Duchenne muscular dystrophy : promising early-stage clinical trials to watch

INTRODUCTION: Current therapies are unable to cure Duchenne muscular dystrophy (DMD), a severe and common form of muscular dystrophy, and instead aim to delay disease progression. Several treatments currently in phase I trials could increase the number of therapeutic options available to patients.

AREAS COVERED: This review aims to provide an overview of current treatments undergoing or having recently undergone early-stage trials. Several exon-skipping and gene therapy approaches are currently being investigated at the clinical stage to address an unmet need for DMD treatments. This article also covers Phase I trials from the last 5 years that involve inhibitors, small molecules, a purified synthetic flavanol, a cell-based therapy, and repurposed cardiac or tumor medications.

EXPERT OPINION: With antisense oligonucleotide (AON) treatments making up the majority of conditionally approved DMD therapies, most of the clinical trials occurring within the last 5 years have also evaluated exon-skipping AONs. The approval of Elevidys, a micro-dystrophin therapy, is reflected in a recent trend toward gene transfer therapies in phase I DMD clinical trials, but their safety and efficacy are being established in this phase of development. Other Phase I clinical-stage approaches are diverse, but have a range in efficacy, safety, and endpoint measures.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Expert opinion on investigational drugs - 33(2024), 3 vom: 15. März, Seite 201-217

Sprache:

Englisch

Beteiligte Personen:

Tang, Annie [VerfasserIn]
Yokota, Toshifumi [VerfasserIn]

Links:

Volltext

Themen:

Antisense oligonucleotide
Clinical trial
Duchenne muscular dystrophy (DMD)
Exon-skipping therapy
Gene therapy
Journal Article
Micro-dystrophin
Mini-dystrophin
Oligonucleotides, Antisense
Phase I
Review

Anmerkungen:

Date Completed 11.03.2024

Date Revised 19.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/13543784.2024.2313105

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367813327