Partial Hold Modified in Myotonic Dystrophy Study

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FDA has modified a partial clinical hold on an Avidity Biosciences study involving AOC 1001, allowing Avidity to double the number of participants in the MARINA Open-Label Extension (MARINA-OLE) study receiving 4 mg/kg of the drug. “The FDA is also allowing new participant enrollment for AOC 1001 at 2 mg/kg,” the company says. “Data from the MARINA-OLE study will be used to finalize the AOC 1001 pivotal dose and Phase 3 study design for adults with myotonic dystrophy type 1 (DM1), an under-recognized, progressive and often fatal neuromuscular disease with no approved treatment options.” In 9/2022, the partial hold was triggered by a serious adverse event reported in a single participant in the 4mg/kg cohort of the MARINA study.

“This positive step forward in our discussions with FDA provides the opportunity to gather additional data on the 2-4 mg/kg dose range of AOC 1001 while, in parallel, finalizing our Phase 3 study design and aligning with health authorities on a global regulatory path for AOC 1001,” Avidity says. It adds that recently announced positive topline data for AOC 1001 showed functional improvement across multiple clinical outcome measures, and further data from the MARINA-OLE study will be shared at the end of the year.

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