.

Enrollment

65 participants

Start Date

Jan 4, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

RGX-202 is a gene therapy designed to deliver a transgene for a novel microdystrophin that includes functional elements of naturally-occurring dystrophin including the C-Terminal (CT) domain. This is a multicenter, open-label dose evaluation clinical study to assess the safety, tolerability, and clinical efficacy of a one-time intravenous (IV) dose of RGX-202 in participants with Duchenne. For additional information on how to participate (or be considered for the study), please follow this link: https://mytomorro.ws/affinity-ct-gov


Eligibility

Sex: MALEMin Age: 1 Year

Inclusion Criteria24

  • The participant's legal guardian(s) is (are) willing and able to provide written, signed informed consent prior to any study-related procedures; and, where applicable, the minor participant has provided written or verbal assent according to local requirements.
  • Is a male at least 4 years of age and less than 12 years of age at consent or 1 to <4 years of age at the time of dosing and ≥ 10 kg at the time of screening.
  • Must meet any of the following criteria:
  • DMD gene mutation in exons 18 and above, and a clinical picture consistent with typical DMD with the exception of a participant (Cohort 1b) with DMD gene mutation in exons 12-17.
  • Participant is able to walk 100 meters independently without assistive devices. Cohort 2c participant must be able to walk 10 meters independently without assistive devices. Cohort 1b participant must be able to walk with or without assistive devices.
  • Participant is able to complete the TTSTAND per protocol-specific criteria.
  • Participant has been on a stable dose of systemic glucocorticoids according to the standard of care for at least 12 weeks. Cohort 2c participants must be consistently on or off a stable dose of systemic glucocorticoids according to the standard of care for at least 12 weeks.
  • Clinical laboratory test results, including hepatic and renal function, are within the normal range during screening, or if abnormal, are not clinically significant, in the opinion of the investigator.
  • Documentation is provided at screening visit for participant's adherence to the local country's vaccination schedule. The parent(s) or legal guardian(s) must be willing to have their child receive a meningococcal vaccine, if not already vaccinated.
  • Participant and parent(s)/legal guardian(s) are willing and able to comply with scheduled visits, study intervention administration plan, and study procedures.
  • The participant's legal guardian(s) is (are) willing and able to provide written, signed informed consent prior to any study-related procedures; and, where applicable, the minor participant has provided written or verbal assent according to local requirements.
  • DMD gene mutation with any mutation except for those with deletions or point mutations in exons 8, 9 and/or 10.
  • Participant is able to complete the TTSTAND per protocol-specific criteria.
  • Clinical laboratory test results, including hepatic and renal function, are within the normal range during screening, or if abnormal, are not clinically significant, in the opinion of the investigator.
  • Documentation is provided at screening visit for participant's adherence to the local country's vaccination schedule. The parent(s) or legal guardian(s) must be willing to have their child receive a meningococcal vaccine, if not already vaccinated.
  • Participant and parent(s)/legal guardian(s) are willing and able to comply with scheduled visits, study intervention administration plan, and study procedures.
  • Is a male at least 1 year of age and ≥ 10 kg at the time of screening.
  • Participants 1 to <4 years of age must meet the following criteria:
  • is able to walk 10 meters independently without assistive devices.
  • must be consistently on or off a stable dose of systemic glucocorticoids according to the standard of care for at least 12 weeks.
  • Participants 4 years and older must meet the following criteria:
  • are able to walk 100 meters independently without assistive devices.
  • have been on a stable dose of systemic glucocorticoids according to the standard of care for at least 12 weeks.
  • have a NSAA total score ≥16.

Exclusion Criteria13

  • Participant has any condition that would contraindicate treatment with immunosuppression.
  • Participant has received ataluren (a protein restoration therapy) or an exon-skipping therapy for the treatment of DMD within 6 months of study entry or is unable to refrain from taking ataluren or exon-skipping therapy for a duration of 5 years from the time of RGX-202 administration.
  • Participant has received any investigational or commercial gene therapy product over his lifetime.
  • Participant is currently taking any other investigational intervention (other than corticosteroids) or has taken any other investigational intervention (other than corticosteroids) within 3 months prior to the scheduled Day 1 intervention. If your corticosteroid is vamorolone, the participant will be asked to temporarily convert his daily dosing to prednisolone/prednisone during a short period of time around RGX-202 administration. He will be allowed to revert back to his baseline vamorolone regimen at the original per kilogram dose at which he entered the study and should remain on this for 24 months unless the investigator determines that this is not clinically indicated or possible.
  • Participant has impaired cardiac function defined as a left ventricular ejection fraction of < 55% on screening cardiac assessments (echocardiogram or MRI).
  • Participant is not a good candidate for the study, in the opinion of the investigator.
  • Participant has any condition that would contraindicate treatment with immunosuppression.
  • Participant has received givinostat within 3 months of study entry or has received ataluren (a protein restoration therapy) or an exon-skipping therapy for the treatment of DMD within 6 months of study entry or is unable to refrain from taking ataluren or exon-skipping therapy for a duration of 5 years from the time of RGX-202 administration.
  • Participant has received any investigational or commercial gene therapy product over his lifetime.
  • Participant is currently taking any other investigational intervention (other than corticosteroids) or has taken any other investigational intervention (other than corticosteroids) within 3 months prior to the scheduled Day 1 intervention. If your corticosteroid is vamorolone, the participant will be asked to temporarily convert his daily dosing to prednisolone/prednisone during a short period of time around RGX-202 administration. He will be allowed to revert back to his baseline vamorolone regimen at the original per kilogram dose at which he entered the study and should remain on this for 24 months unless the investigator determines that this is not clinically indicated or possible.
  • Participant has detectable AAV8 total binding antibodies in serum.
  • Participant has impaired cardiac function defined as a left ventricular ejection fraction of < 55% on screening cardiac assessments echocardiogram or MRI).
  • Participant is not a good candidate for the study, in the opinion of the investigator.

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Interventions

GENETICRGX-202

RGX-202 is a recombinant AAV8 containing a transgene encoding a novel microdystrophin


Locations(17)

Arkansas Children's Hospital

Little Rock, Arkansas, United States

Stanford School of Medicine /Division of Neuromuscular Medicine

Palo Alto, California, United States

Children's Hospital Colorado

Aurora, Colorado, United States

University of Florida

Gainesville, Florida, United States

Rare Disease Research

Atlanta, Georgia, United States

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

University of Iowa

Iowa City, Iowa, United States

University of Massachusetts Chan Medical School

Worcester, Massachusetts, United States

Cincinnati Children's

Cincinnati, Ohio, United States

Oregon Health & Science University

Portland, Oregon, United States

The University of Texas Southwestern Medical Center

Dallas, Texas, United States

Children's Hospital of the King's Daughters

Norfolk, Virginia, United States

Children's Hospital of Richmond at Virginia Commonwealth University

Richmond, Virginia, United States

Alberta Children's Hospital

Calgary, Alberta, Canada

BC Children's Hospital

Vancouver, British Columbia, Canada

Children's Hospital London Health Science Centre

London, Ontario, Canada

Children's Hospital of Eastern Ontario

Ottawa, Ontario, Canada

View Full Details on ClinicalTrials.gov

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NCT05693142


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