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OpenTrials
Completed

NCT Number: NCT05670730

Study of AOC 1044 in Healthy Adult Volunteers and Participants With Duchenne Muscular Dystrophy (DMD) Mutations Amenable to Exon 44 Skipping

AOC 1044-CS1 (EXPLORE44) is a Phase 1/2 study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamic effects of single and multiple ascending doses of AOC 1044 in healthy adult volunteers and participants with DMD mutations amenable to exon 44 skipping.

Part A is a single dose design with multiple cohorts (dose levels) in healthy adult volunteers.

Part B is a multiple-ascending dose design with 3 cohorts (dose levels) in participants with Duchenne.

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Key information

Age range

7 year–55 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Arkansas Children's, Little Rock, Arkansas, United States

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Who can participate

Healthy volunteers accepted: Yes

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

Part A:

Key Inclusion Criteria:

  • Aged 18 to 55 years, inclusive, at the time of informed consent
  • Body mass index (BMI) of 18.5 to 32.0 kg/m2

Key Exclusion Criteria:

  • Clinically significant abnormalities in laboratory results, ECGs, or vitals
  • Current or recent use of prescription or nonprescription drugs
  • Positive drug/alcohol test at Screening or Day -1
  • Elevated blood pressure (BP) >130/80 mmHg at Screening
  • Participation in a clinical study in which an investigational product was received within 1 month of screening or 5 half-lives of the investigational product
  • Blood or plasma donation within 16 weeks of planned AOC 1044 administration Note: Other protocol defined Inclusion/Exclusion criteria may apply

Part B:

Key Inclusion Criteria:

  • Aged 7 to 27 years, inclusive, at the time of informed consent
  • Clinical diagnosis of DMD or clear onset of DMD symptoms at or before the age of 6 years
  • Confirmation of DMD gene mutation amenable to exon 44 skipping
  • Weight ≥ 23 kg
  • Ambulatory or non-ambulatory
  • Ambulatory participants: LVEF ≥50% and FVC≥50%
  • Non-ambulatory participants: LVEF ≥45% and FVC≥40%
  • PUL 2.0 entry item A ≥3
  • If on corticosteroids, stable dose for 30 days before screening and throughout the study

Key Exclusion Criteria:

  • Biceps brachii muscles unsuitable for biopsy
  • Serum hemoglobin < lower limit of normal
  • Uncontrolled hypertension or diabetes
  • Prior treatment with any cell or gene therapy
  • Prior treatment with another exon 44 skipping agent within 6 months prior to informed consent
  • Recently treated with an investigational drug
  • History of multiple drug allergies

Treatment and study plan

AOC 1044

Drug

AOC 1044 will be administered via intravenous (IV) infusion

Placebo

Drug

Placebo will be administered via intravenous (IV) infusion.

Other names: Saline

Primary outcomes

  1. Incidence of treatment-emergent adverse events (TEAEs)

    Time frame: Through study completion, up to Day 85 (Part A) or Day 169 (Part B)

Secondary outcomes

  1. Plasma pharmacokinetic (PK) parameters

    Time frame: Through Week 8 (Part A); Through Week 12 (Part B)

    Maximum plasma concentration (Cmax) of AOC 1044

  2. Plasma pharmacokinetic (PK) parameters

    Time frame: Through Week 8 (Part A); Through Week 12 (Part B)

    Terminal half-life (T1/2) of AOC 1044

  3. Plasma pharmacokinetic (PK) parameters

    Time frame: Through Week 8 (Part A); Through Week 12 (Part B)

    Area under the concentration-time curve (AUC) of AOC 1044

  4. PMO44 levels in skeletal muscle tissue

    Time frame: Through Week 4 (Part A); Through Week 16 (Part B)

  5. Urine pharmacokinetic parameters

    Time frame: Day 1-2 (0-24 hours after first dose) (Part A); Day 1-2 (0-24 hours after first dose) (Part B)

    Fraction of PMO44 excreted in urine

  6. Change from baseline in exon skipping as measured in skeletal muscle (Part B only)

    Time frame: Baseline, Week 16

  7. Absolute change from baseline in dystrophin protein level in skeletal muscle (Part B only)

    Time frame: Baseline, Week 16

  8. Percentage change from baseline in dystrophin protein level in skeletal muscle (Part B only)

    Time frame: Baseline, Week 16

Sponsors and collaborators

Lead sponsor

Avidity Biosciences, Inc.

Industry

Registry information

Official study title

A Phase 1/2, Randomized, Placebo-controlled, Double-blind, Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamic Effects of Single and Multiple Ascending Doses of AOC 1044 Administered Intravenously to Healthy Adult Volunteers and Participants With DMD Mutations Amenable to Exon 44 Skipping

Acronym: EXPLORE44

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Jan 4, 2023
Registry last updated
Jul 14, 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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