ClinicalTrials.gg
Active, not recruitingNCT06713135GUARDIANUpdated Apr 23, 2026

A Study on Safety and Effectiveness of Long-term Treatment With Vamorolone in Boys With Duchenne Muscular Dystrophy

A Phase 4 interventional study of vamorolone 40 mg/mL oral suspension in Duchenne Muscular Dystrophy, sponsored by Santhera Pharmaceuticals. Active, not recruiting at 18 sites in 9 countries. Open to male participants. Per ClinicalTrials.gov, last updated 2026-04-23.

Sponsored by Santhera Pharmaceuticals · Phase 4, Interventional, and Treatment

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Phase
Phase 4
Study type
Interventional
Enrollment
80
Allocation
Not applicable
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 84 studies in Muscular Dystrophy, Duchenne with a site in United Kingdom — 15 open to participants now, 25 under way, 7 of them phase 3. Muscular Dystrophy, Duchenne · United Kingdom.

Planned enrollment
33rd of 72
80 · median 74
Started
2024
with 4 others
Phase 4
Only one
of the 84
Primary completion
2028-09
later than 12 of 24 live
Registered
75th of 84
by date
Lead sponsor
3 of 84
Santhera Pharmaceuticals

Among the 84 studies in Muscular Dystrophy, Duchenne with a site in United Kingdom, this one is the 33rd largest by planned enrollment of the 72 interventional ones that give a count, is one of 5 that started in 2024, is the only one in phase 4, reaches primary completion later than 12 of the 24 other live ones, and was the 75th registered.

Muscular Dystrophy, Duchenne

481 studies on the registry are indexed under Muscular Dystrophy, Duchenne; 107 are open to participants now.

Browse Muscular Dystrophy, Duchenne studies →

Open to participants now

15 of the 84 studies in Muscular Dystrophy, Duchenne with a site in United Kingdom are open now. Recruiting first, the newest first:

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All 15 open studies →

A study can be open while its sites in United Kingdom have not opened yet or have stopped. Only those recruiting at a site in United Kingdom →

Who these studies take

Of the 66 Muscular Dystrophy, Duchenne studies recruiting now, 30 (45%) set no upper age limit and 34 (52%) stop at 75 or younger; 59 take children under 18; 12 take healthy volunteers.

This study: male · no healthy volunteers.

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02

Study summary

This study aims to assess safety and effectivness of long-term treatment with vamorolone in boys with Duchenne Muscular Dystrophy (DMD) who have completed prior studies with vamorolone.

Read the detailed description

All subjects in this study have completed previous studies with vamorolone and continued to receive vamorolone under special programs: Compassionate Use Program [CUP], Named Patient Program [NPP] or Expanded Access Protocol [EAP]. All subjects will continue treatment with vamorolone under Guardian protocol instead. The primary objective of this study is to evaluate the safety of long-term treatment with vamorolone in boys with Duchenne Muscular Dystrophy regarding vertebral fractures. Secondary study objectives will evaluate the safety of long-term treatment with vamorolone on non-vertebral fractures, cataracts, delayed puberty, overall safety as well as ambulatory and non-ambulatory function.

03

Conditions studied

  • Duchenne Muscular Dystrophy

Keywords

  • Duchenne
  • vamorolone
  • santhera
  • long-term safety
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Male
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

  • Subject and/or subject's parent(s) or legal guardian has provided written
  • Subject has previously completed either the VBP15-LTE or VBP15-004 study, and transitioned through the Compassionate Use Program, Named Patient Program or Expanded Acess Protocol
  • Subject is on vamorolone on day of enrolment
  • Subject and parent / legal guardian are willing and able to comply with the protocol schedule, assessments and requirements

Exclusion criteria

Exclusion Criteria:

  • Any medical condition, which in the opinion of the Investigator, would affect study participation, performance or interpretation of study assessments
  • Vamorolone treatment discontinued for ≥ 6 months within the year prior to enrolment for a non-safety reason, or vamorolone treatment previously discontinued at any time for a safety reason
  • Severe hepatic impairment
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    vamorolone

    On Day 1, Subjects will roll over from a previous vamorolone program and continue treatment with vamorolone under this protocol. During the study, vamorolone will be administered at a dose range between 2 mg/kg/day and 6 mg/kg/day for boys weighing \<40 kg. For boys weighing 40 kg or above, the dose range will be 80 mg to 240 mg once daily.

    Drug: vamorolone 40 mg/mL oral suspension

Interventions

  • Drugvamorolone 40 mg/mL oral suspension

    Drug page: Vamorolone

    Vamorolone is administered at a dose range between 2 mg/kg/day and 6 mg/kg/day for boys weighing \<40 kg. For boys weighing 40 kg or above, the dose range will be 80 mg to 240 mg once daily. Doses can be adjusted within the dose range as determined by the Investigator based on tolerability. The highest tolerated dose should be used.

