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NCT03400852: BRAVE

A Study to Assess the Efficacy and Safety of MNK-1411 in Duchenne Muscular Dystrophy

Terminated Phase 2 Results posted Last updated 16 March 2021
What this trial tests

Phase 2 trial testing MNK-1411 in Muscular Dystrophy, Duchenne in 44 participants. Terminated before completion.

Timeline
27 July 2018
Primary endpoint
25 February 2020
25 February 2020

Quick facts

Lead sponsorMallinckrodt ARD LLC
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment44
Start date27 July 2018
Primary completion25 February 2020
Estimated completion25 February 2020
Sites16 locations across Italy, Serbia, Israel, Mexico, Bulgaria, United States, Turkey (Türkiye), Spain

Drugs / interventions tested

Conditions studied

Sponsor

Mallinckrodt ARD LLC — full company profile →

Who can join

Adults 4 to 8, male only, with Muscular Dystrophy, Duchenne. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Time to Complete 10 Meter Walk/Run[ Primary · Baseline, Week 24

10 Meter Walk/Run is a motor function test to measure the functional capability in patients with DMD.

at Baseline
GroupValue95% CI
Period 1: MNK-14115.94.7 – 22.3
Period 1: Placebo7.83.9 – 13.0
at Week 24
GroupValue95% CI
Period 1: MNK-14115.44.1 – 8.9
Period 1: Placebo8.73.3 – 18.3
North Star Ambulatory Assessment (NSAA) Score Secondary · Baseline, Week 24

The NSAA is comprised of 17 items, each of which is graded using the standard scorecard. Each assessment is rated as 0 - unable to achieve independently, 1 - modified method but achieves goal independent of physical assistance from another, or 2 - normal with no obvious modification of activity. The subscale scores are summed for a total score ranging from 0 to 34. The higher the total score, the better the outcome.

at Baseline
GroupValue95% CI
Period 1: MNK-141117.9± 6.80
Period 1: Placebo17.1± 6.40
at Week 24
GroupValue95% CI
Period 1: MNK-141120.5± 7.94
Period 1: Placebo16.6± 8.82
Time to Climb 4 Standardized Stairs Secondary · Baseline, Week 24

Time to Climb 4 Standardized Stairs is a motor performance test

at Baseline
GroupValue95% CI
Period 1: MNK-14118.52± 8.88
Period 1: Placebo8.47± 4.34
at Week 24
GroupValue95% CI
Period 1: MNK-14114.71± 2.45
Period 1: Placebo15.09± 13.84
Time to Stand From a Supine Position Secondary · Baseline, Week 24

Time to stand from a supine position is a motor function test to measure the functional capability in subjects with DMD.

at Baseline
GroupValue95% CI
Period 1: MNK-141111.14± 9.08
Period 1: Placebo15.03± 12.45
at Week 24
GroupValue95% CI
Period 1: MNK-14117.65± 4.99
Period 1: Placebo24.89± 26.48
Quantitative Muscle Testing Scores at Baseline Secondary · Baseline

Quantitative muscle testing measured strength-knee flexion and extension measured in Newtons, using a dynamometer

Knee flexion
GroupValue95% CI
Period 1: MNK-141126.61± 14.17
Period 1: Placebo29.87± 14.17
Knee extension
GroupValue95% CI
Period 1: MNK-141128.99± 16.24
Period 1: Placebo26.64± 15.27
Quantitative Muscle Testing Scores at Week 24 Secondary · Week 24

Quantitative muscle testing measured strength-knee flexion and extension measured in Newtons, using a dynamometer

Knee flexion
GroupValue95% CI
Period 1: MNK-141133.64± 1578
Period 1: Placebo25.27± 13.35
Knee extension
GroupValue95% CI
Period 1: MNK-141126.61± 14.17
Period 1: Placebo29.87± 15.13
Summary of Adverse Events in the Blinded Treatment Period Secondary · within 28 weeks

Clinically significant changes in vital signs, height, weight, immunogenicity and laboratory assessments were reported as adverse events (AEs)

