SAT-3247 treatment in ambulatory children aged 7–9 with Duchenne muscular dystrophy
A Phase 2a, Randomized, Double-Blind, Placebo-Controlled Dose Comparison and Exploratory Efficacy Study of Orally Administered SAT-3247 in Ambulatory DMD Patients
This trial will test whether daily SAT-3247 is safe and helps boys aged 7 to 9 with Duchenne muscular dystrophy who can still walk.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Enrollment | 51 (estimated) |
| Ages | 7 Years to 9 Years |
| Sex | Male |
| Sponsor | Satellos Bioscience, Inc. Industry-sponsored |
| Locations | 25 sites (Los Angeles, California and 24 other locations) |
| Trial ID | NCT07287189 on ClinicalTrials.gov |
What this trial studies
This randomized, double-blind, placebo-controlled phase 2a trial gives once-daily SAT-3247 or matched placebo on weekdays for 12 weeks in ambulatory boys aged ≥7 to <10 with genetically confirmed DMD. Up to 51 participants will be randomized, with stratification by baseline corticosteroid regimen and prior DMD medications; dosing arms differ by region (one dose in US/Canada, two doses in UK/EU/Serbia/Australia). Participants undergo screening, a baseline visit, a Week 1 phone check, and in-person visits at Weeks 4, 8, and 12 to monitor safety, tolerability, and preliminary functional outcomes. The primary aims are to identify an optimal dose and gather safety and early efficacy data.
Who should consider this trial
Good fit: Ambulatory male patients aged 7 to <10 years with a genetically confirmed DMD diagnosis and stable background medications (including stable corticosteroid use or cessation ≥3 months) are ideal candidates.
Not a fit: Children who are non-ambulatory, outside the 7 to <10 age window, have unstable cardiac or respiratory disease, or do not meet medication stability requirements are unlikely to benefit from this trial.
Why it matters
Potential benefit: If successful, SAT-3247 could improve muscle regeneration and help preserve walking ability in young boys with DMD.
How similar studies have performed: Strategies to boost satellite cell–mediated muscle regeneration are relatively novel for DMD with encouraging preclinical results but limited clinical proof-of-concept so far.
Eligibility criteria
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Has a definitive diagnosis of DMD based on documented clinical findings and prior genetic testing with a confirmed mutation in the DMD gene. * Male DMD patients who are ambulatory and aged ≥ 7 to \< 10 years at the time of screening. * Stable dose of systemic glucocorticoids (i.e., prednisolone, deflazacort, or vamorolone) according to the standard of care for ≥ 3 months prior to the Screening Visit and for the duration of the trial. Patients who are not receiving glucocorticosteroids are also eligible if stopped ≥ 3 months prior to the Screening Visit. * Stable doses of prescription medicines including ACE inhibitors, β-blockers, and diuretics (excluding glucocorticosteroids) and over-the-counter medicines and/or herbal supplements for supportive care ≥ 1 month prior to the Screening Visit and for the duration of the trial. * Participants that have previously received delandistrogene moxeparvovec (brand name Elevidys) either in a prior clinical trial or in the commercial setting \> 18 months prior to screening whose muscle function tests have stabilized or demonstrated decline ≥ 3 months prior to Screening, as determined by investigator and documented in chart notes, will be eligible. * Participants that have previously received an exon skipper \> 6 months prior to Screening whose muscle function tests have stabilized or demonstrated decline ≥ 3 months prior to Screening, as determined by investigator and documented in chart notes, will be eligible. * Participants receiving a stable dose of givinostat (brand name Duvyzat) for at least 18 months or longer prior to the Screening Visit will be eligible. Participants unable to tolerate givinostat who discontinued treatment before 18 months are eligible to enroll if date of last dose is ≥ 30 days from the Screening date. Givinostat should not be discontinued, if tolerated, to meet study entry criteria. * Participants that have received prior treatment with an investigational gene therapy product (other than delandistrogene moxeparvovec) ≥ 24 months prior to the Screening Visit. * If participating in a physical therapy/strength training regimen, must be stable for ≥ 2 months prior to the Screening Visit and for the duration of the trial. Key Exclusion Criteria: * Ambulatory patients expected to experience loss of ambulation within ≤ 12 months. * Participants for whom MRI or open muscle biopsy are contraindicated. * Evidence of significant hepatic dysfunction, defined as GLDH \> 2X upper limit of normal (ULN) at the Screening Visit. * Impaired cardiac function defined as a left ventricular ejection fraction of \< 50% on screening cardiac assessments (echocardiogram or MRI) or evidence of symptomatic cardiomyopathy. * A forced vital capacity \< 60% predicted at the Screening Visit. * Ongoing participation in any other therapeutic clinical trial or follow-up study for a therapeutic intervention * Consumption of grapefruit juice or grapefruit containing products * Severe behavioural or cognitive problems that preclude participation in the study, in the opinion of the investigator. Additional entry criteria will be reviewed with the clinical site investigator.
Where this trial is running
Los Angeles, California and 24 other locations
- University of California Los Angeles — Los Angeles, California, United States (Recruiting)
- Colorado Children's — Aurora, Colorado, United States (Recruiting)
- Lurie Children's — Chicago, Illinois, United States (Recruiting)
- University of Kansas — Kansas City, Kansas, United States (Not_yet_recruiting)
- Kennedy Krieger Institute — Baltimore, Maryland, United States (Not_yet_recruiting)
- UMass Memorial Medical Center — Worcester, Massachusetts, United States (Recruiting)
- Washington University — St Louis, Missouri, United States (Recruiting)
- Nationwide Children's Hospital — Columbus, Ohio, United States (Recruiting)
- University of Texas Southwestern — Dallas, Texas, United States (Not_yet_recruiting)
- Virginia Commonwealth University — Richmond, Virginia, United States (Not_yet_recruiting)
- Seattle Children's — Seattle, Washington, United States (Recruiting)
- Children's Hospital at Westmead — Westmead, New South Wales, Australia (Not_yet_recruiting)
- Royal Children's Hospital Melbourne — Melbourne, Victoria, Australia (Recruiting)
- Hôpital De La Citadelle (CHR) — Liège, Liège, Belgium (Not_yet_recruiting)
- UZ Gent — Ghent, Oost-Vlaanderen, Belgium (Not_yet_recruiting)
- Children's Hospital Eastern Ontario — Ottawa, Ontario, Canada (Not_yet_recruiting)
- Klinika Neurologii Rozwojowej Uniwersyteckie — Gdansk, Pomeranian Voivodeship, Poland (Not_yet_recruiting)
- Instytut Centrum Zdrowia Matki Polki — Lodz, Łódź Voivodeship, Poland (Not_yet_recruiting)
- Clinic of Neurology and Psychiatry for Children and Youth — Belgrade, Serbia, Serbia (Not_yet_recruiting)
- University Children's Clinic Tirsova — Belgrade, Serbia, Serbia (Not_yet_recruiting)
- Mother and Child Health Care Institute — Belgrade, Serbia, Serbia (Not_yet_recruiting)
- Hospital Universitario Donostia — Donostia / San Sebastian, Basque Country, Spain (Not_yet_recruiting)
- Hospital Universitario y Politécnico La Fe — Valencia, Valencia, Spain (Not_yet_recruiting)
- Hospital Infantil i Hospital de la Dona — Barcelona, Spain (Recruiting)
- Great Ormond Street — London, UK, United Kingdom (Not_yet_recruiting)
Study contacts
- Study coordinator: Satellos Medical Information
- Email: medicalinfo@satellos.com
- Phone: +1 647-660-1780
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.