Study of ATX-01 in Participants With DM1
Purpose
The goal of this clinical trial is to test ATX-01 in participants with myotonic dystrophy type 1 (DM1). The main question it aims to answer is if ATX-01 is safe and well tolerated. The trial will compare the safety and tolerability of ATX-01 and a matching placebo. There will be a single-ascending dose part of the trial and a multiple-ascending dose part. In the single-ascending dose, participants will receive one dose of ATX-01 or placebo. In the multiple-ascending dose part, participants will receive three doses of ATX-01 or placebo. ATX-01 is a novel anti-miR (synthetic single stranded oligonucleotide) that inhibits a microRNA called miR-23b.
Condition
- Myotonic Dystrophy 1
 
Eligibility
- Eligible Ages
 - Between 18 Years and 64 Years
 - Eligible Sex
 - All
 - Accepts Healthy Volunteers
 - No
 
Inclusion Criteria
- Participants with a documented clinical diagnosis of DM1 (CTG expansion of >150 repeats in DMPK gene measured in peripheral blood mononuclear cells) - Ambulatory, defined as able to complete a 10-meter walk/run test at screening without the use of assistive devices such as canes, walkers, or orthoses, except for ankle-foot orthoses - Presence for >3 seconds of grip myotonia as confirmed by a central reader
 
Exclusion Criteria
- Participants with congenital DM1 - Medical Research Council Muscle Scale score of less than 4 on ankle dorsiflexion or significant tibialis anterior atrophy that prevents a muscle biopsy - Use of mexiletine or other agent for myotonia within 21 days or 5 half-lives, whichever is longer, prior to screening
 
Study Design
- Phase
 - Phase 1/Phase 2
 - Study Type
 - Interventional
 - Allocation
 - Randomized
 - Intervention Model
 - Parallel Assignment
 - Primary Purpose
 - Treatment
 - Masking
 - Triple (Participant, Investigator, Outcomes Assessor)
 
Arm Groups
| Arm | Description | Assigned Intervention | 
|---|---|---|
| 
                        Experimental ATX-01  | 
                    ATX-01 is a formulation of the anti-microRNA 23b (anti-miR-23b), known as X82108, a novel type of antisense oligonucleotide | 
                                                
  | 
                
| 
                        Placebo Comparator Placebo  | 
                    Placebo to ATX-01 | 
                                                
  | 
                
Recruiting Locations
                                                    University of Kansas Medical Center, Department of Neurology
Fairway 4271358, Kansas 4273857 66205
                                                    
                                                
                    
                                Fairway 4271358, Kansas 4273857 66205
More Details
- Status
 - Recruiting
 - Sponsor
 - ARTHEx Biotech S.L.