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Muscular Dystrophy, DuchennePhase 3NCT03179631

Long-Term Outcomes of Ataluren in Duchenne Muscular Dystrophy

A Phase 3 study testing Ataluren in people with Muscular Dystrophy, Duchenne and Muscular Dystrophies, run by PTC Therapeutics at 64 sites in 18 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is a long-term study of ataluren in participants with nonsense mutation Duchenne muscular dystrophy. Read more about this study

Who is it for?
Ages 5 years and older, men only
What is being tested?
Ataluren
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
360 participants
Where
64 sitesin 18 countries
Study dates
6 Jul 2017to 25 Jul 2023
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 5 years and older
  • Men only
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male sex
  • Age ≥5 years
  • Phenotypic evidence of Duchenne Muscular Dystrophy
  • Nonsense point mutation in the dystrophin gene
  • Use of systemic corticosteroids (prednisone/prednisolone or deflazacort)for a minimum of 12 months immediately prior to start of study treatment, with no significant change in dosage or dosing regimen for a minimum of 3 months immediately prior to start of study treatment
  • 6MWD ≥150 meters
  • Ability to perform timed function tests within 30 seconds
  • Willingness and ability to comply with scheduled visits, drug administration plan, study procedures, laboratory tests, and study restrictions.

Who cannot join

  • Any change in prophylaxis treatment for cardiomyopathy within 1 month prior to start of study treatment.
  • Ongoing intravenous (IV) aminoglycoside or IV vancomycin therapy.
  • Prior or ongoing therapy with ataluren.
  • Known hypersensitivity to any of the ingredients or excipients of the study drug
  • Exposure to another investigational drug within 6 months prior to start of study treatment, or ongoing participation in any interventional clinical trial.
  • History of major surgical procedure within 12 weeks prior to start of study treatment, or expectation of major surgical procedure during the 72-week placebo-controlled treatment period.
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  • Requirement for daytime ventilator assistance or any use of invasive mechanical ventilation via tracheostomy.
  • Uncontrolled clinical symptoms and signs of congestive heart failure
  • Elevated serum creatinine or cystatin C at screening.

Trial locations and contacts

64 sites in 18 countries.

64 sites in 18 countries

United States22 sites
  • University of Michigan - CS Mott Children's Hospital

    Ann Arbor, Michigan, 48109

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

  • Children's Hospital of Michigan

    Detroit, Michigan, 48201

  • Cook Childrens Medical Center

    Fort Worth, Texas, 76104

  • Northwest Florida Clinical Research Group, LLC

    Gulf Breeze, Florida, 32561

  • Texas Children's Hospital

    Houston, Texas, 77030

  • Indiana University Health - Riley Child Neurology

    Indianapolis, Indiana, 46202

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • Children's Hospital of Los Angeles

    Los Angeles, California, 90027

  • University of Minnesota

    Minneapolis, Minnesota, 55455

  • Columbia University College of Physicians & Surgeons

    New York, New York, 10032

  • Children's Hospital of the King's Daughters

    Norfolk, Virginia, 23507

  • University of California, San Francisco (UCSF) - Benioff Children's Hospital - Oakland

    Oakland, California, 94143

  • Stanford University Medical Center

    Palo Alto, California, 94305

  • Phoenix Childrens Hospital

    Phoenix, Arizona, 85016

  • University of Pittsburgh School of Medicine

    Pittsburgh, Pennsylvania, 15224

  • Shriners Hospital for Children

    Portland, Oregon, 97239

  • University of California (UC) Davis Medical Center

    Sacramento, California, 95817

  • University Of Utah

    Salt Lake City, Utah, 84112

  • University of Texas Health Science Center at San Antonio

    San Antonio, Texas, 78229-3900

  • Loma Linda University Children's Hospital

    San Bernardino, California, 92408

  • Seattle Children's Hospital

    Seattle, Washington, 98105

Other trials in United States

India9 sites
  • Panchshil Hospital

    Ahmedabad, Gujarat, 380005

  • National Institute of Mental Health and Neurosciences

    Bengaluru, Karnataka, 560029

  • Postgraduate Institute of Medical Education and Research

    Chandigarh, 160012

  • Apollo Children's Hospital Chennai

    Chennai, Tamil Nadu, 600006

  • Nizam's Institute of Medical Sciences (NIMS)

