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CompletedNCT05747924FORTITUDEUpdated Jul 16, 2026

Phase 1/2 Study of AOC 1020 in Participants With Facioscapulohumeral Muscular Dystrophy (FSHD)

A Phase 1/2 interventional study of AOC 1020 and Placebo in FSHD, FSHD1 and FSHD2, sponsored by Avidity Biosciences, Inc.. Completed at 17 sites in 3 countries. Open to participants aged 16 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-07-16.

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

Phase
Phase 1/2
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
16 Years to 70 Years
Sex
All
01

Study summary

A Randomized, Double-blind, Placebo-controlled, Phase 1/2 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Exploratory Efficacy of AOC 1020 Administered Intravenously to Participants with Facioscapulohumeral Muscular Dystrophy (FSHD)

Read the detailed description

AOC 1020-CS1 is a first-in-human, 3-part, multi-center, Phase 1/2, randomized, double-blind, placebo-controlled study designed to evaluate safety, tolerability, pharmacokinetics and to explore pharmacodynamics and efficacy of single and multiple-doses of AOC 1020 administered intravenously in participants with FSHD Type 1 (FSHD1) and FSHD Type 2 (FSHD2).

Cohort A comprises a placebo-controlled dose titration cohort (Cohort A1) which includes a nested single and multiple dose schedule. Cohort B comprises a placebo-controlled, nested single ascending dose (SAD)/multiple ascending dose (MAD) cohort (Cohort B1). Cohort C comprises a randomized, placebo-controlled, expansion cohort (Cohort C1). For each of Cohorts A, B, and C the study duration is 12 months as the active treatment period is approximately 9 months for Cohorts A \& B and approximately 10.5 months for Cohort C followed by a 12-week follow-up period for Cohorts A \& B and a 7-week follow-up period for Cohort C. Once participants have completed active treatment with follow-up through 12 months, they may have the option to participate in a planned open-label extension. If patients do not immediately roll over into the open-label extension study or decline participation, they will be followed for 18 weeks after their last dose of study medication.

02

Conditions studied

  • FSHD
  • FSHD1
  • FSHD2
  • FMD
  • FMD2
  • Fascioscapulohumeral Muscular Dystrophy
  • Fascioscapulohumeral Muscular Dystrophy Type 1
  • Fascioscapulohumeral Muscular Dystrophy Type 2
  • Dystrophies, Facioscapulohumeral Muscular
  • Dystrophy, Facioscapulohumeral Muscular
  • Facioscapulohumeral Muscular Dystrophy 1
  • Facioscapulohumeral Muscular Dystrophy 2
  • Facio-Scapulo-Humeral Dystrophy
  • Atrophy, Facioscapulohumeral
  • Atrophies, Facioscapulohumeral
  • Facioscapulohumeral Atrophy
  • Muscular Dystrophies
  • Muscular Dystrophy, Facioscapulohumeral
  • FSH Muscular Dystrophy
  • Landouzy Dejerine Dystrophy
  • Landouzy-Dejerine Muscular Dystrophy
  • Dystrophies, Landouzy-Dejerine
  • Dystrophy, Landouzy-Dejerine
  • Landouzy-Dejerine Syndrome
  • Muscular Dystrophy, Landouzy Dejerine
  • Progressive Muscular Dystrophy
  • FSH

Keywords

  • FORTITUDE
  • Avidity
  • Avidity Biosciences
  • AOC 1020
03

In context

Muscular Dystrophy, Facioscapulohumeral

74 studies on the registry are indexed under Muscular Dystrophy, Facioscapulohumeral; 25 are open to participants now.

This study's enrollment of 90 is above the median of 30 across 45 interventional studies indexed under Muscular Dystrophy, Facioscapulohumeral.

Browse Muscular Dystrophy, Facioscapulohumeral 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.

