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
- Contact Person Email
- neurologia.pediatrica@vallhebron.cat
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
- Contact Person Email
- eugeniomariamercuri@policlinicogemelli.it
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
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