Clinical trial Recruiting at 44 sites Phase 3 Interventional Ages 16 and up

Zeleciment Basivarsen (DYNE-101) for people with myotonic dystrophy type 1

Official title: A Phase 3, Randomized, Double-Blind, 48-Week Placebo-Controlled Study to Assess the Efficacy, Safety, and Tolerability of DYNE-101 Administered to Participants With Myotonic Dystrophy Type 1

Run by Dyne Therapeutics · NCT07486934 · Data updated 2026-11-12

This trial will test whether Zeleciment Basivarsen (DYNE-101) improves symptoms and is safe and tolerable for adults with myotonic dystrophy type 1.

More Myotonic Dystrophy trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages16 Years and up
SexAll
Enrollment150 (estimated)
SponsorDyne Therapeutics
Industry-sponsored
Locations44 sites (La Jolla, California and 43 other locations)
StatusRecruiting
StartedMay 14, 2026
Main results expectedJuly 2028
Study endsJanuary 2029
Registry record updatedNovember 6, 2026
Trial IDNCT07486934 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are ambulatory adults with genetically confirmed DM1 (CTG repeat >100), a BMI under 35 kg/m2, and the ability to complete the required physical tests.

Probably not a fit

Patients with congenital DM1, those who are non-ambulatory or who do not meet the genetic or physical test criteria, or those excluded for recent major surgery or certain medications may not benefit from participation.

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

What this trial studies

This Phase 3, interventional study enrolls adults with genetically confirmed myotonic dystrophy type 1 (DM1) to receive Zeleciment Basivarsen (DYNE-101) or placebo during a 48-week placebo-controlled period followed by a 24-week long-term extension. Eligible participants must have a CTG repeat size >100, be able to walk 10 meters and complete five sit-to-stand maneuvers independently, and have a BMI below 35 kg/m2. The protocol includes up to 8 weeks of screening and regular safety and tolerability reviews by an independent data monitoring committee. Study visits are conducted at participating U.S. clinical sites with serial clinical assessments and safety monitoring throughout the treatment periods.

Why it matters

Potential benefit: If successful, the treatment could slow disease progression and improve muscle function and myotonia symptoms in people with DM1.

How similar studies have gone: Preclinical work and early-phase trials of DMPK-targeting oligonucleotides have shown promise, but large randomized Phase 3 evidence for this approach is still limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis of DM1 confirmed by molecular genetics with trinucleotide repeat size greater than (\>) 100. Historical results from clinical testing are acceptable.
* Able to walk 10 meters and complete 5 times sit to stand independently (inserts or supports that don't go above the ankle are allowed).
* Body mass index (BMI) less than (\<) 35 kilograms per meter square (kg/m\^2).

Exclusion Criteria:

* A known diagnosis of congenital DM1.
* History of major surgical procedure (based on Investigator judgment) within 12 weeks prior to the start of screening, with the exception of implanted pacemaker or defibrillator.
* Use of glucagon-like peptide 1 (GLP-1) agonist/incretin medications including semaglutide, dulaglutide, liraglutide, exenatide, or tirzepatide within a period of 5 half-lives of the medication prior to performing screening assessments.

Note: Other inclusion and exclusion criteria may apply.

