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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT02310763




Registration number
NCT02310763
Ethics application status
Date submitted
4/11/2014
Date registered
8/12/2014
Date last updated
7/12/2020

Titles & IDs
Public title
A Phase 2 Study to Evaluate the Safety, Efficacy, Pharmacokinetics and Pharmacodynamics of PF-06252616 in Duchenne Muscular Dystrophy
Scientific title
A PHASE 2 RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, MULTIPLE ASCENDING DOSE STUDY TO EVALUATE THE SAFETY, EFFICACY, PHARMACOKINETICS AND PHARMACODYNAMICS OF PF-06252616 IN AMBULATORY BOYS WITH DUCHENNE MUSCULAR DYSTROPHY
Secondary ID [1] 0 0
2014-002072-92
Secondary ID [2] 0 0
B5161002
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Duchenne Muscular Dystrophy 0 0
Condition category
Condition code
Musculoskeletal 0 0 0 0
Other muscular and skeletal disorders
Human Genetics and Inherited Disorders 0 0 0 0
Other human genetics and inherited disorders
Neurological 0 0 0 0
Other neurological disorders

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Other - PF-06252616

Experimental: PF-06252616 - 3 dose levels (5mg/kg, 20mg/kg and 40 mg/kg) of IV infused PF-06252616 will be investigated within each subject

Placebo comparator: Placebo - Matching Placebo


Treatment: Other: PF-06252616
PF-06252616 IV Infusion, 3 dose levels (5mg/kg, 20 mg/kg and 40 mg/kg) will be investigated within each subject

Intervention code [1] 0 0
Treatment: Other
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Number of Participants With Treatment-emergent Adverse Events (TEAEs) by Week 49
Timepoint [1] 0 0
Study Day 1 to Week 49 visit
Primary outcome [2] 0 0
Number of Participants Who Discontinued From the Study Due to TEAEs by Week 49
Timepoint [2] 0 0
Study Day 1 to Week 49 visit
Primary outcome [3] 0 0
Number of Participants With Dose Reduced or Temporary Discontinuation Due to TEAEs by Week 49
Timepoint [3] 0 0
Study Day 1 to Week 49 visit
Primary outcome [4] 0 0
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality) by Week 49 - Hematology
Timepoint [4] 0 0
Baseline to Week 49 visit
Primary outcome [5] 0 0
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality) by Week 49 - Coagulation
Timepoint [5] 0 0
Baseline to Week 49 visit
Primary outcome [6] 0 0
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality) by Week 49 - Liver Function
Timepoint [6] 0 0
Baseline to Week 49 visit
Primary outcome [7] 0 0
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality) by Week 49 - Renal Function
Timepoint [7] 0 0
Baseline to Week 49 visit
Primary outcome [8] 0 0
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality) by Week 49 - Electrolytes
Timepoint [8] 0 0
Baseline to Week 49 visit
Primary outcome [9] 0 0
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality) by Week 49 - Hormones
Timepoint [9] 0 0
Baseline to Week 49 visit
Primary outcome [10] 0 0
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality) by Week 49 - Clinical Chemistry
Timepoint [10] 0 0
Baseline to Week 49 visit
Primary outcome [11] 0 0
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality) by Week 49 - Urinalysis
Timepoint [11] 0 0
Baseline to Week 49 visit
Primary outcome [12] 0 0
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality) by Week 49 - Fecal
Timepoint [12] 0 0
Baseline to Week 49 visit
Primary outcome [13] 0 0
Categorical Summary of Liver Iron Accumulation by Week 49
Timepoint [13] 0 0
Screening, Weeks 13, 29 and 45
Primary outcome [14] 0 0
