Clinical trial • Phase I/II • Musculoskeletal

ENTR-601-45 for Duchenne muscular dystrophy

Phase I/II trial of ENTR-601-45 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
24-01-2025
First CTIS Authorization Date
12-05-2025

Trial design

Randomised, open-label, sodium chloride (placebo) administered as intravenous infusion (placebo comparator); dose and schedule not specified in provided record.-controlled, adaptive Phase I/II trial across 10 sites in Netherlands, Spain, Belgium and others.

Randomised
Yes
Open Label
Yes
Comparator
Sodium chloride (placebo) administered as intravenous infusion (placebo comparator); dose and schedule not specified in provided record.
Adaptive
True - Part A is an initial multiple ascending dose (dose-escalation) design to assess safety, tolerability, PK and PD; no detailed escalation increments or stopping rules provided in the record.
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
10

Eligibility

Recruits 10 paediatric patients.

Vulnerable Population
Children and adolescents are included (paediatric population; isVulnerablePopulationSelected = true). The submission includes age‑specific assent and consent documents: multiple assent forms (examples: Assent 4-11, Assent 6-11, Assent 7-11, Assent 12-17 / 12-LAA) and parental/parent ICFs, main adult ICF, parental consent templates, shared custody ICF and pregnant partner ICFs. These documents indicate parental/guardian consent will be used for minors with age‑appropriate assent obtained from children; dedicated forms are provided per age group and for parental/guardian consent.

Inclusion criteria

  • {"criterion_text":"- Genetic diagnosis of DMD and confirmed pathologic variant in the dystrophin gene that is amenable to exon 45 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"}
  • {"criterion_text":"- Ambulatory Status Part A: ambulatory with a specific Performance of the Upper Limb v2.0 (PUL 2.0) Entry item 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 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 or current treatment with any exon skipping therapy within the previous 12 months b. Prior or current treatment with any gene therapy c. Use of anti-coagulants, anti-thrombotics, or anti-platelet agents d. Use of immunosuppressants (other than systemic or oral corticosteroids for chronic non-DMD conditions) e. Treatment with 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":"- Use of any pharmacologic treatment, other than stable corticosteroids, that might have had an effect on muscle strength or function during the study (eg, growth hormone, testosterone)."}
  • {"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-601-45 and its final metabolite (Part A and OL Period)","definition_or_measurement_approach":"Concentrations measured in plasma, muscle and urine (PK sampling in Part A and OL Period)."}
  • {"endpoint_text":"- Change from baseline to End of Part A in dystrophin by Western blot from muscle biopsy (Part A)","definition_or_measurement_approach":"Dystrophin quantified by Western blot on muscle biopsy samples (baseline vs End of Part A)."}
  • {"endpoint_text":"- Change from baseline to End of Part A in dystrophin expression and localization from muscle biopsy (Part A)","definition_or_measurement_approach":"Assessment of dystrophin expression and localization from muscle biopsy (baseline vs End of Part A)."}
  • {"endpoint_text":"- Percent change from baseline to End of Part A in exon 45 skipping measured in muscle biopsy (Part A)","definition_or_measurement_approach":"Exon 45 skipping measured in muscle biopsy; percent change from baseline to End of Part A."}
  • {"endpoint_text":"- Anti-drug antibody (ADA) and anti-dystrophin antibody in serum (Part A and OL Period)","definition_or_measurement_approach":"Serum ADA and anti-dystrophin antibodies measured (Part A and OL Period)."}
  • {"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":"Change in 10-Meter Walk/Run time from baseline to End of OL Period."}
  • {"endpoint_text":"- Change from baseline to End of OL Period in Timed Rise from Floor (Part A and OL Period)","definition_or_measurement_approach":"Change in Timed Rise from Floor from baseline to End of OL Period."}
  • {"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":"Change in Timed 4-Stair Climb time from baseline to End of OL Period."}
  • {"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":"Change in SV95C from baseline to End of OL Period (gait/stride velocity metric)."}
  • {"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":"Change in NSAA score from baseline to End of OL Period."}
  • {"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":"Change in PUL 2.0 score from baseline to End of OL Period."}

