Study of ACE-083 in Patients With Facioscapulohumeral Muscular Dystrophy (FSHD)

Launched by ACCELERON PHARMA, INC., A WHOLLY-OWNED SUBSIDIARY OF MERCK & CO., INC., RAHWAY, NJ USA · Oct 5, 2016

Keywords

ClinConnect Summary

Part 1 (dose escalation, open-label) Part 1 will consist of up to 6 cohorts of patients and will evaluate multiple ascending dose levels of ACE-083 administered unilaterally or bilaterally to either the tibialis anterior (TA) or biceps brachii (BB) muscle(s). Patients in each cohort will be enrolled in a 4-week screening period before beginning treatment. A Safety Review Team (SRT) will meet to review data for each cohort when at least 4 patients within a cohort have completed their Day 43 visit prior to dose escalation of the next cohort. Study duration for Part 1 for each patient will be ...

Gender

ALL

Eligibility criteria

• Key Inclusion Criteria:
• • 1. Age ≥ 18 years
• • 2. Genetically confirmed Facioscapulohumeral muscular dystrophy type 1 (FSHD1) or FSHD2 (or a first-degree relative with genetically confirmed FSHD1 or FSHD2) and clinical findings meeting FSHD criteria
• 3. Part 1 TA cohorts:
• • 1. 6-minute walk distance (6MWD) ≥ 150 meters (without a brace)
• • 2. Mild to moderate weakness in left and/or right ankle dorsiflexion
• Part 1 BB cohorts:
• • a. Mild to moderate weakness in left and/or right elbow flexion
• Part 2 TA cohorts:
• • 1. 6MWD ≥ 150 and ≤ 500 meters (without a brace)
• • 2. Mild to moderate weakness in left and right ankle dorsiflexion
• Part 2 BB cohorts:
• • a. Mild to moderate weakness in left and/or right elbow flexion
• • 4. Females of childbearing potential must have negative urine pregnancy test prior to enrollment and use highly effective birth control methods during study participation. Hormonal birth control use must be stable for at least 14 days prior to Day 1. Males must agree to use a condom during any sexual contact with females of childbearing potential while participating in the study even if he has undergone a successful vasectomy.
• Key Exclusion Criteria:
• • 1. Current/ active malignancy (e.g., remission less than 5 years duration), with the exception of fully excised or treated basal cell carcinoma, cervical carcinoma in-situ, or ≤ 2 squamous cell carcinomas of the skin
• • 2. Symptomatic cardiopulmonary disease, significant functional impairment, or other co morbidities that in the opinion of the investigator would limit a patient's ability to complete strength and/or functional assessments on study
• • 3. Renal impairment (serum creatinine ≥ 2 times the upper limit of normal,(ULN))
• • 4. Aspartate transaminase (AST) and/or alanine transaminase (ALT) ≥ 3 times ULN
• • 5. Increased risk of bleeding (i.e., due to hemophilia, platelet disorders, or use of any anti-coagulation/platelet modifying therapies up to 2 weeks prior to Study Day 1; low dose aspirin \[≤ 100 mg daily\] is permitted)
• • 6. Major surgery within 4 weeks prior to Study Day 1
• • 7. Chronic systemic corticosteroids (≥ 2 weeks) within 4 weeks before Study Day 1 and for duration of study; intra-articular/topical/inhaled therapeutic or physiologic doses of corticosteroids are permitted
• • 8. Androgens or growth hormone within 6 months before Study Day 1 and for duration of study; topical physiologic androgen replacement is permitted
• • 9. Any condition that would prevent MRI scanning or compromise the ability to obtain a clear and interpretable scan of the TA or BB muscles, as applicable (e.g., pacemaker, knee/hip replacement, or metallic implants)