Open-Label Extension of EDG-5506 in Participants with Becker Muscular Dystrophy

2023-506231-15-00 Protocol EDG-5506-203 Therapeutic exploratory (Phase II) Authorised, recruiting

Start 22 Feb 2024 · Status Authorised, recruiting · 7 EU/EEA countries · 17 sites · Protocol EDG-5506-203

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruiting
Participants planned 260
Countries 7
Sites 17

Becker Muscular Dystrophy

To assess the safety and tolerability of long-term treatment of sevasemten

Key facts

Sponsor
Edgewise Therapeutics Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Musculoskeletal Diseases [C05], Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16]
Trial duration
22 Feb 2024 → ongoing
Decision date (initial)
2025-09-23
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No
Funding sources
Edgewise Therapeutics

External identifiers

EU CT number
2023-506231-15-00
WHO UTN
U1111-1294-7667

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Safety, Efficacy

To assess the safety and tolerability of long-term treatment of sevasemten

Secondary objectives 1

  1. To assess the change in individual safety parameters

Conditions and MedDRA coding

Becker Muscular Dystrophy

VersionLevelCodeTermSystem organ class
20.0 PT 10059117 Becker's muscular dystrophy 100000004850

Regulatory references

EMA paediatric investigation plan (PIP)
EMEA-003394-PIP01-23
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. 1. Males with a diagnosis of BMD and participation in EDG-5506-002, EDG-5506-201, or EDG-5506-202 (Note: Adolescents will be enrolled in countries with regulatory approval to enroll individuals in that age range). Participants are eligible if they complete the respective prior study visits as follows: − EDG-5506-002: Complete the final study Visit 27 [Month 24]; or, completion of the ET visit prior to Visit 27 [Month 24] − EDG-5506-201: Complete the final study visit (Cohorts 1, 2, 4, and 5: Visit 12 [Month 12]; Cohort 6: Visit 11 [Month 18]) − EDG-5506-202: Complete at least 36 weeks of open-label treatment (Visit 14 [Week 52])
  2. 2.Willing to comply with contraception requirements described in the protocol (Section 5.3.1.)
  3. 3. Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.

Exclusion criteria 7

  1. 1. Medical Conditions: Any clinically significant changes during or following participation in EDG-5506-002, EDG-5506-201, or EDG-5506-202 that would affect the potential safety of the participant to receive sevasemten.
  2. 2. Prior/Concomitant Therapy: Receiving strong cytochrome P450 (CYP) 3A4 inhibitors or moderate/strong CYP3A4 inducers.
  3. 3. Prior/Concomitant Therapy: Receipt of an investigational drug other than sevasemten within 30 days or 5 half-lives (whichever is longer) of dosing in the present study.
  4. 4. Prior/Concomitant Therapy: Receipt of oral corticosteroids for the treatment of BMD in the previous 6 months. − Receipt of systemic or topical low dose (equivalent to ≤5 mg prednisone daily total dose)corticosteroids for indications other than BMD or receipt for a short duration (≤10 days in previous 6 months), along with receipt of chronic inhaled/intranasal steroids, is permitted.
  5. 5. Other Exclusions: Participants who are unlikely to comply with the study protocol or, in the opinion of the Investigator, would not be a suitable candidate for participation in the study.
  6. 6. Other Exclusions: Participants with a known allergy to sevasemten or its excipients.
  7. 7. Other Exclusions: Participants who are submitted to an institution by virtue of an order of a court or government authority to comply with Section 40a No. 2 of the German Medical Products Act.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. 1. Incidence, frequency, and severity of TEAEs and SAEs

Secondary endpoints 2

  1. 1. Incidence laboratory test-related TEAEs
  2. 2. Change from Baseline in: − Safety labs − Vital Signs − ECG parameters − Cardiac function as assessed by an echocardiogram − Pulmonary function as assessed by FEV1, FVC

