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Active, not recruitingNCT06244082EXPLORE44OLEUpdated Jul 30, 2026

Ph2 Open-label Study of AOC 1044 in Duchenne Muscular Dystrophy Participants With Mutations Amenable to Exon44 Skipping

A Phase 2 interventional study of AOC 1044 in DMD, Duchenne Muscular Dystrophy and Duchenne, sponsored by Avidity Biosciences, Inc.. Active, not recruiting at 10 sites in United States. Open to male participants aged 7 Years to 27 Years. Per ClinicalTrials.gov, last updated 2026-07-30.

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

Phase
Phase 2
Study type
Interventional
Enrollment
39
Allocation
Not applicable
Ages
7 Years to 27 Years
Sex
Male
01

Study summary

AOC 1044-CS2 (EXPLORE44-OLE) is an Open-label Study to Evaluate the Long-Term Safety and Tolerability of AOC 1044 Administered Intravenously to DMD Participants with Mutations Amenable to Exon 44 Skipping.

Read the detailed description

AOC 1044-CS2 (EXPLORE44-OLE) is an open label, extension study to Part B of AOC 1044-CS1 (EXPLORE44). AOC 1044-CS2 is designed to evaluate the long-term safety, tolerability, pharmacokinetics, and exploratory efficacy of AOC 1044.

All participants who enroll in AOC 1044-CS2 will receive active treatment. The treatment period is 2 years with IV dosing every 6 weeks.

Once participants have completed active treatment, they will be followed through a 3-month safety follow-up period. The sponsor may extend active treatment beyond 2 years at a future timepoint.

02

Conditions studied

  • DMD
  • Duchenne Muscular Dystrophy
  • Duchenne
  • Exon 44

Keywords

  • EXPLORE44
  • EXPLORE44-OLE
  • EXPLORE44 OLE
  • Avidity Biosciences
  • Avidity
  • AOC 1044
  • AOC 1044-CS1
  • AOC 1044-CS2
  • AOC
03

Who can participate

Ages eligible
7 Years to 27 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria

Rollover Participants:

  • Satisfactorily completed AOC 1044-CS1 (EXPLORE44) as determined by the Investigator and Sponsor
  • No significant tolerability issues with AOC 1044

De novo Participants:

  • Aged 7 to 27 years, inclusive, at the time of informed consent
  • Clinical diagnosis of DMD or clear onset of DMD symptoms at or before the age of 6 years
  • Confirmation of DMD gene mutation amenable to exon 44 skipping
  • Weight ≥ 23 kg
  • Ambulatory or non-ambulatory

    • Ambulatory participants: LVEF ≥50% and FVC≥50%
    • Non-ambulatory participants: LVEF ≥45% and FVC≥40%
  • PUL 2.0 entry item A ≥3
  • If on corticosteroids, stable dose for 30 days before screening and throughout the study

Key Exclusion Criteria

Rollover Participants:

  • Presence of any new condition or worsening of existing condition that could affect a participant\'s safety or ability to comply with study procedures

De novo Participants:

  • Serum hemoglobin \< lower limit of normal
  • Uncontrolled hypertension or diabetes
  • Prior treatment with any cell or gene therapy
  • Prior treatment with another exon 44 skipping agent within 6 months prior to informed consent
  • Recently treated with an investigational drug
  • History of multiple drug allergies
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
39 participants (actual)

Study arms

  • Experimental
    AOC 1044 Multiple Dose Levels

    AOC 1044 will be IV infused every 6 weeks for approximately 2 years.

    Drug: AOC 1044

Interventions

  • DrugAOC 1044

    AOC 1044 will be administered via intravenous (IV) infusion

05

What researchers measure

Primary outcomes

  1. Incidence of Treatment Emergent Adverse Events (TEAEs)

    Time frame: Through study completion (approximately 2 years)

Secondary outcomes

  1. Change from baseline in serum creatine kinase concentration at Study Weeks 24, 48, and 102

    Time frame: Through study completion (approximately 2 years)

06

Study locations

10 sites
  • Arkansas Children&amp;#39;s Hospital
    Little Rock, Arkansas 72202, United States
  • University of California, San Diego, Rady&#39;s Children&#39;s Hospital
    La Jolla, California 92037, United States
  • UC Davis Medical Center
    Sacramento, California 95817, United States
  • Lucille Packard Children&amp;#39;s Hospital at Stanford
    San Carlos, California 94070, United States
  • Rare Disease Research - Atlanta
    Atlanta, Georgia 30329, United States
  • University of Massachusetts Medical School
    Worcester, Massachusetts 01655, United States
  • Gillette Children&#39;s Specialty Healthcare
    Saint Paul, Minnesota 55101, United States
  • Rare Disease Research
    Hillsborough, North Carolina 27278, United States
  • Abigail Wexner Research Institute at Nationwide Children&#39;s Hospital
    Columbus, Ohio 43215, United States
  • Neurology Rare Disease Center
    Denton, Texas 76208, United States
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT06244082
Lead sponsor
Avidity Biosciences, Inc.
Responsible party
Sponsor
First posted
Feb 6, 2024
Start date
Jan 22, 2024
Primary completion
Apr 30, 2027 (estimated)
Completion
Apr 30, 2027 (estimated)
Last update
Jul 30, 2026

Study contacts

Carmen Castrillo, MD
study director · Avidity Biosciences, Inc.

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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