Recruitment

Registry Or Advocacy Recruitment
True - advocacy groups explicitly referenced (documents 'Email blast for Advocacy groups' and 'FAQ sheet for Advocacy groups' provided); no specific registry or advocacy organisation names are provided in the record.
Digital Remote Recruitment
True - digital methods documented including website materials, social media ads, video scripts, and email blasts targeted to advocacy groups; cookie banner/Usercentrics referenced for website compliance.
Planned Sample Size
10
Recruitment Window Months
40
Consent Approach
Age-specific informed consent and assent approach: parental/guardian consent required for minors with age-appropriate assent forms provided. Documents include assent forms for younger children (examples: Assent 4-11, Assent 6-11, Assent 7-11), assent/ICF for older children/adolescents (e.g., Assent 12-17 / 12-LAA, Consent form 12-16), parental/parent ICFs, main adult ICF, shared custody ICF, and pregnant partner ICF. Consent/assent materials are provided in multiple languages as indicated by document filenames (English, Dutch, French, Spanish). Contact for regulatory/consent queries listed as clinicaltrials@entradatx.com.

Methods

  • Brochure materials (country-specific brochures available; used to inform patients/families).
  • Email blast for advocacy groups (documents titled 'Email blast for Advocacy groups' present - target: advocacy groups / patient organisations).
  • FAQ sheet for advocacy groups (target: advocacy groups / patient organisations).
  • Posters (study posters for patient/family outreach).
  • Social media ads (digital outreach via social platforms).
  • Website (study website materials and cookie banner / Usercentrics cookie banner).
  • Video script / video material (scripted videos for recruitment).
  • Direct outreach via advocacy groups (materials prepared to be shared with advocacy/registry networks).

Geography

Total Number Of Sites
10
Total Number Of Participants
14

Netherlands

Earliest CTIS Part Ii Submission Date
21-04-2025
Latest Decision Or Authorization Date
11-02-2026
Processing Time Days
296
Number Of Sites
2
Number Of Participants
3

Sites

Site Name
Leids Universitair Medisch Centrum (LUMC)
Department Name
Neuromuscular Diseases / Pediatrics
Principal Investigator Name
Erik Niks
Principal Investigator Email
e.h.niks@lumc.nl
Contact Person Name
Erik Niks
Contact Person Email
e.h.niks@lumc.nl
Site Name
Radboud universitair medisch centrum Stichting
Department Name
Rehabilitation Medicine
Principal Investigator Name
Saskia Houwen
Principal Investigator Email
saskia.houwen@radboudumc.nl
Contact Person Name
Saskia Houwen
Contact Person Email
saskia.houwen@radboudumc.nl

Spain

Earliest CTIS Part Ii Submission Date
25-04-2025
Latest Decision Or Authorization Date
11-02-2026
Processing Time Days
292
Number Of Sites
2
Number Of Participants
3

Sites

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
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

Belgium

Earliest CTIS Part Ii Submission Date
16-04-2025
Latest Decision Or Authorization Date
11-02-2026
Processing Time Days
301
Number Of Sites
3
Number Of Participants
4

Sites

Site Name
UZ Leuven
Department Name
Pediatric Neurology
Principal Investigator Name
Liesbeth De Waele
Principal Investigator Email
liesbeth.dewaele@uzleuven.be
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
Principal Investigator Name
Aurore Daron
Principal Investigator Email
aurore.daron@citadelle.be
Contact Person Name
Aurore Daron
Contact Person Email
aurore.daron@citadelle.be
Site Name
Universitair Ziekenhuis Gent
Department Name
Pediatric Neurology
Principal Investigator Name
Nicolas Deconinck
Principal Investigator Email
nicolas.deconinck@uzgent.be
Contact Person Name
Nicolas Deconinck
Contact Person Email
nicolas.deconinck@uzgent.be

