A Phase 2 interventional study of Vamorolone 0.25 mg/day/day and Vamorolone 0.75 mg/day/day in Duchenne Muscular Dystrophy, sponsored by ReveraGen BioPharma, Inc.. Completed at 12 sites in 6 countries. Open to male participants aged 4 Years to 7 Years. Per ClinicalTrials.gov, last updated 2019-07-23.
Sponsored by ReveraGen BioPharma, Inc. · Phase 2, Interventional, and Treatment
The main purposes of this study are to see if it is safe to use a new medication called vamorolone for more than two weeks in children with Duchenne muscular dystrophy (DMD), to see if vamorolone works for the treatment for DMD, and to see how any potential side effects compare to those seen in boys using steroids.
This study will evaluate if it is safe to use a new medication called vamorolone for more than two weeks in children with DMD, if boys with DMD who take the study medication have improved muscle function compared to boys with DMD in other studies who did not take any type of steroid, and to see if boys with DMD who take the study medication gain less weight compared to boys with DMD in a prior study who took another type of steroid called prednisone. Enrolled participants will take the study medication for 24 weeks.
480 studies on the registry are indexed under Muscular Dystrophy, Duchenne; 109 are open to participants now.
This study's enrollment of 48 is above the median of 26 across 329 interventional studies indexed under Muscular Dystrophy, Duchenne.
Browse Muscular Dystrophy, Duchenne studies →ReveraGen BioPharma, Inc. is the lead sponsor of 7 studies on the registry; none are open to participants now.
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Exclusion Criteria:
Note: Participants may be re-evaluated if ineligible due to a transient condition which would prevent the subject from participating
Participants enrolled in Dose Level Group 1 will receive vamorolone 0.25 mg/kg/day.
Drug: Vamorolone 0.25 mg/day/day
Participants enrolled in Dose Level Group 2 will receive vamorolone 0.75 mg/kg/day.
Drug: Vamorolone 0.75 mg/day/day
Participants enrolled in Dose Level Group 3 will receive vamorolone 2.0 mg/kg/day.
Drug: Vamorolone 2.0 mg/day/day
Participants enrolled in Dose Level Group 4 will receive vamorolone 6.0 mg/kg/day.
Drug: Vamorolone 6.0 mg/day/day
Drug page: Vamorolone
Oral administration of 0.25 mg/kg/day daily for 24 weeks.
Also known as: VBP15
Drug page: Vamorolone
Oral administration of 0.75 mg/kg/day daily for 24 weeks.
Also known as: VBP15
Drug page: Vamorolone
Oral administration of 2.0 mg/kg/day daily for 24 weeks.
Also known as: VBP15
Drug page: Vamorolone
Oral administration of 6.0 mg/kg/day daily for 24 weeks.
Also known as: VBP15
Number of Participants With 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; To evaluate the long-term safety and tolerability of vamorolone, administered orally at daily doses up to 6.0 mg/kg/day over a 24- week Treatment Period, in boys ages 4-7 years with DMD.
Time frame: 24 weeks
Total Number 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; To evaluate the long-term safety and tolerability of vamorolone, administered orally at daily doses up to 6.0 mg/kg/day over a 24- week Treatment Period, in boys ages 4-7 years with DMD.
Time frame: 24 weeks
Muscle Function Measured by Time to Stand Test (TTSTAND)- Velocity
To compare the efficacy, as measured by the Time to Stand Test (TTSTAND), of vamorolone administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. untreated DMD historical controls in boys ages 4-7 years with DMD
Time frame: 002 Baseline, 003 Baseline, 003 Week 12, Week 24 (Note: 002 Baseline is from VBP15-002 4 week study (NCT02760264), previous to VBP15-003)
BMI Z-score
Summary of BMI Z-score of Safety Population. Please note 0 is the mean. A negative result indicates a response that is many standard deviations below the mean, and a positive result indicates a response that is many standard deviations above the mean. In this case, the closer the group mean BMI Z-score is to 0 is more favorable.
