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AOC 1001

Phase 3

DM1 | Small molecule | Rare Disease |Atrium Therapeutics, Inc.|Trials Updated: Sep 28, 2026

AOC 1001 development status

Highest phase Phase 3
Registered trials 2 across 1 sponsor since Aug 2021

AOC 1001 target and mechanism

Molecular targetDMPK
Target classGene
ModalitySmall molecule

Also known as AOC 1001 (del-desiran)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment235

FDA Designations

No designations recorded

AOC 1001 clinical trials

AOC 1001 · 3 trials · 19 indications

Phase 3 1Phase 2 1Phase 1 1
NCT06411288Global Study of Del-desiran for the Treatment of DM1DM1
COMPLETED159 Analytics
PHASE3COMPLETED
Global Study of Del-desiran for the Treatment of DM1
DM1Unlock trial analytics

Study Endpoints

Primary Endpoints

Hand function
Through Week 54

video Hand Opening Time (vHOT)

Number and severity of treatment-emergent adverse events (TEAEs)
Through study completion
Frequency of Treatment Emergent Adverse Events (TEAEs)
Through study completion, up to Day 183

Cumulative number of participants with treatment emergent adverse events at the end of study.

Secondary Endpoints

Hand grip strength
Through Week 54
Quantitative Muscle Testing composite score
Through Week 54
Myotonic Dystrophy Type 1 activity and participation scale c
Through Week 54
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Del-desiranEXPERIMENTALDel-desiran (AOC 1001) will be administered seven times
PlaceboPLACEBO_COMPARATORSaline will be administered seven times
AOC 1001EXPERIMENTALAOC 1001 will initially be administered quarterly. On Day 43 patients will receive an additional dose. Treatment assignment will be based on treatment received in AOC 1001-CS1. If participant did not receive AOC 1001 on Day 43 in AOC 1001-CS1, participant will receive AOC 1001 treatment on Day 43 in AOC 1001-CS2. Beginning in September 2024, AOC 1001 will be administered every 8 weeks.
AOC 1001 (with Placebo at Day 43)EXPERIMENTALAOC 1001 will initially be administered quarterly. On Day 43 patients will receive an additional dose. Treatment assignment will be based on treatment received in AOC 1001-CS1. If participant received AOC 1001 on Day 43 in AOC 1001-CS1, participant will receive blinded placebo treatment on Day 43 in AOC 1001-CS2. Beginning in September 2024, AOC 1001 will be administered every 8 weeks.
Part A Single Dose: AOC 1001 Dose Level 1EXPERIMENTALAOC 1001 will be administered once.
Part A Single Dose: PlaceboPLACEBO_COMPARATORSaline will be administered once.
Part B Multiple Ascending Dose: AOC 1001 Dose Levels 2 & 3EXPERIMENTALAOC 1001 will be administered three times.
Part B Multiple Ascending Dose: PlaceboPLACEBO_COMPARATORSaline will be administered three times.

Interventions

NameTypeDescription
AOC 1001 (del-desiran)DRUGDel-desiran will be administered by intravenous (IV) infusion.
PlaceboDRUGPlacebo will be administered by intravenous (IV) infusion.
AOC 1001DRUGAOC 1001 will be administered by intravenous (IV) infusion.
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Eligibility Criteria

Age Range16 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites34

Key Inclusion Criteria: * Clinical and genetic diagnosis (CTG repeat ≥ 100) of DM1 * Ability to walk independently (orthoses and ankle braces allowed) for at least 10 meters at screening Key Exclusion Criteria: * Breastfeeding, pregnancy, or intent to become pregnant during the study * Unwilling ...

Countries:United StatesCanadaDenmarkFranceGermanyItalyJapanNetherlandsSpainUnited Kingdom
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Recent Changes (Last 90 Days)

MEDIUMOct 12, 2026NCT05479981TRIAL_REMOVED: changed
MEDIUMOct 12, 2026NCT05479981TRIAL_REMOVED: changed
MEDIUMOct 12, 2026NCT05479981TRIAL_REMOVED: changed
MEDIUMOct 2, 2026NCT06411288TRIAL_REMOVED: changed
MEDIUMOct 2, 2026NCT06411288TRIAL_REMOVED: changed
MEDIUMOct 2, 2026NCT06411288TRIAL_REMOVED: changed
LOWSep 11, 2026NCT05479981lastUpdatePostDate: changed
LOWSep 11, 2026NCT05479981lastUpdatePostDate: changed
HIGHSep 1, 2026NCT06411288Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 1, 2026NCT06411288Status: ACTIVE_NOT_RECRUITING → COMPLETED

Frequently asked questions about AOC 1001

What is AOC 1001 used for in DM1?

AOC 1001 is an investigational therapy being developed for myotonic dystrophy type 1 (DM1), also called Steinert disease. DM1 is a rare genetic neuromuscular disorder. The drug is designed to address the underlying cause of the condition rather than only managing symptoms, and it is being studied in adults and adolescents aged 16 and older.

What does AOC 1001 target?

AOC 1001 targets DMPK, the gene that encodes dystrophia myotonica protein kinase. In DM1, the DMPK gene produces toxic expanded RNA repeats that interfere with normal cellular function. By targeting DMPK at the gene level, AOC 1001 aims to reduce production of the toxic RNA that drives the disease.

Who is developing AOC 1001?

AOC 1001 is being developed by Atrium Therapeutics, Inc., which trades under the ticker RNA. The company is advancing the candidate for myotonic dystrophy type 1 as part of its rare disease portfolio.

What phase is AOC 1001 in?

AOC 1001 is in Phase 3 development for myotonic dystrophy type 1. It is an investigational drug and has not been approved by the FDA. Three clinical trials have been completed to date, including a Phase 1, a Phase 2 extension, and a global Phase 3 study.

What clinical trials is AOC 1001 in?

AOC 1001 has been studied in three completed trials: NCT05027269 (Phase 1), NCT05479981 (Phase 2 extension of the MARINA study), and NCT06411288 (Phase 3 global study). The Phase 3 trial enrolled 159 patients across the United States, Canada, Europe, and Japan. Total enrollment across all three trials was 235 participants.

Is AOC 1001 the same as del-desiran?

Yes, AOC 1001 is also known as del-desiran. Del-desiran is the international nonproprietary name for the same investigational compound developed by Atrium Therapeutics for myotonic dystrophy type 1. Both names refer to the identical drug candidate studied in the Phase 1, Phase 2, and Phase 3 clinical trials.