ClinicalTrials.gg
Not yet recruitingNCT07122648Updated Aug 14, 2025

Phase 2 Trial to Evaluate the Efficacy, Safety of Allogeneic Mitochondria (PN-101) in Patients With Refractory Polymyositis or Dermatomyositis

A Phase 2 interventional study of placebo and PN-101 in Polymyositis and Dermatomyositis, sponsored by Paean Biotechnology Inc.. Not yet recruiting at 5 sites in South Korea. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2025-08-14.

Primary conditionDermatomyositisRegistry: PolymyositisReclassifiedWhy we changed it
Registry
Polymyositis — the first condition term the registry derived for this study.
ClinicalTrials.gg
Dermatomyositis
Why
  1. The study's listed conditions name Dermatomyositis, a narrower term within Polymyositis.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Paean Biotechnology Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

The efficacy of PN-101 in subjects with polymyositis or dermatomyositis will be evaluated at Week 12 using IMACS-TIS in comparison with the placebo control group. The safety and efficacy will be evaluated following administration of PN-101 to subjects with polymyositis or dermatomyositis, in comparison with the placebo group

Read the detailed description

This Phase II clinical trial involves patients diagnosed with polymyositis or dermatomyositis.

  • Only subjects who have voluntarily provided written informed consent and have been determined to meet the inclusion/exclusion criteria will participate in this clinical trial.
  • Subjects will be randomly assigned in a 1:1:1 ratio to the PN-101 300 ug group, 600 ug group, or placebo control group according to their randomization number, and stratified based on the diagnosis of either polymyositis or dermatomyositis.
  • The investigator will administer a single intravenous dose of either the placebo or the investigational product to subjects in the placebo control group and the treatment groups.
  • Each subject who receives the investigational product will be monitored for any acute adverse events, such as hypersensitivity, within 30 minutes after administration.
  • Safety and efficacy will be evaluated according to the visit schedule after administration of the investigational product.
02

Conditions studied

  • Polymyositis
  • Dermatomyositis

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Keywords

  • mitochondria
03

In context

Dermatomyositis Reclassified

184 studies on the registry are indexed under Dermatomyositis; 63 are open to participants now.

This study's planned enrollment of 36 is close to the median of 35 across 130 interventional studies indexed under Dermatomyositis.

Browse Dermatomyositis studies →

Lead sponsor

Paean Biotechnology Inc. is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

Compared within Dermatomyositis, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Polymyositis. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
19 Years and older
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

  1. Adult aged 19 years or more
  2. A subject who is diagnosed with polymyositis or dermatomyositis and satisfies all of the followings:

    • Clinical profile: Slowly progressing clinical profile with symmetrical and apparent muscular weakness confirmed at the proximal muscle (in case of dermatomyositis, clinical findings related with characteristic skin symptoms*)

      • Gottron's papules or sign, erythema purpura, poikiloderma, calcinosis cutis, etc.
    • Serum test: Serum creatine kinase (CK) elevated (CK ≥ 1.3 × (ULN)) or serum myositis-specific antibodies (MSA) positive
    • Electromyography (EMG): Presence of a finding that indicates myopathy
  3. Baseline (prior to the product administration) manual muscle testing-8 (MMT-8) result \< 125/150 (bilaterally), and at least 2 of the following International Myositis and Clinical Studies Group (IMACS) core set results

    • Physician global disease activity [visual analogue scale (VAS)] ≥ 2 cm
    • Patient global disease activity [VAS] ≥ 2 cm
    • Health assessment questionnaire (HAQ) disability assessment ≥ 0.25
    • 1 or more items with the serum muscle enzyme > 1.3 × ULN
    • Global extramuscular disease activity [VAS] > 1 cm
  4. Individuals who are currently receiving glucocorticosteroids and/or -sparing drugs such as or immunomodulators for the treatment of polymyositis or dermatomyositis but are deemed to have an inadequate response to treatment, or who are unable to continue existing treatment due to drug-related adverse events or side effects (however, during the clinical trial, the dosage of steroids and immunosuppressants may be adjusted within 20% of the dose prior to the study participation)
  5. Individuals who are receiving exercise or physical therapy and have agreed to maintain the same intensity and frequency of their current therapy
  6. A subject who fully understands the trial and provided voluntary written consent to take part in the trial

Exclusion criteria

Exclusion Criteria:

Subjects who meet any of the following criteria will not be eligible to participate in this clinical trial:

  1. A subject with clear muscular damage, with the VAS-based myositis damage index (MDI) of ≥ 5 at screening
  2. A subject with the following medical history or surgical history

    • A surgical operation history within 12 weeks of screening
    • Malignant tumor within 5 years of screening (excluding a subject who passed 3 years or more from complete recovery of cervical cancer or skin squamous cell carcinoma)
  3. Patients diagnosed with polymyositis or dermatomyositis before the age of 10 (Juvenile PM or Juvenile DM)
  4. A patient with severe respiratory muscular weakening or interstitial pulmonary disease (a patient who has no moderate or severe dyspnea and has stable interstitial pneumonia may participate)
  5. A patient with the following comorbidity at screening

    • Acute viral infection or severe infection
    • Active (e.g.: HBsAg positive and HBV DNA detected) or (e.g.: Anti-HCV positive and HCV RNA [qualitatively] detective)
    • (HIV) positive
    • Findings of muscular inflammation or myopathy other than the indication (inclusion body myositis (IBM), drug-induced myopathy, amyloid myopathy, myotonic dystrophy, etc.)
    • disease such as rheumatoid arthritis (RA), systemic lupus erythematosus, psoriatic arthritis, etc. (however, in case of the overlap syndrome, a subject may participate if diseases other than inflammatory myositis are stable and myositis is thought to be due to inflammatory myositis.)
    • Findings of cardiac disorder such as moderate or severe heart failure ( Class III/IV) or corrected interval prolonged
    • Serious disease that may affect this study, at the discretion of the investigator (neurological disorder, cardiovascular disorder, uncontrolled blood pressure or diabetes, etc.)
  6. Hematological, renal and hepatic dysfunction based on the following laboratory findings at screening