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

EDG-5506

PRD9573049 · Product

Active substance
EDG-5506
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
10 mg milligram(s)
Max total dose
10960 mg milligram(s)
Max treatment duration
18 Month(s)
Authorisation status
Not Authorised
MA holder
EDGEWISE THERAPEUTICS INC.
Paediatric formulation
No
Orphan designation
No

EDG-5506

PRD10501217 · Product

Active substance
EDG-5506
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
10 mg milligram(s)
Max total dose
10960 mg milligram(s)
Max treatment duration
18 Month(s)
Authorisation status
Not Authorised
MA holder
EDGEWISE THERAPEUTICS INC.
Paediatric formulation
No
Orphan designation
No

EDG-5506

PRD9573048 · Product

Active substance
EDG-5506
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
10 mg milligram(s)
Max total dose
10960 mg milligram(s)
Max treatment duration
18 Month(s)
Authorisation status
Not Authorised
MA holder
EDGEWISE THERAPEUTICS INC.
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Edgewise Therapeutics Inc.

Sponsor organisation
Edgewise Therapeutics Inc.
Address
1715 38th Street
City
Boulder
Postcode
80301-2603
Country
United States

Scientific contact point

Organisation
Edgewise Therapeutics Inc.
Contact name
Edgewise Clinical Studies

Public contact point

Organisation
Edgewise Therapeutics Inc.
Contact name
Edgewise Clinical Studies

Third parties 1

OrganisationCity, countryDuties
Medpace Finland Oy
ORG-100009147
Helsinki, Finland On site monitoring, Code 10, Code 11, Code 12, Code 13, Code 2, Interactive response technologies (IRT), Laboratory analysis, Code 5, Data management, E-data capture, Code 8, Code 9

Locations

7 EU/EEA countries · 17 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 14 3
Denmark Ongoing, recruiting 14 1
France Authorised, recruiting 9 4
Germany Authorised, recruitment pending 2 1
Italy Authorised, recruiting 17 3
Netherlands Ongoing, recruiting 7 1
Spain Ongoing, recruiting 19 4
Rest of world
New Zealand, United Kingdom, Israel, Australia, United States
178

Investigational sites

Belgium

3 sites · Ongoing, recruiting
UZ Leuven
Neurology, Herestraat 49, 3000, Leuven
Universitair Ziekenhuis Gent
Neurology, Corneel Heymanslaan 10, 9000, Gent
Centre Hospitalier Regional De La Citadelle
Neurology, Boulevard Du Douzieme De Ligne 1, 4000, Liege

Denmark

1 site · Ongoing, recruiting
Rigshospitalet
Department of Neurology, Blegdamsvej 9, 2100, Copenhagen Oe

France

4 sites · Authorised, recruiting
Centre Hospitalier Regional De Marseille
Centre de référence des maladies neuromusculaires et de la SLA - AP-HM Hôpital de La Timone, 264 Rue Saint Pierre, 13005, Marseille
Hospital Hotel Dieu
Centre de référence pour les maladies neuromusculaires, Hôtel-Dieu, 1 Place Alexis Ricordeau, 44000, Nantes
Centre Hospitalier Universitaire De Nice
Neurologie, Hôpital Pasteur 2, 30 Voie Romaine, 06000, Nice
Assistance Publique Hopitaux De Paris
Neuromyologie, Hôpital Pitié-Salpetrière, 47 Boulevard De L Hopital, 75651, Paris Cedex 13

Germany

1 site · Authorised, recruitment pending
Ludwig-Maximilians-Universitaet Muenchen
Friedrich-Baur-Institute, Ziemssenstrasse 1a, Ludwigsvorstadt-Isarvorstadt, Munich

Italy

3 sites · Authorised, recruiting
Azienda Ospedaliera di Padova
U.O.C. Clinica Neurologica, Via Nicolo' Giustiniani 2, 35128, Padova
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
UOC Neuropsichiatria Infantile, Largo Francesco Vito 1, 00168, Rome
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Neurologia, Via Francesco Sforza 35, 20122, Milan

