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Eteplirsen

Phase 3

Muscular Dystrophy, Duchenne | Small molecule | Neurology |Sarepta Therapeutics, Inc.|Last Updated: Feb 27, 2026

Success Probability
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Market & Valuation
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment184
FDA Designations
No designations recorded
Clinical trial landscape

Eteplirsen · 5 trials · 3 indications

Phase 3 2Phase 2 3
NCT03992430A Study to Compare Safety and Efficacy of High Doses of Eteplirsen in Participants With Duchenne Muscular Dystrophy (DMD) (MIS51ON)Muscular Dystrophy, Duchenne
ACTIVE NOT_RECRUITING160 Analytics
NCT02255552Study of Eteplirsen in DMD PatientsDuchenne Muscular Dystrophy (DMD)
COMPLETED109 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Compare Safety and Efficacy of High Doses of Eteplirsen in Participants With Duchenne Muscular Dystrophy (DMD) (MIS51ON)
Muscular Dystrophy, DuchenneUnlock trial analytics
PHASE3COMPLETED
Study of Eteplirsen in DMD Patients
Duchenne Muscular Dystrophy (DMD)Unlock trial analytics
Study Endpoints
Primary Endpoints
Part 1: Incidence of Adverse Events (AEs)
Up to Week 148
Part 2: Change From Baseline at Week 144 in the NSAA Total Score (for Final Analysis)
Baseline, Week 144
Part 2: Change from Baseline at Week 72 or Week 96 in NSAA Total Score (for Conditional Efficacy Interim Analysis)
Baseline, Week 72 or Week 96
Change From Baseline in the 6 Minute Walk Test (6MWT) Distance at Week 96
Baseline, Week 96

6MWT was performed by standardized procedures for all participants. Participants were asked to walk a set course of 25 meters for 6 minutes (timed), and the distance walked (in meters) was recorded. Change from baseline in 6MWT distance at Week 96 was reported.

Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and TEAEs Leading to Discontinuation From Study Drug
Baseline up to Week 100

TEAEs were defined as adverse events (AEs) with an onset following administration of the first dose of study drug. An AE was any untoward medical occurrence in a participant, which does not necessarily have a causal relationship with the study drug. Abnormalities presented at Baseline were considered AEs if they reoccurred after resolution or worsen during the AE collection period. An SAE was defined as any AE that, in the view of either the Investigator or Sponsor, resulted in any of the following outcomes as fatal, life-threatening, required hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, a congenital anomaly/birth defect, or an important medical event. A summary of all SAEs and Other AEs (nonserious) regardless of causality is located in the 'Adverse Events' Section.

Number of Participants With at Least 1 Potentially Clinically Significant Clinical Safety Laboratory Abnormality
Baseline up to Week 100

Clinical laboratory parameters that were evaluated included * Any Grade ≥2 (moderate) or serious event without an alternative etiology that the Investigator deemed was related to study drug * Two consecutive drug-related serum creatinine levels ≥2\*upper limit of normal (ULN) without an alternative etiology * Creatine kinase (CK) levels \>50,000 units/liter (U/L) * A confirmed, unexplained, increase in gamma glutamyl transferase (GGT) \>3\*ULN and either an increase in bilirubin \>2\*ULN or nascent prothrombin time \>2\*ULN concurrently, without an alternative etiology

Number of Participants With at Least 1 Markedly Abnormal Vital Sign
Baseline up to Week 100

The vital sign parameters that were evaluated included blood pressure, heart rate, respiration, and temperature. A summary of all SAEs and Other AEs (nonserious) regardless of causality is located in the 'Adverse Events' Section.

Abnormal Changes From Baseline or Worsening of Physical Examination Findings
Baseline up to Week 100

Data not collected during the study for this Outcome Measure. A summary of all SAEs and Other AEs (nonserious) regardless of causality is located in the 'Adverse Events' Section.

Number of Participants With at Least 1 Markedly Abnormal Electrocardiogram (ECG) and Echocardiogram (ECHO)
Weeks 8, 12, 24, 36, 48, 60, 72, 84, 96

The ECG was manually reviewed and interpreted by medically qualified personnel using a central vendor according to pre-specified criteria. The Investigator determined if the findings in the centrally read ECG report were clinically significant. Clinical significance was defined as any variation in ECG findings that had medical relevance resulting in an alteration in medical care. The ECHO was reviewed and interpreted by medically qualified personnel using a central vendor according to pre-specified criteria. The Investigator determined if the findings in the ECHO report were clinically significant. Clinical significance was defined as any variation in ECHO findings that had medical relevance resulting in an alteration in medical care. A summary of all SAEs and Other AEs (nonserious) regardless of causality is located in the 'Adverse Events' Section.

Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs Leading to Discontinuation
Baseline up to 100 weeks

Adverse Event (AE) was any untoward medical occurrence in a participant that did not necessarily have a causal relationship with the study drug. Serious adverse event (SAE) was an AE resulting in any of the following outcomes: death; Life-threatening event; required or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. Treatment emergent adverse events were events that developed or worsened during the on-treatment period (defined as time from first dose of study drug and up to 28 days after last dose of study drug \[up to 100 weeks\]) that were absent before treatment or that worsened relative to pre-treatment state. AEs included both serious and non-serious adverse events.

Number of Participants With Potentially Clinically Significant Laboratory Abnormalities Reported as TEAEs
Baseline up to 100 weeks

Laboratory parameters included hematology, serum chemistry (SC), urinalysis and coagulation. Number of participants with at least one potentially clinically significant abnormal findings were reported as TEAEs. The Investigator determined whether abnormal assessment results were clinically significant or not clinically significant. Clinical significance was defined as any variation in assessment results that had medical relevance resulting in an alteration in medical care.

Number of Participants With Potentially Clinically Significant Abnormalities in Vital Signs Reported as TEAEs
Baseline up to 100 weeks

Vital sign parameters included systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and body temperature. Number of participants with at least one potentially clinically significant abnormal vital signs findings were reported as TEAEs. The Investigator determined whether abnormal assessment results were clinically significant or not clinically significant. Clinical significance was defined as any variation in assessment results that had medical relevance resulting in an alteration in medical care.

Number of Participants With at Least One Abnormal Physical Examination Finding
Baseline up to 100 weeks

Physical examinations, full and brief, were performed by the Investigator, a physician Sub-Investigator, or a Nurse Practitioner (if licensed in the state or province to perform physical examinations). Full physical examinations included examination of general appearance; head, ears, eyes, nose, and throat; heart; lungs; chest; abdomen; skin; lymph nodes; and musculoskeletal and neurological systems. Number of participants with at least one abnormal physical examination findings were reported. Abnormality in physical examinations was based on Investigator's discretion.

Number of Participants With Abnormalities in Electrocardiograms (ECGs) Reported as TEAEs
Baseline up to 96 weeks

Twelve-lead ECGs and Holter ECGs were performed at a consistent time of day throughout the study. Electrocardiograms were performed only after the participant was in the supine position, resting, and quiet for a minimum of 15 minutes. The ECG was manually reviewed and interpreted by medically qualified personnel. Number of participants with at least one abnormalities in ECGs were reported as TEAEs.

Number of Participants With Abnormalities in Echocardiograms (ECHO) Reported as TEAEs
Baseline up to 96 weeks

Standard, 2-dimensional ECHOs were performed at a consistent time of day throughout the study. Cardiac function events included cardiomegaly, tachycardia, and dyspnoea. The ECHO was reviewed and interpreted by medically qualified personnel. Number of participants with at least one abnormalities in ECHO were reported as TEAEs.

