Trial Outcomes & Findings for Safety, Tolerability, Pharmacokinetics (PK), and Activity of ATYR1940 in Participants With Muscular Dystrophy - Study Extension (NCT NCT02531217)

NCT ID: NCT02531217

Last Updated: 2023-08-18

Results Overview

TEAEs were defined as adverse events (AEs) with an onset following administration of the first dose of study drug. AEs ware defined as any untoward medical occurrence in a participant administered study drug and that does not necessarily have a causal relationship with the study drug. Worsening of a pre-existing medical condition should have been considered an AE if there was either an increase in severity, frequency, or duration of the condition or an association with significantly worse outcomes. SAEs were defined as any AE that, in the view of either the Investigator or Sponsor, resulted in any of the following outcomes as fatal, life-threatening, required in-participant hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, a congenital anomaly/birth defect, an important medical event. A summary of all SAEs and Other AEs (nonserious) regardless of causality is located in 'Reported Adverse Events' Section.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

9 participants

Primary outcome timeframe

Up to End of Study (up to Week 36)

Results posted on

2023-08-18

Participant Flow

Participants who participated in Cohort 2 or 3, completed the double-blind treatment period and were considered to be compliant with the study drug by the Investigator in the Study ATYR1940-C-002 (NCT02239224) were eligible for participation in this study.

Participant milestones

Participant milestones
Measure
ATYR1940
Participants received ATYR1940 3.0 milligrams per kilograms (mg/kg) intravenous (IV) infusion once weekly for 24 weeks.
Overall Study
STARTED
9
Overall Study
Received at Least One Dose of Study Drug
9
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety, Tolerability, Pharmacokinetics (PK), and Activity of ATYR1940 in Participants With Muscular Dystrophy - Study Extension

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ATYR1940
n=9 Participants
Participants received ATYR1940 3.0 mg/kg IV infusion once weekly for 24 weeks.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
Age, Continuous
53.2 years
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to End of Study (up to Week 36)

Population: ITT analysis set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.

TEAEs were defined as adverse events (AEs) with an onset following administration of the first dose of study drug. AEs ware defined as any untoward medical occurrence in a participant administered study drug and that does not necessarily have a causal relationship with the study drug. Worsening of a pre-existing medical condition should have been considered an AE if there was either an increase in severity, frequency, or duration of the condition or an association with significantly worse outcomes. SAEs were defined as any AE that, in the view of either the Investigator or Sponsor, resulted in any of the following outcomes as fatal, life-threatening, required in-participant hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, a congenital anomaly/birth defect, an important medical event. A summary of all SAEs and Other AEs (nonserious) regardless of causality is located in 'Reported Adverse Events' Section.

Outcome measures

Outcome measures
Measure
ATYR1940
n=9 Participants
Participants received ATYR1940 3.0 mg/kg IV infusion once weekly for 24 weeks.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
TEAEs
9 Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
SAEs
0 Participants

PRIMARY outcome

Timeframe: Up to End of Study (up to Week 36)

Population: ITT analysis set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.

Body systems that were evaluated during the physical examination included general appearance, head, eyes, ears, nose, throat, cardiovascular system, respiratory system, gastrointestinal system (abdomen), lymphatic system, musculoskeletal system, skin, psychiatric, and neurologic. Neurologic examination included assessment of mental status, memory, cranial nerves, motor function, reflexes, and sensory testing. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.

Outcome measures

Outcome measures
Measure
ATYR1940
n=9 Participants
Participants received ATYR1940 3.0 mg/kg IV infusion once weekly for 24 weeks.
Number of Participants With Clinically Significant Physical Examination Abnormality
4 Participants

PRIMARY outcome

Timeframe: Up to End of Study (up to Week 36)

Population: ITT analysis set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.

The vital sign parameters that were evaluated included blood pressure, pulse and respiration rates, and body temperature. Vital signs abnormalities that were considered by the Investigator to be clinically significant were reported as AEs if the finding represented a change from baseline. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.

Outcome measures

Outcome measures
Measure
ATYR1940
n=9 Participants
Participants received ATYR1940 3.0 mg/kg IV infusion once weekly for 24 weeks.
Number of Participants With a Vital Sign-Related Event Resulting in a TEAE
0 Participants

PRIMARY outcome

Timeframe: Up to End of Study (up to Week 36)

Population: ITT analysis set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.

Pulmonary evaluations included pulmonary function tests. Clinically significant changes were to be reported as adverse events. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.

Outcome measures

Outcome measures
Measure
ATYR1940
n=9 Participants
Participants received ATYR1940 3.0 mg/kg IV infusion once weekly for 24 weeks.
Number of Participants With a Clinically Significant Pulmonary Function Event Resulting in a TEAE
0 Participants

PRIMARY outcome

Timeframe: Up to End of Study (Up to Week 36)

Population: ITT analysis set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.