Time frame: 002 Baseline, 003 Week 12, Week 24
Serum Pharmacodynamics Biomarkers Measured by Levels of HbA1c
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
Time frame: 002 Baseline, 003 Week 8, 003 Week 16, 003 Week 24, 003 Week 26-29
Serum Pharmacodynamics Biomarkers Measured by Levels of ACTH
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
Time frame: 002 Baseline, 003 Baseline, 003 Week 8, 003 Week 16, 003 Week 24, 003 Week 26-29 (Note: 002 Baseline is from VBP15-002 4 week study (NCT02760264), previous to VBP15-003)
Serum Pharmacodynamics Biomarkers Measured by Levels of Fasting Glucose
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
Time frame: 002 Baseline, 003 Week 12, 003 Week 24
Serum Pharmacodynamics Biomarkers Measured by Levels of Fasting Insulin
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
Time frame: 002 Baseline, 003 Week 12, 003 Week 24
Serum Pharmacodynamics Biomarkers Measured by Levels of Osteocalcin
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
Time frame: 002 Baseline, 003 Baseline, 003 Week 8, 003 Week 16, 003 Week 24, 003 Week 26-29 (Note: 002 Baseline is from VBP15-002 4 week study (NCT02760264), previous to VBP15-003)
Serum Pharmacodynamics Biomarkers Measured by Levels of P1NP
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
Time frame: 002 Baseline, 003 Baseline, 003 Week 8, 003 Week 16, 003 Week 24, 003 Week 26-29 (Note: 002 Baseline is from VBP15-002 4 week study (NCT02760264), previous to VBP15-003)
Serum Pharmacodynamics Biomarkers Measured by Levels of CTX
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
Time frame: 002 Baseline, 003 Baseline, 003 Week 8, 003 Week 16, Week 24, 003 Week 26-29 (Note: 002 Baseline is from VBP15-002 4 week study (NCT02760264), previous to VBP15-003)
Muscle Strength, Mobility, and Functional Exercise Capacity as Measured by Time to Climb Test (TTCLIMB)- Velocity
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period, on muscle strength, mobility and functional exercise capacity vs. historical controls as measured by Time to Climb Test (TTCLIMB) in boys ages 4-7 years with DMD.
Time frame: 002 Baseline, 003 Baseline, 003 Week 12, 003 Week 24 (Note: 002 Baseline is from VBP15-002 4 week study (NCT02760264), previous to VBP15-003)
Muscle Strength, Mobility, and Functional Exercise Capacity as Measured by Time to Run/Walk 10 Meters Test (TTRW)- Velocity
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period, on muscle strength, mobility and functional exercise capacity vs. historical controls as measured by Time to Run/Walk Test (TTRW) in boys ages 4-7 years with DMD.
Time frame: 002 Baseline, 003 Baseline, 003 Week 12, 003 Week 24 (Note: 002 Baseline is from VBP15-002 4 week study (NCT02760264), previous to VBP15-003)
Muscle Strength, Mobility, and Functional Exercise Capacity as Measured by North Star Ambulatory Assessment (NSAA)
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period, on muscle strength, mobility and functional exercise capacity vs. historical controls as measured by North Star Ambulatory Assessment (NSAA) in boys ages 4-7 years with DMD. \*\*\*Total NSAA score is being reported. The score can range from 0 to 32. Higher scores (approaching 32) indicate a better outcome assessing functional mobility.
Time frame: 002 Baseline, 003 Baseline, 003 Week 12, 003 Week 24 (Note: 002 Baseline is from VBP15-002 4 week study (NCT02760264), previous to VBP15-003)
Muscle Strength, Mobility, and Functional Exercise Capacity vs. Historical Controls as Measured by 6-minute Walk Test (6MWT) Meters
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period, on muscle strength, mobility and functional exercise capacity vs. historical controls as measured by 6-minute Walk Test (6MWT) in boys ages 4-7 years with DMD.
Time frame: 002 Baseline, 003 Baseline, 003 Week 12, 003 Week 24 (Note: 002 Baseline is from VBP15-002 4 week study (NCT02760264), previous to VBP15-003)
| Milestone | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| Started | 12 | 0 | 0 | 0 |
| Completed | 12 | 0 | 0 | 0 |
| Not completed | 0 | 0 | 0 | 0 |
| Milestone | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| Started | 0 | 12 | 0 | 0 |
| Completed | 0 | 12 | 0 | 0 |
| Not completed | 0 | 0 | 0 | 0 |
| Milestone | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| Started | 0 | 0 | 12 | 0 |
| Completed | 0 | 0 | 12 | 0 |
| Not completed | 0 | 0 | 0 | 0 |
| Milestone | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| Started | 0 | 0 | 0 | 12 |
| Completed | 0 | 0 | 0 | 12 |
| Not completed | 0 | 0 | 0 | 0 |
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; To evaluate the long-term safety and tolerability of vamorolone, administered orally at daily doses up to 6.0 mg/kg/day over a 24- week Treatment Period, in boys ages 4-7 years with DMD.
| participants | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| Subjects with Any TEAE | 10 | 10 | 11 | 11 |
| Subjects with Any Drug Related TEAE | 1 | 2 | 4 | 5 |
| Subjects with Any CTCAE Grade 3 or Higher TEAE | 0 | 0 | 0 | 2 |
| Discontinuation of Study Drug due to TEAE | 0 | 0 | 0 | 0 |
| Subjects with Any Serious TEAE | 0 | 1 | 0 | 2 |
| Death | 0 | 0 | 0 | 0 |
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; To evaluate the long-term safety and tolerability of vamorolone, administered orally at daily doses up to 6.0 mg/kg/day over a 24- week Treatment Period, in boys ages 4-7 years with DMD.
| Events | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| Total Number of AEs | 48 | 44 | 54 | 73 |
| Total Number of TEAEs | 48 | 44 | 54 | 72 |
To compare the efficacy, as measured by the Time to Stand Test (TTSTAND), of vamorolone administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. untreated DMD historical controls in boys ages 4-7 years with DMD
| Rises/Second | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 0.18 ± 0.065 | 0.24 ± 0.090 | 0.22 ± 0.082 | 0.19 ± 0.056 |
| 003 Baseline | 0.15 ± 0.045 | 0.22 ± 0.077 | 0.24 ± 0.078 | 0.22 ± 0.070 |
| 003 Week 12 | 0.18 ± 0.072 | 0.23 ± 0.102 | 0.24 ± 0.089 | 0.22 ± 0.075 |
| 003 Week 12 Change from 002 Baseline | -0.01 ± 0.061 | 0.00 ± 0.054 | 0.02 ± 0.066 | 0.02 ± 0.034 |
| 003 Week 24 | 0.18 ± 0.081 | 0.24 ± 0.114 | 0.26 ± 0.108 | 0.24 ± 0.086 |
| 003 Week 24 Change from 002 Baseline | -0.01 ± 0.066 | 0.00 ± 0.062 | 0.05 ± 0.061 | 0.04 ± 0.045 |
Summary of BMI Z-score of Safety Population. Please note 0 is the mean. A negative result indicates a response that is many standard deviations below the mean, and a positive result indicates a response that is many standard deviations above the mean. In this case, the closer the group mean BMI Z-score is to 0 is more favorable.