Number of Participants With Physical Examination Findings Reported as SAEs by Week 49
Timepoint [14] 0 0
Baseline to Week 49 visit
Primary outcome [15] 0 0
Summary of Tanner Stage Rating by Week 49
Timepoint [15] 0 0
Baseline, Weeks 17, 33 and 49
Primary outcome [16] 0 0
Number of Participants With Vital Signs Findings Reported as SAEs by Week 49
Timepoint [16] 0 0
Baseline to Week 49 visit
Primary outcome [17] 0 0
Number of Participants With Electrocardiogram (ECG) Data Meeting Pre-specified Criteria by Week 49
Timepoint [17] 0 0
Baseline to Week 49 visit
Primary outcome [18] 0 0
Change From Baseline in Left Ventricular Ejection Fraction (LVEF) as Compared to Placebo by Week 49
Timepoint [18] 0 0
Baseline to Week 49 visit
Primary outcome [19] 0 0
Height-adjusted Z-score of Lumbar Spine Bone Mineral Density Over Time by Week 49
Timepoint [19] 0 0
Screening and Week 49
Primary outcome [20] 0 0
Bone Age to Chronological Age Ratio by Week 49
Timepoint [20] 0 0
Screening, Weeks 17, 33 and 49
Primary outcome [21] 0 0
Number of Participants With Suicidal Ideation and Suicidal Behavior Reported as AEs by Week 49
Timepoint [21] 0 0
Baseline to Week 49 visit
Primary outcome [22] 0 0
Change From Baseline on the 4 Stair Climb (4SC) as Compared to Placebo at Weeks 17, 33 and 49
Timepoint [22] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [1] 0 0
Change From Baseline as Compared to Placebo on Forced Vital Capacity (FVC) at Weeks 17, 33 and 49
Timepoint [1] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [2] 0 0
Change From Baseline as Compared to Placebo on the Northstar Ambulatory Assessment (NSAA) at Weeks 17, 33 and 49
Timepoint [2] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [3] 0 0
Change From Baseline as Compared to Placebo on the Ankle Range of Motion (ROM) at Weeks 17, 33 and 49
Timepoint [3] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [4] 0 0
Change From Baseline as Compared to Placebo on the Performance of Upper Limb (PUL) Overall Score at Weeks 17, 33 and 49
Timepoint [4] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [5] 0 0
Change From Baseline as Compared to Placebo on the Six Minute Walk Distance (6MWD) Score at Weeks 17, 33 and 49
Timepoint [5] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [6] 0 0
Change From Baseline as Compared to Placebo on Muscle Strength of Elbow Extension at Weeks 17, 33 and 49
Timepoint [6] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [7] 0 0
Change From Baseline as Compared to Placebo on Muscle Strength of Elbow Flexion at Weeks 17, 33 and 49
Timepoint [7] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [8] 0 0
Change From Baseline as Compared to Placebo on Muscle Strength of Hip Abduction at Weeks 17, 33 and 49
Timepoint [8] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [9] 0 0
Change From Baseline as Compared to Placebo on Muscle Strength of Knee Extension at Weeks 17, 33 and 49
Timepoint [9] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [10] 0 0
Change From Baseline as Compared to Placebo on Muscle Strength of Shoulder Abduction at Weeks 17, 33 and 49
Timepoint [10] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [11] 0 0
Change From Baseline to Week 49 on 4SC for Participants in Sequence 3 Compared to the Natural History Control Group
Timepoint [11] 0 0
Baseline, Week 49
Secondary outcome [12] 0 0
Change From Baseline to Week 97 on 4SC for Participants in Sequence 1 Compared to the Natural History Control Group
Timepoint [12] 0 0
Baseline, Week 97
Secondary outcome [13] 0 0
Change From Baseline to Week 49 on FVC for Participants in Sequence 3 Compared to the Natural History Control Group