    • (GFR)* \< 45 mL/min *eGFR (mL/min/1.73m\^2) = 175 × (serum creatinine concentration (mg/dL))\^-1.154 × (age)\^-0.203 × (0.742 in female) [modification of diet in renal disease (MDRD) formula]
    • \< 10 g/dL
    • White blood cell (WBC) count \< 3.0×10\^9/L
    • (ANC) \< 1.5×10\^9/L (1500/mm\^3)
    • count \< 100×10\^9/L
    • and ALT > 2.5 × (except for the elevation due to muscle enzyme at the discretion of the investigator)
    • Alkaline phosphatase (ALP) > 2.5 × ULN
    • Total > 1.5 × ULN (> 3 × ULN, in case of Gilbert's syndrome)
    • Thyroid stimulating hormone level exceeding the normal range (however, if the level exceeds the normal range due to the study indication at the discretion of the investigator, the subjects are allowed to enroll.)
  7. A subject with a difficulty in the efficacy assessment including the muscular strength assessment during the trial
  8. A subject who is determined to require prohibited concomitant treatment during the trial
  9. Pregnant woman and lactating mother or woman of and man who is planning to have a child or not willing to practice acceptable * for 36 weeks after the last dosing date *Hormonal contraception, intrauterine device or intrauterine system implant, surgical sterilization procedure/operation (vasectomy, tubal ligation, etc.)
  10. Participation in other clinical trial and administration of an product or application of an investigational device within 4 weeks or half-life x 5 (whichever is longer) prior to screening
  11. A subject who is otherwise ineligible for this trial, at the discretion of the investigator
Terms in these criteria, in plain language(18)

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
36 participants (estimated)

Study arms

  • Placebo comparator
    Placebo Group

    Biological: placebo

  • Experimental
    300 ug of PN-101 group

    Biological: PN-101

  • Experimental
    600 ug of PN-101 group

    Biological: PN-101

Interventions

  • Biologicalplacebo

    Participants will receive a single IV dose of 300 µg of placebo

  • BiologicalPN-101

    Participants will receive a single IV dose of 300 µg of PN-101

  • BiologicalPN-101

    Participants will receive a single IV dose of 600 µg of PN-101.

06

What researchers measure

Primary outcomes

  1. International Myositis And Clinical Studies group-Total Improvement Score (IMACS-TIS)

    Assessment of IMACS-TIS at Week 12 (Visit 6) after the IP administration. Total Improvement Score (TIS) based on absolute percentage change is assessed scale 0 to 100. Higher score indicates greater improvement.

    Time frame: 12 weeks after the IP administration

Secondary outcomes

  1. International Myositis And Clinical Studies group-Total Improvement Score (IMACS-TIS)

    Assessment of IMACS-TIS at week 4, week 8, and week 16 after the IP administration. Total Improvement Score (TIS) based on absolute percentage change is assessed scale 0 to 100. Higher score indicates greater improvement.

    Time frame: 4 weeks, 8 weeks , and 16 weeks after the IP administration

  2. Response rate of IMACS-TIS

    Proportion of subjects with the IMACS-TIS ≥ 20 at week 4, week 8, week 12, and week 16 after IP administration

    Time frame: 4 weeks, 8 weeks , 12 weeks, and 16 weeks after the IP administration

  3. Changes of Core Set Activity Measures(CSAM)

    Changes in CSAM for the IMACS assessed at week 4, week 8, week 12, and week16 after the IP administration from the baseline (Visit 2). The core set for the IMCS consists of six components: physician global disease activity, patient global disease activity, MMT-8, extramuscular activity, HAQ, and serum muscle enzyme levels.

    Time frame: Visit 2(Day 1), Visit 4(4 weeks), Visit 5(8 weeks), Visit 6(12 weeks), Visit 7(16 weeks)

  4. Changes of Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI)

    Changes in CDASI assessed at week 4, week 8, week 12 and week 16 after the IP administration from the baseline (Visit 2) for dermatomyositis only.

    Time frame: Visit 2(Day 1), Visit 4(4 weeks), Visit 5(8 weeks), Visit 6(12 weeks), Visit 7(16 weeks)

  5. Changes of Peak Pruritus Numeral Rating Scale(PPNRS)

    Changes in PPNRS assessed at week 4, week 8, week 12 and week 16 after the IP administration from the baseline (Visit 2) for dermatomyositis only. The intensity of pruritis is assessed on a patient reported scale 0 to 10.

    Time frame: Visit 2(Day 1), Visit 4(4 weeks), Visit 5(8 weeks), Visit 6(12 weeks), Visit 7(16 weeks)

07

Study locations

5 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Dec 2025; primary completion for Apr 2027, 16 months later.

Of 19 phase 2 interventional studies under Dermatomyositis, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 52. This study's planned 16 months is below that.

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

Registered
Aug 7, 2025
First posted
Aug 14, 2025
StartEst.
Dec 2025
Primary completionEst.
Apr 2027
CompletionEst.
Apr 2027
Last update
Aug 14, 2025
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 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07122648
Lead sponsor
Paean Biotechnology Inc.
Responsible party
Sponsor
First posted
Aug 14, 2025
Start date
Dec 2025 (estimated)
Primary completion
Apr 2027 (estimated)
Completion
Apr 2027 (estimated)
Last update
Aug 14, 2025

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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