A study testing the safety and effects of ADS-019 in adults aged 18 to 65 years with type 1 myotonic dystrophy

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What is this study about?

This study involves people with Type 1 Myotonic Dystrophy, a genetic condition that causes muscle weakness and stiffness, particularly difficulty relaxing muscles after use. The study will test a new medicine called ARO-DM1, which is given through an infusion into a vein. Some participants will receive a placebo instead of the actual medicine. The medicine is being developed to target the genetic cause of this condition.

The purpose of this study is to find out if ARO-DM1 is safe and well-tolerated in people with Type 1 Myotonic Dystrophy, and to understand how the body processes the medicine and how it affects the disease. The study will also look at whether the medicine can improve the condition in some participants. This is a dose-escalating study, which means that different groups of participants will receive different amounts of the medicine to find the best dose. The study will measure how often side effects occur and how severe they are, as well as how the medicine moves through the bloodstream over time.

Participants in this study will be adults between 18 and 65 years old who have a confirmed genetic diagnosis of the condition with a specific genetic pattern. They must have visible signs of muscle stiffness and be able to walk independently for at least 10 meters, though they may use braces. The study involves receiving either the study medicine or placebo through infusions, and participants will be monitored throughout the study period for safety and how well the treatment works.

1 Initial treatment phase

Upon joining the study, you will be assigned to receive either ARO-DM1 or placebo. The placebo is a solution containing sodium chloride 9 milligrams per milliliter, which is a salt water solution with no active medication.

The treatment will be administered through intravenous infusion, which means the medication will be delivered directly into your vein through a needle inserted into your arm.

The study follows a dose-escalating design, meaning different groups of participants may receive different doses of the medication to determine the safest and most effective amount.

2 Treatment administration schedule

You will receive either single doses or multiple doses of ARO-DM1 or placebo, depending on which group you are assigned to.

The specific dosage, frequency, and duration of administration will be determined by the group you are assigned to in this dose-escalating study.

If you are assigned to Cohort 5, you will receive multiple doses of the study medication.

3 Safety and response monitoring

Throughout the study, your safety will be monitored by tracking any adverse events, which are any unwanted or unexpected medical occurrences that happen during the trial.

Blood samples will be collected at various times to measure the levels of ARO-DM1 in your bloodstream. This is called pharmacokinetics, which helps determine how your body processes the medication.

The study will also assess pharmacodynamics, which examines how the medication affects your body and the disease.

4 Efficacy assessments

If you are assigned to Cohort 5, additional assessments will be conducted to evaluate how well the medication works in treating Type 1 Myotonic Dystrophy.

These assessments will measure changes in your condition and symptoms over the course of the study.

5 Study completion

The study will continue until the end of study visit, when final safety assessments will be completed.

After receiving your last dose of study medication or completing the final study visit, you must continue using highly effective contraception plus condoms for at least 90 days.

You must not donate sperm or eggs during the study and for at least 90 days after your last dose or the end of the study, whichever occurs later.

The estimated duration of the study extends until September 2026.

Who Can Join the Study?

  • You must be 18 to 65 years old at the time you agree to join the study.
  • You must have a genetically confirmed diagnosis of Type 1 Myotonic Dystrophy, which means a laboratory test has proven you have this condition by showing a specific genetic change with a CTG repeat length of 100 or more. CTG repeats are abnormal sections of genetic material that cause this disease.
  • You must have visible signs of Type 1 Myotonic Dystrophy that your doctor can observe, including myotonia, which is muscle stiffness that makes it hard to relax your muscles. This stiffness should be significant enough that it takes at least 2 seconds for you to open your hand after making a fist.
  • Your symptoms related to Type 1 Myotonic Dystrophy must have started after you were 12 years old.
  • You must be able to walk at least 10 meters on your own during the screening visit. You may use orthoses, which are supportive devices like leg braces, but you cannot use canes or walkers.
  • If you are able to have children, you must agree to use highly effective birth control methods along with a condom during the study and for at least 90 days after the study ends or after your last dose of the study medicine, whichever comes later. You must also agree not to donate sperm or eggs during the study and for at least 90 days after the study ends or after your last dose, whichever comes later.

Who Cannot Join the Study?

  • No exclusion criteria have been provided in the available study information

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Fondazione Policlinico Universitario Agostino Gemelli IRCCS Rome Italy
Katholieke Universiteit te Leuven Leuven Belgium

Other Sites

Site Name City Country Status
Universitair Ziekenhuis Gent Gent Belgium
Hospital Universitario Torrecardenas Almeria Spain
Hospital Universitario Infanta Sofía San Sebastian De Los Reyes Spain
Deutsches Zentrum Fuer Neurodegenerative Erkrankungen e.V. Bonn Germany
Azienda Ospedaliero Universitaria Pisana Pisa Italy
Cdtfkm Cadmuyv Nhzs Milan Italy
Forahnfhnj Scogya Oftqp &enertv Czcmbj Coowkxe Nbdy Bnzbjje Brescia Italy
Kuxvjrta dni Uehuqtyxybar Mxxvozoz Alp Munich Germany
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Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Belgium Belgium
Not yet recruiting
31.01.2026
Germany Germany
Not yet recruiting
31.01.2026
Italy Italy
Not yet recruiting
31.01.2026
Spain Spain
Not yet recruiting
31.01.2026

Trial locations

Investigated drugs:

ARO-DM1 is an investigational medication being studied for the treatment of Type 1 Myotonic Dystrophy. This medication is designed to work in the body by targeting specific genetic material involved in this condition. The study will test different amounts of this medication given either as a single dose or multiple doses to see how safe it is, how well the body processes it, and whether it has any beneficial effects on the disease.

Investigated diseases:

Type 1 Myotonic Dystrophy – Type 1 Myotonic Dystrophy is a genetic disorder that affects multiple body systems, particularly the muscles. The condition causes progressive muscle weakness and wasting, especially in the lower legs, hands, neck, and face. People with this disease experience myotonia, which means their muscles have difficulty relaxing after contracting. The disorder also affects other organs including the heart, eyes, and endocrine system. Symptoms typically worsen gradually over time, leading to increased muscle weakness and stiffness. The severity and age of onset can vary significantly among affected individuals, ranging from birth to adulthood.

Trial ID:
2024-513579-42-00
Protocol code:
ARODM1-1001
NCT ID:
NCT06138743
Trial Phase:
Phase I and Phase II (Integrated) – First administration to humans

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