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Study of intravenous AOC 1001 to evaluate long-term safety and effectiveness in patients with myotonic dystrophy type 1

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What is this trial about?

A plain-language summary of the goals, design and what participants do

This study focuses on Myotonic Dystrophy Type 1, also known as DM1, which is an inherited muscle disorder that causes progressive muscle weakness and affects multiple body systems. The study will test a medication called AOC 1001, which is given through an intravenous infusion (delivered directly into a vein). This medication is a specialized type of drug that combines an antibody with genetic material designed to target the underlying cause of the disease.

The purpose of this research is to evaluate how safe and well-tolerated AOC 1001 is when used as a long-term treatment for people with Myotonic Dystrophy Type 1. During the study, participants will receive regular infusions of the medication over an extended period. The medication will be administered at a dose based on the participant's body weight, up to a maximum of 4 mg per kilogram.

This is a continuation study, which means it follows up on previous research with the same medication. The study is "open-label," which means all participants will receive the active medication, and there is no placebo group. The treatment period may last up to 48 weeks, during which participants will receive multiple doses of the study medication while being monitored for any effects or side effects.

The research process

The trial runs in 5 steps – from screening to follow-up. Each step says what happens and what the team monitors.

  1. Step 1

    Initial participation

    You will begin participation in a long-term study for Myotonic Dystrophy Type 1 (DM1) treatment after completing a previous AOC 1001 study

    The study will evaluate how safe and well-tolerated the medication is over an extended period

  2. Step 2

    Treatment administration

    You will receive AOC 1001 through an intravenous infusion (delivered directly into your vein)

    The medication is a solution containing a specialized antibody combined with genetic material designed to target DM1

  3. Step 3

    Safety monitoring

    Your health will be monitored for any treatment-related side effects

    Medical staff will track and document any changes in your condition throughout the study

  4. Step 4

    Study duration

    The study is planned to run from January 2026 to October 2030

    Your participation will involve regular medical visits throughout this period to receive treatment and monitor your progress

  5. Step 5

    Study completion

    The study will conclude with final health assessments

    Medical staff will evaluate the overall safety and effectiveness of the long-term treatment

Who can join the trial?

7 criteria

  • Must be able to give written consent to participate in the study. If the participant is a minor (under 18 years old), their legal guardian must also provide consent
  • Must have previously participated in an AOC 1001 study and completed all required treatments and follow-up visits successfully
  • Must have followed all the rules and requirements of the previous study properly, as determined by the study doctor
  • Can be either male or female
  • Must be a child (ages 2-11) or adolescent (ages 12-17)
  • Must be willing and able to follow all study requirements
  • Must understand study information provided in an age-appropriate way if participant is a minor

Who cannot join the trial?

15 criteria

  • Age below 18 or above 65 years
  • Lack of confirmed genetic diagnosis of Myotonic Dystrophy Type 1
  • Pregnancy or breastfeeding
  • Participation in another clinical trial within the past 30 days
  • History of severe allergic reactions to medications
  • Significant heart, liver, or kidney problems
  • Uncontrolled high blood pressure (blood pressure consistently above normal levels)
  • Active infections requiring treatment
  • Major surgery within 3 months before the start of the trial
  • Any condition that, in the opinion of the study doctor, would make participation unsafe
  • Unable to provide informed consent
  • History of drug or alcohol abuse within the past year
  • Mental health conditions that could interfere with study participation
  • Use of medications that could interact with the study drug
  • Abnormal laboratory test results that indicate serious health issues
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Investigated drugs

AOC 1001 is an investigational medication given through intravenous injection (into the vein). It is being studied as a potential treatment for patients with myotonic dystrophy type 1 (DM1), which is a genetic disorder that causes progressive muscle weakness. The medication is designed to help address the underlying cause of the disease and is being evaluated for its long-term safety and effectiveness in patients with this condition.

What is already known about the treatment

AOC 1001 - An investigational intravenous medication being studied in clinical trials for the treatment of Myotonic Dystrophy Type 1 (DM1), a rare genetic disorder affecting muscle function. The drug is administered through intravenous infusion and represents a novel therapeutic approach in treating this genetic condition. While the exact molecular mechanism is still being studied in clinical trials, AOC 1001 is designed to target the underlying genetic cause of DM1. Currently in Phase 3 clinical trials, this medication is being evaluated for its long-term safety, tolerability, and effectiveness in treating patients with DM1, though it has not yet received regulatory approval for general medical use.

Investigated diseases

Myotonic Dystrophy Type 1 - A genetic disorder that affects muscle function, causing progressive muscle weakness and wasting. The condition is characterized by myotonia, where muscles have difficulty relaxing after contraction. It typically begins in early adulthood and can affect multiple body systems, including skeletal muscles, heart, eyes, and the nervous system. The disease causes increasing difficulty with everyday activities like walking, gripping objects, and speaking clearly. The symptoms tend to worsen gradually over time as muscles become progressively weaker.
Trial detailsLast updated 2 Oct 2026
Age18+ yearsPhasePhase IIITrial ID2025-520766-22-00Protocol codeAOC 1001-CS4Estimated enrolment217 patientsSponsorAvidity Biosciences Inc.

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