Netherlands

1 site · Ongoing, recruiting
Academisch Ziekenhuis Leiden
Neurology, Albinusdreef 2, 2333 ZA, Leiden

Spain

4 sites · Ongoing, recruiting
Hospital Universitari Vall D Hebron
Neurology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Hospital Universitario Donostia
Neurology, Pasealeku Doct. Begiristain 109, 20014, Donostia
Bellvitge University Hospital
Neurology, Carrer De La Feixa Llarga S/N, 08907, L'Hospitalet De Llobregat
Hospital Universitario Y Politecnico La Fe
Neurology, Avenida Fernando Abril Martorell 106, 46026, Valencia

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2026-03-09 2026-03-24
Denmark 2024-06-12 2024-06-26
France 2026-05-19
Italy 2026-05-12
Netherlands 2024-02-22 2024-03-05
Spain 2025-12-10 2026-01-09

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 70 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2023-506231-15_Edgewise Therapeutics redacted 5.0
Protocol (for publication) D4_Patient facing documents_Licensed Questionnaire statement for publication Edgewise Therapeutics N/A
Protocol (for publication) D4_Patient facing documents_Licensed Questionnaire statement for publication Edgewise Therapeutics N/A
Protocol (for publication) D4_Patient facing documents_Licensed Questionnaire statement for publication Edgewise Therapeutics NA
Protocol (for publication) D4_Patient facing documents_Licensed Questionnaire statement for publication Edgewise Therapeutics N/A
Recruitment arrangements (for publication) K1_Recruitment arrangements_ ES_Edgewise Therapeutics 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_ IT_Edgewise Therapeutics 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_BE_Edgewise 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_DE_Edgewise Therapeutics 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_DK_Edgewise 2
Recruitment arrangements (for publication) K1_Recruitment arrangements_FR_Edgewise 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_NL_EdgewiseTherapeutics 2.0
Recruitment arrangements (for publication) K2_Recruitment material_Patient Rollover FAQs_ IT_Edgewise Therapeutics 2
Recruitment arrangements (for publication) K2_Recruitment Material_Rollover FAQs_EdgewiseTherapeutics 3.0
Recruitment arrangements (for publication) K2_Recruitment material_RolloverFAQs_DE_Edgewise 2
Recruitment arrangements (for publication) K2_Recruitment material_RolloverFAQs_DU_Edgewise 2
Recruitment arrangements (for publication) K2_Recruitment material_RolloverFAQs_Edgewise Therapeutics 2
Recruitment arrangements (for publication) K2_Recruitment material_RolloverFAQs_Edgewise_DAN 3
Recruitment arrangements (for publication) K2_Recruitment material_RolloverFAQs_Edgewise_ENG 2
Recruitment arrangements (for publication) K2_Recruitment material_RolloverFAQs_FR_Edgewise 2
Recruitment arrangements (for publication) K2_Rollover FAQ_FR_Edgewise 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Adults_EdgewiseTherapeutics_redacted 5.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Data Privacy ICF_ Edgewise Therapeutics 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main Adult- _Edgewise Therapeutics_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_DE_Edgewise_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_DU_Edgewise_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_FR_Edgewise_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_redacted_Edgewise Therapeutics 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Edgewise Therapeutics_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Edgewise_DAN_redacted 5.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Edgewise_ENG_redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Edgewise_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnancy ICF_ Edgewise Therapeutics 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner ICF_DE_Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner ICF_DU_Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner ICF_Edgewise Therapeutics 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner ICF_FR_Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_ Edgewise Therapeutics 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_Edgewise_DA 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_Edgewise_ENG 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_EdgewiseTherapeutics 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Sc Pre-ICF Telephone DC_DE_Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Sc Pre-ICF Telephone DC_DU_Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Sc Pre-ICF Telephone DC_FR_Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_SCOUT _Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Scout Companion _ Edgewise Therapeutics 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Scout Companion_DE_Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Scout Companion_DU_Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Scout Companion_FR_Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Scout Pre ICF_ Edgewise Therapeutics 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Scout Travel ICF_DE_Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Scout Travel ICF_DU_Edgewise 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Scout Travel ICF_FR_Edgewise 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_ Scout PreICF Data Consent Companion_ Edgewise Therapeutics 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_ Scout PreICF Data Consent Participant_ Edgewise Therapeutics 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Companion_Scout Clinical Consent_EdgewiseTherapeutics 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Emergency Card_Edgewise 2
Subject information and informed consent form (for publication) L2_Other subject information material_PatientEmergencyCard_ Edgewise Therapeutics 4
Subject information and informed consent form (for publication) L2_Other subject information material_PatientEmergencyCard_ Edgewise Therapeutics 4
Subject information and informed consent form (for publication) L2_Other subject information material_Scout Companion ICF_Edgewise Therapeutics 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Scout policy_Edgewise Therapeutics 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_SCOUT Pre-ICF Telephone data consent_Edgewise Therapeutics 1.0
Synopsis of the protocol (for publication) D1_Lay Protocol synopsis_DUT_2023-506231-15_Edgewise Therapeutics 5.0
Synopsis of the protocol (for publication) D1_Lay Protocol synopsis_EN_2023-506231-15_Edgewise Therapeutics 5.0
Synopsis of the protocol (for publication) D1_Lay Protocol synopsis_ES_2023-506231-15_Edgewise Therapeutics 5.0
Synopsis of the protocol (for publication) D1_Lay Protocol synopsis_FR_2023-506231-15_Edgewise Therapeutics 5.0
Synopsis of the protocol (for publication) D1_Protocol Lay Synopsis_DE_2023-506231-15_Edgewise Therapeutics 5.0
Synopsis of the protocol (for publication) D1_Protocol Lay Synopsis_IT_2023-506231-15_Edgewise Therapeutics 5.0
Synopsis of the protocol (for publication) D1_Protocol Technical Synopsis_IT_2023-506231-15_Edgewise Therapeutics 5.0

