Clinical trial • Phase I/II • Musculoskeletal
ENTR-601-44 for Duchenne muscular dystrophy
Phase I/II trial of ENTR-601-44 for Duchenne muscular dystrophy.
Overview
- Trial Therapeutic Area
- Musculoskeletal
- Trial Disease
- Duchenne muscular dystrophy
- Trial Stage
- Phase I/II
- Drug Modality
- Oligonucleotide|Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 20-12-2024
- First CTIS Authorization Date
- 30-04-2025
Trial design
Randomised, open-label, sodium chloride (placebo), solution for infusion (intravenous infusion); dose and schedule not specified-controlled, adaptive Phase I/II trial across 8 sites in Belgium, Spain, Italy.
- Randomised
- Yes
- Open Label
- Yes
- Comparator
- SODIUM CHLORIDE (placebo), solution for infusion (intravenous infusion); dose and schedule not specified
- Adaptive
- True, Part A is an initial multiple ascending dose (dose-escalation) design (specific escalation rules or interim analysis details not provided in the CTIS record).
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 15
Eligibility
Recruits 15 paediatric patients.
- Vulnerable Population
- The trial selects a vulnerable population (paediatric participants). The documentation set includes age-appropriate assent forms and parent/guardian informed consent forms: Assent forms for ages 4-6, 4-11, 7-11, 12-17 and Parent ICF and Main ICF documents. Consent/assent materials are provided in multiple languages (English, Dutch, French) and there are specific Parent ICF and Shared Custody forms indicating parental/guardian consent handling for minors.
Inclusion criteria
- {"criterion_text":"- Genetic diagnosis of DMD and confirmed pathologic variant in the dystrophin gene amenable to exon 44 skipping as reviewed by a central genetic counselor."}
- {"criterion_text":"- Assigned male at birth with clinical signs compatible with Duchenne muscular dystrophy as determined by the investigator."}
- {"criterion_text":"- Part A: 4-20 years of age, inclusive"}
- {"criterion_text":"- Ambulatory Status Part A: ambulatory with a Performance of the Upper Limb v2.0 (PUL 2.0) Entry as per protocol at Screening"}
- {"criterion_text":"- Adequate muscle for obtaining tissue biopsy as assessed by the investigator."}
- {"criterion_text":"- Other protocol-defined criteria apply"}
Exclusion criteria
- {"criterion_text":"- Any significant concomitant medical condition that might interfere with the ability to comply with protocol requirements"}
- {"criterion_text":"- Has an acute illness within 4 weeks prior to the first dose of study drug which may interfere with study measurements or jeopardize participant’s safety"}
- {"criterion_text":"- Use of the following medications: a. Prior treatment with any exon skipping therapy at any time b. Prior treatment with any gene therapy at any time From at least 30 days prior to the start of the screening period until the end of the study: c. Use of anti-coagulants, anti-thrombotics, or anti-platelet agents d. Use of immunosuppressants (other than oral corticosteroids for DMD conditions) e. Has taken or is currently taking a histone deacetylase (HDAC) inhibitor, including (but not limited to) givinostat"}
- {"criterion_text":"- Laboratory abnormalities"}
- {"criterion_text":"- Daytime ventilator dependence, or any use of invasive mechanical ventilation via tracheostomy."}
- {"criterion_text":"- Has an abnormal electrocardiogram (ECG) reading assessed as clinically significant by the investigator, and/or a QT interval with Fridericia correction method (QTcF) >450 msec at Screening or prior to the first dose of study drug on Day 1."}
- {"criterion_text":"- Received any experimental or investigational drug, etc. within 3 months prior to first dose or within 5 half-lives (whichever is longer)."}
- {"criterion_text":"- Other protocol-defined criteria apply"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Incidence and severity of treatment emergent adverse events (TEAEs) (Part A and OL Period))","definition_or_measurement_approach":""}
- {"endpoint_text":"- Changes in vital sign measurements (Part A and OL Period)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Changes in clinical laboratory results (Part A and OL Period)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Changes in electrocardiogram (ECG) parameters (Part A and OL Period)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Changes in physical examination findings (Part A and OL Period)","definition_or_measurement_approach":""}
Secondary endpoints
- {"endpoint_text":"- Plasma, muscle, and urine concentration of ENTR-601-44 and its final metabolite (Part A and OL Period)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Change from baseline in dystrophin by Western blot from muscle biopsy (Part A)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Change from baseline to End of Part A in dystrophin expression and localization from muscle biopsy (Part A)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Percent change from baseline to End of Part A in exon 44 skipping measured in muscle biopsy (Part A)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Anti-drug antibody (ADA) and anti-dystrophin antibody in serum (Part A and OL Period))","definition_or_measurement_approach":""}
- {"endpoint_text":"- Change from baseline to End of OL Period in 10-Meter Walk/Run (10MWR) (Part A and OL Period)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Change from baseline to End of OL Period in Timed Rise from Floor (Part A and OL Period)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Change from baseline to End of OL Period in Timed 4-Stair Climb (4SC) (Part A and OL Period)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Change from baseline to End of OL Period in 95th centile Stride Velocity (SV95C) (Part A and OL Period)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Change from baseline to End of OL Period in North Star Ambulatory Assessment (NSAA) (Part A and OL Period)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Change from baseline to End of OL Period in Performance of the Upper Limb v2.0 (PUL 2.0) (Part A and OL Period)","definition_or_measurement_approach":""}
Recruitment
- Registry Or Advocacy Recruitment
- True; recruitment materials reference outreach to advocacy groups (no specific registry or advocacy organisation names are provided in the CTIS record).
- Digital Remote Recruitment
- True; methods include multilingual website content, social media ads, video scripts, online posters, and email blasts targeted to advocacy groups.
- Planned Sample Size
- 15
- Recruitment Window Months
- 18
- Consent Approach
- Informed consent and assent materials are provided: Main ICF for adults, Parent ICF for parents/guardians, age-specific assent forms for children (Assent 4-6, Assent 4-11, Assent 7-11, Assent 12-17). Documents also include Shared Custody and Pregnant Partner ICFs. Materials are available in English, Dutch and French, indicating consent/assent will be obtained from parent/guardian for minors with age-appropriate assent from the child as applicable.
Methods
- Country-specific recruitment arrangements documents (K1) for Belgium, Spain, Italy.
- Brochures (K2) in English, French, Dutch targeted at potential participants/caregivers.
- Posters in multiple languages for site and public display.
- Social media advertisements in English, French, Dutch.
- Website pages (multi-language) and website cookie banner (Usercentrics) for online recruitment.
- Email blasts targeted to advocacy groups (materials available in English, French, Dutch).
- FAQ sheets for advocacy groups and video scripts for outreach.
Geography
- Total Number Of Sites
- 8
- Total Number Of Participants
- 9
Belgium
- Earliest CTIS Part Ii Submission Date
- 28-03-2025
- Latest Decision Or Authorization Date
- 19-01-2026
- Processing Time Days
- 297
- Number Of Sites
- 3
- Number Of Participants
- 3
Sites
- Site Name
- UZ Leuven
- Department Name
- Pediatric Neurology
- Contact Person Name
- Liesbeth De Waele
- Contact Person Email
- liesbeth.dewaele@uzleuven.be
- Site Name
- Centre Hospitalier Regional De La Citadelle
- Department Name
- Pediatric Neurology
- Contact Person Name
- Aurore Daron
- Contact Person Email
- aurore.daron@citadelle.be
- Site Name
- Universitair Ziekenhuis Gent
- Department Name
- Pediatric Neurology
- Contact Person Name
- Nicolas Deconinck
- Contact Person Email
- nicolas.deconinck@uzgent.be
Spain
- Earliest CTIS Part Ii Submission Date
- 24-02-2025
- Latest Decision Or Authorization Date
- 19-01-2026
- Processing Time Days
- 329
- Number Of Sites
- 2
- Number Of Participants
- 2
Sites
- Site Name
- Hospital Universitari Vall D Hebron
- Department Name
- Neurology
- Principal Investigator Name
- David Gomez Andres
- Principal Investigator Email
- neurologia.pediatrica@vallhebron.cat
- Contact Person Name
- David Gomez Andres
- Contact Person Email
- neurologia.pediatrica@vallhebron.cat
- Site Name
- Hospital Sant Joan De Deu Barcelona
- Department Name
- Neurology
- Principal Investigator Name
- Andres Nascimento
- Principal Investigator Email
- andres.nascimento@sjd.es
- Contact Person Name
- Andres Nascimento
- Contact Person Email
- andres.nascimento@sjd.es
Italy
- Earliest CTIS Part Ii Submission Date
- 17-01-2025
- Latest Decision Or Authorization Date
- 08-04-2026
- Processing Time Days
- 446
- Number Of Sites
- 3
- Number Of Participants
- 4
Sites
- Site Name
- Centro Clinico Nemo
- Department Name
- Centro Clinico NeMO - Clinical Reasearch Center Phase I
- Contact Person Name
- Emilio Albamonte
- Contact Person Email
- emilio.albamonte@centrocliniconemo.it
- Site Name
- San Raffaele Hospital
- Department Name
- Neuromuscular Repair Unit
- Contact Person Name
- Stefano Previtali
- Contact Person Email
- previtali.stefano@hsr.it
- Site Name
- Ospedale Pediatrico Bambino Gesu
- Department Name
- Ospedale Pediatrico Bambino Gesu
- Contact Person Name
- Adele D'amico
- Contact Person Email
- urp@opbg.net
Sponsor
Primary sponsor
- Full Name
- Entrada Therapeutics Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- PPD Development LP
- Responsibilities
- sponsorDuties codes: 4
- Name
- Medpace Finland Oy
- Responsibilities
- sponsorDuties codes: 1,12,14,15 (Imaging),4,5,6,8
- Name
- QPS LLC
- Responsibilities
- sponsorDuties codes: 4
- Name
- Precision For Medicine Inc.
- Responsibilities
- sponsorDuties codes: 4
Third parties
- {"country":"United States","full_name":"Trinds LLC","duties_or_roles":"sponsorDuties codes: 13","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Alliance Pharma Inc.","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"ATOM International Limited","duties_or_roles":"Physical Function Oversight","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Precision For Medicine Inc.","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"Finland","full_name":"Medpace Finland Oy","duties_or_roles":"sponsorDuties codes: 1, 12, 14, 15 (Imaging), 4, 5, 6, 8","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Flagship Biosciences Inc.","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"Canada","full_name":"Agada Biosciences Inc.","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"Illingworth Research Group Limited","duties_or_roles":"Home Health Services","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"United States","full_name":"QPS LLC","duties_or_roles":"sponsorDuties codes: 4","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- ENTR-601-44
- Active Substance
- ENTR-601-44
- Modality
- Oligonucleotide
- Routes Of Administration
- INTRAVENOUS INFUSION
- Route
- INTRAVENOUS INFUSION
- Authorisation Status
- Investigational (MIA DE_BB_01_MIA_2024_0015 referenced)
- Investigational Product Name
- SODIUM CHLORIDE
- Active Substance
- SODIUM CHLORIDE
- Modality
- Small molecule
- Routes Of Administration
- INTRAVENOUS INFUSION
- Route
- INTRAVENOUS INFUSION
- Authorisation Status
- Placebo / product sourced locally
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