Exposed
GroupValue95% CI
Period 1: MNK-141129
Period 1: Placebo15
Affected by serious adverse events
GroupValue95% CI
Period 1: MNK-14110
Period 1: Placebo1
Affected by non-serious adverse events
GroupValue95% CI
Period 1: MNK-141122
Period 1: Placebo15
Died from any cause
GroupValue95% CI
Period 1: MNK-14110
Period 1: Placebo0
Summary of Adverse Events in the Open Label Period Secondary · within 28 weeks

Clinically significant changes in vital signs, height, weight, immunogenicity and laboratory assessments were reported as adverse events (AEs)

Exposed
GroupValue95% CI
Period 2: MNK-141124
Affected by serious adverse events
GroupValue95% CI
Period 2: MNK-14112
Affected by non-serious adverse events
GroupValue95% CI
Period 2: MNK-141111
Died from any cause
GroupValue95% CI
Period 2: MNK-14110

Adverse events — posted to ClinicalTrials.gov

Time frame: within 28 weeks. Reporting threshold: 3%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Period 1: MNK-1411
Serious: 0/29 (0%)
Deaths: 0/29
Period 1: Placebo
Serious: 1/15 (7%)
Deaths: 0/15
Period 2: MNK-1411
Serious: 2/24 (8%)
Deaths: 0/24

Serious adverse events (3 terms)

ReactionSystemPeriod 1: MNK-1411Period 1: PlaceboPeriod 2: MNK-1411
Muscle disorderMusculoskeletal and connective tissue disorders
RhabdomyolysisMusculoskeletal and connective tissue disorders
nary tract infectionInfections and infestations
Other adverse events (77 terms — click to expand)

ReactionSystemPeriod 1: MNK-1411Period 1: PlaceboPeriod 2: MNK-1411
Weight increasedInvestigations
Injection site erythemaGeneral disorders
Injection site indurationGeneral disorders
Injection site massGeneral disorders
GastroenteritisInfections and infestations
PharyngotonsillitisInfections and infestations
Face oedemaGeneral disorders
Injection site painGeneral disorders
PyrexiaGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
Abdominal painGastrointestinal disorders
HypertrichosisSkin and subcutaneous tissue disorders
CushingoidEndocrine disorders
NasopharyngitisInfections and infestations
Gastroenteritis viralInfections and infestations
PharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
HaematomaVascular disorders
HypertensionVascular disorders
Allergy to arthropod biteImmune system disorders
FatigueGeneral disorders
Injection site bruisingGeneral disorders
Injection site haematomaGeneral disorders
Injection site haemorrhageGeneral disorders
Injection site irritationGeneral disorders
Injection site swellingGeneral disorders
Swelling faceGeneral disorders
Affect labilityPsychiatric disorders
DepressionPsychiatric disorders
Mood swingsPsychiatric disorders
Separation anxiety disorderPsychiatric disorders
Lower limb fractureInjury, poisoning and procedural complications
Nerve stimulation test abnormalInvestigations
Congestive cardiomyopathyCardiac disorders
Sinus tachycardiaCardiac disorders
LeukocytosisBlood and lymphatic system disorders
Bronchial hyperreactivityRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
AsthmaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Muscle disorder, Rhabdomyolysis, nary tract infection.

Data from ClinicalTrials.gov NCT03400852 adverse events section.

Sponsor's own description

This is a multicenter, double blind, placebo controlled, multiple dose study to examine the safety and efficacy of MNK-1411 in male subjects 4 to 8 years of age (inclusive) with Duchenne Muscular Dystrophy (DMD).

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Standard of care versus new-wave corticosteroids in the treatment of Duchenne muscular dystrophy: Can we do better?
    Kourakis S, Timpani CA, Campelj DG, Hafner P, et al · · 2021 · cited 73× · PMID 33663533 · DOI 10.1186/s13023-021-01758-9
  2. Lessons Learned from Discontinued Clinical Developments in Duchenne Muscular Dystrophy.
    Markati T, De Waele L, Schara-Schmidt U, Servais L. · · 2021 · cited 30× · PMID 34790118 · DOI 10.3389/fphar.2021.735912

Verify or expand the search:

Other recruiting trials for Muscular Dystrophy, Duchenne

Currently open trials in the same condition.

Other Mallinckrodt ARD LLC trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03400852.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing