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  • ||||||||||  Review, Journal:  Clinical applications of exon skipping antisense oligonucleotides in neuromuscular diseases. (Pubmed Central) -  Jun 5, 2025   
    Many of these newly developed exon skipping ASOs have been studied in clinical trials in DMD patients, and early findings suggest clear improvements in molecular efficacy compared to the earlier version of ASOs, although the safety track record may not be the same as the first generation compounds. Here, we summarise the recent preclinical and clinical developments of ASOs and discuss the future challenges of exon skipping therapies for DMD and other neuromuscular diseases.
  • ||||||||||  brogidirsen (NS-089/NCNP-02) / Nippon Shinyaku, National Center of Neurology and Psychiatry
    Trial completion date, Trial primary completion date:  NS-089/NCNP-02-201 in Boys With Duchenne Muscular Dystrophy (DMD) (clinicaltrials.gov) -  Jun 5, 2025   
    P2,  N=20, Recruiting, 
    Here, we summarise the recent preclinical and clinical developments of ASOs and discuss the future challenges of exon skipping therapies for DMD and other neuromuscular diseases. Trial completion date: Nov 2025 --> Sep 2026 | Trial primary completion date: Nov 2025 --> Sep 2026
  • ||||||||||  Viltepso (viltolarsen) / Nippon Shinyaku, National Center of Neurology and Psychiatry
    Evaluation of the efficacy of Viltolarsen to Duchenne muscular dystrophy using muscular imaging (Poster venue (Osaka International Convention Center 3F Event Hall)) -  Mar 23, 2025 - Abstract #JSNE2025JSNE_1298;    
    This is the first report of muscle mass evaluation using CT after viltolarsen treatment. In both cases 1 and 2, the %MVI was maintained compared to the control, suggesting the effectiveness of viltolarsen.
  • ||||||||||  brogidirsen (NS-089/NCNP-02) / Nippon Shinyaku, National Center of Neurology and Psychiatry
    Dystrophin restoration via exon-skipping modulates muscle lipidome in Duchenne muscular dystrophy (Venue 12 (Osaka International Convention Center 7F Conference Rooms 701-702)) -  Mar 23, 2025 - Abstract #JSNE2025JSNE_349;    
    [Methods] We utilized biopsied skeletal muscles collected from 6 DMD patients enrolled in the Phase 1/2 trial of Brogidirsen, an exon 44 skipping drug...[Conclusions] We demonstrate that specific alterations of lipidome are seen in DMD, which could be regulated by dystrophin expression. Further research studying the relationship between the permeability of myofiber plasma membranes and PE alterations might pave the way for the development of membrane reinforcement therapy for the disease.
  • ||||||||||  Review, Journal:  Antisense oligonucleotide as novel therapies for neurogenetic disorders (Pubmed Central) -  Jan 12, 2025   
    This review has elaborated the mechanism of ASO therapies, including basic rationales, modifications, side effects and delivery routes. It also systemically summarized the FDA-approved ASO therapeutics and their applications for various neurological disorders, and discussed the limitations and challenges the real-world market may face and issues genetic counselor should take into consideration in the near future.
  • ||||||||||  Viltepso (viltolarsen) / Nippon Shinyaku
    Enrollment closed, Trial completion date, Trial primary completion date:  Study to Assess the Safety and Efficacy of Viltolarsen in Ambulant Boys With DMD (RACER53-X) (clinicaltrials.gov) -  Feb 13, 2024   
    P3,  N=74, Active, not recruiting, 
    OCH is a promising treatment for multiple sclerosis, especially for SPMS. Enrolling by invitation --> Active, not recruiting | Trial completion date: Jun 2026 --> Nov 2025 | Trial primary completion date: Jun 2026 --> Oct 2025
  • ||||||||||  brogidirsen (NS-089/NCNP-02) / Nippon Shinyaku, National Center of Neurology and Psychiatry
    Enrollment open, Trial completion date, Trial initiation date, Trial primary completion date:  NS-089/NCNP-02-201 in Boys With Duchenne Muscular Dystrophy (DMD) (clinicaltrials.gov) -  Jan 5, 2024   
    P2,  N=20, Recruiting, 
    Enrolling by invitation --> Active, not recruiting | Trial completion date: Jun 2026 --> Nov 2025 | Trial primary completion date: Jun 2026 --> Oct 2025 Not yet recruiting --> Recruiting | Trial completion date: May 2025 --> Sep 2025 | Initiation date: Aug 2023 --> Jan 2024 | Trial primary completion date: May 2025 --> Sep 2025
  • ||||||||||  OCH-NCNP1 / Eisai
    Trial completion:  Phase II Clinical Trial of OCH-NCNP1 (clinicaltrials.gov) -  Nov 9, 2023   
    P2,  N=30, Completed, 
    Not yet recruiting --> Recruiting | Trial completion date: May 2025 --> Sep 2025 | Initiation date: Aug 2023 --> Jan 2024 | Trial primary completion date: May 2025 --> Sep 2025 Active, not recruiting --> Completed
  • ||||||||||  Viltepso (viltolarsen) / Nippon Shinyaku
    Trial completion, Trial completion date, Trial primary completion date:  Study to Assess the Efficacy and Safety of Viltolarsen in Ambulant Boys With DMD (RACER53) (clinicaltrials.gov) -  Oct 27, 2023   
    P3,  N=77, Completed, 
    Active, not recruiting --> Completed Recruiting --> Completed | Trial completion date: Dec 2024 --> Oct 2023 | Trial primary completion date: Nov 2024 --> Oct 2023
  • ||||||||||  Review, Journal:  Recent Trends in Antisense Therapies for Duchenne Muscular Dystrophy. (Pubmed Central) -  Mar 30, 2023   
    These upcoming therapies often utilize novel drug chemistries to address limitations of existing therapies, and their development could herald the next generation of antisense therapy. This review article aims to summarize the current state of development for antisense-based therapies for the treatment of Duchenne muscular dystrophy, exploring candidates designed for both exon skipping and gene knockdown.