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

04

Who can participate

Ages eligible
16 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • FSHD1 or FSHD2 diagnosis confirmed by documented genetic testing (testing provided by Sponsor)
  • Ambulatory and able to walk 10 meters (with or without assistive devices such as one cane, walking stick or braces)
  • At least 1 muscle region suitable for biopsy (testing provided by Sponsor)
  • Muscle weakness in both upper and lower body, as determined by Investigator

Exclusion criteria

Exclusion Criteria:

  • Pregnant or intends to become pregnant while on study, or active breastfeeding
  • Unwilling or unable to continue to comply with contraceptive requirements
  • Body mass index (BMI) >35.0 kg/m2 at Screening
  • History of muscle biopsy within 30 days of the screening biopsy or planning to undergo any nonstudy muscle biopsies over the duration of the study
  • History of bleeding disorders, significant keloid, or other skin or muscle conditions (e.g., severe muscle wasting) that, in the opinion of the Investigator, makes the participant unsuitable for serial muscle biopsy
  • Anticipated survival less than 2 years
  • Blood or plasma donation within 16 weeks of Study Day 1
  • Any contraindication to MRI
  • Any abnormal lab values, conditions or diseases 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
  • Treatment with any investigative medication within 1 month (or 5 half-lives of the drug, whichever is longer) of Screening
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
90 participants (actual)

Study arms

  • Experimental
    AOC 1020 Regimen 1

    Cohort A: AOC 1020 Dose Regimen 1; Five doses administered intravenously over 9 months

    Drug: AOC 1020

  • Experimental
    AOC 1020 Regimen 2

    Cohort B1: AOC 1020 Dose Regimen 2; Five doses administered intravenously over 9 months

    Drug: AOC 1020

  • Experimental
    AOC 1020 Regimen 3

    Cohort C: AOC 1020 Dose Regimen 3; Eight doses administered intravenously over approximately 10 months

    Drug: AOC 1020

  • Placebo comparator
    Placebo (Saline) Regimen 1

    Cohort A \& B: Placebo; Five doses administered intravenously over 9 months

    Drug: Placebo

  • Placebo comparator
    Placebo (Saline) Regimen 2

    Cohort C: Placebo; Eight doses administered intravenously over approximately 10 months

    Drug: Placebo

Interventions

  • DrugAOC 1020

    AOC 1020 will be administered via intravenous (IV) infusion

  • DrugPlacebo

    Placebo will be administered via intravenous (IV) infusion

    Also known as: Saline

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-emergent adverse events (Cohorts A & B)

    Time frame: Through study completion, up to Day 365

  2. Change in plasma KHDC1L (Part C)

    Ratio to Baseline

    Time frame: Across months 3 to 12

Secondary outcomes

  1. Plasma pharmacokinetic (PK) parameters of AOC 1020 (Cohorts A & B)

    Observed maximum concentration

    Time frame: Through study completion; up to Day 365

  2. Plasma pharmacokinetic (PK) parameters of AOC 1020 (Cohorts A & B)

    Observed half-life

    Time frame: Through study completion; up to Day 365

  3. Plasma pharmacokinetic (PK) parameters of AOC 1020 (Cohorts A & B)

    Observed area under the curve

    Time frame: Through study completion; up to Day 365

  4. Muscle drug concentration (Cohorts A & B)

    Concentration of siRNA component in skeletal muscle

    Time frame: Day 120

  5. Change in circulating creatine kinase (Cohort C)

    Ratio to Baseline

    Time frame: Across months 3 to 12

07

Study locations

17 sites
  • University of California Los Angeles
    Los Angeles, California 90095, United States
  • Stanford University
    Palo Alto, California 94304, United States
  • University of California San Diego
    San Diego, California 92093, United States
  • University of Colorado
    Denver, Colorado 80045, United States
  • University of Florida
    Gainesville, Florida 32608, United States
  • Rare Disease Research
    Atlanta, Georgia 30329, United States
  • Kansas University Medical Center
    Kansas City, Kansas 66205, United States
  • University of Rochester Medical Center
    Rochester, New York 14642, United States
  • Duke University
    Durham, North Carolina 27708, United States
  • Ohio State University
    Columbus, Ohio 43221, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • University of Texas Southwestern
    Dallas, Texas 75390, United States
  • Virginia Commonwealth University
    Richmond, Virginia 23298, United States
  • University of Washington
    Seattle, Washington 98104, United States
  • University of Ottawa
    Ottawa, Ontario K1Y 4E9, Canada
  • University College London
    London, WIT 7HA, United Kingdom
  • University of Sheffield
    Sheffield, S10 2TN, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05747924
Lead sponsor
Avidity Biosciences, Inc.
Responsible party
Sponsor
First posted
Feb 28, 2023
Start date
Apr 4, 2023
Primary completion
Mar 18, 2026
Completion
Mar 20, 2026
Last update
Jul 16, 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 Jul 2026. You cannot join it, but the record below documents what was studied.

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