The purpose of this study is to determine whether a new medication called vamorolone is safe and well-tolerated by boys with Duchenne muscular dystrophy (DMD) ages ≥ 4 and \< 7 years old.
This study will evaluate the safety and tolerability of a new steroid-like medication called vamorolone in boys with DMD ages ≥ 4 years and \< 7 years. Enrolled participants will take the study medication for 14 days followed by a 14 day follow-up period. The potential effectiveness of vamorolone in treating DMD will also be explored.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
48
Oral administration of 0.25 mg/kg/day daily for 14 days.
Oral administration of 0.75 mg/kg/day daily for 14 days.
Oral administration of 2.0 mg/kg/day daily for 14 days.
University of California Davis
Davis, California, United States
University of Florida
Gainesville, Florida, United States
Nemours Children's Hospital
Orlando, Florida, United States
Overall Summary of Adverse Events as Assessed by CTCAE Version 4.03
Treatment-emergent adverse events (TEAEs) are defined as any adverse event or worsening of an existing conditions after initiation of the investigational product and through the subject's last study visit (study completion or early termination). Serious adverse events were recorded for up to 30 days after the final administration of study drug. Note: Total Number of Treatment Emergent Adverse Events: The total incidences of TEAEs experienced in study; Any Treatment Emergent Adverse Event: TEAEs reported at least once per dose group
Time frame: Adverse events will be recorded from the date of informed consent and through the time of the subject's last study visit. Serious adverse events will be recorded from the date of informed consent and for up to 30 days after final drug administration.
Serum Pharmacodynamic Biomarkers (Insulin Resistance)- Fasting Glucose
Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-\< 7 years with DMD.
Time frame: Baseline, Week 2
Serum Pharmacodynamic Biomarkers (Insulin Resistance) -Fasting Glucose
Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-\< 7 years with DMD.
Time frame: Baseline, Week 2
Serum Pharmacodynamic Biomarkers (Insulin Resistance)- Insulin
Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-\< 7 years with DMD.
Time frame: Baseline , Week 2
Serum Pharmacodynamic Biomarkers (Insulin Resistance)- Insulin
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Oral administration of 6 mg/kg/day daily for 14 days.
Ann & Robert H. Lurie Children's Hospital
Chicago, Illinois, United States
Duke University
Durham, North Carolina, United States
University of Texas Southwestern Medical Center
Dallas, Texas, United States
Royal Children's Hospital
Melbourne, Australia
Sydney Children's Hospital
Westmead, Australia
Alberta Children's Hospital
Calgary, Alberta, Canada
Schneider Children's Medical Center
Petah Tikvah, Israel
...and 2 more locations
Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-\< 7 years with DMD.
Time frame: Baseline, Week 2
Serum Pharmacodynamic Biomarkers (Adrenal Axis Suppression)- First in Morning Cortisol
Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-\< 7 years with DMD.
Time frame: Week 2 (pre-dose)
Serum Pharmacodynamics Biomarkers (Bone Turnover) -Osteocalcin
Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-\< 7 years with DMD.
Time frame: Baseline, Day 1, Week 2, Week 4
Serum Pharmacodynamic Biomarkers (Bone Turnover)- Procollagen 1 N-Terminal Propeptide
Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-\< 7 years with DMD.
Time frame: Baseline Day 1 Week 2 Week 4
Serum Pharmacodynamic Biomarkers (Bone Turnover)- Procollagen 1 N-Terminal Propeptide
Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-\< 7 years with DMD.
Time frame: Baseline, Day 1, Week 2, Week 4
Serum Pharmacodynamic Biomarkers (Bone Turnover)-Type I Collagen C-Telopeptides
Pharmacodynamic biomarkers were measured to investigate the effects of single and multiple oral doses of vamorolone on serum PD biomarkers in ambulant boys ages 4-\< 7 years with DMD.
Time frame: Baseline, Day 1, Week 4
Pharmacokinetic (PK) Assessments (Tmax)
Plasma concentrations of vamorolone were measured using a specific and validated liquid chromatography tandem mass spectrometry (LC-MS) assay. tmax= time when plasma concentration is at maximum.
Time frame: Day 1, Week 2
Pharmacokinetic (PK) Assessments (AUC Inf)
Plasma concentrations of vamorolone were measured using a specific and validated liquid chromatography tandem mass spectrometry (LC-MS) assay. AUC inf= Area under the concentration vs. time curve to time infinity.
Time frame: Day 1, Week 2
Pharmacokinetic (PK) Assessments CL (ml/hr/kg)
Plasma concentrations of vamorolone were measured using a specific and validated liquid chromatography tandem mass spectrometry (LC-MS) assay
Time frame: Day 1, Week 2
Pharmacokinetic (PK) Assessments t(1/2)
Plasma concentrations of vamorolone were measured using a specific and validated liquid chromatography tandem mass spectrometry (LC-MS) assay. t1/2= elimination half life.
Time frame: Day 1, Week 2
Pharmacokinetic (PK) Assessments (Cmax)
Plasma concentrations of vamorolone were measured using a specific and validated liquid chromatography tandem mass spectrometry (LC-MS) assay
Time frame: Day 1, Week 2
Metabolites in Safety Testing (MIST) Assessment
A portion of each blood sample of the Week 2 (Day 14) pharmacokinetic assessment time points for the subjects receiving vamorolone 2 mg/kg/day was used for analysis of vamorolone metabolites.
Time frame: Week 2 (Day 14)