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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 7 Years to 16 Years |
| Sex | Men only |
| Enrollment | 70 (estimated) |
| Sponsor | Avidity Biosciences, Inc. Industry-sponsored |
| Locations | 20 sites (Westmead, New South Wales and 19 other locations) |
| Status | Recruiting |
| Started | September 1, 2026 |
| Main results expected | May 2029 |
| Study ends | July 2030 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07587242 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
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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
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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
- Study coordinator: Avidity Bioscience, Inc., A Novartis Company
- Email: Novartis.email@novartis.com
- Phone: 1-888-669-6682
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.