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
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
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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