| z score | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 1.165 ± 0.6219 | 0.703 ± 1.0738 | 1.200 ± 0.5325 | 0.695 ± 0.7189 |
| 003 Week 12 | 1.103 ± 0.6457 | 0.494 ± 1.0680 | 1.261 ± 0.3981 | 1.011 ± 0.7034 |
| 003 Week 12 Change from 002 Baseline | -0.062 ± 0.2438 | -0.209 ± 0.4078 | 0.062 ± 0.3886 | 0.174 ± 0.5826 |
| 003 Week 24 | 1.004 ± 0.6381 | 0.493 ± 1.1696 | 1.242 ± 0.4596 | 1.330 ± 0.5857 |
| 003 Week 24 Change from 002 Baseline | -0.161 ± 0.3234 | -0.210 ± 0.3629 | 0.043 ± 0.3849 | 0.493 ± 0.6363 |
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
| % of HbA1c | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 5.18 ± 0.260 | 5.22 ± 0.244 | 5.19 ± 0.124 | 5.23 ± 0.231 |
| 003 Week 8 | 5.18 ± 0.226 | 5.33 ± 0.250 | 5.28 ± 0.204 | 5.25 ± 0.216 |
| 003 Week 8 Change from 002 Baseline | 0.00 ± 0.128 | 0.12 ± 0.153 | 0.09 ± 0.198 | 0.00 ± 0.100 |
| 003 Week 16 | 5.26 ± 0.239 | 5.35 ± 0.238 | 5.26 ± 0.156 | 5.31 ± 0.270 |
| 003 Week 16 Change from 002 Baseline | 0.08 ± 0.204 | 0.14 ± 0.225 | 0.07 ± 0.130 | 0.05 ± 0.113 |
| 003 Week 24 | 5.15 ± 0.302 | 5.22 ± 0.221 | 5.13 ± 0.160 | 5.24 ± 0.254 |
| 003 Week 24 Change from 002 Baseline | -0.10 ± 0.220 | 0.00 ± 0.186 | -0.07 ± 0.130 | -0.02 ± 0.154 |
| 003 Week 26-29 | 5.07 ± 0.208 | — | — | — |
| 003 Week 26-29 Change from 002 Baseline | -0.07 ± 0.208 | — | — | — |
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
| % change | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 003 Week 8 % Change from 002 Baseline | 0.06 ± 2.470 | 2.28 ± 3.008 | 1.79 ± 3.864 | 0.02 ± 1.927 |
| 003 Week 16 % Change from 002 Baseline | 1.70 ± 3.989 | 2.72 ± 4.457 | 1.30 ± 2.505 | 1.03 ± 2.14 |
| 003 Week 24 % Change from 002 Baseline | -1.89 ± 4.801 | 0.08 ± 3.629 | -1.27 ± 2.525 | -0.33 ± 2.895 |
| 003 Week 26-29 % Change from 002 Baseline | -1.25 ± 3.942 | — | — | — |
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
| pg/mL | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 18.3 ± 2.96 | 18.0 ± 6.88 | 21.1 ± 6.13 | 19.3 ± 8.67 |
| 003 Baseline | 15.9 ± 4.52 | 18.6 ± 4.56 | 18.2 ± 5.29 | 18.4 ± 9.73 |
| 003 Week 8 | 13.0 ± 6.25 | 7.1 ± 5.84 | 7.8 ± 4.42 | 6.5 ± 5.23 |
| 003 Week 8 Change from 002 Baseline | -5.3 ± 6.92 | -10.5 ± 9.32 | -13.3 ± 7.33 | -13.5 ± 7.84 |
| 003 Week 16 | 12.2 ± 4.93 | 9.0 ± 5.86 | 9.0 ± 14.18 | 9.0 ± 4.49 |
| 003 Week 16 Change from 002 Baseline | -6.2 ± 6.34 | -9.1 ± 9.89 | -12.0 ± 15.42 | -12.2 ± 8.16 |
| 003 Week 24 | 19.8 ± 6.32 | 14.0 ± 3.88 | 15.7 ± 9.63 | 11.3 ± 7.52 |
| 003 Week 24 Change from 002 Baseline | 0.6 ± 6.63 | -4.0 ± 5.48 | -5.4 ± 11.09 | -6.3 ± 7.78 |
| 003 Week 26-29 | 9.5 ± 7.26 | — | — | — |
| 003 Week 26-29 Change from 002 Baseline | -7.8 ± 4.19 | — | — | — |
