RecruitingPhase 1Phase 2NCT06300307

Study of ATX-01 in Participants With DM1

A Phase 1/2a Double-Blind, Placebo-controlled, Single- and Multiple Ascending Dose Study to Assess the Safety, Tolerability, PK, PD and Efficacy of IV Administration of ATX-01 In Male and Female Participants Aged 18 to 64 With Classic DM1


Sponsor

ARTHEx Biotech S.L.

Enrollment

56 participants

Start Date

Oct 15, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to test ATX-01 in participants with myotonic dystrophy type 1 (DM1). The main question it aims to answer is if ATX-01 is safe and well tolerated. The trial will compare the safety and tolerability of ATX-01 and a matching placebo. There will be a single-ascending dose part of the trial and a multiple-ascending dose part. In the single-ascending dose, participants will receive one dose of ATX-01 or placebo. In the multiple-ascending dose part, participants will receive three doses of ATX-01 or placebo. ATX-01 is a novel anti-miR (synthetic single stranded oligonucleotide) that inhibits a microRNA called miR-23b.


Eligibility

Min Age: 18 YearsMax Age: 64 Years

Inclusion Criteria3

  • Participants with a documented clinical diagnosis of DM1 (CTG expansion of \>150 repeats in DMPK gene measured in peripheral blood mononuclear cells)
  • Ambulatory, defined as able to complete a 10-meter walk/run test at screening without the use of assistive devices such as canes, walkers, or orthoses, except for ankle-foot orthoses
  • Presence for \>3 seconds of grip myotonia as confirmed by a central reader

Exclusion Criteria3

  • Participants with congenital DM1
  • Medical Research Council Muscle Scale score of less than 4 on ankle dorsiflexion or significant tibialis anterior atrophy that prevents a muscle biopsy
  • Use of mexiletine or other agent for myotonia within 21 days or 5 half-lives, whichever is longer, prior to screening

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Interventions

DRUGATX-01

Solution for infusion

DRUGPlacebo

Solution for infusion


Locations(12)

UCLA

Los Angeles, California, United States

University of Florida

Gainesville, Florida, United States

University of Iowa Health Care - Department of Neurology

Iowa City, Iowa, United States

University of Kansas Medical Center, Department of Neurology

Fairway, Kansas, United States

Virginia Commonwealth University

Richmond, Virginia, United States

Centre Intégré Universitaire de Santé et Services Sociaux du Saguenay-Lac-St-Jean

Chicoutimi, Quebec, Canada

Institute of Myology

Paris, France

The NeMO Clinical Center in Milan, Neurorehabilitation Unit, University of Milan

Milan, Italy

Fondazione Policlinico A. Gemelli- IRCCS

Rome, Italy

Radboudumc

Nijmegen, Netherlands

Hospital Universitario Donostia

Donostia / San Sebastian, Spain

St. George's University Hospital

London, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT06300307


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