Application history

15 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-09-06 Denmark Acceptable
2023-12-11
2023-12-11
2 SUBSTANTIAL MODIFICATION SM-1 2024-04-29 Denmark Acceptable
2024-07-01
2024-07-01
3 NON SUBSTANTIAL MODIFICATION NSM-1 2024-07-09 Acceptable
2024-07-01
2024-07-09
4 SUBSTANTIAL MODIFICATION SM-2 2024-08-26 Denmark Acceptable
2024-10-11
2024-10-11
5 SUBSTANTIAL MODIFICATION SM-3 2025-02-28 Denmark Acceptable
2025-04-24
2025-04-27
6 SUBSEQUENT ADDITION OF MSC APP-6 2025-07-03 Acceptable
2025-04-24
2025-09-15
7 SUBSEQUENT ADDITION OF MSC APP-7 2025-07-08 Acceptable
2025-04-24
2025-08-25
8 SUBSEQUENT ADDITION OF MSC APP-8 2025-07-14 Acceptable
2025-04-24
2025-10-10
9 SUBSEQUENT ADDITION OF MSC APP-9 2025-07-16 2025-09-23
10 SUBSTANTIAL MODIFICATION SM-4 2025-07-17 Acceptable 2025-08-15
11 SUBSTANTIAL MODIFICATION SM-5 2025-07-22 Denmark Acceptable 2025-08-01
12 SUBSEQUENT ADDITION OF MSC APP-12 2025-08-01 Acceptable
2025-04-24
2025-09-29
13 NON SUBSTANTIAL MODIFICATION NSM-2 2025-10-15 Denmark Acceptable
2025-04-24
2025-10-15
14 SUBSTANTIAL MODIFICATION SM-6 2025-11-12 Denmark Acceptable
2026-02-11
2026-02-11
15 NON SUBSTANTIAL MODIFICATION NSM-3 2026-03-10 Denmark Acceptable
2026-02-11
2026-03-10