Overview
Sponsor-declared trial summary
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
- 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)
| Version | Level | Code | Term | System 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. Patient has completed the NS-065/NCNP-01-301 study;
- 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. 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. 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. 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. Patient took any other investigational drug(s) during or after completion of Study NS-065/NCNP-01-301;
- 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
- - 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
- 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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| 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
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |