Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Eteplirsen · 5 trials · 3 indications
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
| Arm | Type | Description |
|---|---|---|
| Part 1: Eteplirsen | EXPERIMENTAL | Participants 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/kg | ACTIVE_COMPARATOR | Randomized participants will receive eteplirsen 30 mg/kg once weekly for up to 144 weeks. |
| Part 2: Eteplirsen 100 mg/kg | EXPERIMENTAL | Randomized participants will receive eteplirsen 100 mg/kg once weekly for up to 144 weeks. |
| Part 2: Eteplirsen 200 mg/kg | EXPERIMENTAL | Randomized participants will receive eteplirsen 200 mg/kg once weekly for up to 144 weeks. |
| Treated Group | EXPERIMENTAL | Approximately 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 Group | NO_INTERVENTION | Approximately 30 DMD patients not amenable to exon 51 skipping will not receive eteplirsen. |
| Eteplirsen | EXPERIMENTAL | Eteplirsen 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-Label | EXPERIMENTAL | Approximately 20 patients will receive weekly infusions of eteplirsen 30 mg/kg . |
| Control Group | NO_INTERVENTION | Approximately 20 patients with DMD not amenable to exon 51 skipping will be observed for 96 weeks. |
| Eteplirsen 30 mg/kg | EXPERIMENTAL | Participants will receive eteplirsen 30 mg/kg/week intravenous (IV) infusions, weekly, for up to 96 weeks. |
| Name | Type | Description |
|---|---|---|
| Eteplirsen | DRUG | Solution for intravenous (IV) infusion. |
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...
Eteplirsen is an investigational small molecule being developed for Duchenne Muscular Dystrophy (DMD), a genetic neuromuscular disorder. It is being studied in patients with DMD, including those with early and advanced stages of the disease. The drug is administered to male patients, with clinical trials enrolling children as young as 4 years old.
Eteplirsen is an antisense oligonucleotide (ASO), a class of drugs that target RNA to modify gene expression. As an ASO, it is designed to interact with messenger RNA to influence protein production. The specific molecular target of Eteplirsen is not disclosed in the available information.
Eteplirsen is developed by Sarepta Therapeutics, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol SRPT. Sarepta is conducting clinical trials of Eteplirsen in multiple countries, including the United States, for the treatment of Duchenne Muscular Dystrophy.
Eteplirsen is in clinical development, with trials listed as Phase 2 and Phase 3. The most advanced trial is a Phase 3 study comparing high doses of Eteplirsen in participants with Duchenne Muscular Dystrophy. Eteplirsen is investigational and has not been reported as FDA approved.
Eteplirsen has been studied in several clinical trials. NCT02255552 is a completed Phase 3 study in DMD patients. NCT02286947 and NCT02420379 are completed Phase 2 safety studies in advanced and early stage DMD, respectively. NCT03992430 is an active Phase 3 trial comparing high doses of Eteplirsen in DMD participants.
Eteplirsen is also known by the brand name Exondys 51. The drug is being developed by Sarepta Therapeutics for Duchenne Muscular Dystrophy. Clinical trials of Eteplirsen, including the Phase 3 study NCT03992430, are evaluating its safety and efficacy in patients with DMD.