ClinicalTrials.gg
RecruitingNCT06667453FREEDOM2-DM1Updated Jul 29, 2026

A Clinical Study of PGN-EDODM1 in People With Myotonic Dystrophy Type 1

A Phase 2 interventional study of PGN-EDODM1 and Placebo in Myotonic Dystrophy 1, sponsored by PepGen Inc. Recruiting at 12 sites in 4 countries. Open to participants aged 16 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-07-29.

Sponsored by PepGen Inc · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2024; still recruiting 1 year 11 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
16 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to learn about the effects of an investigational medicine, PGN-EDODM1, to see how safe and tolerable multiple administrations of PGN-EDODM1 are for people with myotonic dystrophy type 1 (DM1) compared to placebo.

02

Conditions studied

  • Myotonic Dystrophy 1

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Keywords

  • DM1
  • Myotonic Dystrophy 1
  • Myotonic Dystrophy
  • PepGen
  • PGN-EDODM1
  • Myotonic Muscular Dystrophy
  • Steinert's Disease
03

In context

Myotonic Dystrophy

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

This study's planned enrollment of 24 is below the median of 40 across 67 interventional studies indexed under Myotonic Dystrophy.

Browse Myotonic Dystrophy studies →

Lead sponsor

PepGen Inc is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
16 Years to 65 Years
Sexes eligible
All
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

  • Confirmed diagnosis of DM1, as defined as having a repeat sequence in the DMPK gene with at least 100 CTG repeats
  • Presence of myotonia
  • Have sufficient muscle mass in bilateral tibialis anterior (TA) muscles that a needle can safely be performed
  • (BMI) of \< 35.0 kg/m\^2

Exclusion criteria

Exclusion Criteria:

  • Congenital DM1
  • Known history or presence of any conditions that may interfere with study safety assessments
  • Abnormal laboratory tests at screening considered clinically significant by the Investigator
  • Medications specific for the treatment of myotonia within 2 weeks prior to screening
  • Percent predicted forced vital capacity (FVC) \<40%
  • Use of an drug, device, or product within 30 days of 5 half-lives of the study drug (whichever is longer) prior to Screening

Note: Other inclusion and exclusion criteria may apply.

Terms in these criteria, in plain language(4)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
24 participants (estimated)

Study arms

  • Experimental
    PGN-EDODM1

    Participants will be randomized to receive ascending doses of PGN-EDODM1, once every 4 weeks (Q4W) for 12 weeks

    Drug: PGN-EDODM1

  • Placebo comparator
    Placebo

    Participants randomized to the placebo arm will receive doses of saline (0.9% NaCl), once every 4 weeks (Q4W) for 12 weeks

    Other: Placebo

Interventions

  • DrugPGN-EDODM1

    Administered by intravenous (IV) infusion

  • OtherPlacebo

    Administered by intravenous (IV) infusion

06

What researchers measure

Primary outcomes

  1. Safety and tolerability as assessed by number of participants with Adverse Events (AEs)

    Time frame: Baseline through Day 112

Secondary outcomes

  1. Maximum Observed Plasma Drug Concentration (Cmax) of PGN-EDODM1

    Time frame: Day 1 through Day 84

  2. Time to Maximum Observed Plasma Drug Concentration (Tmax) of PGN-EDODM1

    Time frame: Day 1 through Day 84

  3. Apparent Terminal Half-Life (t½) of PGN-EDODM1

    Time frame: Day 1 through Day 84

  4. Area Under the Concentration-time Curve of PGN-EDODM1

    Time frame: Day 1 through Day 84

  5. Change in splicing index in skeletal muscle tissue

    Time frame: Baseline through Day 91

  6. Change in myotonia as measured by video Hand Opening Time (vHOT)

    Time frame: Baseline through Day 112

  7. Hand grip strength

    by dynamometer

    Time frame: Baseline through Day 112

  8. Change in mobility as measured by 10 meter walk/run time

    Time frame: Baseline through Day 112

07

Study locations

12 of 12 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06667453
Lead sponsor
PepGen Inc
Responsible party
Sponsor
First posted
Oct 31, 2024
Start date
Dec 10, 2024
Primary completion
Mar 2027 (estimated)
Completion
Mar 2027 (estimated)
Last update
Jul 29, 2026

Study contacts

PepGen
Contact
clinicaltrials@pepgen.com
781-797-0979

Oversight

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

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