This study, HALO-DMD-03, is a follow-on study to HALO-DMD-01 and HALO-DMD-02, and allows continued open-label access to HT-100 for subjects who have completed these studies. HALO-DMD-03 will provide safety and strength and function data on continuous long-term dosing. Data from this study will be used to inform the safety, tolerability, and dose selection for a future trial of HT-100 in boys with Duchenne Muscular Dystrophy (DMD).
As a follow-on study to the initial clinical studies of HT-100 in DMD (Protocols HALO-DMD-01 and HALO-DMD-02), this open-label study is designed to provide data on continuous long-term dosing. Subjects will be entered into the study without cessation of dosing, in a staggered fashion, into the same cohort assignment they had in the predecessor studies. Up to 30 subjects who have completed dosing in HALO-DMD-02 will be offered the opportunity to continue on the same dose regimen until market approval of HT-100 or termination of the study by the Sponsor. Reasons for termination could include, among others, safety concerns or lack of efficacy, based on analysis of combined data from all HT-100 studies. Safety data from subjects approaching the end the HALO-DMD-02 participation will be individually reviewed by the Medical Monitor and the subject's physician (Principal Investigator \[PI\]). If the Medical Monitor and the PI agree there are no clinically significant safety signals (absence of clinically significant laboratory or clinical abnormalities to date), the subject will be considered eligible and offered continuation of dosing. To avoid an interruption in dosing, subjects will immediately be screened for participation and enrolled upon completing the predecessor trial, HALO-DMD-02. Participation is in this study HALO-DMD-03 is optional. Safety and pharmacodynamics (PD) monitoring will continue throughout the subject's study participation. Dose reduction/modification might occur or individual subjects' participation in the trial may be discontinued if any Adverse Events (AEs) suggest that HT-100 is not sufficiently well tolerated.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
10
HT-100 is Akashi Therapeutics' proprietary delayed-release formulation of halofuginone hydrobromide, a small molecule therapeutic with anti-fibrotic properties. May be administered in either fed or fasted state. Not mutation specific.
University of California, Davis Medical Center
Sacramento, California, United States
Kennedy Krieger Institute, Johns Hopkins School of Medicine
Baltimore, Maryland, United States
Washington University School of Medicine
St Louis, Missouri, United States
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States
Number of adverse events by severity and relationship
Time frame: Every 6 months from enrollment for up to 3 years
Dose reduction or modification due to upper GI or other adverse events
Time frame: Every 6 months from enrollment for up to 3 years
Trial discontinuations due to upper GI or other AEs
Time frame: Every 6 months from enrollment for up to 3 years
Vital signs (Number of subjects with clinically significant changes)
Number of subjects with clinically significant changes
Time frame: Every 6 months from enrollment for up to 3 years
Laboratory values (Number of subjects with clinically significant changes)
Number of subjects with clinically significant changes.
Time frame: Every 6 months from enrollment for up to 3 years
Electrocardiograms
Number of subjects with clinically significant changes in QT interval
Time frame: Every 6 months from enrollment for up to 3 years
Echocardiograms
Number of subjects with clinically significant changes in left ventricular ejection fraction, end systolic and diastolic interventricular septal thickness, left ventricular posterior wall thickness
Time frame: Every 6 months from enrollment for up to 3 years
Cardiovascular Magnetic Resonance
Number of subjects with clinically significant change in diagnostic interpretation
Time frame: Every 6 months from enrollment for up to 3 years
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Nationwide Children's Hospital
Columbus, Ohio, United States
Cardiovascular Magnetic Resonance
Circumferential strain and myocardial fibrotic areas
Time frame: Every 6 months from enrollment for up to 3 years
Pulmonary function testing (Number of subjects with clinically significant changes)
Number of subjects with clinically significant changes.
Time frame: Every 6 months from enrollment for up to 3 years
Motor function measure (MFM) scale
Time frame: Every 6 months from enrollment for up to 3 years
Performance of upper limb (PUL) scale
Time frame: Every 6 months from enrollment for up to 3 years
Biomarkers of extracellular matrix turnover (Number of subjects with clinically significant changes)
Number of subjects with clinically significant changes.
Time frame: Every 6 months from enrollment for up to 3 years
Quantitative muscle testing (QMT) scores
Time frame: Every 6 months from enrollment for up to 3 years
Timed function tests (TFTs)
Time frame: Every 6 months from enrollment for up to 3 years
Motor Function Measure (MFM)
Time frame: Every 6 months from enrollment for up to 3 years
Upper extremity function (proximal, mid-range, and distal) by Performance of Upper Limb (PUL)
Time frame: Every 6 months from enrollment for up to 3 years
9-hole peg test
Assessment of upper limb function and dexterity
Time frame: Every 6 months from enrollment for up to 3 years
Tip pinch and key pinch tests (Number of subjects with clinically significant changes)
Number of subjects with clinically significant changes.
Time frame: Every 6 months from enrollment for up to 3 years
Electrical impedance myography (EIM) score
Time frame: Every 6 months from enrollment for up to 3 years