  • ||||||||||  brogidirsen (NS-089/NCNP-02) / Nippon Shinyaku, National Center of Neurology and Psychiatry
    Trial completion date, Trial primary completion date:  Extension Study of NS-089/NCNP-02 in DMD (clinicaltrials.gov) -  Mar 3, 2023   
    P2,  N=6, Active, not recruiting, 
    This review article aims to summarize the current state of development for antisense-based therapies for the treatment of Duchenne muscular dystrophy, exploring candidates designed for both exon skipping and gene knockdown. Trial completion date: Jul 2023 --> Jul 2026 | Trial primary completion date: Jan 2023 --> Jan 2026
  • ||||||||||  Vyondys 53 (golodirsen) / Sarepta Therap, NS-089/NCNP-02 / Nippon Shinyaku, National Center of Neurology and Psychiatry, Viltepso (viltolarsen) / Nippon Shinyaku
    Journal:  Restoring Dystrophin Expression with Exon 44 and 53 Skipping in the DMD Gene in Immortalized Myotubes. (Pubmed Central) -  Nov 20, 2022   
    Two exon 53 skipping PMOs, golodirsen and viltolarsen, have received conditional approval for treating patients due to their ability to restore dystrophin protein expression...We introduce how to quantify exon-skipping efficiencies and dystrophin rescue levels represented by RT-PCR and western blotting, respectively. The screening methods using immortalized patient myotubes can serve to find exon-skipping PMO drug candidates.
  • ||||||||||  Viltepso (viltolarsen) / Nippon Shinyaku
    Enrollment closed, Enrollment change, Trial completion date, Trial primary completion date:  Long-term Use of Viltolarsen in Boys With Duchenne Muscular Dystrophy in Clinical Practice (VILT-502) (clinicaltrials.gov) -  Oct 19, 2022   
    P4,  N=9, Active, not recruiting, 
    The screening methods using immortalized patient myotubes can serve to find exon-skipping PMO drug candidates. Enrolling by invitation --> Active, not recruiting | N=16 --> 9 | Trial completion date: Nov 2031 --> Oct 2032 | Trial primary completion date: Nov 2031 --> Sep 2032
  • ||||||||||  OCH-NCNP1 / Eisai
    Enrollment closed, Trial completion date, Trial primary completion date:  Phase II Clinical Trial of OCH-NCNP1 (clinicaltrials.gov) -  Sep 29, 2022   
    P2,  N=30, Active, not recruiting, 
    Enrolling by invitation --> Active, not recruiting | N=16 --> 9 | Trial completion date: Nov 2031 --> Oct 2032 | Trial primary completion date: Nov 2031 --> Sep 2032 Enrolling by invitation --> Active, not recruiting | Trial completion date: Aug 2022 --> May 2023 | Trial primary completion date: Aug 2022 --> May 2023
  • ||||||||||  brogidirsen (NS-089/NCNP-02) / Nippon Shinyaku, National Center of Neurology and Psychiatry
    Trial completion:  Exploratory Study of NS-089/NCNP-02 in DMD (clinicaltrials.gov) -  Sep 29, 2022   
    P1/2,  N=6, Completed, 
    Enrolling by invitation --> Active, not recruiting | Trial completion date: Aug 2022 --> May 2023 | Trial primary completion date: Aug 2022 --> May 2023 Enrolling by invitation --> Completed
  • ||||||||||  NS-089/NCNP-02 / Nippon Shinyaku, National Center of Neurology and Psychiatry
    A Phase I/II study of NS-089/NCNP-02, Exon 44 skipping drug, in patients with Duchenne muscular dystrophy (Poster area - Ballroom B1-B2) -  Aug 20, 2022 - Abstract #WMS2022WMS_298;    
    All motor function scales including NSAA consistently tend to decrease in part 1 stage, but their functions tend to improve in part 2 stage. Our first-in-human studies shall provide critical data of safety, potential efficacy and pharmacokinetics of NS-089/NCNP-02 for subsequent clinical development of NS-089/NCNP-02, with the ultimate aim of expanding treatment capacity for DMD and other neuromuscular conditions.