Number of Participants With Treatment Emergent Adverse Events
From first dose of drug up to 100 weeks

An adverse event (AE) was any untoward medical occurrence in a participant that did not necessarily have a causal relationship with the study drug. A serious adverse event (SAE) was an AE resulting in any of the following outcomes: death; Life-threatening event; Required or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs were events that developed or worsened during the on-treatment period (defined as time from first dose of study drug and up to 28 days after last dose of study drug (up to 100 weeks) that were absent before treatment or that worsened relative to pretreatment state. AEs included both serious and non-serious adverse events.

Secondary Endpoints
Part 2: Change From Baseline in Time to Rise From the Floor, Time to Complete 10-Meter Walk/Run, and the Timed Stair Ascend Test
Baseline, Week 144
Part 2: Change From Baseline in the Total Distance Walked During 6-Minute Walk Test (6MWT)
Baseline, Week 144
Part 2: Change from Baseline at Week 144 in Forced Vital Capacity Percent Predicted (FVC%p)
Baseline, Week 144
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1: EteplirsenEXPERIMENTALParticipants will receive eteplirsen 100 mg/kg once weekly for at least 4 weeks, followed by eteplirsen 200 mg/kg once weekly for at least 4 weeks.
Part 2: Eteplirsen 30 mg/kgACTIVE_COMPARATORRandomized participants will receive eteplirsen 30 mg/kg once weekly for up to 144 weeks.
Part 2: Eteplirsen 100 mg/kgEXPERIMENTALRandomized participants will receive eteplirsen 100 mg/kg once weekly for up to 144 weeks.
Part 2: Eteplirsen 200 mg/kgEXPERIMENTALRandomized participants will receive eteplirsen 200 mg/kg once weekly for up to 144 weeks.
Treated GroupEXPERIMENTALApproximately 80 patients with genotypically confirmed Duchenne muscular dystrophy (DMD) with genetic deletions amenable to treatment by exon 51 skipping will receive 30 mg/kg of eteplirsen weekly for 96 weeks, followed by a safety extension (not to exceed 48 weeks).
Untreated GroupNO_INTERVENTIONApproximately 30 DMD patients not amenable to exon 51 skipping will not receive eteplirsen.
EteplirsenEXPERIMENTALEteplirsen will be administered once every 7 days by intravenous (IV) infusion starting on Day 1 for up to 96 weeks. The starting dose will be 2 milligrams/kilogram (mg/kg) eteplirsen, with escalation to 4, 10, 20, and 30 mg/kg for 10 weeks, and then participants will continue to receive eteplirsen at 30 mg/kg for the duration of the study.
Open-LabelEXPERIMENTALApproximately 20 patients will receive weekly infusions of eteplirsen 30 mg/kg .
Control GroupNO_INTERVENTIONApproximately 20 patients with DMD not amenable to exon 51 skipping will be observed for 96 weeks.
Eteplirsen 30 mg/kgEXPERIMENTALParticipants will receive eteplirsen 30 mg/kg/week intravenous (IV) infusions, weekly, for up to 96 weeks.
Interventions
NameTypeDescription
EteplirsenDRUGSolution for intravenous (IV) infusion.
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Eligibility Criteria
Age Range4 Years to 13 Years
SexMALE
Healthy VolunteersNo
Study Sites59

Inclusion Criteria: * Be a male with an established clinical diagnosis of DMD and an out-of-frame deletion mutation of the DMD gene amenable to exon 51 skipping. * Ambulatory participant, able to perform TTRISE in 10 seconds or less at the time of screening visit. * Able to walk independently witho...

Countries:United StatesColombiaCzechiaDenmarkFranceGermanyGreeceHungaryIndiaIrelandItalyJordanMexicoNetherlandsNew ZealandNorwayPolandRomaniaSerbiaSloveniaSouth KoreaSpainSwitzerlandTaiwanTurkey (Türkiye)United KingdomBelgium
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT03992430primaryCompletionDate: changed
LOWMay 24, 2026NCT03992430studyFirstPostDate: changed