ClinicalTrials.gg
RecruitingNCT07038200FORTITUDE-3Updated Jul 27, 2026

A Study to Evaluate Del-brax (Also Referred to as AOC 1020) in Participants With FSHD

A Phase 3 interventional study of AOC-1020 and Placebo in Facioscapulohumeral Muscular Dystrophy, FSHD and FSHD - Facioscapulohumeral Muscular Dystrophy, sponsored by Avidity Biosciences, Inc.. Recruiting at 46 sites in 10 countries. Open to participants aged 16 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-07-27.

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

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
16 Years to 70 Years
Sex
All
01

Study summary

A Randomized, Double-blind, Placebo-controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Intravenous AOC 1020 for the Treatment of Facioscapulohumeral Muscular Dystrophy (FSHD)

Read the detailed description

The study duration is approximately 22 months, consisting of a screening period of up to 6 weeks, a 78-week active treatment period, and a 12-week follow-up period (18 weeks from the last dose).

Participants will be randomized to receive an intravenous infusion of either delbrax or placebo at the clinical study site every 6 weeks for a total of 13 doses. The final dose will occur at Week 72, followed by a final assessment at Week 78.

After completion of the Week 78 visit, eligible participants will have the option to enroll in an open-label extension (OLE) study, pending regulatory approval. Participants who decline participation in the OLE will be followed for 12 weeks for safety.

An Independent Data Monitoring Committee (IDMC) comprising 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

  • Facioscapulohumeral Muscular Dystrophy
  • FSHD
  • FSHD - Facioscapulohumeral Muscular Dystrophy
  • FSHD1
  • FSHD2
  • Fascioscapulohumeral Muscular Dystrophy
  • Fascioscapulohumeral Muscular Dystrophy Type 1
  • Fascioscapulohumeral Muscular Dystrophy Type 2
  • Facioscapulohumeral Muscular Dystrophy 1
  • Facioscapulohumeral Dystrophy
  • Facio-Scapulo-Humeral Dystrophy
  • Facioscapulohumeral Muscular Dystrophy 2
  • Facioscapulohumeral Muscular Dystrophy Type 1 (FSHD1)
  • FSH Muscular Dystrophy
  • Landouzy Dejerine Dystrophy
  • Landouzy-Dejerine Muscular Dystrophy
  • Landouzy-Dejerine Syndrome

Keywords

  • Avidity
  • Avidity Biosciences
  • del-brax
  • del brax
  • delbrax
  • AOC1020
  • AOC 1020
  • delpacibart braxlosiran
  • FORTITUDE-3
  • FORTITUDE Phase 3
  • FORTITUDE
  • FORTITUDE 3
03

In context

Muscular Dystrophy, Facioscapulohumeral

79 studies on the registry are indexed under Muscular Dystrophy, Facioscapulohumeral; 26 are open to participants now.

This study's planned enrollment of 200 is above the median of 48 across 49 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.

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 to 70 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

  • Clinical and genetic diagnosis of FSHD1 or FSHD2
  • Ability to walk independently at pre-specified walking speed (orthoses and ankle braces allowed) for at least 10 meters at screening
  • Adequate muscle strength based on QMT composite score

Exclusion criteria

Exclusion Criteria:

  • Breastfeeding, pregnancy, or intent to become pregnant during the study
  • Unwilling or unable to comply with requirements
  • Abnormal lab values, conditions or diseases that would make the participant unsuitable for the study
  • Blood Pressure > 140/90 mmHg at Screening
  • Treatment with another drug or biological agent within 1 month of Screening or 5 half-lives of the drug, whichever is longer
  • Treatment with an oligonucleotide within 9 months of Screening
Terms in these criteria, in plain language(2)

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.

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
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Del-brax

    Del-brax (AOC 1020) will be administered 13 times

    Drug: AOC-1020

  • Placebo comparator
    Placebo

    Saline will be administered 13 times

    Drug: Placebo

Interventions

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

    Also known as: Del-brax

  • DrugPlacebo

    Placebo will be administered by intravenous (IV) infusion.

    Also known as: Saline

06

What researchers measure

Primary outcomes

  1. Change from Baseline to Week 78 in Quantitative Muscle Testing (QMT) total composite score (PPN)

    Assessment of muscle strength using standardized quantitative measurements

    Time frame: Baseline through Week 78

Secondary outcomes

  1. Change from Baseline to Week 78 in 10MWRT

    Assessment of the time required to walk or run 10 meters as quickly and safely as possible

    Time frame: Baseline through Week 78

  2. Change from Baseline to Week 78 in Timed Up-and-Go (TUG)

    Assessment of functional mobility by measuring the time required to stand up from a chair, walk 3 meters, turn, return, and sit down

    Time frame: Baseline through Week 78

  3. Change from Baseline to Week 78 in Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Item Bank v2.0-Physical Function-Short Form 20a Questionnaire

    Assessment of patient-reported physical function using the PROMIS Physical Function Short Form 20a questionnaire

    Time frame: Baseline through Week 78

  4. Change from Baseline to Week 78 in PROMIS Fatigue

    Assessment of patient-reported fatigue using the PROMIS Fatigue questionnaire

    Time frame: Baseline through Week 78

  5. Change from Baseline to Week 78 in Worst Pain Numeric Rating Scale (NRS)

    Assessment of the severity and impact of fatigue over the previous 7 days using the self-reported PROMIS Fatigue Short Form 6a questionnaire

    Time frame: Baseline through Week 78

  6. Change from Baseline to Week 78 in Patient Global Impression of Severity/Change (PGI-S/PGI-C)

    Assessment of participant-reported disease severity and change in disease status using the Patient Global Impression of Severity/Change (PGI-S/PGI-C) scales

    Time frame: Baseline through Week 78

  7. Change from Baseline to Week 78 in Quality of Life in Neurological Disorders (NeuroQoL) Upper Extremity Function

    Assessment of health-related quality of life using the Quality of Life in Neurological Disorders (Neuro-QoL) questionnaire

    Time frame: Baseline through Week 78

  8. Change from Baseline to Week 78 in NeuroQoL Sleep Disturbance

    Assessment of participant-reported sleep disturbance using the Neuro-QoL Sleep Disturbance questionnaire

    Time frame: Baseline through Week 78

  9. Change from Baseline to Week 78 in DUX4-regulated plasma KHDC1L

    Assess of changes from baseline in circulating PD biomarkers relevant to FSHD

    Time frame: Baseline through Week 78

  10. Change from Baseline to Week 78 in Serum CK

    Assess of changes from baseline in circulating PD biomarkers relevant to FSHD

    Time frame: Baseline through Week 78

07

Study locations

28 of 46 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2025 (actual). Primary completion is estimated for May 2028, 35 months after the start.

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

Registered
Jun 13, 2025
First posted
Jun 26, 2025
StartActual
Jun 10, 2025
Primary completionEst.
May 2028
CompletionEst.
Jul 2028
Last update
Jul 27, 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 Jul 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07038200
Responsible party
Sponsor
First posted
Jun 26, 2025
Start date
Jun 10, 2025
Primary completion
May 2028 (estimated)
Completion
Jul 2028 (estimated)
Last update
Jul 27, 2026

Study contacts

Avidity Biosciences, Inc., A Novartis Company
Contact
novartis.email@novartis.com
1-888-669-6682
Avidity Biosciences, Inc., A Novartis Company
Contact
novartis.email@novartis.com
+41613241111

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: AOC 1020

Start the discussion