Urine titin test for Duchenne and Becker muscular dystrophy
Official title: Non-invasive Evaluation of Urinary Titin as an IND-enabling Biomarker for Use in Duchenne Muscular Dystrophy (DMD) Clinical Trials
Run by Children's Hospital of Philadelphia · NCT07332013 · Data updated 2026-11-12
We will test whether a urine test that measures a titin fragment can track muscle injury in people with Duchenne or Becker muscular dystrophy and in healthy volunteers.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 2 Years to 10 Years |
| Sex | Men only |
| Enrollment | 50 (estimated) |
| Sponsor | Children's Hospital of Philadelphia Academic / other |
| Locations | 1 site (Philadelphia, Pennsylvania) |
| Status | Recruiting |
| Started | March 4, 2026 |
| Main results expected | December 2029 |
| Study ends | December 2029 |
| Registry record updated | April 8, 2026 |
| Trial ID | NCT07332013 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are ambulatory males with genetically confirmed Duchenne or Becker muscular dystrophy who can attend clinic visits, perform the stair-walk test, and have access to electricity and a freezer at home, with parental consent for minors.
✕Probably not a fit
Non-ambulatory patients, females, people without genetic confirmation, or those unable to perform the stair-walk or store home samples (no electricity/freezer) are unlikely to receive benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The study measures the urinary N-terminal fragment of titin (NTFT) before and after a controlled activity (descending two flights of stairs) and during seven days of home monitoring to link biomarker levels to activity. Participants complete standard neuromuscular tests (North Star Ambulatory Assessment and timed function tests) and wear an activity monitor during clinic visits and at home. Urine is collected pre- and post-exercise at clinic visits and three times daily during the home monitoring period, with optional exploratory blood sampling if a clinical blood draw occurs. Investigators will correlate urinary NTFT with activity intensity and clinical severity to determine whether NTFT is a sensitive, noninvasive marker of systemic muscle injury.
Why it matters
Potential benefit: If successful, this could provide a sensitive, noninvasive urine biomarker to monitor muscle injury and treatment response, enabling smaller and faster DMD/BMD clinical trials and improved patient monitoring.
How similar studies have gone: Prior research has linked urinary titin fragments to muscle damage in other settings, but using urinary NTFT as a standardized biomarker for DMD/BMD remains exploratory and not yet established.
Who can join: the full rules
Show full inclusion / exclusion criteria
DMD/BMD Subject Inclusion/Exclusion Criteria Inclusion Criteria: 1. Ambulatory at screening 2. Genetically confirmed diagnosis of DMD/BMD 3. Parental/guardian permission (informed consent) for children. Child assent will also be obtained from patients ages 7 years old and older and deemed by the investigator to be neurodevelopmentally appropriate 4. Access to electricity and a freezer in the home, in order to utilize the provided device and store collected samples Exclusion Criteria: * Non-ambulatory at Screening, defined as unable to walk independently and needing assistive devices * Female patients * Parental/guardian unable to provide informed consent Healthy Control Subject Inclusion/Exclusion Criteria Inclusion criteria: 1. Healthy children without DMD, BMD, or other significant chronic medical disease 2. Ambulatory at Screening, defined as able to walk independently without assistive devices 3. Parental/guardian permission (informed consent). Child assent will also be obtained from patients aged 7 years and older and deemed by the investigator to be neurodevelopmentally appropriate. 4. Access to electricity and a freezer in the home, in order to utilize the provided device and store collected samples Exclusion criteria: * Non-ambulatory at Screening, defined as unable to walk independently and needing assistive devices * Female patients * Parental/guardian unable to provide informed consent
Where it's running
-
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States Recruiting
Study contacts
- Principal investigator: Sabrina Yum, MD — Children's Hospital of Philadelphia
- Study coordinator: Calliope O'Donnell, MS
- Email: odonnellcs@chop.edu
- Phone: 267-426-7786
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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How chronic pain changes over time in kids with Duchenne Muscular Dystrophy
This study is following children and teens with Duchenne Muscular Dystrophy for 6 months to see how their chronic pain changes and how it affects daily life.
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Bone health in adults with Duchenne muscular dystrophy: osteoporosis, fractures, and treatment
This study looks at how common bone problems and fractures are in adults with Duchenne muscular dystrophy and what factors from childhood might affect bone health later on.
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Respiratory progression in adults with Duchenne muscular dystrophy: a long-term observational study
This study tests how respiratory function changes over three years in adults with genetically confirmed Duchenne muscular dystrophy.
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This study will look at heart disease in people with Duchenne/Becker muscular dystrophy and carriers to see if MRI-based heart measures can predict death or major heart problems.
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Duchenne/Becker Muscular Dystrophy EHR Data Linkage
This study tests whether consented patients’ electronic health records can be linked with the Duchenne Registry data to create a richer view of Duchenne and Becker muscular dystrophy care.
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Zeleciment Rostudirsen (DYNE-251) for Duchenne Muscular Dystrophy in Ambulatory Boys
This trial tests whether intravenous Zeleciment Rostudirsen (DYNE-251) given every 4 weeks is safe and helps improve function in ambulatory boys with Duchenne muscular dystrophy who have a specific dystrophin gene mutation.
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.