    Hyderabad, Telangana, 500082

  • Apollo Gleneagles Hospital

    Kolkata, West Bengal, 700054

  • P.D. Hinduja Hospital

    Māhīm, Maharashtra, 400016

  • All India Institute of Medical Sciences

    New Delhi, 110029

  • Christian Medical College Hospital Vellore

    Vellore, Tamil Nadu, 632004

Other trials in India

China5 sites
  • General Hospital of Chinese Armed Police Forces

    Beijing, 100039

  • The First Affiliated Hospital of Fujian Medical University

    Fuzhou, 350005

  • Xiangya Hospital Central South University

    Hunan, 410008

  • Children's Hospital of Fudan University

    Shanghai, 200032

  • Shenzhen Children's Hospital

    Shenzhen, 518038

Other trials in China

Australia4 sites
  • Perth Children's Hospital

    Nedlands, Western Australia, 6009

  • The Royal Childrens Hospital

    Parkville, Victoria, 3052

  • Queensland Children's Hospital

    South Brisbane, Q4101

  • The Childrens Hospital at Westmead

    Westmead, New South Wales, 2145

Other trials in Australia

Brazil3 sites
  • Hospital de Clínicas da Universidade Federal de Minas Gerais

    Belo Horizonte, 30130-100

  • Universidade Federal do Rio de Janeiro

    Rio de Janeiro, 21.941-912

  • Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo - FMUSP

    São Paulo, 05403-000

Other trials in Brazil

Mexico3 sites
  • Hospital Angeles Chihuahua

    Chihuahua City, 31217

  • Instituto Nacional de Pediatría

    Mexico City, 04530

  • Instituto Nacional de Rehabilitacion

    Tlalpan, 14389

Other trials in Mexico

South Korea3 sites
  • Samsung Medical Center

    Seoul, 06351

  • Seoul National University Hospital

    Seoul, 3080

  • Pusan National University Yangsan Hospital

    Yangsan, Gyeongsangnam-do, 50612

Other trials in South Korea

Canada2 sites
  • Childrens Hospital London Health Sciences Centre

    London, Ontario, N6A5W9

  • Childrens Hospital of Eastern Ontario

    Ottawa, Ontario, K1H8L1

Other trials in Canada

Malaysia2 sites
  • Hospital Tunku Azizah Kuala Lumpur

    Kuala Lumpur, 50586

  • University Malaya Medical Centre (UMMC)

    Pantai, 59100

Other trials in Malaysia

Russia2 sites
  • Russian National Research Medical University n.a. N.I.Pirogov, structural branch - Research Clinical Institute of Pediatrics n.a. Academician Yu. E. Veltishchev

    Moscow, 125412

  • "Saint Petersburg State Paediatric Medical University" based at Consultative and Diagnostic Centre

    Saint Petersburg, 194100

Other trials in Russia

Taiwan2 sites
  • Kaohsiung Medical University Chung-Ho Memorial Hospital

    Kaohsiung City, 80756

  • National Taiwan University Hospital

    Taipei, 10002

Other trials in Taiwan

Bulgaria1 site
  • UMHAT Sofiamed

    Sofia, 1793

Other trials in Bulgaria

Hong Kong1 site
  • Queen Mary Hospital

    Hong Kong, SAR

Other trials in Hong Kong

Japan1 site
  • PTC Clinical Site

    Multiple Locations

Other trials in Japan

Poland1 site
  • Samodzielny Publiczny Centralny Szpital Kliniczny w Warszawie

    Warsaw, 02-097

Other trials in Poland

Puerto Rico1 site
  • University of Puerto Rico - School of Medicine

    San Juan, 00936-5067

Other trials in Puerto Rico

Thailand1 site
  • Siriraj Hospital

    Bangkok, 10700

Other trials in Thailand

Turkey (Türkiye)1 site
  • Istanbul University- Instanbul Medical Faculty

    Istanbul, 34093

Other trials in Turkey (Türkiye)

About this study

Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled Efficacy and Safety Study of Ataluren in Patients With Nonsense Mutation Duchenne Muscular Dystrophy and Open-Label Extension

This study is a long-term study of ataluren in participants with nonsense mutation Duchenne muscular dystrophy.

Read the detailed description

This study is a randomized, double-blind, placebo-controlled, 72-week study, followed by a 72-week open-label period. The purpose is to characterize the long-term effects of ataluren-mediated dystrophin restoration on disease progression. Participants will be randomized in a 1:1 ratio to ataluren or placebo. Participants will receive blinded study drug three times daily (TID) at morning, midday, and evening for 72 weeks, after which all participants will receive open-label ataluren for an additional 72 weeks (144 weeks in total). Study assessments will be performed at clinic visits every 12 weeks during the double-blind period and every 24 weeks during the open-label period.

Being tested
Ataluren, PLACEBO
Keywords
Duchenne Muscular Dystrophy, Dystrophinopathy, Nonsense Mutation, Premature Stop Codon, Becker Muscular Dystrophy, DMD/BMD, PTC124, Ataluren
Medical subject headings
Muscular Dystrophy, Duchenne, Muscular Dystrophies, Muscular Disorders, Atrophic, Muscular Diseases, Musculoskeletal Diseases, Neuromuscular Diseases, Nervous System Diseases, Genetic Diseases, X-Linked

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AtalurenDrug

    Also called PTC124

    10, 20 mg/kg

  • PLACEBODrug

    Also called Matching Placebo

    10, 20 mg/kg

Study groups in NCT03179631
Study groupRoleWhat they receive
AtalurenExperimentalParticipants will receive ataluren oral suspension 10 milligrams (mg)/kilogram (kg) in the morning, 10 mg/kg at midday, and 20 mg/kg in the evening each day for 72 weeks in DB treatment period and for an additional 72 weeks in open-label treatment period.
Receives: Drug: Ataluren
PlaceboPlacebo comparatorParticipants will receive placebo matched to ataluren oral suspension for 72 weeks in DB treatment period. After completion of DB treatment period, participants will receive ataluren oral suspension 10 mg/kg in the morning, 10 mg/kg at midday, and 20 mg/kg in the evening each day for 72 weeks in open-label treatment period.
Receives: Drug: PLACEBO

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. DB Period: Change From Baseline in 6-Minute Walk Distance (6MWD) at Week 72 - Modified Intention-to-treat (mITT) Population

    The 6MWD test is a non-encouraged test performed in a 30 meters long flat corridor, where the participant is instructed to walk as far as possible, back and forth around two cones, with the permission to slow down, rest, or stop if needed. Ambulation was assessed via the 6MWD test following standardized procedures. Participants were not permitted to use assistive devices (walker, long leg braces, or short leg braces) during the 6MWD test. Participants with confirmed loss of ambulation at a particular visit were assigned a 6MWD result of 0. Baseline was defined as the maximum measurement of valid Day 1 and Day 2 6MWD values. Least square (LS) mean and standard error (SE) was calculated using the mixed-model repeated measures (MMRM).

    Measured: Baseline, Week 72

  2. DB Period: Change From Baseline in 6MWD at Week 72 - Intent-to-Treat (ITT) Population

    The 6MWD test is a non-encouraged test performed in a 30 meters long flat corridor, where the participant is instructed to walk as far as possible, back and forth around two cones, with the permission to slow down, rest, or stop if needed. Ambulation was assessed via the 6MWD test following standardized procedures. Participants were not permitted to use assistive devices (walker, long leg braces, or short leg braces) during the 6MWD test. Participants with confirmed loss of ambulation at a particular visit were assigned a 6MWD result of 0. Baseline was defined as the maximum measurement of valid Day 1 and Day 2 6MWD values. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  3. DB Period: Average Rate of Change From Baseline in 6MWD at Week 72 - mITT Population

