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NCT Number: NCT07608432

Efficacy, Safety, and Tolerability of Zeleciment Rostudirsen (DYNE-251) Administered Intravenously Every 4 Weeks in Ambulatory Participants With Duchenne Muscular Dystrophy (FORZETTO)

The purpose of the study is to assess the efficacy, safety, and tolerability of zeleciment rostudirsen (DYNE-251) administered intravenously (IV) every 4 weeks to ambulatory Duchenne muscular dystrophy (DMD) participants, 4 to 18 years of age, with dystrophin mutations amenable to exon 51 skipping.

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Key information

About this study

The study consists of three periods: a Screening period (up to 6 weeks), a Placebo-Controlled Period (72 weeks) and an open-label Long-Term Extension Period (96 weeks).

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Ambulatory male with confirmed diagnosis of DMD and with a mutation in the dystrophin gene characterized by exon deletion amenable to exon 51 skipping .
  • Rise From Floor (RFF) time must be < 10 seconds for both screening assessments .
  • Receiving a stable daily or weekend dosage of glucocorticoids for at least 24 weeks prior to randomization with the expectation of maintaining a stable dose during the Placebo-Controlled Period of the study (unless dose adjustment is required by weight change)

Exclusion criteria

  • Receipt of ongoing immunosuppressive therapy (other than glucocorticoids) within 12 weeks prior to randomization
  • Use of any pharmacologic treatment (other than glucocorticoids) that may have an effect on muscle strength or function within 12 weeks prior to randomization
  • Any change in prophylaxis/treatment for congestive heart failure (CHF) within 12 weeks prior to randomization
  • Receipt of eteplirsen within 1 week prior to randomization
  • Receipt of alternative exon-skipping or dystrophin-modifying therapy or zeleciment rostudirsen within 24 weeks prior to randomization
  • Receipt of givinostat within 12 weeks prior to randomization
  • Receipt of gene therapy at any time

Note: Other inclusion or exclusion criteria may apply

Treatment and study plan

Zeleciment Rostudirsen (DYNE-251)

Drug

Administered by IV infusion

Placebo

Drug

Administered by IV infusion

Primary outcomes

  1. Rise From Floor (RFF) velocity

    Time frame: Baseline, Week 73

Secondary outcomes

  1. RFF (Rise From Floor) velocity

    Time frame: Baseline, up to Week 169

  2. Stride Velocity 95th Percentile (SV95C)

    Time frame: Baseline, Week 73, up to Week 169

  3. North Star Ambulatory Assessment (NSAA) Total Score

    Time frame: Baseline, Week 73, up to Week 169

  4. 10-Meter Walk/Run (10MWR) Velocity

    Time frame: Baseline, Week 73, up to Week 169

  5. 4-Stair Climb (4SC) velocity

    Time frame: Baseline, Week 73, up to Week 169

  6. Functional Composite score

    Time frame: Baseline, Week 73, up to Week 169

  7. Forced Vital Capacity (FVC)

    Time frame: Baseline, Week 73, up to Week 169

  8. Patient Global Impression of Severity (PGI-S)

    Time frame: Baseline, Week 73, up to Week 169

  9. Outcome of Patient Global Impression of Change (PGI-C)

    Time frame: Week 73, up to Week 169

  10. Blood Creatine Kinase (CK) levels

    Time frame: Baseline, Week 73, up to Week 169

  11. Incidence of participants With Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Through study completion, up to Week 173

  12. Maximum Observed Plasma Drug Concentration of DYNE-251 (Cmax)

    Time frame: Through study completion, up to Week 169

  13. Time to Maximum Observed Plasma Drug Concentration of DYNE-251 (tmax)

    Time frame: Through study completion, up to Week 169

  14. Area Under the Plasma Drug Concentration-Time Curve From Time 0 to the Last Quantifiable Concentration of DYNE-251 in Plasma (AUC-tlast)

    Time frame: Through study completion, up to Week 169

  15. Area Under the Plasma Drug Concentration Versus Time Curve From Time 0 (Dosing) Extrapolated to Time Infinity of DYNE-251 (AUC∞)

    Time frame: Through study completion, up to Week 169

  16. Apparent Terminal Phase Elimination Rate Constant of DYNE-251 in Plasma (λz)

    Time frame: Through study completion, up to Week 169

  17. Apparent Terminal Elimination Half-Life of DYNE-251 in Plasma (t½)

    Time frame: Through study completion, up to Week 169

  18. Total Body Clearance (CL) of DYNE-251

    Time frame: Through study completion, up to Week 169

  19. Volume of Distribution at the Terminal Phase of DYNE-251 in Plasma (Vz)

    Time frame: Through study completion, up to Week 169

  20. Volume of Distribution at Steady State of DYNE-251 in Plasma (Vss)

    Time frame: Through study completion, up to Week 169

  21. Incidence of Participants With Antidrug Antibodies (ADAs)

    Time frame: Through study completion, up to Week 169

Study contacts

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

Dyne Clinical Trials

CONTACT

[email protected]

+1-781-317-1919

Sponsors and collaborators

Lead sponsor

Dyne Therapeutics

Industry

Registry information

Official study title

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Efficacy, Safety, and Tolerability of DYNE-251 Administered Intravenously in Ambulatory Male Participants 4 to 18 Years of Age With Duchenne Muscular Dystrophy Amenable to Exon-51 Skipping

Acronym: FORZETTO

Important dates

Study start
2026
Primary completion
2030
Study completion
2032
First posted
May 27, 2026
Registry last updated
May 27, 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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