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NCT Number: NCT06537999

A Clinical Study to Evaluate DNTH103 in Adults With Multifocal Motor Neuropathy

The purpose of this Phase 2 study is to evaluate the safety, tolerability, pharmacometrics, and efficacy of Claseprubart (DNTH103) in participants with multifocal motor neuropathy (MMN).

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Cinical Study Site, Toronto, Canada

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Must have given written informed consent before any study-related activities are carried out
  • Adult males and females, 18 to 75 years of age (inclusive).
  • Weight range between 40 to 120 kilograms (kg).
  • Confirmed diagnosis of definite or probable MMN.
  • Evidence of:
  • Responsiveness to Ig treatment; and
  • Receiving a stable Ig regimen
  • Documented vaccinations against encapsulated bacteria in accordance with local requirements and vaccine availability.
  • Female participants must be of nonchildbearing potential or if of childbearing potential, must agree not to donate ova, not to attempt to become pregnant and, if engaging in sexual intercourse with a male partner, must agree to use a highly effective method of contraception.
  • Male participants must agree not to donate sperm and, if engaging in sexual intercourse with a female partner who could become pregnant, must agree to use an acceptable method of contraception or be surgically sterile for at least 90 days prior to Screening.

Exclusion criteria

  • History or presence of significant medical/surgical condition including any acute illness or major surgery considered to be clinically significant or that could impact efficacy assessments.
  • Any coexisting conditions which may interfere with outcome assessments (eg, severe diabetic neuropathy).
  • Concurrent or previous use of rituximab, cyclophosphamide, mycophenolate mofetil, azathioprine, or cyclosporine. If a participant has previously used these medications, the last dose must be at least 6 months prior to randomization.
  • Currently or previously on complement inhibitors including in a clinical trial setting.
  • Prior history (at any time) of N. meningitidis infection.
  • Diagnosis of an autoimmune disorder other than MMN.
  • Positive test results for active human immunodeficiency virus (HIV-1 or HIV-2), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV) antibodies during Screening.
  • History of active malignancy within 5 years prior to Screening, except basal cell carcinoma of the skin, curatively resected squamous cell carcinoma of the skin, cervical carcinoma in situ curatively treated or low-grade prostate adenocarcinoma for which appropriate management is observation alone.
  • Participation in another clinical study of an investigational drug within 90 days or 5 half-lives of the investigational agent (whichever is longer) prior to randomization (Day 1).
  • Any other overlapping condition for which the condition or treatment of the condition may affect the study assessments or outcomes.
  • Any other condition, including mental illness or prior therapy, that in the opinion of the Investigator would make the participant unsuitable for this study, including inability to cooperate fully with the requirements of the study protocol or likelihood of noncompliance with any study requirements.

Treatment and study plan

Claseprubart

Drug
  • Day 1: IV loading dose
  • Week 1 to Week 15: Claseprubart administered SC every 2 weeks

Other names: DNTH103

Placebo

Drug
  • Day 1: IV infusion of placebo
  • Week 1 to Week 15: placebo administered SC every 2 weeks

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (SAEs)

    Time frame: Baseline to Week 17

    Incidence of treatment-emergent adverse events (TEAEs) and treatment emergent serious adverse events (SAEs)

Secondary outcomes

  1. Time to Retreatment With Immunoglobulin (Ig) Since the Final Ig Treatment Before Randomization

    Time frame: Baseline to Week 17

    Time between the participant's last dose of Ig and when they require the next dose of Ig after entering the randomized, controlled treatment period of the study

  2. Time to Clinical Deterioration (CD)

    Time frame: Baseline to Week 17

    The time it takes a participant to meet defined criteria for worsening of symptoms in the study

  3. Mean Value, Mean Change, and Percentage Change From Baseline in Grip Strength

    Time frame: Baseline to Week 17

    Grip strength measured in kilopascal (kPa) using a vigorimeter

  4. Area Under Curve (AUC) of the Change From Baseline in Grip Strength

    Time frame: Baseline to Week 17

    Grip strength measured in kPa using a vigorimeter

  5. AUC of the Change From Baseline in Medical Research Council (MRC)-10 Sum Score

    Time frame: Baseline to Week 17

    MRC-10 evaluates motor strength/weakness from a predetermined set of 10 muscle pairs (upper and lower limbs) on a scale of 0 to 5