    The 6MWD test is a non-encouraged test performed in a 30 meters long flat corridor, where the participant is instructed to walk as far as possible, back and forth around two cones, with the permission to slow down, rest, or stop if needed. Ambulation was assessed via the 6MWD test following standardized procedures. Participants were not permitted to use assistive devices (walker, long leg braces, or short leg braces) during the 6MWD test. Participants with confirmed loss of ambulation at a particular visit were assigned a 6MWD result of 0. Baseline was defined as the maximum measurement of valid Day 1 and Day 2 6MWD values. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  4. DB Period: Average Rate of Change From Baseline in 6MWD at Week 72 - ITT Population

    The 6MWD test is a non-encouraged test performed in a 30 meters long flat corridor, where the participant is instructed to walk as far as possible, back and forth around two cones, with the permission to slow down, rest, or stop if needed. Ambulation was assessed via the 6MWD test following standardized procedures. Participants were not permitted to use assistive devices (walker, long leg braces, or short leg braces) during the 6MWD test. Participants with confirmed loss of ambulation at a particular visit were assigned a 6MWD result of 0. Baseline was defined as the maximum measurement of valid Day 1 and Day 2 6MWD values. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

Secondary outcomes (35)
  1. DB Period: Change From Baseline in Time to Run/Walk 10 Meters at Week 72 - mITT Population

    During the test for walking/running 10 meters, the method of walk/run used by the participant was categorized as follows: 1. Unable to walk independently; 2. Unable to walk independently but can walk with support from a person or with assistive device (full leg calipers [knee-ankle-foot orthoses] or walker); 3. Highly adapted gait, wide-based lordotic gait, cannot increase walking speed; 4. Moderately adapted gait, can pick up speed but cannot run; 5. Able to pick up speed but runs with a double stance phase (that is, cannot achieve both feet off the ground); 6. Runs and gets both feet off the ground (with no double stance phase). Participants who could not perform a timed function test (TFT) within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  2. DB Period: Change From Baseline in Time to Run/Walk 10 Meters at Week 72 - ITT Population

    During the test for walking/running 10 meters, the method of walk/run used by the participant was categorized as follows: 1. Unable to walk independently; 2. Unable to walk independently but can walk with support from a person or with assistive device (full leg calipers [knee-ankle-foot orthoses ] or walker); 3. Highly adapted gait, wide-based lordotic gait, cannot increase walking speed; 4. Moderately adapted gait, can pick up speed but cannot run; 5. Able to pick up speed but runs with a double stance phase (that is, cannot achieve both feet off the ground); 6. Runs and gets both feet off the ground (with no double stance phase). Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  3. DB Period: Change From Baseline in Time to Climb 4 Stairs at Week 72 - mITT Population

    During the test for stair-climbing, the method of climbing used by the participant was categorized as follows: 1. Unable to up climb 4 standard stairs; 2. Climbs 4 standard stairs "marking time" (climbs one foot at a time, with both feet on a step before moving to next step), using both arms on one or both handrails; 3. Climbs 4 standard stairs "marking time", using one arm on one handrail; 4. Climbs 4 standard stairs "marking time", not needing handrail; 5. Climbs 4 standard stairs alternating feet, needs handrail for support; 6. Climbs 4 standard stairs alternating feet, not needing handrail support. Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  4. DB Period: Change From Baseline in Time to Climb 4 Stairs at Week 72 - ITT Population

    During the test for stair-climbing, the method of climbing used by the participant was categorized as follows: 1. Unable to up climb 4 standard stairs; 2. Climbs 4 standard stairs "marking time" (climbs one foot at a time, with both feet on a step before moving to next step), using both arms on one or both handrails; 3. Climbs 4 standard stairs "marking time", using one arm on one handrail; 4. Climbs 4 standard stairs "marking time", not needing handrail; 5. Climbs 4 standard stairs alternating feet, needs handrail for support; 6. Climbs 4 standard stairs alternating feet, not needing handrail support. