NS-089/NCNP-02: Cohort 1:
Part 1 Dose Level 1-3: a 4-week Treatment Phase at each treatment dose level
Part 2 Single Dose Level: a 24-week Treatment Phase at the MTD of Part 1
Cohort 2:
Part 2 Single Dose Level: a 24-week Treatment Phase at the MTD of Part 1
Study summary
This is a Phase 2, open-label, multi-center, 2-part study of NS-089/NCNP-02 administered by weekly IV infusion to ambulant boys aged ≥4 to \<15 years with DMD due to mutations amenable to exon 44 skipping. Participants will receive a selected dose of NS-089/NCNP-02 administered once weekly.
The study consists of 2 parts: Part 1 and Part 2. Six participants (Cohort 1) will participate in both Part 1 and Part 2, and 14 participants (Cohort 2) will be added for Part 2.
Eligibility
Sex
MALE
Min age
4 Years
Max age
14 Years
Healthy volunteers
No
Inclusion Criteria:
* Male ≥ 4 years and \<15 years of age
* Confirmed DMD mutation(s) in the dystrophin gene that is amenable to skipping of exon 44 to restore the dystrophin mRNA reading frame
* Able to walk independently without assistive devices
* Ability 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.
Exclusion Criteria:
* Has a body weight of \<20 kg at the time of informed consent (applies to participants screening for Part 1 only)
* Evidence of symptomatic cardiomyopathy
* Current or previous treatment with anabolic steroids (e.g., oxandrolone) or products containing resveratrol or adenosine triphosphate within 3 months prior to first dose of study drug
* Current or previous treatment with any other investigational drug within 3 months prior to the first dose of study drug or within 5 times the half-life of a medication, whichever is longer
* Surgery within the 3 months prior to the first dose of study drug or planned during the study duration
* Previously treated in an interventional study of NS-089/NCNP-02
* Having received exon skipping oligonucleotide within 1 year prior to the first dose of IP
* Other exclusion criteria may apply.
Primary outcome measure(s)
Adverse Event and Adverse Drug Reaction — through study completion, up to follow-up phone call for Part 2
Plasma pharmacokinetic (PK) parameters — Day1, Week4 for each dose for Part 1, Day1 and Week24 for Part 2] Maximum plasma concentration (Cmax) of NS-089/NCNP-02
Plasma pharmacokinetic (PK) parameters — Day1, Week4 for each dose for Part 1, Day1 and Week24 for Part 2] Time of the maximum plasma concentration (Tmax) of NS-089/NCNP-02
Plasma pharmacokinetic (PK) parameters — Day1, Week4 for each dose for Part 1, Day1 and Week24 for Part 2] Terminal half-life (T1/2) of NS-089/NCNP-02
Plasma pharmacokinetic (PK) parameters — Day1, Week4 for each dose for Part 1, Day1 and Week24 for Part 2] Area under the concentration-time curve from time 0 to the last time point (AUC0-t) of NS-089/NCNP-02
Plasma pharmacokinetic (PK) parameters — Day1, Week4 for each dose for Part 1, Day1 and Week24 for Part 2] Area under the concentration-time curve from time 0 to infinity (AUC0-∞) of NS-089/NCNP-02
Plasma pharmacokinetic (PK) parameters — Day1, Week4 for each dose for Part 1, Day1 and Week24 for Part 2] Total body clearance (CLtot) of NS-089/NCNP-02
Plasma pharmacokinetic (PK) parameters — Day1, Week4 for each dose for Part 1, Day1 and Week24 for Part 2] The volume in the terminal state (Vz) of NS-089/NCNP-02
Urine pharmacokinetic parameters — Day1, Week4 for each dose for Part 1, Day1 and Week24 for Part 2] Urinary excretion of NS-089/NCNP-02
Change from baseline in skeletal muscle dystrophin protein by immunoblot (Western blot). — Baseline, Week25
Trial sites (29)
Facility
City
Region
Status
Children's Hospital Colorado
Aurora
Colorado
Rare Disease Research
Atlanta
Georgia
Ann and Robert H. Lurie Children's Hospital of Chicago
Chicago
Illinois
University of Kansas Medical Center (KUMC)
Kansas City
Kansas
Boston Children's Hospital
Boston
Massachusetts
Columbia University Pediatric Neuromuscular Center
New York
New York
Cincinnati Children's Hospital Medical Center
Cincinnati
Ohio
The Children's Hospital of Philadelphia (CHOP)
Philadelphia
Pennsylvania
University of Pittsburgh School of Medicine
Pittsburgh
Pennsylvania
UT Southwestern/Children's Health
Dallas
Texas
Virginia Commonwealth University Health System
Richmond
Virginia
Queensland Children's Hospital
South Brisbane
Queensland
Perth Children's Hospital
Nedlands
Western Australia
Alberta Children's Hospital
Calgary
Alberta
British Columbia Children's Hospital
Vancouver
British Columbia
London Health Sciences Centre
London
Ontario
Fukui Prefectural Hospital
Fukui-shi
Fukui
National Hospital Organization Nagara Medical Center
Nagara
Gifu-shi, Gifu
NHO Osaka Toneyama Medical Center
Toyonaka
Osaka
Shiga General Hospital
Moriyama-shi
Shiga
National Center of Neurology and Psychiatry
Kodaira
Tokyo
Starship Children's Hospital
Auckland
New Zealand
Seoul National University Bundang Hospital
Seongnam-si
Gyeonggi-do
Pusan National University Yangsan Hospital
Yangsan
Gyeongsangnam
Seoul National University Hospital
Seoul
South Korea
Ankara Bilkent City Hospital
Ankara
Turkey (Türkiye)
Istanbul University- Istanbul Faculty of Medicine
Istanbul
Turkey (Türkiye)
Yeditepe University Kosuyolu Hospital
Istanbul
Turkey (Türkiye)
S.B.U. Dr. Behcet uz Pediatric Diseases and Surgery Training and Research Hospital
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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