Timepoint [13] 0 0
Baseline, Week 49
Secondary outcome [14] 0 0
Change From Baseline to Week 97 on FVC for Participants in Sequence 1 Compared to the Natural History Control Group
Timepoint [14] 0 0
Baseline, Week 97
Secondary outcome [15] 0 0
Change From Baseline to Week 49 on NSAA for Participants in Sequence 3 Compared to the Natural History Control Group
Timepoint [15] 0 0
Baseline, Week 49
Secondary outcome [16] 0 0
Change From Baseline to Week 97 on NSAA for Participants in Sequence 1 Compared to the Natural History Control Group
Timepoint [16] 0 0
Baseline, Week 97
Secondary outcome [17] 0 0
Change From Baseline to Week 49 on 6MWD for Participants in Sequence 3 Compared to the Natural History Control Group
Timepoint [17] 0 0
Baseline, Week 49
Secondary outcome [18] 0 0
Change From Baseline to Week 97 on 6MWD for Participants in Sequence 1 Compared to the Natural History Control Group
Timepoint [18] 0 0
Baseline, Week 97
Secondary outcome [19] 0 0
Change From Baseline as Compared to Placebo on 4SC at Week 17 in Pre-specified Subsets
Timepoint [19] 0 0
Baseline, Week 17
Secondary outcome [20] 0 0
Change From Baseline as Compared to Placebo on 4SC at Week 33 in Pre-specified Subsets
Timepoint [20] 0 0
Baseline, Week 33
Secondary outcome [21] 0 0
Change From Baseline as Compared to Placebo on 4SC at Week 49 in Pre-specified Subsets
Timepoint [21] 0 0
Baseline, Week 49
Secondary outcome [22] 0 0
Change From Baseline as Compared to Placebo on FVC at Week 17 in Pre-specified Subsets
Timepoint [22] 0 0
Baseline, Week 17
Secondary outcome [23] 0 0
Change From Baseline as Compared to Placebo on FVC at Week 33 in Pre-specified Subsets
Timepoint [23] 0 0
Baseline, Week 33
Secondary outcome [24] 0 0
Change From Baseline as Compared to Placebo on FVC at Week 49 in Pre-specified Subsets
Timepoint [24] 0 0
Baseline, Week 49
Secondary outcome [25] 0 0
Change From Baseline as Compared to Placebo on NSAA at Week 17 in Pre-specified Subsets
Timepoint [25] 0 0
Baseline, Week 17
Secondary outcome [26] 0 0
Change From Baseline as Compared to Placebo on NSAA at Week 33 in Pre-specified Subsets
Timepoint [26] 0 0
Baseline, Week 33
Secondary outcome [27] 0 0
Change From Baseline as Compared to Placebo on NSAA at Week 49 in Pre-specified Subsets
Timepoint [27] 0 0
Baseline, Week 49
Secondary outcome [28] 0 0
Change From Baseline as Compared to Placebo on PUL Overall Scores at Week 17 in Pre-specified Subsets
Timepoint [28] 0 0
Baseline, Week 17
Secondary outcome [29] 0 0
Change From Baseline as Compared to Placebo on PUL Overall Score at Week 33 in Pre-specified Subsets
Timepoint [29] 0 0
Baseline, Week 33
Secondary outcome [30] 0 0
Change From Baseline as Compared to Placebo on PUL Overall Score at Week 49 in Pre-specified Subsets
Timepoint [30] 0 0
Baseline, Week 49
Secondary outcome [31] 0 0
Change From Baseline as Compared to Placebo on 6MWD at Week 17 in Pre-specified Subsets
Timepoint [31] 0 0
Baseline, Week 17
Secondary outcome [32] 0 0
Change From Baseline as Compared to Placebo on 6MWD at Week 33 in Pre-specified Subsets
Timepoint [32] 0 0
Baseline, Week 33
Secondary outcome [33] 0 0
Change From Baseline as Compared to Placebo on 6MWD at Week 49 in Pre-specified Subsets
Timepoint [33] 0 0
Baseline, Week 49
Secondary outcome [34] 0 0
Change From Baseline on Muscle Strength at Weeks 17, 33 and 49 in Pre-specified Subset (Baseline 4SC <3.5 Seconds)
Timepoint [34] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [35] 0 0
Change From Baseline on Muscle Strength at Weeks 17, 33 and 49 in Pre-specified Subset (Baseline 4SC >=3.5 Seconds and <=8 Seconds)
