Safety and Gene Expression Study of Delandistrogene Moxeparvovec in Male Children with Duchenne Muscular Dystrophy
Non-Ambulatory Participants Receiving Single Intravenous Gene Therapy Infusion
Led by Sarepta Therapeutics, Inc. · Updated on 2026-06-24
83
Participants Needed
7
Research Sites
8 weeks
Total Duration
AI-Summary
What this Trial Is About
This research aims to evaluate the safety and gene expression of delandistrogene moxeparvovec, a gene transfer therapy, in males with Duchenne Muscular Dystrophy DMD. The study focuses on non-ambulatory participants in Cohort 8, while enrollment for earlier cohorts has been completed. The study is open-label and conducted by Sarepta Therapeutics, Inc., with a maximum participant duration of 156 weeks.
Participants will receive a single intravenous infusion of delandistrogene moxeparvovec on Day 1. The study measures dystrophin protein expression at 12 weeks post-infusion, as well as safety outcomes including acute liver injury and other adverse events up to 72 weeks for Cohort 8. Additional assessments monitor vector shedding, antibody levels, treatment-emergent adverse events, and steroid use for up to 156 weeks.
During the study, participants undergo various assessments including laboratory tests, biomarker evaluations, and motor function testing. Researchers will collect samples such as urine, saliva, and stool to track vector shedding and measure immune responses. Safety monitoring includes tracking liver-related events and infections. The total study participation may last up to about 3 years, allowing for long-term follow-up of treatment effects and safety.
CONDITIONS
Brief Title
A Gene Transfer Therapy Study to Evaluate the Safety of and Expression From Delandistrogene Moxeparvovec (SRP-9001) in Participants With Duchenne Muscular Dystrophy (DMD) - Non-Ambulatory Cohort
Research Team
S
Sarepta Therapeutics Inc., For Clinical Trial Information, Select Option 4
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This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
Factors
SRP-9001 gene therapy (investigational)
Systemic corticosteroids (standard care)
What it is
A one-time intravenous gene therapy using a recombinant AAV vector (SRP-9001) carrying a micro-dystrophin gene, designed to enable muscle cells to produce a dystrophin protein.
Ongoing systemic corticosteroid therapy, typically using daily prednisone or deflazacort, which reduces inflammation and delays progression of muscle weakness.
Role in trial/population
Evaluated in non-ambulatory individuals with DMD (including those with limited upper limb function) who met protocol-specified functional and genetic requirements.
Standard treatment for all patients with DMD, including non-ambulatory individuals, regardless of eligibility for gene therapy.
Primary use
Investigational therapy aiming to restore dystrophin expression in muscle cells and address muscle loss in advanced DMD.
Reduces inflammation and slows disease progression, particularly loss of upper limb and respiratory function.
How it is given or performed
Single intravenous infusion of the gene therapy product during a single hospital visit.
Taken as daily oral medication (prednisone or deflazacort) on a long-term basis.
Evidence status
Early clinical studies report increased micro-dystrophin expression following SRP-9001 infusion in some DMD patients. Large, long-term studies in non-ambulatory patients with advanced disease remain ongoing, and functional improvement is not yet established.
Long-term efficacy for slowing disease progression and preserving upper limb and respiratory function is supported by large longitudinal studies and meta-analyses, though steroids do not stop disease advancement.
Important risks
Gene therapy may cause acute liver injury, immune responses against the vector or dystrophin, and infusion-related or muscle inflammation events. Monitoring is required for adverse effects including serious immune-mediated myositis.
Long-term corticosteroid use increases risk for weight gain, bone fragility (osteoporosis), glucose intolerance, delayed puberty, and susceptibility to infections.
Important limitations
Long-term functional improvement in non-ambulatory DMD is not yet shown; durability, sustained benefit, and safety over years remain unknown. Efficacy and safety for patients with advanced disease await further data.
Although widely used, steroids do not cure DMD or halt disease progression; side-effects can substantially impact quality of life and may require additional management.
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
Who Can Participate
Age: 2Years +
MALE
Eligibility Criteria
You may qualify if you...
Has a definitive diagnosis of Duchenne Muscular Dystrophy based on clinical findings and genetic testing
Is non-ambulatory with a performance upper limb entry item score of 3 or higher at screening
Has a total performance upper limb score between 20 and 40 at screening
Has been on a stable dose of oral glucocorticoids for at least 12 weeks before screening and expects to maintain this dose during the first year
Ability to cooperate with motor assessment testing
rAAVrh74 antibody titers are not elevated as per protocol requirements
You will not qualify if you...
Has any factors preventing the use of oral sirolimus, including known hypersensitivity
Has a concomitant illness, autoimmune disease, chronic drug treatment, or cognitive delay that increases risk for gene transfer
Prior exposure to gene therapy, investigational medication, or treatments to increase dystrophin expression within protocol time limits
Abnormalities in specified diagnostic evaluations or laboratory tests
Other protocol-specified exclusion criteria
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Up to 156 weeks
Participants receive a single intravenous infusion of delandistrogene moxeparvovec on Day 1.
Regular assessments during the study period
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Published Research Related To This Trial
Delandistrogene Moxeparvovec Gene Therapy in Ambulatory Patients (Aged ≥4 to <8 Years) with Duchenne Muscular Dystrophy: 1-Year Interim Results from Study SRP-9001-103 (ENDEAVOR).
Craig M Zaidman, Crystal M Proud, Craig M McDonald...