ClinicalTrials.gg
RecruitingNCT04626674ENDEAVORUpdated Sep 11, 2026

A Gene Transfer Therapy Study to Evaluate the Safety of and Expression From Delandistrogene Moxeparvovec (SRP-9001) in Participants With Duchenne Muscular Dystrophy (DMD) - Non-Ambulatory Cohort

A Phase 1 interventional study of delandistrogene moxeparvovec in Duchenne Muscular Dystrophy, sponsored by Sarepta Therapeutics, Inc.. Recruiting at 12 sites in United States. Open to male participants aged 2 Years and older. Per ClinicalTrials.gov, last updated 2026-09-11.

Sponsored by Sarepta Therapeutics, Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2020; still recruiting 5 years 11 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
83
Allocation
Not applicable
Ages
2 Years and older
Sex
Male
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Study summary

Cohort 8 (non-ambulatory participants) is currently enrolling new participants. Enrollment for Cohorts 1 through 7 has been completed.

This is an open-label gene transfer therapy study evaluating the safety of and expression from delandistrogene moxeparvovec in participants with Duchenne Muscular Dystrophy (DMD). The maximum participant duration for this study is 156 weeks.

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Conditions studied

  • Duchenne Muscular Dystrophy

Keywords

  • Duchenne Muscular Dystrophy
  • Gene-Delivery
  • Gene Therapy
  • DMD
  • Ambulatory Non-ambulatory
  • Pediatric
  • Adult
  • Dystrophin
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In context

Muscular Dystrophy, Duchenne

481 studies on the registry are indexed under Muscular Dystrophy, Duchenne; 108 are open to participants now.

This study's planned enrollment of 83 is above the median of 26 across 332 interventional studies indexed under Muscular Dystrophy, Duchenne.

Browse Muscular Dystrophy, Duchenne studies →

Lead sponsor

Sarepta Therapeutics, Inc. is the lead sponsor of 52 studies on the registry; 8 are open to participants now.

Of its 21 completed or terminated interventional studies of FDA-regulated products, 12 (57%) have results posted.

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

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Who can participate

Ages eligible
2 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • For Cohorts 1-8: Has a definitive diagnosis of DMD based on documented clinical findings and prior genetic testing.
  • Cohort 8: Non-ambulatory per protocol-specified criteria at the time of Screening, has a performance upper limb (PUL) entry item score ≥2 at the Screening visit and has a total PUL score of ≥12 and ≤40 at the time of Screening.
  • Cohorts 1, 2, 3, 5, 7 and 8 only: Stable dose equivalent of oral for at least 12 weeks before screening and the dose is expected to remain constant (except for modifications to accommodate changes in weight) throughout the first year of the study.
  • Cohort 1: Is ambulatory, and ≥4 to \<8 years of age at the time of Screening.
  • Cohort 2: Is ambulatory, and ≥8 to \<18 years of age at the time of Screening.
  • Cohort 3: Non-ambulatory per protocol specified criteria at the time of Screening.
  • Cohort 4: Is ambulatory and ≥3 to \<4 years of age at the time of Screening.
  • Cohort 5a: Is ambulatory and ≥4 to \<9 years of age with time to rise from the floor ≤7 seconds at the screening visit.
  • Cohort 5b: Non-ambulatory per protocol specified criteria at the time of Screening.
  • Cohort 6: Is ambulatory, and ≥2 to \<3 years of age at the time of Screening.
  • Cohort 7: Non-ambulatory per protocol-specified criteria at the time of Screening.
  • Cohorts 4 and 6: Do not yet require use of chronic steroids for treatment of their DMD, in the opinion of the Investigator, and are not receiving steroids at the time of Screening.
  • Genetic mutation inclusion criteria vary by cohort.

All Cohorts:

  • Ability to cooperate with motor assessment testing.
  • rAAVrh74 antibody titers are not elevated as per protocol-specified requirements.

Exclusion criteria

Exclusion Criteria:

  • Cohort 8: Any confounding factors that would prevent the use of oral sirolimus including a known to sirolimus or any of its .
  • Has a concomitant illness, disease, chronic drug treatment, and/or cognitive delay/impairment that in the opinion of the Investigator creates unnecessary risks for gene transfer.
  • Exposure to gene therapy, medication, or any treatment designed to increase dystrophin expression within protocol-specified time limits.
  • Abnormality in protocol-specified diagnostic evaluations or laboratory tests.

Note: Other inclusion/exclusion criteria apply.

Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
83 participants (estimated)

Study arms

  • Experimental
    Delandistrogene Moxeparvovec

    Participants will receive a single intravenous (IV) infusion of delandistrogene moxeparvovec on Day 1.

