Clinical trial Recruiting at 12 sites Phase1; Phase2 Interventional Ages 18 to 64

Testing ATX-01 for myotonic dystrophy type 1

Official title: A Phase 1/2a Double-Blind, Placebo-controlled, Single- and Multiple Ascending Dose Study to Assess the Safety, Tolerability, PK, PD and Efficacy of IV Administration of ATX-01 In Male and Female Participants Aged 18 to 64 With Classic DM1

Run by ARTHEx Biotech S.L. · NCT06300307 · Data updated 2026-11-12

This study is testing a new drug called ATX-01 to see if it is safe and well-tolerated in people with myotonic dystrophy type 1.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years to 64 Years
SexAll
Enrollment56 (estimated)
SponsorARTHEx Biotech S.L.
Industry-sponsored
Locations12 sites (Los Angeles, California and 11 other locations)
StatusRecruiting
StartedOctober 15, 2024
Main results expectedJuly 2027
Study endsJuly 2027
Registry record updatedFebruary 10, 2026
Trial IDNCT06300307 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are individuals with a confirmed diagnosis of DM1 who are ambulatory and exhibit grip myotonia.

Probably not a fit

Patients with congenital DM1 or significant muscle atrophy that prevents participation may not benefit from this study.

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

What this trial studies

This clinical trial aims to evaluate the safety and tolerability of ATX-01 in participants diagnosed with myotonic dystrophy type 1 (DM1). The study consists of two parts: a single-ascending dose phase where participants receive either ATX-01 or a placebo, and a multiple-ascending dose phase where participants receive three doses of ATX-01 or placebo. ATX-01 is a novel anti-miR that targets the microRNA miR-23b, which is believed to play a role in the pathology of DM1. The trial will assess how well participants tolerate the drug compared to a placebo.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with myotonic dystrophy type 1.

How similar studies have gone: While this approach is novel, similar studies targeting microRNA in neuromuscular disorders have shown promise.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* Participants with a documented clinical diagnosis of DM1 (CTG expansion of \>150 repeats in DMPK gene measured in peripheral blood mononuclear cells)
* Ambulatory, defined as able to complete a 10-meter walk/run test at screening without the use of assistive devices such as canes, walkers, or orthoses, except for ankle-foot orthoses
* Presence for \>3 seconds of grip myotonia as confirmed by a central reader

Key Exclusion Criteria:

* Participants with congenital DM1
* Medical Research Council Muscle Scale score of less than 4 on ankle dorsiflexion or significant tibialis anterior atrophy that prevents a muscle biopsy
* Use of mexiletine or other agent for myotonia within 21 days or 5 half-lives, whichever is longer, prior to screening

Where it's running

  • UCLA
    Los Angeles, California, United States
    Recruiting
  • University of Florida
    Gainesville, Florida, United States
    Recruiting
  • University of Iowa Health Care - Department of Neurology
    Iowa City, Iowa, United States
    Recruiting
  • University of Kansas Medical Center, Department of Neurology
    Fairway, Kansas, United States
    Recruiting
  • Virginia Commonwealth University
    Richmond, Virginia, United States
    Recruiting
  • Centre Intégré Universitaire de Santé et Services Sociaux du Saguenay-Lac-St-Jean
    Chicoutimi, Quebec, Canada
    Recruiting
Show 6 more locations
  • Institute of Myology
    Paris, France
    Recruiting
  • The NeMO Clinical Center in Milan, Neurorehabilitation Unit, University of Milan
    Milan, Italy
    Recruiting
  • Fondazione Policlinico A. Gemelli- IRCCS
    Rome, Italy
    Recruiting
  • Radboudumc
    Nijmegen, Netherlands
    Recruiting
  • Hospital Universitario Donostia
    Donostia / San Sebastian, Spain
    Recruiting
  • St. George's University Hospital
    London, United Kingdom
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Understanding long-term progression in myotonic dystrophy type 1 (DM1)

    This study will follow adults with DM1 for at least four years to see how walking, hand function, muscle strength, heart rhythms, and lung function change over time.

    Recruiting Virginia Commonwealth University · Richmond, Virginia · NCT07700225

  • Spanish National Registry for Myotonic Dystrophy Type 1

    This registry gathers health, clinical, and genetic information from people in Spain with DM1 to see how the condition changes over time and help match patients to future trials.

    Recruiting at 8 sites Fundació Institut Germans Trias i Pujol · Multiple Locations, Andalusia and 7 other locations · NCT07385443

  • Long-term PGN-EDODM1 extension for people with myotonic dystrophy type 1

    This open-label extension will try continued PGN-EDODM1 in people with myotonic dystrophy type 1 who completed a prior PGN-EDODM1 study to see how safe and tolerable it is over time.

    Recruiting at 3 sites Phase 2 PepGen Inc · Calgary, Alberta and 2 other locations · NCT07220603

  • Wearable monitoring of walking and arm movement in adults with neuromuscular or metabolic movement disorders

    This project uses a wrist/ankle wearable to continuously monitor walking and upper-limb movement in ambulant adults with neuromuscular diseases or obesity to see if digital measures like stride speed track real-life motor function.

    Recruiting Centre Hospitalier Universitaire de Liege · Liège · NCT07136844

  • Investigating PGN-EDODM1 for Myotonic Dystrophy Type 1

    This study is testing a new medication called PGN-EDODM1 to see if it is safe and well-tolerated in people with myotonic dystrophy type 1.

    Recruiting at 12 sites Phase 2 PepGen Inc · Calgary, Alberta and 11 other locations · NCT06667453

  • Collecting data on muscle disorders using wearable devices

    This study is testing a wearable device to track movement in people with muscle disorders like Duchenne Muscular Dystrophy and Myotonic Dystrophy to see how it can help improve their care.

    Recruiting at 2 sites Centre Hospitalier Universitaire de Liege · Liège and 7 other locations · NCT05982119

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.