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WithdrawnNCT03810690Updated Nov 13, 2020

Open Label Study of mRNA-3704 in Patients With Isolated Methylmalonic Acidemia

A Phase 1/2 interventional study of mRNA-3704 in Methylmalonic Acidemia (MMA) and Metabolism, Inborn Errors, sponsored by ModernaTX, Inc.. Withdrawn. Open to participants aged 1 Year and older. Per ClinicalTrials.gov, last updated 2020-11-13.

Sponsored by ModernaTX, Inc. · Phase 1/2, Interventional, and Treatment

Why this study was withdrawn
Study was terminated before the start of dosing due to a business decision and not due to safety or efficacy reasons.
Phase
Phase 1/2
Study type
Interventional
Enrollment
0
Allocation
Non-randomized
Ages
1 Year and older
Sex
All
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Study summary

This First-in-Human (FIH) Phase 1/2 study will evaluate mRNA-3704 in patients with methylmalonic acidemia/aciduria (MMA) due to methylmalonyl-coenzyme A mutase (MUT) deficiency between 1 to 18 years of age with elevated plasma methylmalonic acid. The study is designed to characterize baseline biomarker levels followed by assessment of safety, pharmacokinetics, and pharmacodynamics of different doses of mRNA-3704 in patients affected by MMA as part of the Dose Escalation phase.

During the Dose Escalation phase, three dose levels of mRNA-3704 are planned to be investigated in this study among patients with MMA due to MUT deficiency: low dose, mid dose, and high dose. An additional cohort to evaluate a fourth dose level may be considered jointly by the independent SMC and the Sponsor.

Upon establishment of a dose with acceptable safety and pharmacodynamic activity, additional patients will be enrolled in a Dose Expansion phase to allow for further characterization of the safety and pharmacodynamics of mRNA-3704.

Patients in both phases of study will participate in a pre-dosing observational period, followed by a treatment period, and then a follow-up period after withdrawal of treatment.

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Conditions studied

  • Methylmalonic Acidemia (MMA)
  • Metabolism, Inborn Errors
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In context

Metabolism, Inborn Errors

107 studies on the registry are indexed under Metabolism, Inborn Errors; 23 are open to participants now.

Browse Metabolism, Inborn Errors studies →

Lead sponsor

ModernaTX, Inc. is the lead sponsor of 112 studies on the registry; 14 are open to participants now.

Of its 60 completed or terminated interventional studies of FDA-regulated products, 32 (53%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
1 Year and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Patients are eligible to be included in the study only if all of the following criteria apply:

  • Confirmed diagnosis of isolated MMA due to MUT deficiency based on the following criteria:

    • Elevated plasma methylmalonic acid concentrations (≥ 100 µmol/L)
    • Presence of normal serum/plasma Vitamin B12 and plasma homocysteine levels
    • Confirmed diagnosis by molecular genetic testing
  • Patient must be ≥ 1 year of age at the time of consent/assent (Inclusion of the first three patients will be restricted to individuals age ≥ 8 years)

Exclusion criteria

Exclusion Criteria:

Patients are excluded from the study if any of the following criteria apply:

  • Diagnosis of isolated MMA cblA, cblB, or cblD enzymatic subtypes or methylmalonyl-CoA epimerase deficiency or combined MMA with homocystinuria
  • History of organ transplantation
  • Previously received gene therapy for the treatment of MMA.
  • Estimated glomerular filtration rate (GFR) \< 30 mL/min/1.73 m2; or patients who receive chronic dialysis
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Dose Escalation Phase: Dose Level 1

    mRNA-3704

    Biological: mRNA-3704

  • Experimental
    Dose Escalation Phase: Dose Level 2

    mRNA-3704

    Biological: mRNA-3704

  • Experimental
    Dose Escalation Phase: Dose Level 3

    mRNA-3704

    Biological: mRNA-3704

  • Experimental
    Dose Escalation Phase: Dose Level 4 (optional)

    mRNA-3704

    Biological: mRNA-3704

  • Experimental
    Dose Expansion Phase: mRNA-3704

    Biological: mRNA-3704

Interventions

  • BiologicalmRNA-3704

    mRNA-3704 dispersion for intravenous (IV) infusion

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-emergent adverse events

    Time frame: Day 1 (initial mRNA-3704 dose) through 52 weeks after final mRNA-3704 dose

  2. Change in plasma methylmalonic acid levels

    Baseline (pre-dose levels) to post-dose levels measured after single and after repeated administrations of mRNA-3704

    Time frame: Week -4 through 36 weeks after initial mRNA-3704 dose

Secondary outcomes

  1. Maximum observed concentration (Cmax) after administration of mRNA-3704

    Time frame: Baseline through 36 weeks after initial mRNA-3704 dose

  2. Time of Cmax (Tmax)

    Time frame: Baseline through 36 weeks after initial mRNA-3704 dose

  3. Area under the plasma concentration-time curve (AUC)

    Time frame: Baseline through 36 weeks after initial mRNA-3704 dose

  4. Change in plasma 2-methylcitrate levels

    Baseline (pre-dose levels) to levels measured after single and after repeated administrations of mRNA-3704

    Time frame: Week -4 through 36 weeks after initial mRNA-3704 dose

  5. Measurement of anti-PEG antibodies

    Time frame: Pre-dose through up to 52 weeks after final mRNA-3704 dose

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 13, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03810690
Lead sponsor
ModernaTX, Inc.
Responsible party
Sponsor
First posted
Jan 22, 2019
Start date
May 28, 2019
Primary completion
Aug 18, 2020
Completion
Aug 18, 2020
Last update
Nov 13, 2020

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is withdrawn, as verified in Nov 2020. You cannot join it, but the record below documents what was studied.

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