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
| mg/dL | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 87.5 ± 9.44 | 88.9 ± 18.71 | 89.3 ± 7.91 | 92.3 ± 8.19 |
| 003 Week 12 | 81.5 ± 5.61 | 81.7 ± 4.35 | 84.3 ± 8.13 | 86.5 ± 5.57 |
| 003 Week 12 Change from 002 Baseline | -6.8 ± 8.29 | -7.6 ± 19.22 | -5.1 ± 9.01 | -5.2 ± 9.21 |
| 003 Week 24 | 80.8 ± 6.56 | 80.8 ± 4.08 | 81.3 ± 7.94 | 84.6 ± 6.53 |
| 003 Week 24 Change from 002 Baseline | -6.3 ± 11.97 | -9.0 ± 20.87 | -8.1 ± 10.28 | -7.8 ± 9.44 |
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
| uIU/mL | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 5.54 ± 3.651 | 3.09 ± 2.033 | 3.40 ± 1.548 | 3.96 ± 2.027 |
| 003 Week 12 | 4.17 ± 3.167 | 2.97 ± 1.669 | 3.89 ± 2.189 | 6.97 ± 3.526 |
| 003 Week 12 Change from 002 Baseline | -1.13 ± 3.822 | -0.14 ± 1.756 | 0.49 ± 2.592 | 2.97 ± 2.277 |
| 003 Week 24 | 4.23 ± 2.560 | 3.12 ± 1.788 | 4.82 ± 3.393 | 7.21 ± 2.374 |
| 003 Week 24 Change from 002 Baseline | -1.67 ± 4.478 | 0.34 ± 2.898 | 1.36 ± 3.262 | 3.26 ± 2.862 |
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
| ng/mL | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 37.94 ± 11.622 | 35.66 ± 6.800 | 41.17 ± 5.617 | 44.36 ± 5.979 |
| 003 Baseline | 39.20 ± 14.136 | 41.84 ± 8.552 | 47.91 ± 6.648 | 42.81 ± 10.851 |
| 003 Week 8 | 36.21 ± 10.374 | 41.78 ± 13.856 | 44.45 ± 7.439 | 41.55 ± 5.446 |
| 003 Week 8 Change from 002 Baseline | -1.60 ± 8.849 | 6.13 ± 10.440 | 3.28 ± 8.325 | -2.01 ± 8.898 |
| 003 Week 16 | 39.01 ± 9.620 | 42.23 ± 9.393 | 44.60 ± 9.534 | 39.39 ± 6.972 |
| 003 Week 16 Change from 002 Baseline | 1.07 ± 9.916 | 6.57 ± 6.709 | 3.43 ± 10.718 | -4.17 ± 8.494 |
| 003 Week 24 | 38.80 ± 6.292 | 51.41 ± 11.265 | 51.98 ± 9.372 | 49.08 ± 7.771 |
| 003 Week 24 Change from 002 Baseline | -1.34 ± 11.289 | 15.75 ± 10.211 | 10.81 ± 7.542 | 5.29 ± 7.858 |
| 003 Week 26-29 | 40.10 ± 18.729 | — | — | — |
| 003 Week 26-29 Change from 002 Baseline | -1.23 ± 17.943 | — | — | — |
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
| ng/mL | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 555.8 ± 184.72 | 480.7 ± 118.20 | 508.2 ± 94.36 | 511.5 ± 106.50 |
| 003 Baseline | 573.9 ± 251.02 | 489.3 ± 121.66 | 492.0 ± 81.92 | 566.3 ± 149.32 |
| 003 Week 8 | 511.6 ± 190.94 | 459.8 ± 101.93 | 485.2 ± 105.12 | 402.7 ± 70.46 |
| 003 Week 8 Change from 002 Baseline | -20.3 ± 120.32 | -22.9 ± 128.79 | -23.0 ± 96.84 | -105.6 ± 121.07 |
| 003 Week 16 | 481.9 ± 159.93 | 431.8 ± 81.25 | 455.7 ± 99.50 | 488.5 ± 130.11 |
| 003 Week 16 Change from 002 Baseline | -73.8 ± 109.31 | -42.4 ± 109.07 | -52.5 ± 104.05 | -19.8 ± 130.12 |
| 003 Week 24 | 457.1 ± 129.21 | 471.1 ± 121.10 | 565.5 ± 158.89 | 526.2 ± 130.18 |
