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NCT04240314

AAV9 U7snRNA Gene Therapy to Treat Boys With DMD Exon 2 Duplications.

Completed Phase 1, PHASE2 Results posted Last updated 11 September 2025
What this trial tests

Phase 1, PHASE2 trial testing scAAV9.U7.ACCA in Duchenne Muscular Dystrophy in 3 participants. Completed in 1 July 2025.

Timeline
15 January 2020
Primary endpoint
13 November 2023
1 July 2025

Quick facts

Lead sponsorMegan Waldrop
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment3
Start date15 January 2020
Primary completion13 November 2023
Estimated completion1 July 2025
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Megan Waldrop — full company profile →

Who can join

Adults 6 Months to 13, male only, with Duchenne Muscular Dystrophy. 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.

Number of Participants With Unacceptable Toxicity. Primary · 2 years

Unacceptable toxicity is defined as the occurrence of two or more unexpected Grade III or higher treatment-related toxicities, as defined by CTCAE 5.0.

GroupValue95% CI
Cohort 1 (Minimal Efficacious Dose)0
Change in Dystrophin Expression From Baseline Following Treatment With scAAV9.U7.ACCA. Secondary · 1 year

Expression of dystrophin will be measured by immunofluorescent (IF) staining in muscle biopsies taken before and after gene therapy. This method allows for visualization of the protein and its proper location in the muscle fiber in comparison to normal protein expression.

GroupValue95% CI
Cohort 1 (Minimal Efficacious Dose)46.6± 36.8
Change in Dystrophin Expression From Baseline Following Treatment With scAAV9.U7.ACCA. Secondary · 1 year

Expression of dystrophin will be quantified by western blotting in muscle biopsies taken before and after gene therapy. This method allows for quantification of the protein amount in comparison to normal protein expression amounts.

GroupValue95% CI
Cohort 1 (Minimal Efficacious Dose)30.1± 38.6
Changes in Percent of Exon 2 Skipping/Exclusion in the Dystrophin mRNA Transcript. Secondary · 1 year

Exon 2 exclusion will be measured using RT-PCR analysis.

Skipping of 1 Exon 2
GroupValue95% CI
Cohort 1 (Minimal Efficacious Dose)4.9± 4.8
Skipping of 2 Exons 2
GroupValue95% CI
Cohort 1 (Minimal Efficacious Dose)33.6± 45.4

Adverse events — posted to ClinicalTrials.gov

Time frame: 2 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1 (Minimal Efficacious Dose)
Serious: 0/3 (0%)
Deaths: 0/3
Other adverse events (35 terms — click to expand)

ReactionSystemCohort 1 (Minimal Efficaci…
VomitingGastrointestinal disorders
COVID-19 InfectionInfections and infestations
Elevated ASTGastrointestinal disorders
Increased GI RefluxGastrointestinal disorders
Biopsy Site DiscomfortSurgical and medical procedures
Elevated ALTGastrointestinal disorders
HoarsenessGastrointestinal disorders
Loose stool/DiarrheaGastrointestinal disorders
Generalized Body PainGeneral disorders
IrritabilityGeneral disorders
Mild to Moderate DehydrationGeneral disorders
Weight GainGeneral disorders
Decreased ANCInfections and infestations
Decreased ApetiteInfections and infestations
Decreased WBCInfections and infestations
FeverInfections and infestations
Right Great Toe OnychocyrptosisInfections and infestations
ThrushInfections and infestations
Viral GastroenteritisInfections and infestations
Viral Illness (URBX5, GI 5X5)Infections and infestations
Viral InfectionInfections and infestations
Viral SyndromeInfections and infestations
Decreased Vitamin DMetabolism and nutrition disorders
Ankle SprainMusculoskeletal and connective tissue disorders
Right Heel PainMusculoskeletal and connective tissue disorders
Left foot discomfortMusculoskeletal and connective tissue disorders
Left Thigh PainMusculoskeletal and connective tissue disorders
Right Thing PainMusculoskeletal and connective tissue disorders
Upper and Midline BackpainMusculoskeletal and connective tissue disorders
Erythematous Macuopapular RashSkin and subcutaneous tissue disorders
Irritant Diaper DermatitisSkin and subcutaneous tissue disorders
Contact DermatitisSurgical and medical procedures
Flu-like SymptomsSurgical and medical procedures
Left IV Site PainSurgical and medical procedures
NauseaSurgical and medical procedures

Data from ClinicalTrials.gov NCT04240314 adverse events section.

Sponsor's own description

Open-label, single dose clinical trial of scAAV9.U7.ACCA via peripheral limb vein injection for Duchenne muscular dystrophy boys who have a duplication of exon 2.

Publications & conference data

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

  1. Gene Therapy Advances: A Meta-Analysis of AAV Usage in Clinical Settings.
    Au HKE, Isalan M, Mielcarek M. · · 2021 · cited 208× · PMID 35223884 · DOI 10.3389/fmed.2021.809118
  2. Amplifying gene expression with RNA-targeted therapeutics.
    Khorkova O, Stahl J, Joji A, Volmar CH, et al · · 2023 · cited 78× · PMID 37253858 · DOI 10.1038/s41573-023-00704-7
  3. Exon-Skipping in Duchenne Muscular Dystrophy.
    Takeda S, Clemens PR, Hoffman EP. · · 2021 · cited 70× · PMID 34180420 · DOI 10.3233/jnd-210682
  4. From Antisense RNA to RNA Modification: Therapeutic Potential of RNA-Based Technologies.
    Adachi H, Hengesbach M, Yu YT, Morais P. · · 2021 · cited 61× · PMID 34068948 · DOI 10.3390/biomedicines9050550
  5. Adeno-Associated Virus (AAV)-Mediated Gene Therapy for Duchenne Muscular Dystrophy: The Issue of Transgene Persistence.
    Manini A, Abati E, Nuredini A, Corti S, et al · · 2021 · cited 51× · PMID 35095747 · DOI 10.3389/fneur.2021.814174
  6. Lack of Toxicity in Nonhuman Primates Receiving Clinically Relevant Doses of an AAV9.U7snRNA Vector Designed to Induce <i>DMD</i> Exon 2 Skipping.
    Gushchina LV, Frair EC, Rohan N, Bradley AJ, et al · · 2021 · cited 37× · PMID 33406986 · DOI 10.1089/hum.2020.286
  7. U7 snRNA: A tool for gene therapy.
    Gadgil A, Raczyńska KD. · · 2021 · cited 36× · PMID 33590603 · DOI 10.1002/jgm.3321
  8. Structurally Mapping Antigenic Epitopes of Adeno-associated Virus 9: Development of Antibody Escape Variants.
    Emmanuel SN, Smith JK, Hsi J, Tseng YS, et al · · 2022 · cited 32× · PMID 34757842 · DOI 10.1128/jvi.01251-21

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