A Study of EDG-5506 in Children With Duchenne Muscular Dystrophy (LYNX)

Study Overview
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Brief Summary
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The LYNX study is a 2-part, multicenter, Phase 2 study of safety, pharmacokinetics and biomarkers in children with Duchenne muscular dystrophy including a randomized, double-blind, placebo-controlled part A, followed by an open-label part B.

Detailed Description
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The EDG-5506-210 protocol was amended to include an additional dose cohort and a cohort to include participants not currently treated with corticosteroids. This is a 2-part, multi-center, Phase 2 study to evaluate the effect of EDG-5506 on safety, pharmacokinetics and biomarkers of muscle damage in approximately 45 children with DMD treated with oral, once-daily EDG-5506 for 24 months. This study will have up to a 4-week Screening period, a 12-week randomized, double-blind, placebo controlled treatment period (Part A), a 92-week open-label extension period (Part B), and a 2-week follow up period. Approximately 45 participants aged 4 to 9 years inclusive will be randomized to EDG-5506 or placebo in a 2:1 ratio. Four dose cohorts (C1, C2, C3, and C4) of approximately 9 participants each will be enrolled sequentially. An additional cohort, Cohort 2NS, to include participants (aged 4 to 7 years inclusive) not currently treated with corticosteroids, will enroll approximately 9 participants after Cohort 2 safety review and in parallel with the additional cohorts.

Official Title
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A 2-part Phase 2 Study of Safety, Pharmacokinetics and Biomarkers in Children With Duchenne Muscular Dystrophy Including a Randomized, Double-Blind, Placebo-Controlled Part A, Followed by an Open-Label Part B

Conditions
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Duchenne Muscular Dystrophy

Intervention / Treatment
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* Drug: EDG-5506 Dose 1
* Drug: EDG-5506 Dose 2
* Drug: EDG-5506 Dose 3
* Drug: EDG-5506 Dose 4
* Drug: Placebo


Participation Criteria
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Eligibility Criteria
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Key Common Inclusion Criteria: A documented mutation on the DMD gene and phenotype consistent with Duchenne muscular dystrophy. Able to complete the stand from supine in ≤ 10 seconds and able to perform the 4-stair climb in < 10 seconds at the Screening visit. Body weight greater than or equal to 15 kg and less than 35 kg at the Screening visit. For Cohorts 1, 2, 3, and 4: Aged 4-9 years on a stable dose of corticosteroids for a minimum of 6 months prior to the Baseline visit. For Cohort 2 Non-Steroid (Cohort 2NS): Aged 4-7 years not on corticosteroids within 6 months prior to the Baseline visit. Key Common Exclusion Criteria: Medical history or clinically significant physical exam/laboratory result that, in the opinion of the investigator, would render the participant unsuitable for the study. This includes venous access that would be too difficult to facilitate repeated blood testing. A forced vital capacity < 60% predicted at the Screening visit for those participants who are > 8 years old at Screening. A cardiac echocardiography showing left ventricular ejection < 45% at the Screening visit. Receipt of an investigational drug within 30 days or 5 half-lives (whichever is longer) of the Screening visit in the present study. Receipt of a stable dose of an approved exon-skipping therapy with a treatment duration of less than 1 year prior to the Screening visit. For Cohort 2 Non-Steroid (Cohort 2NS): Receipt of oral corticosteroids for the treatment of Duchenne muscular dystrophy in the previous 6 months. Participants will not be tapered off steroids for the purpose of this study and oral corticosteroids for the treatment of Duchenne muscular dystrophy may be initiated after the Week 16 visit.

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 9 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Sequential Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cohort 1<br>Drug: EDG-5506 Drug: Placebo | Drug: EDG-5506 Dose 1<br>* EDG-5506 is administered orally once per day<br>Drug: Placebo<br>* Placebo is administered orally once per day<br>|
| Experimental: Cohort 2<br>Drug: EDG-5506 Drug: Placebo | Drug: EDG-5506 Dose 2<br>* EDG-5506 is administered orally once per day<br>Drug: Placebo<br>* Placebo is administered orally once per day<br>|
| Experimental: Cohort 3<br>Drug: EDG-5506 Drug: Placebo | Drug: EDG-5506 Dose 3<br>* EDG-5506 is administered orally once per day<br>Drug: Placebo<br>* Placebo is administered orally once per day<br>|
| Experimental: Cohort 4<br>Drug: EDG-5506 Drug: Placebo | Drug: EDG-5506 Dose 4<br>* EDG-5506 is administered orally once per day<br>Drug: Placebo<br>* Placebo is administered orally once per day<br>|
| Experimental: Cohort 2NS<br>Drug: EDG-5506 Drug: Placebo | Drug: EDG-5506 Dose 2<br>* EDG-5506 is administered orally once per day<br>Drug: Placebo<br>* Placebo is administered orally once per day<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of adverse events during treatment with EDG-5506 or placebo | All participants | 24 months | 
| Severity of adverse events during treatment with EDG-5506 or placebo | All participants | 24 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of abnormal clinical chemistry test results | All participants | 24 months | 
| Incidence of abnormal hematology test results | All participants | 24 months | 
| Incidence of abnormal coagulation test results | All participants | 24 months | 
| Incidence of abnormal urinalysis test results | All participants | 24 months | 
| Pharmacokinetics as measured by steady state plasma concentration | All participants | 24 months | 
| Change from Baseline in serum creatinine kinase | All participants | 12 weeks | 
| Change from Baseline in fast skeletal muscle troponin I | All participants | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Duchenne Muscular Dystrophy