Italy

Earliest CTIS Part Ii Submission Date
21-04-2025
Latest Decision Or Authorization Date
11-02-2026
Processing Time Days
296
Number Of Sites
3
Number Of Participants
4

Sites

Site Name
Ospedale Pediatrico Bambino Gesu
Department Name
Unit of Muscular and Neurodegenerative disorders
Principal Investigator Name
Adele D'amico
Principal Investigator Email
adele2.damico@opbg.net
Contact Person Name
Adele D'amico
Contact Person Email
adele2.damico@opbg.net
Site Name
Ospedale San Raffaele S.r.l.
Department Name
Neuromuscular Repair Unit
Principal Investigator Name
Stefano Previtali
Principal Investigator Email
previtali.stefano@hsr.it
Contact Person Name
Stefano Previtali
Contact Person Email
previtali.stefano@hsr.it
Site Name
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Department Name
UOC Neuropsichiatria Infantile
Principal Investigator Name
Eugenio Maria Mercuri
Principal Investigator Email
eugeniomariamercuri@policlinicogemelli.it
Contact Person Name
Eugenio Maria Mercuri

Sponsor

Primary sponsor

Full Name
Entrada Therapeutics Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Medpace Finland Oy
Responsibilities
sponsorDuties codes: [1,12,15 (Imaging),4,5,6,8]; contact email: RS-Advisor-Support@medpace.com
Name
PPD Development LP
Responsibilities
sponsorDuties codes: [4]; contact email: carrie.mootz@ppd.com
Name
QPS LLC
Responsibilities
sponsorDuties codes: [4]; contact email: John.Kolman@qps.com
Name
Flagship Biosciences Inc.
Responsibilities
sponsorDuties codes: [4]; contact email: bfrey@flagshipbio.com
Name
Agada Biosciences Inc.
Responsibilities
sponsorDuties codes: [4]; contact email: amackinnon@agadabio.com
Name
Trinds LLC
Responsibilities
sponsorDuties codes: [13]; contact email: sshella@trinds.com
Name
Illingworth Research Group Limited
Responsibilities
sponsorDuties codes: [15] value: Home Health Services; contact email: taylor.ross@syneoshealth.com
Name
ATOM International Limited
Responsibilities
sponsorDuties codes: [15] value: Physical Function Oversight; contact email: kyle.haas@atom-international.org

Third parties

  • {"country":"Finland","full_name":"Medpace Finland Oy","duties_or_roles":"sponsorDuties codes: [1,12,15 (Imaging),4,5,6,8]; contact email: RS-Advisor-Support@medpace.com","organisation_type":"Pharmaceutical company"}
  • {"country":"Canada","full_name":"Agada Biosciences Inc.","duties_or_roles":"sponsorDuties codes: [4]; contact email: amackinnon@agadabio.com","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Illingworth Research Group Limited","duties_or_roles":"sponsorDuties codes: [15] value: Home Health Services; contact email: taylor.ross@syneoshealth.com","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"United States","full_name":"Flagship Biosciences Inc.","duties_or_roles":"sponsorDuties codes: [4]; contact email: bfrey@flagshipbio.com","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"sponsorDuties codes: [4]; contact email: carrie.mootz@ppd.com","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Trinds LLC","duties_or_roles":"sponsorDuties codes: [13]; contact email: sshella@trinds.com","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"ATOM International Limited","duties_or_roles":"sponsorDuties codes: [15] value: Physical Function Oversight; contact email: kyle.haas@atom-international.org","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"QPS LLC","duties_or_roles":"sponsorDuties codes: [4]; contact email: John.Kolman@qps.com","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
ENTR-601-45
Active Substance
ENTR-601-45
Modality
Oligonucleotide
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Authorisation Status
1
Investigational Product Name
SODIUM CHLORIDE
Active Substance
SODIUM CHLORIDE
Modality
Small molecule
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Authorisation Status
2

Related trials

Other published trials that may interest you.