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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.

Sponsored by Avidity Biosciences, Inc. · Phase 2, Interventional, and Treatment

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

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 contraceptive 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
04

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

  • DrugAOC 1001

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

05

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

06

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
07

Registry details

Key details

Study ID
NCT05479981
Lead sponsor
Avidity Biosciences, Inc.
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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