Evaluating the safety and tolerability of PGN-EDODM1 in patients with Myotonic Dystrophy Type 1

A Phase 1 Placebo-Controlled Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single-Ascending Doses of PGN-EDODM1 in Adult Participants with Myotonic Dystrophy Type 1 (FREEDOM-DM1)

Phase 1 Interventional PepGen Inc · NCT06204809

This study is testing if a new treatment called PGN-EDODM1 is safe and well-tolerated for people with Myotonic Dystrophy Type 1 compared to a placebo.

Quick facts

PhasePhase 1
Study typeInterventional
Enrollment32 (estimated)
Ages18 Years to 50 Years
SexAll
SponsorPepGen Inc Industry-sponsored
Locations12 sites (Irvine, California and 11 other locations)
Trial IDNCT06204809 on ClinicalTrials.gov

What this trial studies

This study aims to assess the safety and tolerability of a single intravenous dose of PGN-EDODM1 in individuals diagnosed with Myotonic Dystrophy Type 1. Participants will undergo a screening period of up to 30 days followed by a 16-week treatment and observation period. The study will compare the effects of PGN-EDODM1 against a placebo to determine its safety profile and pharmacokinetics. The primary focus is on patients with a confirmed genetic diagnosis and specific muscle function criteria.

Who should consider this trial

Good fit: Ideal candidates for this study are individuals with a confirmed diagnosis of Myotonic Dystrophy Type 1 and specific muscle function capabilities.

Not a fit: Patients with congenital Myotonic Dystrophy or those with significant comorbid conditions may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients suffering from Myotonic Dystrophy Type 1.

How similar studies have performed: While there have been studies on treatments for Myotonic Dystrophy, this specific approach with PGN-EDODM1 is novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Confirmed diagnosis of DM1, as defined as having a repeat sequence in the DMPK gene with at least 100 CTG repeats
* Medical Research Council (MRC) score of ≥ Grade 4 in bilateral tibialis anterior (TA) muscles (the ability to move through full range of motion and hold against at least moderate pressure from the examiner)
* Presence of myotonia

Exclusion Criteria:

* Congenital DM1
* Known history or presence of any clinically significant conditions that may interfere with study safety assessments
* Abnormal laboratory tests at screening
* Medications specific for the treatment of myotonia within 2 weeks prior to screening
* Percent predicted forced vital capacity (FVC) \<40%

Note: Other inclusion and exclusion criteria may apply.

Where this trial is running

Irvine, California and 11 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Myotonic Dystrophy 1Myotonic DystrophyMuscular DystrophiesGenetic Diseases, InbornNeuromuscular DiseasesNervous System DiseasesMusculoskeletal DiseasesMyotonic Disorders
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.