"A Phase 3 study of Viltolarsen in boys with Duchenne Muscular Dystrophy (DMD)"

2023-507146-91-00 Protocol NS-065/NCNP-01-302 Therapeutic confirmatory (Phase III) Ended

Start 7 Jun 2021 · End 3 Nov 2025 · Status Ended · 6 EU/EEA countries · 9 sites · Protocol NS-065/NCNP-01-302

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 74
Countries 6
Sites 9

Duchenne Muscular Dystrophy (DMD)

To evaluate the safety and tolerability of viltolarsen administered intravenously (IV) at weekly doses of 80 mg/kg in boys who have completed the NS-065/NCNP-01-301 study

Key facts

Sponsor
Ns Pharma Inc.
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male
Therapeutic area
Diseases [C] - Musculoskeletal Diseases [C05]
Trial duration
7 Jun 2021 → 3 Nov 2025
Decision date (initial)
2024-02-27
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
NS Pharma, Inc.

External identifiers

EU CT number
2023-507146-91-00
EudraCT number
2021-000122-10
WHO UTN
U1111-1298-6244
ClinicalTrials.gov
NCT04768062

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Others, Therapy, Efficacy

To evaluate the safety and tolerability of viltolarsen administered
intravenously (IV) at weekly doses of 80 mg/kg in boys who have
completed the NS-065/NCNP-01-301 study

Secondary objectives 1

  1. Secondary Objective: To compare the efficacy of viltolarsen administered IV at weekly doses of 80 mg/kg in boys who have completed the NS-065/NCNP-01-301 study over a 96-week treatment period versus natural history controls using strength and endurance outcomes.

Conditions and MedDRA coding

Duchenne Muscular Dystrophy (DMD)

VersionLevelCodeTermSystem organ class
20.0 PT 10013801 Duchenne muscular dystrophy 100000004850

Regulatory references

EMA paediatric investigation plan (PIP)
EMEA-002853-PIP01-20
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. 1. Patient has completed the NS-065/NCNP-01-301 study;
  2. 2. Patient's parent(s) or legal guardian(s) has (have) provided written informed consent and Health Insurance Portability and Accountability Act authorization, where applicable, prior to any study-related procedures; patients will be asked to give written or verbal assent according to local requirements;
  3. 3. Patient and parent(s)/guardian(s) are willing and able to comply with scheduled visits, investigational product (IP) administration plan, and study procedures.

Exclusion criteria 4

  1. 1. Patient had an adverse event in Study NS-065/NCNP-01-301 that, in the opinion of the investigator and/or the sponsor, precludes safe use of viltolarsen for the patient in this study;
  2. 2. Patient had a treatment which was made for the purpose of dystrophin or dystrophin-related protein induction after completion of Study NS-065/NCNP-01-301;
  3. 3. Patient took any other investigational drug(s) during or after completion of Study NS-065/NCNP-01-301;
  4. 4. Patient is judged by the investigator and/or the sponsor not to be appropriate to participate in the extension study for any reason.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. - Vital signs - Physical examination - Clinical laboratory tests o Hematology and clinical chemistry o Urinalysis o Urine cytology - Antibodies to dystrophin and viltolarsen - 12-lead electrocardiogram (ECG) - Renal ultrasound - Treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)

Secondary endpoints 1

  1. Secondary: - Time to Stand Test (TTSTAND) - Time to Run/Walk 10 Meters Test (TTRW) - Six-minute Walk Test (6MWT) - North Star Ambulatory Assessment (NSAA) - Time to Climb 4 Stairs Test (TTCLIMB) - Quantitative muscle strength measured by hand-held dynamometer (elbow extension, elbow flexion, knee extension, and knee flexion on the dominant side only)

Investigational products

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

Test 1

Viltolarsen

PRD7498363 · Product

Active substance
Viltolarsen
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
SOLUTION FOR INFUSION
Max daily dose
80 mg/Kg milligram(s)/kilogram
Max total dose
7680 mg/Kg milligram(s)/kilogram
Max treatment duration
96 Week(s)
Authorisation status
Not Authorised
MA holder
NS PHARMA, INC.
Paediatric formulation
Yes
Orphan designation
Yes
Orphan designation number
EU/3/20/2282

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Ns Pharma Inc.

