ClinicalTrials.gg
RecruitingNCT07435129Updated Sep 2, 2026

Phase 2 Study Evaluating Apitegromab for the Treatment of FSHD

A Phase 2 interventional study of Apitegromab and Placebo in Facioscapulohumeral Muscular Dystrophy and FSHD, sponsored by Scholar Rock, Inc.. Recruiting at 1 site in United States. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by Scholar Rock, Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

A randomized Phase 2 study to evaluate the efficacy and safety of apitegromab as a monotherapy in participant with FSHD

Read the detailed description

This Phase 2, randomized, double-blind, placebo-controlled, multicenter study is designed to evaluate the efficacy, safety, and tolerability of apitegromab in participants with facioscapulohumeral muscular dystrophy (FSHD)

02

Conditions studied

  • Facioscapulohumeral Muscular Dystrophy
  • FSHD
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 60 is above the median of 48 across 49 interventional studies indexed under Muscular Dystrophy, Facioscapulohumeral.

Browse Muscular Dystrophy, Facioscapulohumeral studies →

Lead sponsor

Scholar Rock, Inc. is the lead sponsor of 9 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 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

  1. Male or female participants, 18 to 60 years of age at the time of .
  2. Genetic diagnosis of FSHD Type 1 or FSHD Type 2, confirmed with the appropriate documentation from an accredited laboratory
  3. Clinical severity score of 1.5 to 3.0 (Ricci score; range 0 to 5), inclusive, at screening
  4. Baseline 10-meter walk/run test time ≤5 seconds

Exclusion criteria

Exclusion Criteria:

  1. Prior history of a reaction to a mAb or recombinant protein bearing an Fc domain (eg, a soluble receptor-Fc fusion protein), apitegromab, or of apitegromab
  2. Treatment with other drugs in a clinical trial within 3 months or 5 half-lives, whichever is longer, before screening
  3. Previous treatment with apitegromab, or with other anti-myostatin therapies, including activin receptor antagonists
  4. Current or prior use of anabolic steroids, growth hormones, glucagon-like peptide-1 receptor agonist or other substances with known effects on muscle.
  5. Use of therapies with potentially significant muscle effects (eg, androgens, insulin-like growth factor, growth hormone, systemic beta-agonist, botulinum toxin, or muscle relaxants or muscle-enhancing supplements) or potentially significant neuromuscular effects (eg, acetylcholinesterase inhibitors) within 60 days before screening
  6. Use of systemic or within 60 days prior to screening. Inhaled or topical steroids are allowed.
  7. Pregnant or breastfeeding.
  8. for MRI that may include, but are not limited to, certain implanted electronic devices, cochlear implants, metallic foreign bodies, vascular clips, and metallic implants; or claustrophobia, contrast agent allergies, inability to lie still, or external medical devices that may not be removed.
  9. History of alcoholism, or illicit drug use (drugs that are illegal and have not been prescribed).
  10. Taking medications that impede coagulation or aggregation or has a history or active coagulopathy disorder.
  11. Any acute or comorbid condition interfering with the well-being of the participant within 7 days prior to screening, including active systemic infection, the need for acute treatment, or inpatient observation due to any reason
Terms in these criteria, in plain language(7)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

05

Study design

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

Study arms

  • Experimental
    Apitegromab

    10 mg/kg IV

    Drug: Apitegromab

  • Placebo comparator
    Placebo

    Placebo IV

    Drug: Placebo

Interventions

  • Apitegromab (SRK-015) is a fully human anti-promyostatin monoclonal antibody (mAb) that specifically binds to human pro/latent myostatin, inhibiting myostatin activation. Apitegromab will be administered every 4 weeks by intravenous (IV) infusion.

    Also known as: SRK-015

  • DrugPlacebo

    Placebo is administered every 4 weeks by intravenous (IV) infusion and does not contain the active ingredient.

06

What researchers measure

Primary outcomes

  1. Assess the efficacy of apitegromab compared with placebo in participants with FSHD

    Percent change from baseline in total lean muscle volume (LMV) as measured by full body magnetic resonance imaging (MRI) at week 52

    Time frame: 52 Weeks

Secondary outcomes

  1. Further assess the efficacy of apitegromab compared with placebo in participants with FSHD

    Percent change from baseline in total LMV as measured by full body MRI at week 24

    Time frame: 24 Weeks

  2. Further assess the efficacy of apitegromab compared with placebo in participants with FSHD

    Change from baseline in additional muscle parameters, such as muscle fat fraction at week 24 and week 52

    Time frame: 24 Weeks and 52 Weeks

  3. Further assess the efficacy of apitegromab compared with placebo in participants with FSHD

    Change from baseline in additional muscle parameters, such as muscle fat infiltration, at week 24 and week 52

    Time frame: 24 Weeks and 52 Weeks

  4. Evaluate the pharmacokinetics of apitegromab in participants with FSHD

    Serum concentrations of apitegromab

    Time frame: 52 Weeks

  5. Evaluate the pharmacodynamics of apitegromab in participants with FSHD

    Serum concentrations of total latent myostatin

    Time frame: 52 Weeks

  6. Evaluate the safety and tolerability of apitegromab in participants with FSHD

    Incidence of anti-drug antibodies against apitegromab in serum

    Time frame: 52 Weeks

  7. Evaluate the safety and tolerability of apitegromab in FSHD participants

    Incidence of adverse events and serious adverse events

    Time frame: 52 Weeks

Other outcomes

  1. Evaluate improvement(s) over time in motor function in participants with FSHD receiving apitegromab

    Change from baseline in quantitative muscle testing in kilogram-force. Higher score indicates greater function.

    Time frame: 52 Weeks

  2. Evaluate improvement(s) over time in motor function in participants with FSHD receiving apitegromab

    Change from baseline in relative surface area as assessed by reachable workspace. Higher score indicates greater function.

    Time frame: 52 Weeks

  3. Evaluate improvement(s) over time in motor function in participants with FSHD receiving apitegromab

    Change from baseline in FSHD composite outcome measure (FSHD-COM) total score (0 - 72 scale; Higher score indicates greater impairment)

    Time frame: 52 Weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07435129
Lead sponsor
Scholar Rock, Inc.
Responsible party
Sponsor
First posted
Feb 27, 2026
Start date
Jul 30, 2026
Primary completion
Jun 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Sep 2, 2026

Study contacts

Scholar Rock, Inc. Clinical Trials Administration
Contact
MedicalInformation@scholarrock.com
857-259-3860

Oversight

Data monitoring committee
No
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: Apitegromab

Start the discussion