Timepoint [35] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [36] 0 0
Change From Baseline on Muscle Strength at Weeks 17, 33 and 49 in Pre-specified Subset (Baseline 4SC >8 Seconds)
Timepoint [36] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [37] 0 0
Percent Change From Baseline in Whole Thigh Muscle Volume as Compared to Placebo by Weeks 17, 33 and 49
Timepoint [37] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [38] 0 0
Percent Change From Baseline as Compared to Placebo in Whole Thigh Muscle Volume Index by Weeks 17, 33 and 49
Timepoint [38] 0 0
Baseline, Weeks 17, 33 and 49
Secondary outcome [39] 0 0
Change From Baseline in Whole Thigh Muscle Volume Through Week 97
Timepoint [39] 0 0
Baseline, Weeks 17, 33, 49 and 97
Secondary outcome [40] 0 0
Change From Baseline in Whole Thigh Muscle Volume Index Through Week 97
Timepoint [40] 0 0
Baseline, Weeks 17, 33, 49 and 97
Secondary outcome [41] 0 0
Concentration of Growth Differentiation Factor 8 (GDF-8) at Time 0 (Pre-dose),(C0(GDF-8) )
Timepoint [41] 0 0
Predose on Day 1 of Week 1
Secondary outcome [42] 0 0
Trough Serum Concentration of GDF-8 (Ctrough,(GDF-8)) for Participants Receiving Domagrozumab in Period 1
Timepoint [42] 0 0
Every 4 weeks on dosing day (at predose, end of 2-hour infusion and 6 hours since start of infusion) from Week 1 to Week 48
Secondary outcome [43] 0 0
Ctrough,(GDF-8) for Participants of Sequence 3 in Period 2
Timepoint [43] 0 0
Every 4 weeks on dosing day (predose, end of 2-hour infusion and 6 hours since start of infusion) from Week 49 to Week 96
Secondary outcome [44] 0 0
Trough (Pre-dose) Serum Concentration (Ctrough) of Domagrozumab
Timepoint [44] 0 0
Every 4 weeks on dosing day (predose, end of 2-hour infusion and 6 hours since start of infusion) from Week 1 to Week 96 for Sequence 1; from Week 1 to Week 48 for Sequence 2; from Week 49 to Week 96 for Sequence 3
Secondary outcome [45] 0 0
Maximum Serum Concentration (Cmax) of Domagrozumab
Timepoint [45] 0 0
Every 4 weeks on dosing day (predose, end of 2-hour infusion and 6 hours since start of infusion) from Week 1 to Week 96 for Sequence 1; from Week 1 to Week 48 for Sequence 2; from Week 49 to Week 96 for Sequence 3
Secondary outcome [46] 0 0
Time for Cmax (Tmax) of Domagrozumab
Timepoint [46] 0 0
Every 4 weeks on dosing day (predose, end of 2-hour infusion and 6 hours since start of infusion) from Week 1 to Week 96 for Sequence 1; from Week 1 to Week 48 for Sequence 2; from Week 49 to Week 96 for Sequence 3
Secondary outcome [47] 0 0
Terminal Half-life (t1/2) of Domagrozumab for Participants in Sequence 2 After the Last Dose of Domagrozumab
Timepoint [47] 0 0
At predose, end of 2-hour infusion and 6 hours since start of infusion at Week 45
Secondary outcome [48] 0 0
Area Under the Serum Concentration-time Curve Over the Dosing Interval Tau (AUCtau) of Domagrozumab
Timepoint [48] 0 0
At predose, end of 2-hour infusion,6 hours and 168 hours since start of infusion on Weeks 1, 13, 17, 29, 33 and 45
Secondary outcome [49] 0 0
Average Serum Concentration Over the Dosing Interval (Cav) of Domagrozumab
Timepoint [49] 0 0
At predose, end of 2-hour infusion, 6 hours and 168 hours since start of infusion on Weeks 1, 13, 17, 29, 33 and 45
Secondary outcome [50] 0 0
Clearance (CL) of Domagrozumab
Timepoint [50] 0 0
At predose, end of 2-hour infusion, 6 hours and 168 hours since start of infusion on Weeks 13, 29 and 45
Secondary outcome [51] 0 0
Volume of Distribution at Steady State (Vss) of Domagrozumab for Participants in Sequence 2 Required for Additional PK Assessment
