E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Becker Muscular Dystrophy, Facioscapulohumeral Muscular Dystrophy, Limb-Girdle Muscular Dystrophy. |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Primary objective is to evaluate safety of MYO-029 in adult subjects with muscular dystrophy. |
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E.2.2 | Secondary objectives of the trial |
Secondary objectives are to: 1) evaluate the biological activity of MYO-029 by using the following measurements: muscle mass, volume, strength; histopathology findings; patient-reported outcomes; and functional measurements. 2) explore associations between gene expression patterns, test article administration, and clinical parameters. 3) evaluate the pharmacokinetics of MYO-029 in adult subjects with muscular dystrophy. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Age >=18 years. 2. Confirmed clinical and molecular diagnosis of BMD, FSHD, or LGMD 2A, 2B, 2C, 2D, 2E, or 2I using the specific diagnostic criteria listed in Section 19, Muscular Dystrophy History 3. Independent ambulation as assessed by completion of a 9-meter walking test. The use of an ankle foot orthosis is permitted if needed. 4. Screening period- first strength evaluation: at least 8 of the following 16 muscle groups must have a MMT muscle grade >= 3- and <= 4+ on the modified Medical Research Council Scale: Shoulder flexors, Shoulder abductors, Shoulder external rotators, Shoulder internal rotators, Biceps, Elbow extensors, Brachioradialis (all bilateral), Neck Flexors, Neck Extensors. 5. Screening period- second strength evaluation: at least 10 of the following 16 muscle groups must have an MMT grade that is within 2 steps of the grade assigned at the first screening evaluation: Shoulder flexors, Shoulder abductors, Shoulder external rotators, Shoulder internal rotators, Biceps, Elbow extensors, Brachioradialis (all bilateral), Neck flexors, Neck Extensors. 6. Forced vital capacity (FVC) >= 60% of predicted (performed while seated) at Visit 1 7. Ejection fraction > 40% as measured by echocardiogram at Visit 1. 8. Male subjects who are not surgically sterile agree and commit to the use of 2 reliable methods of birth control for the duration of the study and for 12 weeks after the last dose of test article. 9. Female subjects who are surgically sterile or postmenopausal. 10. Able to comply with all study evaluations and return for all study visits. |
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E.4 | Principal exclusion criteria |
1. Known history of congestive heart failure. 2. Diagnosis of atherosclerotic heart disease. 3. Use of anti-arrhythmic treatment during the 12 weeks before randomization. 4. Use of chronic anti-coagulant treatment during the 12 weeks before randomization. 5. Use of steroids such as, but not limited to, prednisone, prednisolone, deflazacort, and oxandrolone, during the 6 months before randomization and for the duration of the study with the exception of topical, inhaled and/or intranasal steroids used for a condition other than muscular dystrophy. 6. Use of any other pharmacologic treatment with the potential to affect muscle function such as, but not limited to, albuterol and creatine during the 4 weeks before randomization and for the duration of the study. 7. Initiation of, or significant change in, endurance and/or strengthening exercises with the potential to affect muscle function during the 8 weeks before randomization and for the duration of the study. 8. Surgery performed during the 12 weeks before randomization or planned for the duration of the study. 9. Concomitant co-morbidity that functionally limits the ability to perform required study procedures (eg, MMT, MRI, etc.). 10. Any contraindication to MRI per site standard of care, including the presence of any metal implants. 11. Significant concomitant intercurrent illness. 12. History of sensitivity to monoclonal antibodies or protein pharmaceuticals. 13. Lactating women. 14. Women of childbearing potential 15. Use of any experimental treatments or participation in a clinical trial during the 4 weeks before randomization and for the duration of the study. 16. Any other major illness or reason that, in the investigator's judgment, will substantially increase the risk associated with the subject's participation in this study. 17. Diagnosis of LGMD other than LGMD 2A, 2B, 2C, 2D, 2E, and 2I. |
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E.5 End points |
E.5.1 | Primary end point(s) |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Evaluation of biological activity of MYO-029. |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 13 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 13 |