  • ||||||||||  Viltepso (viltolarsen) / Nippon Shinyaku, National Center of Neurology and Psychiatry
    Enrollment closed, Trial completion date, Trial primary completion date:  Study to Assess the Safety, Tolerability, and Efficacy of Viltolarsen in Ambulant and Non-Ambulant Boys With DMD (Galactic53) (clinicaltrials.gov) -  Jul 5, 2022   
    P2,  N=20, Active, not recruiting, 
    Our first-in-human studies shall provide critical data of safety, potential efficacy and pharmacokinetics of NS-089/NCNP-02 for subsequent clinical development of NS-089/NCNP-02, with the ultimate aim of expanding treatment capacity for DMD and other neuromuscular conditions. Recruiting --> Active, not recruiting | Trial completion date: May 2024 --> Sep 2023 | Trial primary completion date: May 2024 --> Aug 2023
  • ||||||||||  NS-089/NCNP-02 / Nippon Shinyaku, National Center of Neurology and Psychiatry
    A Phase I/II Study of NS-089/NCNP-02, Exon 44 Skipping Drug, in Patients with Duchenne Muscular Dystrophy (Poster Board Number: Tu-106; Hall D) -  May 6, 2022 - Abstract #ASGCT2022ASGCT_1711;    
    We then compared the efficiency of exon 44 skipping induced by NS-089/NCNP-02 in differentiated MYOD1-UDCs (UDC-myotubes) and muscle biopsy samples from all the subjects. Our first-in-human studies shall provide critical data of safety, efficacy and pharmacokinetics of NS-089/NCNP-02 for subsequent clinical development of NS-089/NCNP-02, with the ultimate aim of expanding treatment capacity for DMD and other neuromuscular conditions.
  • ||||||||||  OCH-NCNP1 / Eisai
    Trial completion date, Trial primary completion date:  Phase II Clinical Trial of OCH-NCNP1 (clinicaltrials.gov) -  Apr 11, 2022   
    P2,  N=30, Enrolling by invitation, 
    Our first-in-human studies shall provide critical data of safety, efficacy and pharmacokinetics of NS-089/NCNP-02 for subsequent clinical development of NS-089/NCNP-02, with the ultimate aim of expanding treatment capacity for DMD and other neuromuscular conditions. Trial completion date: Nov 2021 --> Aug 2022 | Trial primary completion date: Oct 2021 --> Aug 2022
  • ||||||||||  brogidirsen (NS-089/NCNP-02) / Nippon Shinyaku, National Center of Neurology and Psychiatry
    Trial completion date, Trial primary completion date:  Exploratory Study of NS-089/NCNP-02 in DMD (clinicaltrials.gov) -  Apr 11, 2022   
    P1/2,  N=6, Enrolling by invitation, 
    Trial completion date: Nov 2021 --> Aug 2022 | Trial primary completion date: Oct 2021 --> Aug 2022 Trial completion date: Dec 2021 --> May 2022 | Trial primary completion date: Sep 2021 --> May 2022
  • ||||||||||  brogidirsen (NS-089/NCNP-02) / Nippon Shinyaku, National Center of Neurology and Psychiatry
    New P2 trial:  Extension Study of NS-089/NCNP-02 in DMD (clinicaltrials.gov) -  Nov 25, 2021   
    P2,  N=6, Active, not recruiting, 
  • ||||||||||  brogidirsen (NS-089/NCNP-02) / Nippon Shinyaku, National Center of Neurology and Psychiatry
    Trial primary completion date:  Exploratory Study of NS-089/NCNP-02 in DMD (clinicaltrials.gov) -  Sep 1, 2021   
    P1/2,  N=6, Enrolling by invitation, 
    Recruiting --> Enrolling by invitation Trial primary completion date: Mar 2021 --> Sep 2021
  • ||||||||||  OCH-NCNP1 / Eisai
    Trial completion date, Trial primary completion date:  Phase II Clinical Trial of OCH-NCNP1 (clinicaltrials.gov) -  Mar 3, 2021   
    P2,  N=30, Enrolling by invitation, 
    Trial completion date: Aug 2021 --> Jan 2022 | Trial primary completion date: May 2021 --> Oct 2021 Trial completion date: Oct 2020 --> Nov 2021 | Trial primary completion date: Sep 2020 --> Oct 2021
  • ||||||||||  Viltepso (viltolarsen) / Nippon Shinyaku
    Trial completion date, Trial primary completion date:  MASTERKEY: Extension Study of NS-065/NCNP-01 in Boys With Duchenne Muscular Dystrophy (DMD) (clinicaltrials.gov) -  Apr 22, 2020   
    P2,  N=16, Active, not recruiting, 
    Trial completion date: Oct 2020 --> Nov 2021 | Trial primary completion date: Sep 2020 --> Oct 2021 Trial completion date: Dec 2020 --> Aug 2021 | Trial primary completion date: Dec 2020 --> May 2021