Where it's running

  • UCSD - Altman Clinical and Translational Research Institute
    La Jolla, California, United States
    Recruiting
  • UCLA Medical Center (Department of Neurology)
    Los Angeles, California, United States
    Recruiting
  • Stanford Neuroscience Health Center
    Palo Alto, California, United States
    Recruiting
  • UF Health: University of Florida Clinical Research Center
    Gainesville, Florida, United States
    Recruiting
  • Rare Disease Research, LLC
    Atlanta, Georgia, United States
    Recruiting
  • IU Health Neuroscience Center
    Indianapolis, Indiana, United States
    Recruiting
Show 38 more locations
  • Kennedy Krieger Institute
    Baltimore, Maryland, United States
    Recruiting
  • Roy Blunt NextGen Precision Health Institute
    Columbia, Missouri, United States
    Recruiting
  • University of Rochester Medical Center
    Rochester, New York, United States
    Recruiting
  • Rare Disease Research, LLC
    Hillsborough, North Carolina, United States
    Recruiting
  • Houston Methodist Neurological Institute
    Houston, Texas, United States
    Recruiting
  • The University of Texas Health Science Center at San Antonio
    San Antonio, Texas, United States
    Recruiting
  • University of Utah Clinical Neurosciences Center
    Salt Lake City, Utah, United States
    Recruiting
  • Virginia Commonwealth University - Biotech One
    Richmond, Virginia, United States
    Recruiting
  • St Vincent's Hospital, Melbourne
    Fitzroy, Victoria, Australia
    Recruiting
  • Uza
    Edegem, Belgium
    Recruiting
  • UZ Leuven
    Leuven, Belgium
    Recruiting
  • Aarhus University Hospital, Department of Neurology
    Aarhus, Denmark
    Recruiting
  • Rigshospitalet, (Neuromuscular Clinic and Research Unit, Department 8077)
    Copenhagen, Denmark
    Recruiting
  • AP-HP, Hôpital Raymond-Poincaré
    Garches, France
    Recruiting
  • CHU Marseille - Hôpital de la Timone (APHM)
    Marseille, France
    Recruiting
  • CHU de Nantes - Hôtel-Dieu
    Nantes, France
    Recruiting
  • Pitié-Salpêtrière Hospital
    Paris, France
    Recruiting
  • CHU de Toulouse - Hôpital Pierre-Paul Riquet
    Toulouse, France
    Recruiting
  • LMU Klinikum der Universität München Neurologische Klinik und Poliklinik Friedrich-Baur-Institut Campus Innenstadt
    Munich, Bavaria, Germany
    Recruiting
  • Universitätsmedizin Göttingen
    Göttingen, Lower Saxony, Germany
    Recruiting
  • Universitätsklinikum Bonn AöR Zentrum für Neurologie Klinik für Neuroimmunologie und Neuromuskuläre Erkrankungen
    Bonn, North Rhine-Westphalia, Germany
    Recruiting
  • Charité Universitätsmedizin Berlin Campus-Buch Muscle Research Unit
    Berlin, State of Berlin, Germany
    Recruiting
  • Centro Clinico Nemo Brescia, Fondazione Serena ETS
    Gussago, Brescia, Italy
    Recruiting
  • Centro Clinico Nemo Milano, Fondazione Serena ETS
    Milan, Milano, Italy
    Recruiting
  • Fondazione Policlinico Universitario A. Gemelli IRCCS - Department of Women's, Child and Public Health Sciences - UOC Neuropsichiatria Infantile
    Roma, Roma, Italy
    Recruiting
  • Azienda Ospedaliero-Universitaria Sant'Andrea - UOC Neurologia
    Roma, Roma, Italy
    Recruiting
  • Niigata National Hospital, National Hospital Organization
    Kashiwazaki, Niigata, Japan
    Recruiting
  • The University of Osaka Hospital
    Suita-shi, Osaka, Japan
    Recruiting
  • National Hospital Organization Osaka Toneyama Medical Center
    Toyonaka-Shi, Osaka, Japan
    Recruiting
  • National Center Hospital, National Center of Neurology and Psychiatry (NCNP)
    Kodaira, Tokyo, Japan
    Recruiting
  • Yamaguchi University Hospital
    Ube-Shi, Yamaguchi, Japan
    Recruiting
  • University of Maastricht
    Maastricht, Netherlands
    Recruiting
  • Radboud University Medical Center
    Nijmegen, Netherlands
    Recruiting
  • University of Auckland
    Auckland, Auckland, New Zealand
    Recruiting
  • Hospital Universitari Vall d'Hebron
    Barcelona, Barcelona, Spain
    Recruiting
  • Hospital Universitario Infanta Sofía
    San Sebastián de los Reyes, Madrid, Spain
    Recruiting
  • University College London Hospitals NHS Foundation Trust National Hospital for Neurology and Neurosurgery
    London, England, United Kingdom
    Recruiting
  • Northern Care Alliance NHS Foundation Trust
    Salford, Lancashire, United Kingdom
    Recruiting

Study contacts

Similar studies

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

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.