| 003 Week 24 Change from 002 Baseline | -30.8 ± 113.64 | 2.1 ± 165.16 | 57.3 ± 150.36 | 8.7 ± 88.95 |
| 003 Week 26-29 | 619.0 ± 379.07 | — | — | — |
| 003 Week 26-29 Change from 002 Baseline | -152.0 ± 331.46 | — | — | — |
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period vs. prednisone-treated historical controls, on serum pharmacodynamic (PD) biomarkers of safety (insulin resistance, adrenal axis suppression, and bone turnover). SomaScan aptamer panels testing 1,200 serum proteins were used to discover a candidate set of prednisone-responsive biomarkers, with a subset of these validating in a longitudinal sample set (individual DMD patients pre/post steroid treatment). These PD biomarkers were assigned to a safety panel or efficacy panel based on comparison to normal controls and information concerning the function of each protein.
| pg/mL | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 871.0 ± 160.85 | 935.8 ± 286.50 | 936.8 ± 256.25 | 889.3 ± 186.68 |
| 003 Baseline | 915.9 ± 263.13 | 964.4 ± 319.26 | 949.8 ± 303.76 | 989.2 ± 216.29 |
| 003 Week 8 | 897.1 ± 365.45 | 933.3 ± 330.20 | 928.3 ± 333.11 | 825.5 ± 164.36 |
| 003 Week 8 Change from 002 Baseline | 26.1 ± 368.76 | -31.6 ± 236.34 | -8.5 ± 248.82 | -59.6 ± 259.08 |
| 003 Week 16 | 885.4 ± 261.53 | 912.8 ± 305.08 | 939.8 ± 157.17 | 953.7 ± 199.53 |
| 003 Week 16 Change from 002 Baseline | -2.6 ± 304.50 | -46.3 ± 321.06 | 3.0 ± 244.71 | 102.3 ± 230.44 |
| 003 Week 24 | 1109.3 ± 287.92 | 1235.6 ± 295.79 | 1248.7 ± 308.90 | 1237.0 ± 277.20 |
| 003 Week 24 Change from 002 Baseline | 212.3 ± 318.86 | 295.6 ± 357.93 | 346.5 ± 327.16 | 321.4 ± 264.65 |
| 003 Week 26-29 | 1059.3 ± 536.26 | — | — | — |
| 003 Week 26-29 Change from 002 Baseline | 569.5 ± 28.99 | — | — | — |
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period, on muscle strength, mobility and functional exercise capacity vs. historical controls as measured by Time to Climb Test (TTCLIMB) in boys ages 4-7 years with DMD.
| tasks/ second | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 0.20 ± 0.054 | 0.29 ± 0.147 | 0.29 ± 0.164 | 0.24 ± 0.086 |
| 003 Baseline | 0.20 ± 0.065 | 0.29 ± 0.168 | 0.31 ± 0.144 | 0.25 ± 0.082 |
| 003 Week 12 | 0.21 ± 0.064 | 0.34 ± 0.238 | 0.31 ± 0.157 | 0.26 ± 0.095 |
| 003 Week 12 Change from 002 Baseline | 0.01 ± 0.044 | 0.05 ± 0.115 | 0.02 ± 0.107 | 0.02 ± 0.051 |
| 003 Week 24 | 0.20 ± 0.071 | 0.30 ± 0.166 | 0.34 ± 0.148 | 0.29 ± 0.097 |
| 003 Week 24 Change from 002 Baseline | 0.00 ± 0.076 | 0.01 ± 0.066 | 0.04 ± 0.090 | 0.05 ± 0.061 |
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period, on muscle strength, mobility and functional exercise capacity vs. historical controls as measured by Time to Run/Walk Test (TTRW) in boys ages 4-7 years with DMD.
