Structure-guided antisense treatment for Duchenne with exon 44 or 45 mutations

Structure-based antisense therapeutics targeting dystrophin exons 44 and 45 for Duchenne Muscular Dystrophy

NIH-funded research University of California Los Angeles · NIH-11174566

Specially designed antisense molecules aim to boost dystrophin production in people with Duchenne whose genetic mutations can be fixed by skipping exon 44 or 45.

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionUniversity of California Los Angeles NIH-funded
Lab location1 site (Los Angeles, United States)
Project IDNIH-11174566 on NIH RePORTER

What this research studies

Researchers are designing antisense oligonucleotides (ASOs) that match not just the RNA sequence but its 3‑D shape so the drug can bind more tightly and precisely to dystrophin pre-mRNA. The project focuses on creating ASOs that encourage cells to skip exon 44 or 45 so the dystrophin protein can be made in a working form. Scientists will use structural design, chemistry changes, and laboratory testing (including crystal structures for the ASO–exon complex) to guide which molecules look most promising. The goal is to create ASOs with higher activity and better delivery than current drugs for the ~14% of DMD patients with these exon targets.

Who could benefit from this research

Good fit: People with genetically confirmed Duchenne muscular dystrophy whose mutations are correctable by skipping exon 44 or exon 45 (together about 14% of DMD cases) would be the ideal candidates.

Not a fit: Patients whose mutations are not in exon 44 or 45, or those with very advanced, irreversible muscle loss, are unlikely to benefit from these specific ASOs.

Why it matters

Potential benefit: If successful, this approach could raise dystrophin levels and improve muscle function for patients with exon 44 or 45–amenable Duchenne mutations.

How similar studies have performed: A few ASO drugs for DMD have FDA approval but have shown limited clinical benefit, and this structure‑based design represents a new, less‑tested approach to improve efficacy.

Where this research is happening

Los Angeles, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.