Clinical trial Recruiting at 20 sites Phase 3 Interventional Ages 7 to 16 Men only

AOC 1044 in Duchenne Muscular Dystrophy with Exon 44 Skipping

Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Global Study With an Open-Label Extension to Evaluate the Efficacy and Safety of Intravenous AOC 1044 (Delpacibart Zotadirsen) for the Treatment of DMD With Gene Mutations Amenable to Exon 44 Skipping

Run by Avidity Biosciences, Inc. · NCT07587242 · Data updated 2026-11-12

This study tests whether intravenous AOC 1044 helps boys with Duchenne muscular dystrophy caused by mutations amenable to exon 44 skipping.

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Quick facts

PhasePhase 3
Study typeInterventional
Ages7 Years to 16 Years
SexMen only
Enrollment70 (estimated)
SponsorAvidity Biosciences, Inc.
Industry-sponsored
Locations20 sites (Westmead, New South Wales and 19 other locations)
StatusRecruiting
StartedSeptember 1, 2026
Main results expectedMay 2029
Study endsJuly 2030
Registry record updatedNovember 10, 2026
Trial IDNCT07587242 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ambulatory male children and adolescents, 7–16 years old, with a DMD diagnosis and a dystrophin mutation amenable to exon 44 skipping, on a stable corticosteroid regimen.

Probably not a fit

Participants without exon 44-skippable mutations or those not responding to treatment may not see benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 3, randomized, double-blind, placebo-controlled trial evaluating the safety and effectiveness of AOC 1044 in ambulatory males with DMD aged 7–16 who have a dystrophin mutation amenable to exon 44 skipping. Participants will receive infusions every 6 weeks for 54 weeks, followed by an open-label extension and a safety follow-up, with safety oversight by an independent Data Monitoring Committee. The study includes a screening period and requires stable corticosteroid use prior to enrollment. Key outcomes include functional and safety measures, assessed over the trial duration. Locations include Children’s Hospital at Westmead, UZ Leuven, and Centre Hospitalier Régional de la Citadelle.

Why it matters

Potential benefit: If successful, participants may experience improved muscle function and slower disease progression related to exon 44-skippable mutations.

How similar studies have gone: Earlier research in exon-skipping approaches for DMD has shown mixed but promising signals; this study tests a specific exon 44-skipping strategy in a larger Phase 3 format.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* Ambulatory males with clinical and genetic diagnosis of DMD
* Acceptable genetic test confirming dystrophin gene mutation amenable to exon 44 skipping
* 7 to 16 years of age at time of consent
* TTR and NSAA assessment completed within the protocol specified parameters at Screening
* On a stable regimen of corticosteroids (including Vamolorone) for at least 6 months prior to Day 1. Steroid regimen must be anticipated to remain stable.

Key Exclusion Criteria:

* Previous treatment cell or gene therapy.
* Treatment with another oligonucleotide within 6 months of informed consent (not including COVID-19 RNA vaccines).
* Lab values outside of the protocol specified range at Screening
* If on any of the following treatments (growth hormone, testosterone or givinostat), participants must be on a stable regimen and must plan to maintain it for the duration of the study. Participants will be excluded if regimen stability prior to informed consent is as follows:
* Less than 1 month, for growth hormone and/or testosterone
* Less than 6 months for givinostat

Where it's running

  • The Children's Hospital at Westmead
    Westmead, New South Wales, Australia
    Recruiting
  • UZ Leuven
    Leuven, Belgium
    Recruiting
  • Centre Hospitalier Régional de la Citadelle
    Liège, Belgium
    Recruiting
  • London Health Sciences Centre - Victoria Hospital
    London, Ontario, Canada
    Recruiting
  • CHU de Nantes - Hotel-Dieu
    Nantes, France
    Recruiting
  • AP-HP Hospital Armand-Trousseau
    Paris, France
    Recruiting
Show 14 more locations
  • Universitaetsklinikum Essen
    Essen, Germany
    Recruiting
  • Universitaetsklinikum Heidelberg
    Heidelberg, Germany
    Recruiting
  • Klinikum der Ludwig-Maximilians-Universitaet Muenchen
    München, Germany
    Recruiting
  • Istituto Giannina Gaslini
    Genova, Italy
    Recruiting
  • Fondazione Serena ETS - Centro Clinico NeMO Milano
    Milan, Italy
    Recruiting
  • IRCCS Ospedale San Raffaele
    Milan, Italy
    Recruiting
  • Fondazione Policlinico Universitario A. Gemelli IRCCS - Universitario Cattolica del Sacro Cuore
    Roma, Italy
    Recruiting
  • Academisch Ziekenhuis Leiden
    Leiden, Netherlands
    Recruiting
  • Uniwersyteckie Centrum Kliniczne, Gdańsk
    Gdansk, Poland
    Recruiting
  • Hospital Sant Joan de Deu
    Barcelona, Spain
    Recruiting
  • Hospital Universitario La Paz
    Madrid, Spain
    Recruiting
  • Hospital Viamed Santa Angela De la Cruz - FutureMeds Spain
    Seville, Spain
    Recruiting
  • Royal Victoria Infirmary
    Newcastle, United Kingdom
    Recruiting
  • University of Oxford and Oxford University Hospitals NHS Foundation Trust
    Oxford, United Kingdom
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.