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
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 64 Years |
| Sex | All |
| Enrollment | 56 (estimated) |
| Sponsor | ARTHEx Biotech S.L. Industry-sponsored |
| Locations | 12 sites (Los Angeles, California and 11 other locations) |
| Status | Recruiting |
| Started | October 15, 2024 |
| Main results expected | July 2027 |
| Study ends | July 2027 |
| Registry record updated | February 10, 2026 |
| Trial ID | NCT06300307 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
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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
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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
- Study coordinator: Project Manager
- Email: clinical@arthexbiotech.com
- Phone: +34676229821
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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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.
-
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.
-
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.
-
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.
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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.
-
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.
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.