Timepoint [51] 0 0
At predose, end of 2-hour infusion, 6 hours and 168 hours since start of infusion on Week 45
Secondary outcome [52] 0 0
Number of Participants With Anti-drug Antibodies (ADA) Development by Week 97
Timepoint [52] 0 0
Baseline, every 4 weeks from Week 5 to Week 97 visit or early termination

Eligibility
Key inclusion criteria
1. Ambulatory boys age 6 to <16 years old (at the time of randomization), diagnosed with DMD. Diagnosis must be confirmed in subject's medical history and by genetic testing obtained during routine clinical care for diagnostic purposes as reported from an appropriate regulated laboratory using a clinically validated genetic test (genetic testing is not provided by the sponsor).
2. Subjects who are able to perform the 4 stair climb in > or = 0.33 but < or =1.6 stairs/second.
3. Subjects must be receiving glucocorticosteroids for a minimum of 6 months prior to signing informed consent. There should be no significant change (>0.2 mg/kg) in dosage or dose regimen (not related to body weight change) for at least 3 months immediately prior to signing the informed consent and a reasonable expectation that dosage and dosing regimen will not change significantly for the duration of the study.
4. Adequate hepatic and renal function on screening laboratory assessments.
5. No underlying disposition for iron accumulation on screening laboratory assessments.
6. Iron content estimate on the screening liver MRI is within the normal range.
Minimum age
6 Years
Maximum age
15 Years
Sex
Males
Can healthy volunteers participate?
No
Key exclusion criteria
1. Subjects with known cognitive impairment or behavioral issues that would impede the ability to follow instructions.
2. History of major surgical procedure within 6 weeks of signing the informed consent or planned surgery during the study.
3. Any injury which may impact functional testing. Previous injuries must be fully healed prior to consenting. Prior lower limb fractures must be fully healed and at least 3 months from injury date.
4. Presence or history of other musculoskeletal or neurologic disease or somatic disorder not related to DMD including pulmonary and cardiac disease.
5. Compromised cardiac function (left ventricular ejection fraction <55% as determined on a screening cardiac MRI or echocardiogram). Subjects may be receiving ACE (angiotensin converting enzyme) inhibitors or beta blockers, ARB (angiotensin II receptor antagonist) or aldosterone blocker/thiazide diuretic; however they must have initiated treatment more than 3 months prior to screening to ensure stable therapy.
6. Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular (including uncontrolled hypertension), hepatic, neurologic, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing).
7. Documented history of iron overload including hemochromatosis, beta thalassemia major, beta thalassemia intermedia or hemolytic anemia.
8. Unwilling or unable (eg, metal implants, requires sedation) to undergo examination with closed MRI without sedation.
9. Participation in other studies involving investigational drug(s) for a minimum of 30 days or within 5 half lives (whichever is longer) prior to signing the informed consent and/or during study participation.
10. Current or prior treatment with anti-myostatin, exon skipping, nonsense mutation targeted therapies ever or more than 30 days of treatment with utrophin modifiers and treatment with utrophin modifiers within 30 days prior ot signing the informed consent and/or during study participation.
