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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 16 Years and up |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Dyne Therapeutics Industry-sponsored |
| Locations | 44 sites (La Jolla, California and 43 other locations) |
| Status | Recruiting |
| Started | May 14, 2026 |
| Main results expected | July 2028 |
| Study ends | January 2029 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07486934 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
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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
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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
- Study coordinator: Dyne Clinical Trials
- Email: clinicaltrials@dyne-tx.com
- Phone: +1-781-317-1919
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.
-
Remote monitoring and genetic analysis for myotonic dystrophy type 1
This project will test if at-home remote tests plus a blood genetic sample can help explain why symptoms differ among adults with myotonic dystrophy type 1.
-
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.
-
Online registry for myotonic dystrophy patients
This study is creating an online registry for people with myotonic dystrophy to share their experiences and help researchers find better treatments.
-
Quantitative MRI measurement of muscle changes in myotonic dystrophy
This project will test whether advanced quantitative MRI scans can measure muscle structure and link to disease severity and RNA changes in adults with myotonic dystrophy.
-
Portable markerless video system to measure walking in adults with neuromuscular conditions or healthy volunteers.
This project will test a portable video device that measures walking patterns to see if it can track gait changes in adults with neuromuscular diseases and in healthy volunteers.
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.