New antibody aims to block muscle wasting in rare disease
NCT ID NCT05548556
First seen Jun 27, 2026 · Last updated Sep 16, 2026 · Updated 2 times
Summary
This Phase 2 trial tests a drug called RO7204239 in 51 adults with facioscapulohumeral muscular dystrophy (FSHD), a genetic condition that causes progressive muscle weakness. The drug is an antibody that blocks myostatin, a protein that normally limits muscle growth, to help preserve or increase muscle. Participants receive either the drug or a placebo by injection every 4 weeks, and researchers measure changes in muscle volume and safety over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- RO7204239 (a lab-made antibody that blocks myostatin, a protein that limits muscle growth)
- What this could lead to
- If it works, this could point toward a treatment that slows muscle loss and preserves strength in people with FSHD.
- What could go wrong
- This is a small, early Phase 2 trial with only 51 participants, so results may not apply to everyone. The drug may not improve muscle function or could cause side effects.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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51 people
The number who actually took part.
- Started
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Feb 2023
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- 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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18 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.
Inclusion Criteria: * Genetic confirmation of FSHD1 or FSHD2 * Clinical findings consistent with FSHD * Ability to walk unassisted * Ricci Clinical Severity Scale score ≥ 2.5 and ≤ 4 * Agreement to maintain the same frequency and intensity of physiotherapy, occupational therapy, and other forms of exercise during the clinical study Exclusion Criteria: * Pregnancy or breastfeeding, or intention of becoming pregnant during the study or within 17 months after the final dose of RO7204239 * Current or previous treatment (or receipt) of anti-myostatin therapies * Treatment with any investigational therapy within 90 days prior to screening, or 5 drug-elimination half-lives of the drug, whichever is longer * Contraindications to MRI scans * Presence of clinically significant ECG abnormalities * Presence of clinically significant cardiovascular disease * Presence of clinically significant abnormal findings in echocardiography at screening, with the exception of mitral valve prolapse, which does not exclude participants from the study * Any major illness within 1 month before screening * Ascertained or presumptive hypersensitivity (e.g., anaphylactic reaction) to RO7204239, or to the constituents of its formulation * History of malignancy (except in situ basal cell carcinoma of the skin and in situ carcinoma of the cervix of the uterus that have been excised and resolved with documented clean margins on pathology) * Any clinically relevant history of anaphylactic reaction requiring inotropic support * Any abnormal skin conditions, pigmentation, or lesions in the area intended for SC injection (abdomen) and that would prevent visualization of potential injection-site reactions to RO7204239 * Immobilization, surgical procedures, fracture, or trauma to the upper or lower limbs within 90 days prior to screening or longer, if judged by the investigator that it may affect motor function assessment * Any planned surgery that may affect a participant's motor function assessment, including participants who have had surgery of scapular fixation within the 12 months preceding screening or that are planned during the study * Use of the following medications within 90 days prior to enrollment: salbutamol or another β2-adrenergic agonist taken orally; creatine; recombinant human growth hormone; recombinant human insulin growth factor-1; testosterone, oxandrolone, or other anabolic steroid; chronic oral or parenteral use of corticosteroids (inhaled corticosteroid use is allowed) unless required to manage injection reactions;agents anticipated to increase or decrease muscle volume or strength
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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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Asst Grande Ospedale Metropolitano Niguarda
Milan, Lombardy, 20162, Italy
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Kennedy Krieger Institute
Baltimore, Maryland, 21205, United States
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National Hospital for Neurology and Neurosurgery,
London, WC1N 3BG, United Kingdom
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Policlinico Universitario Agostino Gemelli
Rome, Lazio, 00168, Italy
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Regents of the University of Colorado
Aurora, Colorado, 80045, United States
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Rigshospitalet
København Ø, 2100, Denmark
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Royal Victoria Infirmary
Newcastle upon Tyne, NE1 4LP, United Kingdom
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University of Irvine Medical Center (UCIMC)
Orange, California, 92868, United States
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University of Kansas Medical Center
Fairway, Kansas, 66205, United States
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