| meters/ second | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 1.60 ± 0.312 | 1.77 ± 0.367 | 1.84 ± 0.347 | 1.64 ± 0.279 |
| 003 Baseline | 1.57 ± 0.371 | 1.78 ± 0.414 | 1.86 ± 0.418 | 1.72 ± 0.295 |
| 003 Week 12 | 1.54 ± 0.306 | 1.77 ± 0.550 | 1.97 ± 0.503 | 1.88 ± 0.341 |
| 003 Week 12 Change from 002 Baseline | -0.06 ± 0.261 | 0.00 ± 0.307 | 0.13 ± 0.316 | 0.26 ± 0.297 |
| 003 Week 24 | 1.55 ± 0.384 | 1.84 ± 0.486 | 1.90 ± 0.321 | 1.89 ± 0.378 |
| 003 Week 24 Change from 002 Baseline | -0.05 ± 0.311 | 0.06 ± 0.210 | 0.06 ± 0.210 | 0.27 ± 0.254 |
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period, on muscle strength, mobility and functional exercise capacity vs. historical controls as measured by North Star Ambulatory Assessment (NSAA) in boys ages 4-7 years with DMD. \*\*\*Total NSAA score is being reported. The score can range from 0 to 32. Higher scores (approaching 32) indicate a better outcome assessing functional mobility.
| scores on a scale | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 19.0 ± 5.13 | 20.5 ± 5.58 | 20.0 ± 4.95 | 19.7 ± 4.94 |
| 003 Baseline | 20.1 ± 7.30 | 20.8 ± 5.66 | 21.7 ± 3.87 | 20.4 ± 4.01 |
| 003 Week 12 | 19.3 ± 5.60 | 21.2 ± 6.45 | 21.0 ± 5.13 | 20.4 ± 5.41 |
| 003 Week 12 Change from 002 Baseline | 0.3 ± 2.06 | 0.7 ± 2.71 | 1.0 ± 2.56 | 0.5 ± 2.38 |
| 003 Week 24 | 19.8 ± 7.09 | 21.6 ± 7.23 | 22.3 ± 3.80 | 22.3 ± 5.76 |
| 003 Week 24 Change from 002 Baseline | 0.8 ± 2.83 | 1.1 ± 2.94 | 2.3 ± 1.78 | 2.5 ± 2.62 |
To investigate the effects of vamorolone, administered orally at daily doses up to 6.0 mg/kg over a 24-week Treatment Period, on muscle strength, mobility and functional exercise capacity vs. historical controls as measured by 6-minute Walk Test (6MWT) in boys ages 4-7 years with DMD.
