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RecruitingPhase I/IIInterventional

A 2-part, randomized, double-blind, placebo-controlled study in participants with Duchenne muscular dystrophy amenable to exon 45 skipping to evaluate the safety and efficacy of ENTR-601-45 (ELEVATE-45)

The ELEVATE-45 study is investigating a new medicine, ENTR-601-45, for Duchenne muscular dystrophy (DMD). Researchers want to find out if this medicine is safe, what side effects it might cause, and how well it works. They hope it could help by increasing the amount of a protein called dystrophin in muscles, which is important for muscle strength. This study is for boys and young men aged 4 to 20 who have DMD caused by a specific genetic change. Participants will either receive the new medicine or a dummy medicine (placebo). The study involves regular health checks, including blood and urine tests, and two small muscle samples (biopsies).

At a glance

Status
Recruiting
Phase
Phase I/II
Sponsor
Entrada Therapeutics, Inc.
Enrolment target
24
Start
30 Sep 2025
Estimated completion
03 Aug 2028

What is this study about?

Duchenne muscular dystrophy (DMD) is a serious condition that causes muscles to become weak over time. This happens because the body can't make enough of a special protein called dystrophin, which muscles need to work properly. Researchers are looking for new ways to treat DMD, and this study, called ELEVATE-45, is testing a new medicine called ENTR-601-45.

The main goals of this study are to find out if ENTR-601-45 is safe for people with DMD. This means closely watching for any unwanted effects the medicine might have. They also want to understand if it actually helps by increasing the amount of dystrophin in muscles, which could potentially make muscles stronger.

ENTR-601-45 is an 'investigational medicine', meaning it's still being tested and hasn't been approved for general use by health authorities in the UK. This study is an important step in figuring out if this medicine could one day help people with DMD. The researchers are studying it in two main parts, first to check safety and dosage, and then to look at how well it works.

Key takeaways

  • This study is testing a new medicine, ENTR-601-45, for Duchenne muscular dystrophy.
  • It aims to check if the medicine is safe and if it helps muscles by increasing dystrophin.
  • It's for boys and young men aged 4-20 with a specific type of DMD.
  • Participants will receive either the medicine or a placebo, involving regular health checks and two muscle biopsies.
  • Potential benefits are not guaranteed, and potential risks, including unknown side effects, exist.
  • Participation will last 25 weeks, with an option to continue in a longer study afterwards.

Who may be eligible?

This study is particularly looking for specific participants. It's for boys and young men who were assigned male at birth, are between 4 and 20 years old, and have a clear diagnosis of Duchenne muscular dystrophy. Crucially, their DMD must be caused by a specific genetic change that allows the new medicine, ENTR-601-45, to work by skipping a particular 'exon 45' in their genes.

There are also some reasons why someone might not be able to join. For example, if they have other serious health problems, especially with their kidneys, or if they've recently had another illness. People who have had certain other DMD treatments, like gene therapy or other 'exon skipping' therapies, or are taking certain medications, also wouldn't be able to participate. This helps make sure the study focuses on the effects of ENTR-601-45 by itself.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you between 4 and 20 years old?
  2. Were you assigned male at birth?
  3. Do you have a confirmed diagnosis of Duchenne muscular dystrophy?
  4. Does your genetic test show your DMD is suitable for 'exon 45 skipping' treatment?
  5. Do you currently have a serious kidney condition or uncontrolled illness?
  6. Have you used other 'exon skipping' therapies or gene therapy for DMD before?
Answer every question to see your result.

What does participation involve?

If you decide to take part in this study, you'll first go through a screening process to make sure you're a good fit. This will involve giving samples like blood and urine, along with other health checks. Once enrolled, you'll be randomly assigned to receive either the study medicine, ENTR-601-45, or a placebo (a dummy medicine with no active ingredients).

The study will last for 25 weeks. During this time, you'll have regular hospital visits for health checks. These check-ups will include physical exams, measuring your heart rate and blood pressure, heart scans (ECG and echocardiogram), and tests to see how your muscles are working. You will also have two small muscle biopsies, which is when a tiny piece of muscle is taken for examination. This helps doctors see if the medicine is making changes to the muscle. After the 25 weeks, all participants, including those who received the placebo, may have the option to receive ENTR-601-45 in a longer follow-up study.

Potential risks and benefits

Whether you will personally benefit from joining this study is not guaranteed. However, by taking part, you could help doctors learn more about Duchenne muscular dystrophy and gather important information about this new medicine. If ENTR-601-45 works as hoped, it could potentially increase the dystrophin protein in your muscles and improve muscle function, but this is not certain, as it's the first time this specific medicine is being tested in humans. Because this is a very new medicine, doctors don't yet know all the possible side effects in people. Based on earlier tests in animals and similar medicines, there could be risks such as effects on kidney function, blood clotting, blood cell counts, or liver. There are also smaller risks linked to receiving injections and having muscle biopsies. You are free to withdraw from the study at any time.

Locations (15)

  • UZ Leuven
    Unverified
    Belgium
  • University Hospital Gent
    Unverified
    Belgium
  • Centre Hospitalier Régional de la Citadelle
    Unverified
    Belgium
  • IRCCS Ospedale San Raffaele
    Unverified
    Italy
  • Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro Cuore
    Unverified
    Italy
  • Ospedale Pediatrico Bambino Gesu
    Unverified
    Italy
  • Hospital Sant Joan de Deu
    Unverified
    Spain
  • Hospital Universitario Vall d'Hebron
    Unverified
    Spain
  • Stichting Radboud Universitair Medisch Centrum
    Unverified
    Netherlands
  • Leids Universitair Medisch Centrum
    Unverified
    Netherlands
  • Great Ormond Street Hospital for Children
    Approximate
    London, United Kingdom
  • Alder Hey Children's NHS Foundation Trust
    City only
    Liverpool, United Kingdom

Common questions

What is Duchenne muscular dystrophy (DMD)?

DMD is a genetic condition that causes muscles to weaken over time because the body can't make enough of a protein called dystrophin, which is needed for healthy muscles.

What is ENTR-601-45?

ENTR-601-45 is a new medicine being tested in this study. It's hoped it might help people with DMD by increasing the amount of dystrophin protein in their muscles.

What is a placebo?

A placebo is a 'dummy' medicine that looks like the real thing but contains no active ingredients. In this study, some participants will receive it to help researchers see the true effects of the study medicine.

What is a muscle biopsy?

A muscle biopsy is a minor procedure where a very small piece of muscle tissue is taken from your body. Doctors can then study it under a microscope to see if the medicine is making any changes.

Who is running and paying for this study?

The study is being run by a company called Entrada Therapeutics, Inc. from the USA. They are also providing the money and materials needed for the study.

How to find out more

Entrada Therapeutics Clinical Trials

Always speak to your GP or specialist before deciding to take part in a study.

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