  6. Mean Value and Mean Change From Baseline in MRC-10 Sum Score

    Time frame: Baseline to Week 17

    MRC-10 evaluates motor strength/weakness from a predetermined set of 10 muscle pairs (upper and lower limbs) on a scale of 0 to 5

  7. Mean Value and Mean Change From Baseline in MRC-14 Sum Score

    Time frame: Baseline to Week 17

    MRC-14 evaluates motor strength/weakness from a predetermined set of 14 muscle pairs (upper and lower limbs) on a scale of 0 to 5

  8. Mean Value and Mean Change From Baseline in Multifocal Motor Neuropathy Rasch-Built Overall Disability Scale (MMN-RODS) Score

    Time frame: Baseline to Week 17

    MMN-RODS consists of 25 items scored on a 3-point scale

  9. Mean Value and Mean Change From Baseline in Average Time to Complete the 9-Hole Peg Test (9-HPT)

    Time frame: Baseline to Week 17

    9-HPT is a quantitative measure of upper extremity (arm and hand) function and dexterity

  10. Mean Change From Baseline in Adjusted Inflammatory Neuropathy Cause and Treatment (INCAT) Disability Score

    Time frame: Baseline to Week 17

    INCAT comprises 2 parts, the arm score and the leg score. Each part is scored between 0 and 5 points, resulting in an INCAT total score between 0 and 10. Adjusted INCAT disability score excludes changes in upper limb function from 0 (normal) to 1 (minor symptoms)

  11. Mean Change From Baseline in Euro-Quality of Life 5 Dimensions 5 Levels (EQ-5D-5L) Scale

    Time frame: Baseline to Week 17

    EQ-5D-5L is comprised of 5 dimensions: mobility, selfcare, usual activities, pain/discomfort, and anxiety/depression

  12. Mean Change From Baseline in EQ-5D-5L Visual Analog Scale (VAS)

    Time frame: Baseline to Week 17

    A vertical VAS is included in the EQ 5D 5L. Participants mark their health status from 0 to 100

  13. Count and Proportion of Participants With Patient Global Impression of Change (PGIC) Score of Improved or Better

    Time frame: Baseline to Week 17

    PGIC is a 7-point scale depicting a participant's rating of overall improvement

  14. Mean Change From Baseline in Fatigue Severity Scale (FSS) Score

    Time frame: Baseline to Week 17

    FSS assesses disabling fatigue in participants with chronic illness

  15. Mean Change From Baseline in Health-Related Productivity Questionnaire (HRPQ) Outcomes

    Time frame: Baseline to Week 17

    HRPQ is a participant diary tool designed to provide data on health-related impacts to labor force participation

  16. Effectiveness, Side Effects, Convenience, and Overall Satisfaction Scores as Assessed by Treatment Satisfaction Questionnaire for Medications (TSQM)-14

    Time frame: Baseline to Week 17

    TSQM-14 is a 14-item treatment satisfaction questionnaire that evaluates the following domains: effectiveness, side effects, convenience, and global satisfaction

  17. Incidence of Treatment-Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (SAEs)

    Time frame: Up to Week 52 of OLE

    Incidence of treatment-emergent adverse events (TEAEs) and treatment emergent serious adverse events (SAEs)

  18. Serum Concentrations of Claseprubart

    Time frame: Baseline to Week 17

    Blood samples will be collected for measurement of serum concentrations of Claseprubart at various timepoints both pre- and post-dose

  19. Incidence and Titer of Antidrug Antibody (ADA) Levels Against Claseprubart

    Time frame: Baseline to Week 17

    Blood samples will be collected to measure ADA against Claseprubart at various timepoints

Study contacts

Contact information is provided by the study sponsor or research team.

Dianthus Clinical Contact Center

CONTACT

[email protected]

929-999-4055

Sponsors and collaborators

Lead sponsor

Dianthus Therapeutics

Industry

Registry information

Official study title

A Phase 2, Randomized, Double-Blinded, Placebo-Controlled, Study to Evaluate Safety, Tolerability, Pharmacometrics, and Efficacy of DNTH103 in Adults With Multifocal Motor Neuropathy (MOMENTUM)

Acronym: MOMENTUM

Important dates

Study start
2024
Primary completion
2026
Study completion
2028
First posted
Aug 5, 2024
Registry last updated
Jun 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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