A Global Phase 3 Open-Label Extension Study to Assess AOC 1001 in Patients with DM1

2025-520766-22-00 Protocol AOC 1001-CS4 Therapeutic confirmatory (Phase III) Authorised, recruiting

Start 21 Jan 2026 · Status Authorised, recruiting · 6 EU/EEA countries · 8 sites · Protocol AOC 1001-CS4

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruiting
Participants planned 217
Countries 6
Sites 8

Myotonic Dystrophy Type 1

To evaluate the long-term safety and tolerability of AOC 1001 in DM1 patients

Key facts

Sponsor
Avidity Biosciences Inc.
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Musculoskeletal Diseases [C05]
Trial duration
21 Jan 2026 → ongoing
Decision date (initial)
2025-09-29
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Avidity Biosciences Inc.

External identifiers

EU CT number
2025-520766-22-00
WHO UTN
U1111-1317-9634
ClinicalTrials.gov
NCT07008469

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety, Others

To evaluate the long-term safety and tolerability of AOC 1001 in DM1 patients

Conditions and MedDRA coding

Myotonic Dystrophy Type 1

VersionLevelCodeTermSystem organ class
28.0 LLT 10090453 Myotonic dystrophy type 1 100000004850

Regulatory references

Scientific advice from competent authorities
Food And Drug Administration, European Medicines Agency
Plan to share IPD
No
EU CT numberTitleSponsor
2024-511378-60-00 A Phase 3 Randomized, Double-Blind, Placebo-Controlled, Global Study to Evaluate the Efficacy and Safety of Intravenous AOC 1001 for the Treatment of Myotonic Dystrophy Type 1 Avidity Biosciences Inc.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. 1. Ability to provide written informed consent (signed and dated) and any authorizations required by local law and be willing and able to comply with all study requirements. When enrolling participants who are minors, it is necessary to also obtain consent from a legally authorized representative and the participant will receive information in a way adapted to their age and mental maturity.
  2. 2. Completion of any prior AOC 1001 studies with satisfactory completion of dosing and follow-up assessments and satisfactory compliance with the protocol requirements of the parent study, as determined by the Investigator.

Exclusion criteria 3

  1. 1. Females who are pregnant, breastfeeding, or planning to become pregnant during the study period.
  2. 2. Unwilling to comply with contraceptive requirements.
  3. 3. Any new conditions or worsening of existing condition that in the opinion of the Investigator would make the participant unsuitable for the study.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. 1. Incidence of TEAEs

Investigational products

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

Test 1

AOC 1001

PRD11866797 · Product

Active substance
Humanised IGG1 Monoclonal Antibody Against TFR1 Conjugated to Double Stranded Sirna Oligonucleotide Against Dmpk via a Non-Cleavable Linker
Substance synonyms
AV01mAb-MD01, AOC 1001
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
4 mg/kg milligram(s)/kilogram
Max total dose
112 mg/kg milligram(s)/kilogram
Max treatment duration
48 Month(s)
Authorisation status
Not Authorised
MA holder
AVIDITY BIOSCIENCES
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/21/2485

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Avidity Biosciences Inc.

Sponsor organisation
Avidity Biosciences Inc.
Address
3020 Callan Road
City
San Diego
Postcode
92121-1109
Country
United States

Scientific contact point

Organisation
Avidity Biosciences Inc.
Contact name
Avidity Biosciences Inc.

Public contact point

Organisation
Avidity Biosciences Inc.
Contact name
Avidity Biosciences Inc.

Third parties 7

OrganisationCity, countryDuties
Medidata Solutions Inc.
ORG-100016256
New York, United States E-data capture
Trinds LLC
ORG-100051849
Pittsburgh, United States Other
Medpace Finland Oy
ORG-100009147
Helsinki, Finland On site monitoring, Code 11, Code 12, Code 2, Laboratory analysis, Code 5, Data management, E-data capture
Atreo Inc.
ORG-100045217
San Francisco, United States Interactive response technologies (IRT)
Gray Consulting Inc.
ORG-100044159
Philadelphia, United States Other
Chillibean Limited
ORG-100042592
London, United Kingdom Other
ProPharma Group GmbH
ORG-100008074
Berlin, Germany Code 8