11. Current or prior treatment within the past 3 months with androgens or human growth hormone.
12. Current treatment with immunosuppressant therapies (other than glucocorticoid steroids), aminoglycosides (eg, gentamicin), multi vitamins with iron and iron supplements and other investigational therapies (including idebenone).

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Other design features
Phase
Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Stopped early
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
QLD
Recruitment hospital [1] 0 0
Lady Cilento Children's Hospital - South Brisbane
Recruitment postcode(s) [1] 0 0
4101 - South Brisbane
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
California
Country [2] 0 0
United States of America
State/province [2] 0 0
Colorado
Country [3] 0 0
United States of America
State/province [3] 0 0
Florida
Country [4] 0 0
United States of America
State/province [4] 0 0
Illinois
Country [5] 0 0
United States of America
State/province [5] 0 0
Iowa
Country [6] 0 0
United States of America
State/province [6] 0 0
Kansas
Country [7] 0 0
United States of America
State/province [7] 0 0
Maryland
Country [8] 0 0
United States of America
State/province [8] 0 0
Massachusetts
Country [9] 0 0
United States of America
State/province [9] 0 0
Minnesota
Country [10] 0 0
United States of America
State/province [10] 0 0
Missouri
Country [11] 0 0
United States of America
State/province [11] 0 0
North Carolina
Country [12] 0 0
United States of America
State/province [12] 0 0
Ohio
Country [13] 0 0
United States of America
State/province [13] 0 0
Pennsylvania
Country [14] 0 0
United States of America
State/province [14] 0 0
Utah
Country [15] 0 0
Bulgaria
State/province [15] 0 0
Sofia
Country [16] 0 0
Canada
State/province [16] 0 0
Alberta
Country [17] 0 0
Canada
State/province [17] 0 0
British Columbia
Country [18] 0 0
Canada
State/province [18] 0 0
Ontario
Country [19] 0 0
Canada
State/province [19] 0 0
Quebec
Country [20] 0 0
Italy
State/province [20] 0 0
Genova
Country [21] 0 0
Italy
State/province [21] 0 0
Rome
Country [22] 0 0
Japan
State/province [22] 0 0
Hyogo
Country [23] 0 0
Japan
State/province [23] 0 0
Tokyo
Country [24] 0 0
Poland
State/province [24] 0 0
Warszawa
Country [25] 0 0
United Kingdom
State/province [25] 0 0
Liverpool
Country [26] 0 0
United Kingdom
State/province [26] 0 0
London
Country [27] 0 0
United Kingdom
State/province [27] 0 0
Newcastle upon Tyne
Country [28] 0 0
United Kingdom
State/province [28] 0 0
Newcastle-upon-Tyne

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Pfizer
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
This is a Phase 2 randomized, 2-period, double-blind, placebo-controlled, multiple ascending dose study to evaluate the safety, efficacy, PK and PD of PF-06252616 administered to ambulatory boys diagnosed with Duchenne Muscular Dystrophy. Three intravenous (IV) dose levels will be investigated in a within subject dose escalating fashion. Subjects will be randomly assigned to 1 of 3 sequence groups for approximately 96 weeks (2 periods of 48 weeks each). In period 1, two of the sequence groups will receive PF-06252616 and one sequence group will receive placebo. In period 2, the placebo group will switch to PF-06252616 and the two remaining sequence groups will either receive placebo or PF-06252616. Efficacy will be based on an observed mean change from baseline on function (4 stair climb) of PF-06252616 as compared to the placebo at the end of period 1. Period 2 provides an opportunity to evaluate PK. Subjects will receive monthly IV infused doses of either PF-06252616 or placebo and will undergo safety evaluations (Laboratory, cardiac monitoring, physical exams, x-ray, MRI), functional evaluations (pulmonary function testing, 4 stair climb, range of motion, strength testing, Northstar Ambulatory Assessment, upper limb functional testing and the six minute walk test), pharmacokinetic testing and pharmacodynamic testing to evaluate changes in muscle volume (MRI).
Trial website
https://clinicaltrials.gov/study/NCT02310763
Trial related presentations / publications
Sherlock SP, Palmer J, Wagner KR, Abdel-Hamid HZ, Tian C, Mah JK, Muntoni F, Guglieri M, Butterfield RJ, Charnas L, Marraffino S. Dual-energy X-ray absorptiometry measures of lean body mass as a biomarker for progression in boys with Duchenne muscular dystrophy. Sci Rep. 2022 Nov 5;12(1):18762. doi: 10.1038/s41598-022-23072-5.
Wojciechowski J, Purohit VS, Harnisch LO, Dua P, Tan B, Nicholas T. Population PK and PD Analysis of Domagrozumab in Pediatric Patients with Duchenne Muscular Dystrophy. Clin Pharmacol Ther. 2022 Dec;112(6):1291-1302. doi: 10.1002/cpt.2747. Epub 2022 Oct 4.
Muntoni F, Guglieri M, Mah JK, Wagner KR, Brandsema JF, Butterfield RJ, McDonald CM, Mayhew AG, Palmer JP, Marraffino S, Charnas L, Mercuri E. Novel approaches to analysis of the North Star Ambulatory Assessment (NSAA) in Duchenne muscular dystrophy (DMD): Observations from a phase 2 trial. PLoS One. 2022 Aug 23;17(8):e0272858. doi: 10.1371/journal.pone.0272858. eCollection 2022.
Sherlock SP, Palmer J, Wagner KR, Abdel-Hamid HZ, Bertini E, Tian C, Mah JK, Kostera-Pruszczyk A, Muntoni F, Guglieri M, Brandsema JF, Mercuri E, Butterfield RJ, McDonald CM, Charnas L, Marraffino S. Quantitative magnetic resonance imaging measures as biomarkers of disease progression in boys with Duchenne muscular dystrophy: a phase 2 trial of domagrozumab. J Neurol. 2022 Aug;269(8):4421-4435. doi: 10.1007/s00415-022-11084-0. Epub 2022 Apr 8.
Wagner KR, Guglieri M, Ramaiah SK, Charnas L, Marraffino S, Binks M, Vaidya VS, Palmer J, Goldstein R, Muntoni F. Safety and disease monitoring biomarkers in Duchenne muscular dystrophy: results from a Phase II trial. Biomark Med. 2021 Oct;15(15):1389-1396. doi: 10.2217/bmm-2021-0222. Epub 2021 Sep 17.
Sherlock SP, Zhang Y, Binks M, Marraffino S. Quantitative muscle MRI biomarkers in Duchenne muscular dystrophy: cross-sectional correlations with age and functional tests. Biomark Med. 2021 Jun;15(10):761-773. doi: 10.2217/bmm-2020-0801. Epub 2021 Jun 22.
Wagner KR, Abdel-Hamid HZ, Mah JK, Campbell C, Guglieri M, Muntoni F, Takeshima Y, McDonald CM, Kostera-Pruszczyk A, Karachunski P, Butterfield RJ, Mercuri E, Fiorillo C, Bertini ES, Tian C, Statland J, Sadosky AB, Purohit VS, Sherlock SP, Palmer JP, Binks M, Charnas L, Marraffino S, Wong BL. Randomized phase 2 trial and open-label extension of domagrozumab in Duchenne muscular dystrophy. Neuromuscul Disord. 2020 Jun;30(6):492-502. doi: 10.1016/j.nmd.2020.05.002. Epub 2020 May 19. Erratum In: Neuromuscul Disord. 2021 Feb;31(2):167-168. doi: 10.1016/j.nmd.2021.01.001.
Public notes

Contacts
Principal investigator
Name 0 0
Pfizer CT.gov Call Center
Address 0 0
Pfizer
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/study/NCT02310763