| Meters | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| 002 Baseline | 316.2 ± 59.47 | 331.5 ± 52.76 | 353.9 ± 65.40 | 336.8 ± 63.18 |
| 003 Baseline | 294.3 ± 60.62 | 332.2 ± 56.83 | 341.1 ± 49.42 | 335.1 ± 80.13 |
| 003 Week 12 | 312.9 ± 60.93 | 358.7 ± 71.47 | 393.7 ± 59.72 | 369.9 ± 69.47 |
| 003 Week 12 Change from 002 Baseline | 6.0 ± 28.81 | 20.8 ± 38.09 | 39.8 ± 35.61 | 27.6 ± 42.00 |
| 003 Week 24 | 306.2 ± 68.08 | 350.4 ± 64.23 | 383.1 ± 63.38 | 372.6 ± 69.12 |
| 003 Week 24 Change from 002 Baseline | -11.6 ± 29.45 | 18.9 ± 41.08 | 29.2 ± 35.91 | 43.9 ± 43.72 |
Collected over Adverse events, including Serious Adverse Events (SAEs), and concomitant medications will be assessed at each study visit and recorded throughout the 24 week treatment period.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Dose Level Group 1 | 0/12 (0%) | 0/12 (0%) | 10/12 (83.3%) |
| Dose Level Group 2 | 0/12 (0%) | 1/12 (8.3%) | 10/12 (83.3%) |
| Dose Level Group 3 | 0/12 (0%) | 0/12 (0%) | 11/12 (91.7%) |
| Dose Level Group 4 | 0/12 (0%) | 2/12 (16.7%) | 11/12 (91.7%) |
| Event | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| PneumoniaInfections and infestations | 0/12 | 1/12 | 0/12 | 0/12 |
| DehydrationMetabolism and nutrition disorders | 0/12 | 0/12 | 0/12 | 1/12 |
| Testicular TorsionReproductive system and breast disorders | 0/12 | 0/12 | 0/12 | 1/12 |
| HypoxiaRespiratory, thoracic and mediastinal disorders | 0/12 | 0/12 | 0/12 | 1/12 |
| Event | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 |
|---|---|---|---|---|
| PyrexiaGeneral disorders | 2/12 | 7/12 | 5/12 | 3/12 |
| Viral upper respiratory tract infectionInfections and infestations | 4/12 | 4/12 | 7/12 | 5/12 |
| CoughRespiratory, thoracic and mediastinal disorders | 1/12 | 4/12 | 1/12 | 3/12 |
| VomitingGastrointestinal disorders | 1/12 | 1/12 | 3/12 | 2/12 |
| InfluenzaInfections and infestations | 1/12 | 0/12 | 0/12 | 3/12 |
| Abdominal pain upperGastrointestinal disorders | 0/12 | 0/12 | 1/12 | 2/12 |
| ConstipationGastrointestinal disorders | 1/12 | 0/12 | 1/12 | 2/12 |
| DiarrhoeaGastrointestinal disorders | 2/12 | 0/12 | 2/12 | 1/12 |
| ConjunctivitisInfections and infestations | 1/12 | 0/12 | 2/12 | 1/12 |
| Eye infectionInfections and infestations | 2/12 | 0/12 | 0/12 | 0/12 |
All subjects who receive at least one dose of vamorolone study medication in the extension study will be included in the Safety Population. The Safety Population is the primary analysis population for safety assessments.
| Age, Customized(years) | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 | Total |
|---|---|---|---|---|---|
| Age | 5.2 ± 1.03 | 4.8 ± 0.83 | 4.7 ± 0.89 | 4.8 ± 0.75 | 4.9 ± 0.87 |
| Sex/Gender, Customized(Participants) | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 | Total |
|---|---|---|---|---|---|
| Male | 12 | 12 | 12 | 12 | 48 |
| Ethnicity (NIH/OMB)(Participants) | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 1 | 0 | 3 | 4 |
| Not Hispanic or Latino | 12 | 11 | 12 | 9 | 44 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 1 | 0 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 1 | 0 | 0 | 0 | 1 |
| White | 11 | 10 | 12 | 12 | 45 |
| More than one race | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 1 | 0 | 0 | 1 |
| Region of Enrollment(participants) | Dose Level Group 1 | Dose Level Group 2 | Dose Level Group 3 | Dose Level Group 4 | Total |
|---|---|---|---|---|---|
| Canada | 3 | 0 | 2 | 2 | 7 |
| Sweden | 0 | 4 | 0 | 0 | 4 |
| United States | 9 | 3 | 2 | 6 | 20 |
| United Kingdom | 0 | 0 | 4 | 2 | 6 |
| Israel | 0 | 3 | 2 | 0 | 5 |
| Australia | 0 | 2 | 2 | 2 | 6 |
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Studies of the drug tested here: Vamorolone
Muscular Dystrophy, Duchenne →
ReveraGen BioPharma, Inc.