    Also known as: vamorolone

06

What researchers measure

Primary outcomes

  1. Number of vertebral fractures per 1000 person-years based on X-ray central reading.

    Lateral thoracolumbar spine X-Rays will be collected and sent to a central reader for evaluation of vertebral fractures

    Time frame: At Enrolment and every 2 years during a Full visit

Secondary outcomes

  1. Time to first vertebral fractures (cumulative incidence)

    Time frame: From enrolment up to at least 2 years

  2. Number of non-vertebral fractures per 1000 person-years based on investigator reporting

    Non-vertebral fractures will be reported by investigators and not reviewed centrally

    Time frame: From enrolment until up to at least 3 years

  3. Time to first non-vertebral fractures (cumulative incidence)

    Time frame: From enrolment until up to at least 3 years

  4. Number of cataracts per 1000 person-years based on ophthalmologist assessment

    An ophthalmologist assessment including assessment of posterior capsular cataracts by slit lamp will be performed yearly

    Time frame: From enrolment until up to at least 3 years

  5. Number of subjects not reaching Tanner stage 2 by 15 years of age

    Qualified personnel (eg, an individual, part of the endocrinology team and trained to assess Tanner stages) will provide an assessment of the puberty status of the subject, including testicular volume.

    Time frame: From enrolment until up to at least 3 years

  6. Frequency of adverse events (AEs) and serious adverse events (SAEs)

    The occurrence of AEs should be sought by questioning of the subject and/or his caregiver at each visit or phone call during the study. All SAEs occurring from signature of the ICF up to 30 days after last dose of study medication must be reported, irrespective of severity or whether or not considered related to study medication. All SAEs must be reported within 24 hours of becoming aware of the event, whether or not the SAE is considered to be related to the study medication.

    Time frame: From enrolment until up to at least 3 years

  7. Change from baseline in body weight

    Physical examination will include weight (in kg)

    Time frame: From enrolment until up to at least 3 years

  8. Number of subjects with clinically relevant laboratory abnormalities

    Clinically relevant laboratory abnormalities will include HbA1c and morning cortisol measurements.

    Time frame: From enrolment until up to at least 3 years

  9. Change from baseline in Time to Stand (TTSTAND) velocity

    The TTSTAND measures the time (in seconds) required for the subject to stand to an erect position from a supine position (floor)

    Time frame: From enrolment until up to at least 3 years

  10. Six-minute Walk Test (6MWT)

    6MWT will be performed only in the ambulatory subjects. The total distance traveled, in meters, should be recorded along with the validity of the test as assessed by the test administrator. If a subject cannot complete 6 minutes of walking, the total meters and the time until discontinuation of the test should be recorded.

    Time frame: From enrolment until up to at least 3 years

  11. Change from baseline in 6MWT distance

    Time frame: From enrolment until up to at least 3 years

  12. Age at ambulatory and non-ambulatory milestones

    Ambulatory milestones include Loss of standing from the floor, Loss of ability to climb 4-stairs, Loss of ability to walk 10 meters (loss of ambulation), Loss of ability to stand unassisted. Non-ambulatory milestones include Loss of ability to perform hand-to-mouth function, Loss of ability to use a manual wheelchair, Loss of ability to transfer independently from wheelchair, Nocturnal ventilation and Full time ventilation.

    Time frame: From enrolment until up to at least 3 years

  13. North Star Ambulatory Assessment (NSAA) scores

    The NSAA is a 17-item rating scale that is used to measure functional motor abilities in ambulant children with DMD and allows to monitor the progression of the disease and treatment effects.

    Time frame: At enrolment and each Full visit (Month 12, 24, 36, etc / End-of -Treatment) until End of Study

  14. Change from baseline in body height

    Physical examination will include height (in cm). Ulnar length of the non-dominant arm will be used if standing height cannot be measured.

    Time frame: From enrolment until up to at least 3 years

  15. Change from baseline in Body Mass Index (BMI)

    BMI will be derived based on weight and height at every study visit

    Time frame: From enrolment until up to at least 3 years

07

Study locations

18 sites
08

References and documents

Publications

  • Guglieri M, Clemens PR, Perlman SJ, Smith EC, Horrocks I, Finkel RS, Mah JK, Deconinck N, Goemans N, Haberlova J, Straub V, Mengle-Gaw LJ, Schwartz BD, Harper AD, Shieh PB, De Waele L, Castro D, Yang ML, Ryan MM, McDonald CM, Tulinius M, Webster R, McMillan HJ, Kuntz NL, Rao VK, Baranello G, Spinty S, Childs AM, Sbrocchi AM, Selby KA, Monduy M, Nevo Y, Vilchez-Padilla JJ, Nascimento-Osorio A, Niks EH, de Groot IJM, Katsalouli M, James MK, van den Anker J, Damsker JM, Ahmet A, Ward LM, Jaros M, Shale P, Dang UJ, Hoffman EP. Efficacy and Safety of Vamorolone vs Placebo and Prednisone Among Boys With Duchenne Muscular Dystrophy: A Randomized Clinical Trial. JAMA Neurol. 2022 Oct 1;79(10):1005-1014. doi: 10.1001/jamaneurol.2022.2480. PubMed 36036925 ↗
  • Dang UJ, Damsker JM, Guglieri M, Clemens PR, Perlman SJ, Smith EC, Horrocks I, Finkel RS, Mah JK, Deconinck N, Goemans NM, Haberlova J, Straub V, Mengle-Gaw L, Schwartz BD, Harper A, Shieh PB, De Waele L, Castro D, Yang ML, Ryan MM, McDonald CM, Tulinius M, Webster RI, Mcmillan HJ, Kuntz N, Rao VK, Baranello G, Spinty S, Childs AM, Sbrocchi AM, Selby KA, Monduy M, Nevo Y, Vilchez JJ, Nascimento-Osorio A, Niks EH, De Groot IJM, Katsalouli M, Van Den Anker JN, Ward LM, Leinonen M, D'Alessandro AL, Hoffman EP. Efficacy and Safety of Vamorolone Over 48 Weeks in Boys With Duchenne Muscular Dystrophy: A Randomized Controlled Trial. Neurology. 2024 Mar 12;102(5):e208112. doi: 10.1212/WNL.0000000000208112. Epub 2024 Feb 9. PubMed 38335499 ↗
  • Hoffman EP, Schwartz BD, Mengle-Gaw LJ, Smith EC, Castro D, Mah JK, McDonald CM, Kuntz NL, Finkel RS, Guglieri M, Bushby K, Tulinius M, Nevo Y, Ryan MM, Webster R, Smith AL, Morgenroth LP, Arrieta A, Shimony M, Siener C, Jaros M, Shale P, McCall JM, Nagaraju K, van den Anker J, Conklin LS, Cnaan A, Gordish-Dressman H, Damsker JM, Clemens PR; Cooperative International Neuromuscular Research Group. Vamorolone trial in Duchenne muscular dystrophy shows dose-related improvement of muscle function. Neurology. 2019 Sep 24;93(13):e1312-e1323. doi: 10.1212/WNL.0000000000008168. Epub 2019 Aug 26. PubMed 31451516 ↗
  • Mah JK, Clemens PR, Guglieri M, Smith EC, Finkel RS, Tulinius M, Nevo Y, Ryan MM, Webster R, Castro D, Kuntz NL, McDonald CM, Damsker JM, Schwartz BD, Mengle-Gaw LJ, Jackowski S, Stimpson G, Ridout DA, Ayyar-Gupta V, Baranello G, Manzur AY, Muntoni F, Gordish-Dressman H, Leinonen M, Ward LM, Hoffman EP, Dang UJ; NorthStar UK Network and CINRG DNHS Investigators. Efficacy and Safety of Vamorolone in Duchenne Muscular Dystrophy: A 30-Month Nonrandomized Controlled Open-Label Extension Trial. JAMA Netw Open. 2022 Jan 4;5(1):e2144178. doi: 10.1001/jamanetworkopen.2021.44178. PubMed 35076703 ↗
  • Conklin LS, Damsker JM, Hoffman EP, Jusko WJ, Mavroudis PD, Schwartz BD, Mengle-Gaw LJ, Smith EC, Mah JK, Guglieri M, Nevo Y, Kuntz N, McDonald CM, Tulinius M, Ryan MM, Webster R, Castro D, Finkel RS, Smith AL, Morgenroth LP, Arrieta A, Shimony M, Jaros M, Shale P, McCall JM, Hathout Y, Nagaraju K, van den Anker J, Ward LM, Ahmet A, Cornish MR, Clemens PR. Phase IIa trial in Duchenne muscular dystrophy shows vamorolone is a first-in-class dissociative steroidal anti-inflammatory drug. Pharmacol Res. 2018 Oct;136:140-150. doi: 10.1016/j.phrs.2018.09.007. Epub 2018 Sep 13. PubMed 30219580 ↗
  • K. Nip, A. de Vera, S. Hasham, P. Charef, S. Wong. An open-label study to collect long-term safety and efficacy data from boys with DMD who have completed prior studies with vamorolone (GUARDIAN Study). Neuromuscular Disorders Volume 43, Supplement 1, October 2024, 104441.298
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2024 (actual). Primary completion is estimated for Sep 2028, 46 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 16, 2024
First posted
Dec 3, 2024
StartActual
Nov 10, 2024
Primary completionEst.
Sep 2028
CompletionEst.
Sep 2028
Last update
Apr 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06713135
Responsible party
Sponsor
First posted
Dec 3, 2024
Start date
Nov 10, 2024
Primary completion
Sep 2028 (estimated)
Completion
Sep 2028 (estimated)
Last update
Apr 23, 2026

Oversight

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

Not currently enrolling

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

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Studies of the drug tested here: Vamorolone

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