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NCT Number: NCT07037862

A Study in Participants With Duchenne Muscular Dystrophy Amenable to Exon 44 Skipping to Evaluate the Safety and Efficacy of ENTR-601-44

This is a study of the investigational medicine ENTR-601-44 in participants who have Duchenne muscular dystrophy (DMD), a rare genetic condition.

The researchers want to: Test how safe ENTR-601-44 is, learn about any side effects, and look at the potential positive effects of ENTR-601-44, compared to placebo. Placebo looks like the investigational medicine but does not contain any active ingredient. In this summary ENTR-601-44 and placebo are both called study treatments.

The study has 2 parts:

* Part A

* A Double-Blind Period, to evaluate if ENTR-601-44 is safe and to determine the best dose of ENTR-601-44 for Part B. * Following the Double-Blind period, participants will roll into an open-label treatment period during which the safety and efficacy of extended dosing will be evaluated. * Part B

* To further evaluate the effect and safety of ENTR-601-44 at the dose determined in Part A.

Participants will:

* Receive study treatment in the form of multiple intravenous (IV) infusions (slow injection) into a vein over the course of several weeks in Part A and in Part B * Visit the clinic regularly for checkups and tests such as: blood and urine tests, physical examinations, questionnaires, and exercise tests. Participants will have a muscle biopsy at the beginning of their participation and after their last dose to allow researchers to compare whether there have been changes in the muscle as a result of the study drug.

Participants are allowed to continue receiving their standard of care therapy for DMD during the study, as long as their health remains stable.

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Key information

Age range

4 year–20 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

University Hospital Gent, Ghent, Belgium

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Who can participate

Healthy volunteers accepted: No

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

Principal inclusion criteria

  • Genetic diagnosis of Duchenne muscular dystrophy (DMD) and confirmed pathologic variant in the dystrophin gene amenable to exon 44 skipping as reviewed by a central genetic counselor.
  • Assigned male at birth with clinical signs compatible with Duchenne muscular dystrophy as determined by the investigator.
  • Part A: 4-20 years of age, inclusive.
  • Ambulatory Status Part A: ambulatory with a Performance of the Upper Limb v2.0 (PUL 2.0) Entry as per protocol at Screening
  • Adequate muscle for obtaining tissue biopsy as assessed by the investigator.
  • Other protocol-defined criteria apply.

Principal exclusion criteria

  • Any significant concomitant medical condition that might interfere with the ability to comply with protocol requirements.
  • Has an acute illness within 4 weeks prior to the first dose of study drug which may interfere with study measurements or jeopardize participant's safety.
  • Use of the following medications:
  • Prior treatment with any exon skipping therapy at any time
  • Prior treatment with any gene therapy at any time
  • Use of anti-coagulants, anti-thrombotics, or anti-platelet agents
  • Use of an immunosuppressants (other than oral corticosteroids for DMD conditions)
  • Has taken or is currently taking a histone deacetylase (HDAC) inhibitor, including (but not limited to) givinostat
  • Laboratory abnormalities.
  • Daytime ventilator dependence or any use of invasive mechanical ventilation via tracheostomy.
  • Has an abnormal electrocardiogram (ECG) reading assessed as clinically significant by the investigator, and/or a QT interval with Fridericia correction method (QTcF) >450 msec at Screening or prior to the first dose of study drug on Day 1.
  • Received any experimental or investigational drug, etc. within 3 months prior to first dose or within 5 half-lives (whichever is longer).
  • Other protocol-defined criteria apply.

Treatment and study plan

ENTR-601-44

Drug

intravenous infusion

ENTR-601-44 - matching placebo

Drug

intravenous infusion

Primary outcomes

  1. Number of participants with Treatment Emergent Adverse Events (TEAEs) according to study protocol (Part A and Open Label (OL) Period)

    Time frame: From baseline through End of Study (up to 62 weeks).

    Safety will be assessed by monitoring adverse events, physical examination, vital signs and clinical laboratory tests.

Secondary outcomes

  1. Plasma, muscle, and urine concentration of ENTR-601-44 and its final metabolite (Part A and Open Label (OL) Period)

    Time frame: From Baseline through End of Study (up to 62 weeks).

  2. Change from baseline to End of Part A in dystrophin by Western blot from muscle biopsy (Part A)

    Time frame: Baseline, End of Part A (up to 25 weeks)

  3. Change from baseline to End of Part A in dystrophin expression and localization from muscle biopsy (Part A)

    Time frame: Baseline, End of Part A (up to 25 weeks)

  4. Percent change from baseline to End of Part A in exon 44 skipping measured in muscle biopsy at End of Study (Part A)

    Time frame: Baseline, End of Part A (up to 25 weeks)

  5. Anti-drug antibody (ADA) and anti-dystrophin antibody in serum (Part A and OL Period)

    Time frame: From baseline through End of Study (up to 62 weeks).

  6. Change from baseline to End of OL Period in 10-Meter Walk/Run (10MWR) (Part A and OL Period)

    Time frame: Baseline, End of Study (up to 62 weeks)

  7. Change from baseline to End of OL Period in Timed Rise from Floor (Part A and OL Period)

    Time frame: Baseline, End of Study (up to 62 weeks)

  8. Change from baseline to End of OL Period in Timed 4-Stair Climb (4SC) (Part A and OL Period)

    Time frame: Baseline, End of Study (up to 62 weeks).

  9. Change from baseline to End of OL Period in 95th centile Stride Velocity (SV95C) (Part A and OL Period)

    Time frame: Baseline, End of Study (up to 62 weeks)

  10. Change from baseline to End of OL Period in North Star Ambulatory Assessment (NSAA) (Part A and OL Period)

    Time frame: Baseline, End of Study (up to 62 weeks)

    Ordinal scale with 0 as the minimum score and 34 as the maximum score (higher score - better outcome).

  11. Change from baseline to End of OL Period in Performance of the Upper Limb v2.0 (PUL 2.0) (Part A and OL Period)

    Time frame: Baseline, End of Study (up to 62 weeks)

    Ordinal scale with 0 as the minimum score and 42 as the maximum score (higher score - better outcome).

Sponsors and collaborators

Lead sponsor

Entrada Therapeutics, Inc.

Industry

Registry information

Official study title

A 2-Part, Randomized, Double-Blind, Placebo-Controlled Study in Participants With Duchenne Muscular Dystrophy Amenable to Exon 44 Skipping With an Initial Multiple Ascending Dose Part A to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ENTR-601-44, Followed by Part B to Evaluate the Safety and Efficacy of ENTR-601-44 (ELEVATE-44)

Acronym: ELEVATE-44

Important dates

Study start
2025
Primary completion
2029
Study completion
2029
First posted
Jun 26, 2025
Registry last updated
Mar 9, 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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