Laboratory parameters included hematology (hematocrit, hemoglobin, red blood cell count, white blood cell count with differential \[neutrophils, lymphocytes, monocytes, eosinophils, basophils\], and platelet count); serum chemistries (blood urea nitrogen, creatinine, total bilirubin, aspartate aminotransferase, alanine aminotransferase, gamma-glutamyl transferase, alkaline phosphatase, total protein, sodium, potassium, bicarbonate, calcium, chloride, magnesium, inorganic phosphate, creatine kinase, lactate dehydrogenase, C-reactive protein, troponin, myoglobin, insulin-like growth factor 1, and cholesterol \[nonfasting\]); and urinalysis (color, pH, specific gravity, protein, glucose, ketones, and blood). Clinically significant laboratory abnormalities were based upon Investigator's discretion. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.

Outcome measures

Outcome measures
Measure
ATYR1940
n=9 Participants
Participants received ATYR1940 3.0 mg/kg IV infusion once weekly for 24 weeks.
Number of Participants With a Clinical Laboratory Abnormality Resulting in an AE
3 Participants

Adverse Events

ATYR1940

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
ATYR1940
n=9 participants at risk
Participants received ATYR1940 3.0 mg/kg IV infusion once weekly for 24 weeks.
Ear and labyrinth disorders
Ear Pain
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Ear and labyrinth disorders
Vertigo
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Gastrointestinal disorders
Abdominal Pain Upper
22.2%
2/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Gastrointestinal disorders
Abdominal Pain Lower
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Gastrointestinal disorders
Constipation
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Gastrointestinal disorders
Diarrhoea
22.2%
2/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Gastrointestinal disorders
Flatulence
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Gastrointestinal disorders
Nausea
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Gastrointestinal disorders
Stomatitis
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Gastrointestinal disorders
Toothache
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Gastrointestinal disorders
Vomiting
22.2%
2/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
General disorders
Asthenia
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
General disorders
Fatigue
22.2%
2/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
General disorders
Infusion Site Erythema
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
General disorders
Non-Cardiac Chest Pain
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
General disorders
Oedema Peripheral
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
General disorders
Pain
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Infections and infestations
Ear Infection
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Infections and infestations
Eye Infection
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Infections and infestations
Influenza
33.3%
3/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Infections and infestations
Nasopharyngitis
22.2%
2/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Injury, poisoning and procedural complications
Infusion Related Reaction
22.2%
2/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Injury, poisoning and procedural complications
Muscle Injury
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Injury, poisoning and procedural complications
Sunburn
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Injury, poisoning and procedural complications
Wound
22.2%
2/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Investigations
Alanine Aminotransferase Increased
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Investigations
Aspartate Aminotransferase Increased
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Investigations
Electrocardiogram QT Prolonged
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Investigations
Hepatic Enzyme Increased
22.2%
2/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Investigations
Oxygen Saturation Decreased
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Musculoskeletal and connective tissue disorders
Arthralgia
22.2%
2/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Musculoskeletal and connective tissue disorders
Back Pain
33.3%
3/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Musculoskeletal and connective tissue disorders
Bursitis
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Musculoskeletal and connective tissue disorders
Jaw Cyst
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Musculoskeletal and connective tissue disorders
Muscle Swelling
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Musculoskeletal and connective tissue disorders
Muscle Tightness
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Musculoskeletal and connective tissue disorders
Myalgia
44.4%
4/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Musculoskeletal and connective tissue disorders
Pain in Extremity
22.2%
2/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Nervous system disorders
Dizziness
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Nervous system disorders
Dysstasia
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Nervous system disorders
Headache
66.7%
6/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Nervous system disorders
Hypoaesthesia
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Nervous system disorders
Paraesthesia
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Nervous system disorders
Presyncope
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Respiratory, thoracic and mediastinal disorders
Epistaxis
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Skin and subcutaneous tissue disorders
Blister
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Skin and subcutaneous tissue disorders
Erythema
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Skin and subcutaneous tissue disorders
Hyperhidrosis
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Skin and subcutaneous tissue disorders
Macule
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Skin and subcutaneous tissue disorders
Papule
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Skin and subcutaneous tissue disorders
Rash
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Vascular disorders
Flushing
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.
Vascular disorders
Haematoma
11.1%
1/9 • Up to End of Study (up to Week 36)
ITT analysis Set included all participants who were randomized and received at least 1 dose (full or partial) of study drug.

Additional Information

Study Director

aTyr Pharma

Phone: 858 731 8389

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place