Locations

6 EU/EEA countries · 8 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Authorised, recruitment pending 7 2
France Ongoing, recruiting 5 1
Germany Ongoing, recruiting 8 1
Italy Ongoing, recruiting 10 1
Netherlands Ongoing, recruiting 13 2
Spain Authorised, recruitment pending 3 1
Rest of world
Canada, United States, United Kingdom, Japan
171

Investigational sites

Denmark

2 sites · Authorised, recruitment pending
Aarhus Universitethospital
Neurological department, Palle Juul Jensens Boulevard 165, 8200, Aarhus N
Copenhagen University Hospital
Neuromuskulaer klinik, Blegdamsvej 9, 2100, Copenhagen Oe

France

1 site · Ongoing, recruiting
Hopitaux Universitaires Pitie Salpetriere
Neuromyologie, 47 To 83 Boulevard De L Hopital, 75013, Paris

Germany

1 site · Ongoing, recruiting
LMU Klinikum Muenchen AöR
Department of Neurology, Ziemssenstrasse 1, Ludwigsvorstadt-Isarvorstadt, Munich

Italy

1 site · Ongoing, recruiting
Centro Clinico Nemo
Centro Clinico NeMO di Milano, Piazza Dell'ospedale Maggiore 3, 20162, Milan

Netherlands

2 sites · Ongoing, recruiting
Academisch Ziekenhuis Maastricht
Neurology, P Debyelaan 25, 6229 HX, Maastricht
Radboud universitair medisch centrum Stichting
Neurology, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen

Spain

1 site · Authorised, recruitment pending
Hospital Universitario Donostia
Neurology, Pasealeku Doct. Begiristain 109, 20014, Donostia

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2026-02-11 2026-03-18
Germany 2026-04-15 2026-04-16
Italy 2026-01-21 2026-02-23
Netherlands 2026-01-30 2026-02-09

Results and documents

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

Documents 43 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_2025-520766-22-00_Avidity_redacted 2.3(EU)
Protocol (for publication) D4_Patient facing documents _Avidity_Licensing agreement statement NA
Recruitment arrangements (for publication) K1_Additional Document_Avidity NA
Recruitment arrangements (for publication) K1_Recruitment arrangements_DE_Avidity 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_DK_Avidity_redacted 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_ES_Avidity_redacted 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_FR_Avidity_redacted 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_IT_Avidity_redacted 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_NL_Avidity 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Adults_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Adults_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Clincierge Data Protection 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Clincierge Data Protection Notice_Avidity 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Clincierge Data Protection Notice_Avidity 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Clincierge Data Protection Notice_Avidity 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Data Protection_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main adults_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Parental_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Parental_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnancy_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Participant_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Participant_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Participant_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_PregnantParticipant_Avidity_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_PregnantPartner_Avidity_redacted 1.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Water for Injection_Avidity NA
Synopsis of the protocol (for publication) D1_Protocol lay synopsis_DU_2025-520766-22-00_Avidity 2.3(EU)
Synopsis of the protocol (for publication) D1_Protocol lay synopsis_EN_2025-520766-22-00_Avidity 2.3(EU)
Synopsis of the protocol (for publication) D1_Protocol lay synopsis_ES_2025-520766-22-00_Avidity 2.3(EU)
Synopsis of the protocol (for publication) D1_Protocol lay synopsis_FR_2025-520766-22-00_Avidity 2.3(EU)
Synopsis of the protocol (for publication) D1_Protocol synopsis_EN_2025-520766-22-00_Avidity_redacted 2.3(EU)
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR_2025-520766-22-00_Avidity_redacted 2.3(EU)
Synopsis of the protocol (for publication) D1_Protocol synopsis_IT_2025-520766-22-00_Avidity_redacted 2.3(EU)

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-06-06 Spain Acceptable
2025-09-29
2025-09-29
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-11-18 Spain Acceptable
2025-09-29
2025-11-18
3 SUBSTANTIAL MODIFICATION SM-1 2026-01-08 Spain Acceptable
2026-03-10
2026-03-10
4 NON SUBSTANTIAL MODIFICATION NSM-2 2026-04-09 Acceptable
2026-03-10
2026-04-09