ClinicalTrials.gg
CompletedNCT05479981MARINA-OLEUpdated Sep 11, 2026

Extension of AOC 1001-CS1 (MARINA) Study in Adult Myotonic Dystrophy Type 1 (DM1) Patients

A Phase 2 interventional study of Placebo and AOC 1001 in DM1, Muscular Dystrophies and Myotonic Dystrophy, sponsored by Avidity Biosciences, Inc.. Completed at 8 sites in United States. Open to participants aged 18 Years to 66 Years. Per ClinicalTrials.gov, last updated 2026-09-11.

Primary conditionMyotonic DystrophyRegistry: Muscular DystrophiesReclassifiedWhy we changed it
Registry
Muscular Dystrophies — the first condition term the registry derived for this study.
ClinicalTrials.gg
Myotonic Dystrophy
Why
  1. The study's listed conditions name Myotonic Dystrophy, a narrower term within Muscular Dystrophies.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Avidity Biosciences, Inc. (part of Novartis) · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2025, 1 year 2 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Sep 2026.
Phase
Phase 2
Study type
Interventional
Enrollment
37
Allocation
Non-randomized
Ages
18 Years to 66 Years
Sex
All
01

Study summary

AOC 1001-CS2 (MARINA-OLE) (NCT05479981) is a Phase 2 extension of the AOC 1001-CS1 (MARINA) (NCT05027269) study to evaluate the safety, tolerability, efficacy, pharmacokinetics and pharmacodynamics of multiple-doses of AOC 1001 Administered Intravenously to Adult Myotonic Dystrophy Type 1 (DM1) patients

Read the detailed description

This study will continue to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy of AOC 1001 in participants that enrolled in the randomized, placebo-controlled, First-In-Human Phase 1/2 AOC 1001-CS1 (MARINA) (NCT05027269) clinical study.

Participants from AOC 1001-CS1 (NCT05027269) are eligible to enroll in AOC 1001-CS2 (NCT05479981) if they have satisfactorily completed AOC 1001-CS1 (NCT05027269).

After completion of Q8W (once every 8 weeks) Visit 6 assessments, participants will have the option to enroll in another AOC 1001 open-label extension (OLE) study - AOC 1001-CS4 (HARBOR-OLE) (NCT07008469). Participants who do not enroll in an AOC 1001 OLE study will be monitored for safety for a total of 8 weeks from the last dose of study drug. Total duration on study is up to 37 months (3 years 1 month).

As of September 2024, the dosing regimen was updated to every 8 weeks.

02

Conditions studied

  • DM1
  • Muscular Dystrophies
  • Myotonic Dystrophy
  • Myotonic Dystrophy 1
  • Myotonic Disorders
  • Muscular Disorders, Atrophic
  • Muscular Diseases
  • Musculoskeletal Diseases
  • Neuromuscular Diseases
  • Nervous System Diseases
  • Genetic Diseases, Inborn
  • Heredodegenerative Disorders, Nervous System
  • Neurodegenerative Diseases

Keywords

  • DM1
  • Myotonic Dystrophy 1
  • Myotonic Dystrophy Type 1 (DM1)
  • Myotonic Dystrophy
  • DM
  • Dystrophy Myotonic
  • Myotonic Disorders
  • Steinert Disease
  • MARINA-OLE
  • MARINA
  • Avidity Biosciences
  • Avidity
  • AOC 1001
  • Myotonic Muscular Dystrophy
03

In context

Myotonic Dystrophy Reclassified

126 studies on the registry are indexed under Myotonic Dystrophy; 50 are open to participants now.

This study's enrollment of 37 is close to the median of 40 across 67 interventional studies indexed under Myotonic Dystrophy.

Browse Myotonic Dystrophy studies →

Lead sponsor

Avidity Biosciences, Inc. is the lead sponsor of 11 studies on the registry; 4 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

First submitted before Avidity Biosciences, Inc. became part of Novartis.

Compared within Myotonic Dystrophy, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Muscular Dystrophies. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 66 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Completion of AOC 1001-CS1 (MARINA) study with satisfactory compliance and no significant tolerability issues

Key Exclusion Criteria:

  • Pregnancy, intent to become pregnant, or active breastfeeding
  • Unwilling or unable to continue to comply with requirements
  • Any new conditions or worsening of existing conditions that in the opinion of the investigator or sponsor would make the participant unsuitable for the study or could interfere with participation or completion of the study
Terms in these criteria, in plain language(1)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
37 participants (actual)

Study arms

  • Experimental
    AOC 1001

    AOC 1001 will initially be administered quarterly. On Day 43 patients will receive an additional dose. Treatment assignment will be based on treatment received in AOC 1001-CS1. If participant did not receive AOC 1001 on Day 43 in AOC 1001-CS1, participant will receive AOC 1001 treatment on Day 43 in AOC 1001-CS2. Beginning in September 2024, AOC 1001 will be administered every 8 weeks.

    Drug: AOC 1001

  • Experimental
    AOC 1001 (with Placebo at Day 43)

    AOC 1001 will initially be administered quarterly. On Day 43 patients will receive an additional dose. Treatment assignment will be based on treatment received in AOC 1001-CS1. If participant received AOC 1001 on Day 43 in AOC 1001-CS1, participant will receive blinded placebo treatment on Day 43 in AOC 1001-CS2. Beginning in September 2024, AOC 1001 will be administered every 8 weeks.

    Drug: Placebo · Drug: AOC 1001

Interventions

  • DrugPlacebo

    Placebo will be administered by intravenous (IV) infusion.

    Also known as: Saline

  • AOC 1001 will be administered by intravenous (IV) infusion.

06

What researchers measure

Primary outcomes

  1. Number and severity of treatment-emergent adverse events (TEAEs)

    Time frame: Through study completion

Secondary outcomes

  1. AOC 1001 levels in muscle tissue

    Time frame: Through Day 183

  2. Change and percentage change from baseline in DMPK mRNA knockdown

    Time frame: Through Day 183

  3. Change and percentage change from baseline in Spliceopathy

    Time frame: Through Day 183

  4. Plasma pharmacokinetic (PK) parameters

    Maximum and trough plasma concentration

    Time frame: Up to Day 729

07

Study locations

8 sites
  • University of California Los Angeles
    Los Angeles, California 90095, United States
  • Stanford University
    Palo Alto, California 94304, United States
  • University of Colorado
    Denver, Colorado 80045, United States
  • University of Florida
    Gainesville, Florida 32608, United States
  • Kansas University Medical Center
    Kansas City, Kansas 66205, United States
  • University of Rochester Medical Center
    Rochester, New York 14642, United States
  • Ohio State University
    Columbus, Ohio 43221, United States
  • Virginia Commonwealth University
    Richmond, Virginia 23298, United States
08

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 ↗
09

Registry details

Key details

Study ID
NCT05479981
Responsible party
Sponsor
First posted
Jul 29, 2022
Start date
Aug 4, 2022
Primary completion
Sep 5, 2025
Completion
Sep 10, 2025
Last update
Sep 11, 2026

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 completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: AOC 1001

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