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NCT Number: NCT06224660

Modulation of SERCA2a of Intra-Myocytic Calcium Trafficking in Cardiomyopathy Secondary to Duchenne Muscular Dystrophy

This research study is testing whether an experimental drug, called SRD-001, is safe and helps the weakened heart of patients with Duchenne muscular dystrophy (DMD) regain its ability to effectively pump blood to the rest of the body. SRD-001 is a form of gene therapy. The goal of SRD-001 gene therapy is to provide the heart muscle cells with extra copies of the SERCA2a gene so that they can produce more SERCA2a protein to help the heart muscle cells squeeze/contract better. Researchers will compare SRD-001 treated participants with no-treatment participants; all participants will continue to take their current heart medications. All participants will be followed very closely for 2 years and undergo cardiac magnetic resonance imaging of their heart at baseline, year 1 and year 2 along with assessment of upper limb function and lung function. After the 2 years of close follow-up, all participants will roll over into long-term follow-up where they will be called biannually for information on their current medical status.

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Key information

Age range

18 year and older

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1

Primary location

The University of Kansas Medical Center, Kansas City, Kansas, United States

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About this study

This phase 1b, multi-center, non-randomized, open-label, ascending dose escalation, no-intervention-control trial will assess the safety and explore the efficacy of SRD-001 administered as a one-time antegrade epicardial coronary artery infusion for the treatment of participants with cardiomyopathy secondary to DMD. SRD-001 is an AAV1 vector expressing the transgene for SERCA2a. Twelve participants will be assigned to either active treatment with SRD-001 or no-intervention based upon their neutralizing antibody status. The objectives of the trial are (1) to evaluate the safety of a one-time intracoronary administration of SRD-001 in participants with cardiomyopathy due to DMD; and (2) to explore the impact of SRD-001 on heart and skeletal muscle function and quality of life. After screening to determine eligibility, participants will be sequentially assigned to low dose SRD-001, high dose SRD-001 or no-intervention. Participants assigned to active treatment with SRD-001 will under cardiac catheterization and angiography just prior to the intracoronary infusion of SRD-001 and spend overnight int he hospital for observation.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Diagnosis of DMD with confirmatory genetic testing
  • Cardiomyopathy with left ventricular scar in at least 3 of 16 segments
  • Left ventricular ejection fraction < 40%
  • Individualized, optimized cardiac medical therapy and glucocorticoid treatment for at least 12 months prior to enrollment
  • Willing and able to provide informed consent

Exclusion criteria

  • Abnormal blood pressure
  • Non-DMD-related liver function test elevations
  • Cystatin C ≥ 1.2 mg/L
  • Thrombocytopenia
  • Anemia
  • Inadequate pulmonary function

Treatment and study plan

SRD-001

Genetic

SRD-001 is an adeno-associated virus serotype 1 (AAV1) based gene therapy designed to deliver a copy of the gene encoding the human sarcoplasmic/endoplasmic reticulum Ca(2+) ATPase 2a (SERCA2a). It is administered as a one-time intracoronary infusion.

Other names: AAV1/SSERCA2a

Primary outcomes

  1. Rate of all-cause mortality

    Time frame: From Day 1 to Week 52 and Week 104

    Death

  2. Rate and severity of related treatment-emergent adverse events

    Time frame: From Day 1 to Week 52 and Week 104

    Adverse events related to the investigational product or the administration procedure

  3. Rate and severity of all treatment-emergent adverse events

    Time frame: From Day 1 to Week 52 and Week 104

    Adverse events

  4. Rate of cell-mediated immune reaction

    Time frame: From Day 1 to Week 52

    Cell-mediated immune reaction as assessed by enzyme-linked immunosorbent spot (ELISpot)

Secondary outcomes

  1. Change, including normal/abnormal shifts, in 12-lead electrocardiogram (ECG)

    Time frame: From Day 1 to Week 52 and Week 104

    Change in the heart's electrical activity

  2. Change, including normal/abnormal shifts, in laboratory evaluations

    Time frame: From Day 1 to Week 52 and Week 104

    Hematology, serum chemistries, urinalysis, cardiac enzymes and anti-AAV1 antibodies

Other outcomes

  1. Change in myocardium and left ventricular structure and function

    Time frame: From baseline to Week 52 and Week 104

    Assessed by cardiac magnetic resonance imaging with late gadolinium enhancement

  2. Change in skeletal muscle function

    Time frame: From baseline to Week 52 and Week 104

    Assessed by PUL 2.0, grip strength, key and tip-to-tip pinch strength and elbow flexion strength

  3. Change in pulmonary function

    Time frame: From baseline to Week 52 and Week 104

    Assessed by slow vital capacity, forced expiratory volume in 1 second, forced vital capacity, peak expiratory flow, maximum inspiratory pressure, maximum expiratory pressure, peak cough flow and inspiratory flow reserve

  4. Change in quality of life

    Time frame: From baseline to Week 52 and Week 104

    Assessed by the Duchenne muscular dystrophy quality of life questionnaire

Study contacts

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

Sardocor Corp.

CONTACT

[email protected]

+1-617-880-7616

Sponsors and collaborators

Lead sponsor

Sardocor Corp.

Industry

Registry information

Official study title

A Phase 1b, Open-Label, Controlled Trial Evaluating the Safety and Efficacy of SRD-001 (AAV1/SERCA2a) in Subjects With Cardiomyopathy Secondary to Duchenne Muscular Dystrophy

Acronym: MUSIC-DMD

Important dates

Study start
2024
Primary completion
2027
Study completion
2030
First posted
Jan 25, 2024
Registry last updated
Feb 27, 2025

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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