    Genetic: delandistrogene moxeparvovec

Interventions

  • Geneticdelandistrogene moxeparvovec

    Single IV infusion of delandistrogene moxeparvovec

    Also known as: SRP-9001, delandistrogene moxeparvovec-rokl, ELEVIDYS

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What researchers measure

Primary outcomes

  1. Part 1 (Cohorts 1 to 5): Change from Baseline in Quantity of Delandistrogene Moxeparvovec Dystrophin Expression at Week 12, as Measured by Western Blot

    Time frame: Baseline, Week 12

  2. Part 1 (Cohorts 6 to 8): Quantity of Delandistrogene Moxeparvovec Dystrophin Expression at Week 12 as Measured by Western Blot

    Time frame: Week 12

  3. Cohort 8: Number of Participants with Acute Liver Injury (ALI)

    Time frame: Baseline up to Week 72

Secondary outcomes

  1. Vector Shedding, Measured in Urine, Saliva, and Stool Samples Post-Infusion

    Time frame: Day 1 up to Week 104

  2. Level of Antibody Titers to Recombinant Adeno-Associated Virus Serotype rh74 (rAAVrh74)

    Time frame: Day 2 up to Week 156

  3. Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESIs)

    Time frame: Baseline up to Week 156

  4. Cohort 8: Number of Participants With Infections, Edema, Wound-healing Complications, Hyperlipidemia, Angioedema, and Intestinal Lung Disease/ Non-infectious Pneumonitis

    Time frame: Baseline up to Week 72

  5. Change from Baseline in Quantity of Delandistrogene Moxeparvovec Dystrophin Protein Expression at Week 12, as Measured by Immunofluorescence (IF) Fiber Intensity

    Time frame: Baseline, Week 12

  6. Change from Baseline in Quantity of Delandistrogene Moxeparvovec Dystrophin Protein Expression at Week 12, as Measured by IF Percent Dystrophin Positive Fibers (PDPF)

    Time frame: Baseline, Week 12

  7. Quantity of Delandistrogene Moxeparvovec Dystrophin Protein Expression at Week 12 as Measured by IF Fiber Intensity

    Time frame: Week 12

  8. Quantity of Delandistrogene Moxeparvovec Dystrophin Protein Expression at Week 12 as Measured by IF PDPF

    Time frame: Week 12

  9. Cohort 8: Number of Participants With Hepatic AEs, Hepatic Biomarkers, and Laboratory Assessments Indicative of Either Acute Hepatocellular Injury or Acute Liver Dysfunction

    Time frame: Baseline up to Week 72

  10. Cohort 8: Number of Participants with Severe ALI

    Time frame: Baseline up to Week 72

  11. Cohort 8: Duration of Steroids Administered

    Time frame: Baseline up to Week 72

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Study locations

11 of 12 sites recruiting
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References and documents

Publications

  • Potter RA, Moeller IH, Khan S, Haegel H, Hollenstein A, Steiner G, Wandel C, Murphy AP, Asher DR, Palatinsky E, Griffin DA, Mason S, Iannaccone ST, Zaidman CM, Rodino-Klapac LR. Immunologic investigations into transgene directed immune-mediated myositis following delandistrogene moxeparvovec gene therapy. Sci Rep. 2025 Jan 2;15(1):4. doi: 10.1038/s41598-024-84077-w. PubMed 39747998 ↗
  • Zaidman CM, Proud CM, McDonald CM, Lehman KJ, Goedeker NL, Mason S, Murphy AP, Guridi M, Wang S, Reid C, Darton E, Wandel C, Lewis S, Malhotra J, Griffin DA, Potter RA, Rodino-Klapac LR, Mendell JR. Delandistrogene Moxeparvovec Gene Therapy in Ambulatory Patients (Aged >/=4 to <8 Years) with Duchenne Muscular Dystrophy: 1-Year Interim Results from Study SRP-9001-103 (ENDEAVOR). Ann Neurol. 2023 Nov;94(5):955-968. doi: 10.1002/ana.26755. Epub 2023 Sep 7. PubMed 37539981 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 11, 2026, 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
NCT04626674
Collaborators
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Nov 12, 2020
Start date
Nov 23, 2020
Primary completion
Dec 31, 2027 (estimated)
Completion
Feb 29, 2028 (estimated)
Last update
Sep 11, 2026

Study contacts

Sarepta Therapeutics Inc., For Clinical Trial Information, Select Option 4
Contact
SareptAlly@Sarepta.com
1-888-SAREPTA (1-888-727-3782)
Medical Director
study director · Sarepta Therapeutics, Inc.

Oversight

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

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