Sponsor organisation
Ns Pharma Inc.
Address
140 East Ridgewood Avenue Suite 280s
City
Paramus
Postcode
07652-3914
Country
United States

Scientific contact point

Organisation
Ns Pharma Inc.
Contact name
Regulatory Submissions

Public contact point

Organisation
Ns Pharma Inc.
Contact name
Regulatory Submissions

Third parties 14

OrganisationCity, countryDuties
RapidTrials
ORL-000004982
NY, United States Code 2
Medpace Finland Oy
ORG-100009147
Helsinki, Finland On site monitoring, Code 10, Code 11, Code 12, Other, Code 2, Interactive response technologies (IRT), Laboratory analysis, Code 5, Data management, E-data capture
Bml Inc.
ORG-100050442
Shibuya, Japan Laboratory analysis
Scout Clinical
ORG-100042228
Dallas, United States Other
Wuxi Apptec Co. Ltd.
ORG-100012470
Shanghai, China Laboratory analysis
Arup Laboratories Inc.
ORG-100041750
Salt Lake City, United States Laboratory analysis
Revvity Omics Sweden AB
ORG-100047598
Sollentuna, Sweden Laboratory analysis
Shin Nippon Biomedical Laboratories Ltd.
ORG-100020905
Kainan, Japan Laboratory analysis
Atom International Limited
ORG-100042393
Gateshead, United Kingdom Other
Iqvia Inc.
ORG-100010622
Morrisville, United States Code 8
Quest Diagnostics Inc.
ORG-100013150
Deerfield Beach, United States Laboratory analysis
Pci Pharma Services
ORG-100016314
Bridgend, United Kingdom Code 14
TRiNDS, LLC
ORL-000004966
Pittsburgh, United States Laboratory analysis
Illingworth Research Group Limited
ORG-100042356
Macclesfield, United Kingdom Other

Locations

6 EU/EEA countries · 9 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Ended 1 1
Greece Ended 2 2
Italy Ended 4 1
Netherlands Ended 9 2
Norway Ended 2 1
Spain Ended 3 2
Rest of world
Canada, Mexico, China, Korea, Republic of, Australia, Russian Federation, New Zealand, Chile, Turkey, United Kingdom
53

Investigational sites

Czechia

1 site · Ended
Fakultni Nemocnice Hradec Kralove
Neurologická klinika, Sokolska 581, 500 03, Novy Hradec Kralove

Greece

2 sites · Ended
Nosokomeio Paidon I Agia Sofia
Neuromuscular Unit, Thivon, Papadiamantopoulou, Athens
Hippokration Hospital
1 st Department of Pediatrics of AUTh, Konstadinoupoleos 49, 546 42, Thessaloniki

Italy

1 site · Ended
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
neuropsychiatry, Largo Francesco Vito 1, 00168, Rome

Netherlands

2 sites · Ended
Radboud universitair medisch centrum / RADBOUDUMC
Neuromuscular Unit, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen
Leids Universitair Medisch Centrum (LUMC)
Neuromuscular Unit, Einthovenweg 20, 2333 ZC, Leiden

Norway

1 site · Ended
Oslo University Hospital HF
Neuromuscular Unit, Sognsvannsveien 20, 0372, Oslo

Spain

2 sites · Ended
Sant Joan De Deu Barcelona Hospital
Neuromuscular Unit, Passeig De Sant Joan De Deu 2, 08950, Esplugues De Llobregat
Hospital Universitario La Paz
Servicio de Neurologia Infantil, Paseo Castellana 261, 28046, Madrid

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Czechia 2023-06-21 2025-01-16 2023-06-21 2023-06-22
Greece 2022-05-06 2025-03-10 2022-05-10 2023-04-12
Italy 2021-06-07 2025-05-16 2021-06-15 2023-06-19
Netherlands 2021-09-27 2025-07-31 2021-09-29 2023-09-07
Norway 2022-12-05 2025-09-09 2022-12-23 2023-10-19
Spain 2021-06-22 2024-10-02 2021-06-23 2023-09-08

Results and documents

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

Documents 54 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_EN_2023-507146-91_NSPharma_redacted 2.0
Protocol (for publication) D1_Protocol_GR_2023-507146-91_NSPharma_redacted 2.0
Protocol (for publication) D4_Patient facing document_PARS Q_CZ_NSPharma 3.0
Protocol (for publication) D4_Patient facing document_PARS Q_ES_NSPharma 3.0
Protocol (for publication) D4_Patient facing document_PARS Q_GR_NSPharma 3.0
Protocol (for publication) D4_Patient facing document_PARS Q_IT_NSPharma 3.0
Protocol (for publication) D4_Patient facing document_PARS Q_NL_NSPharma 3.0
Protocol (for publication) D4_Patient facing document_PARS Q_NO_NSPharma 3.0
Protocol (for publication) D4_Patient facing document_PARS Q_SE_NSPharma 3.0
Protocol (for publication) D4_Patient facing document_PODCI Q_CZ_NSPharma 3.0
Protocol (for publication) D4_Patient facing document_PODCI Q_ES_NSPharma 2.0
Protocol (for publication) D4_Patient facing document_PODCI Q_GR_NSPharma 2.0
Protocol (for publication) D4_Patient facing document_PODCI Q_IT_NSPharma 2.0
Protocol (for publication) D4_Patient facing document_PODCI Q_NL_NSPharma 3.0
Protocol (for publication) D4_Patient facing document_PODCI Q_NO_NSPharma 3.0
Protocol (for publication) D4_Patient facing document_PODCI Q_SE_NSPharma 3.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_CZ_NSPharma_Blank NA
Recruitment arrangements (for publication) K1_Recruitment arrangements_ES_NSPharma_Blank 1
Recruitment arrangements (for publication) K1_Recruitment arrangements_GR_NSPharma_Blank NA
Recruitment arrangements (for publication) K1_Recruitment arrangements_IT_NSPharma_Blank NA
Recruitment arrangements (for publication) K1_Recruitment arrangements_NL_NSPharma_Blank NA
Recruitment arrangements (for publication) K1_Recruitment arrangements_NO_NSPharma_Blank NA
Subject information and informed consent form (for publication) L1_SIS and CIF_4-10yo_ES_NSPharma 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_ Parental_NSPharma_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_10yo_NSPharma_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_4-10yo_IT_NSPharma 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_4-10yo_NL_NSPharma 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_4-9yo_NSPharma_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_6-10yo_NO_NSPharma 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_6-10yo_SE_NSPharma 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum ICF CRO_NS Pharma 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum ICF IT_NS Pharma 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum Main ICF_NSPharma 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_GDPR_CZ_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_ICF Addendum_NS Pharma 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_ICF addendum_NSPharma 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF Addendum_Czechia_NS Pharma 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_CZ_redacted 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_OffsiteNursing _ES_NSPharma_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_OffsiteNursing_IT_NSPharma_redacted 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_OffsiteNursing_NSPharma_redacted 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Parental_ES_NSPharma_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Parental_IT_NSPharma_redacted 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Parental_NL_NSPharma_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Parental_NO_NSPharma_redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Parental_SE_NSPharma_redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_ScoutTravel_ES_NSPharma 1.2
Subject information and informed consent form (for publication) L1_SIS and ICF_ScoutTravel_NL_NSPharma 1.2
Subject information and informed consent form (for publication) L1_SIS and ICF_ScoutTravel_NSPharma_redacted 1.3
Synopsis of the protocol (for publication) D1_Protocol Synopsis_CZ_2023-507146-91_NSPharma 2.0
Synopsis of the protocol (for publication) D1_Protocol Synopsis_DUT_2023-507146-91_NSPharma 2.0
Synopsis of the protocol (for publication) D1_Protocol Synopsis_ES_2023-507146-91_NSPharma 2.0
Synopsis of the protocol (for publication) D1_Protocol Synopsis_GR_2023-507146-91_NSPharma 2.0
Synopsis of the protocol (for publication) D1_Protocol Synopsis_IT_2023-507146-91_NSPharma 2.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-01-18 Norway Acceptable
2024-02-26
2024-02-26
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-05-10 Acceptable
2024-02-26
2024-05-10
3 SUBSTANTIAL MODIFICATION SM-2 2024-05-16 Norway Acceptable
2024-07-22
2024-07-24
4 NON SUBSTANTIAL MODIFICATION NSM-2 2024-08-01 Norway Acceptable
2024-07-22
2024-08-01
5 NON SUBSTANTIAL MODIFICATION NSM-3 2024-08-01 Acceptable
2024-07-22
2024-08-01
6 SUBSTANTIAL MODIFICATION SM-4 2024-10-31 Acceptable 2024-11-25
7 SUBSTANTIAL MODIFICATION SM-5 2024-10-31 Norway Acceptable 2025-01-30
8 SUBSTANTIAL MODIFICATION SM-6 2024-10-31 Acceptable 2025-01-15
9 SUBSTANTIAL MODIFICATION SM-7 2024-10-31 Acceptable 2024-12-06
10 SUBSTANTIAL MODIFICATION SM-8 2024-10-31 Acceptable 2025-01-15
11 SUBSTANTIAL MODIFICATION SM-9 2024-11-15 Acceptable 2024-12-16
12 NON SUBSTANTIAL MODIFICATION NSM-4 2025-06-18 Norway Acceptable 2025-06-18