ClinicalTrials.gg
Enrolling by invitationNCT07008469HARBOR-OLEUpdated Aug 19, 2026

Global Open-Label Extension Study of Del-desiran for the Treatment of DM1

A Phase 3 interventional study of Del-desiran (AOC 1001) in Myotonic Dystrophy Type 1, DM1 and Myotonic Dystrophy, sponsored by Avidity Biosciences, Inc.. Enrolling by invitation at 35 sites in 10 countries. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2026-08-19.

Sponsored by Avidity Biosciences, Inc. (part of Novartis) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
199
Allocation
Not applicable
Ages
16 Years and older
Sex
All
01

Study summary

A Global Phase 3 Open-Label Extension Study to Assess the Long-Term Safety, Tolerability, and Efficacy of Intravenous Delpacibart Etedesiran (abbreviated del-desiran, formerly AOC 1001) for the Treatment of Myotonic Dystrophy Type 1

Read the detailed description

The study consists of a Screening Period of up to either 4-weeks or 8-weeks depending on the prior parent trial, and up to a 4-year Treatment Period. The anticipated duration is 50 months and 2 weeks (4 years and 2.5 months).

Participants will receive an intravenous infusion of del-desiran at the clinical study site every 8 weeks for a total of 7 doses per year. The final dose will occur at Year 4, Visit 7, followed by a final assessment 8 weeks after the last dose.

An additional subgroup of de novo participants will also be included in a Fixed-Dose PK cohort.

An Independent Data Monitoring Committee (IDMC) comprised of members independent and external to the Sponsor will review safety, tolerability, and efficacy (as needed) data of this study at regular intervals.

02

Conditions studied

  • Myotonic Dystrophy Type 1
  • DM1
  • Myotonic Dystrophy
  • Myotonia
  • Myotonic Dystrophy 1
  • Myotonic Disorders
  • Steinert Myotonic Dystrophy
  • Steinert Disease

Keywords

  • DM1
  • Myotonic Dystrophy
  • Myotonic Dystrophy 1
  • Myotonia
  • Myotonic Dystrophy Type 1 (DM1)
  • Dystrophy Myotonic
  • Myotonic Disorders
  • Steinert Disease
  • Steinert
  • Myotonic Muscular Dystrophy
  • HARBOR-OLE
  • Avidity Biosciences
  • Avidity
  • AOC 1001
  • Del-desiran
  • Delpacibart etedesiran
  • HARBOR
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 199 is above the median of 40 across 67 interventional studies indexed under Myotonic Dystrophy.

Browse Myotonic Dystrophy 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.

First submitted before Avidity Biosciences, Inc. became part of Novartis.

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

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

FROM A PARENT STUDY

Key Inclusion Criteria:

  • Completion of any prior AOC 1001 studies with satisfactory completion of dosing and follow-up assessments and satisfactory compliance with the protocol requirements of the parent study, as determined by the Investigator.

Key Exclusion Criteria:

  • Breastfeeding, pregnancy, or intent to become pregnant during the study.
  • Unwilling to comply with requirements.
  • Any new conditions or worsening of existing condition that in the opinion of the Investigator would make the participant unsuitable for the study.

FIXED-DOSE PK COHORT

Key Inclusion Criteria:

  • Clinical and genetic diagnosis of DM1 and hand myotonia.

Key Exclusion Criteria:

  • Breastfeeding, pregnancy, or intent to become pregnant during the study
  • Unwilling to comply with contraceptive requirements
  • Abnormal lab values, conditions or diseases that would make the participant unsuitable for the study
  • Diabetes that is not adequately controlled
  • History of decompensated heart failure within 3 months of screening. Participants with preexisting pacemaker/ICD are not excluded
  • > 35 kg/m2 at Screening
  • Recently treated with an drug or biological agent

Note: Additional protocol defined Inclusion and Exclusion criteria 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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

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.

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
199 participants (estimated)

Study arms

  • Experimental
    Del-desiran

    Del-desiran (AOC 1001) will be administered seven times per year for up to 4 years.

    Drug: Del-desiran (AOC 1001)

Interventions

  • DrugDel-desiran (AOC 1001)

    Del-desiran will be administered by intravenous (IV) infusion.

06

What researchers measure

Primary outcomes

  1. TEAEs

    Incidence of treatment emergent adverse events

    Time frame: From enrollment to the end of treatment at 4 years

07

Study locations

35 sites
08

References and documents

Individual participant data

Plan to share: Undecided — Not yet determined

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2025 (actual). Primary completion is estimated for Oct 2030, 64 months after the start.

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

Registered
May 29, 2025
First posted
Jun 6, 2025
StartActual
Jun 26, 2025
Primary completionEst.
Oct 2030
CompletionEst.
Oct 2030
Last update
Aug 19, 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 Aug 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07008469
Responsible party
Sponsor
First posted
Jun 6, 2025
Start date
Jun 26, 2025
Primary completion
Oct 2030 (estimated)
Completion
Oct 2030 (estimated)
Last update
Aug 19, 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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No contact was published for this record. The registry link below has the sponsor’s details.

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