Hope for muscle strength: new drug targets myotonic dystrophy
NCT ID NCT06411288
First seen Jun 25, 2026 · Last updated Sep 02, 2026 · Updated 3 times
Summary
This phase 3 trial tests an experimental drug called AOC 1001 in 159 adults with myotonic dystrophy type 1, a genetic condition that causes muscle weakness and stiffness. Participants receive either the drug or a placebo by intravenous infusion. The main goal is to see if the drug improves hand opening time and muscle strength.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AOC 1001 (del-desiran)
- What this could lead to
- If successful, this could lead to the first approved treatment that improves hand function and muscle strength in people with myotonic dystrophy type 1.
- What could go wrong
- This is a late-stage trial, but the drug is still experimental. It may not work better than placebo, and there could be side effects from the intravenous infusion.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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159 people
The number who actually took part.
- Started
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May 2024
- Finished
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Jul 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Clinical and genetic diagnosis (CTG repeat ≥ 100) of DM1 * Ability to walk independently (orthoses and ankle braces allowed) for at least 10 meters at screening Key Exclusion Criteria: * Breastfeeding, pregnancy, or intent to become pregnant during the study * Unwilling or unable 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. * Body Mass Index \> 35 kg/m2 at Screening * Recently treated with an investigational drug or biological agent * Treatment with anti-myotonic medication within 5 half-lives or 14 days of baseline, whichever is longer, prior to baseline. Note: Additional protocol defined Inclusion and Exclusion criteria apply
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AP-HP Hopital Pitie-Salpetriere
Paris, 75013, France
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Aarhus University Hospital
Aarhus N, 8200, Denmark
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Aomori Hospital
Aomori, Aomori, 038-1331, Japan
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Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
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Duke University Medical Center
Durham, North Carolina, 27708, United States
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Fondazione Serena Onlus - Centro Clinico NeMO Milano
Milan, 20162, Italy
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Hospital Universitario Donostia
Donostia / San Sebastian, 20014, Spain
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Houston Methodist Neurological Institute
Houston, Texas, 77030, United States
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Indiana University (IU)
Indianapolis, Indiana, 46202, United States
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Kansas University Medical Center
Kansas City, Kansas, 66205, United States
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Kennedy Krieger Institute
Baltimore, Maryland, 21205, United States
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Klinikum der Ludwig-Maximilians-Universitaet Muenchen
Munich, 80336, Germany
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Maastricht University Medical Center
Maastricht, 6229 HX, Netherlands
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Montreal Neurological Institute
Montreal, Quebec, H3A 2B4, Canada
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National Center of Neurology and Psychiatry
Tokyo, 187-8551, Japan
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National Hospital Organization Osaka Toneyama Medical Center
Osaka, 560-8552, Japan
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Ohio State University
Columbus, Ohio, 43221, United States
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Osaka University Hospital
Osaka, 565-0871, Japan
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Rigshospitalet
Copenhagen, 2100, Denmark
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St. Georges University Hospitals NHS Foundation Trust
London, SW17 0QT, United Kingdom
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Stanford University
Stanford, California, 94305, United States
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Stichting Radboud Universitair Medisch Centrum
Nijmegen, 6525 GA, Netherlands
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The Ottawa Hospital
Ottawa, Ontario, K1Y 4E9, Canada
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University College London Hospital
London, NW1 2BU, United Kingdom
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University Research Center of South Florida
Tampa, Florida, 33612, United States
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University of Cincinnati Gardner Neuroscience Institute
Cincinnati, Ohio, 45219, United States
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University of Colorado
Denver, Colorado, 80045, United States
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University of Florida
Gainesville, Florida, 32608, United States
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University of Minnesota
Minneapolis, Minnesota, 55455, United States
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University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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University of Rochester Medical Center
Rochester, New York, 14642, United States
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University of Washington
Seattle, Washington, 98104, United States
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Virginia Commonwealth University
Richmond, Virginia, 23298, United States
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Wake Forest
Winston-Salem, North Carolina, 27157, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a Muscle-Relaxing drug offer Long-Term relief for children with myotonia?
- Can a wakefulness drug combat the crushing fatigue of myotonic dystrophy?
- Can we measure the progression of childhood myotonic dystrophy well enough to test new therapies?
- Can watching the course of myotonic dystrophy unlock better care?
- Scientists hunt for biomarkers to unlock DM1 treatments
- New study tracks Long-Term safety of muscle stiffness drug namuscla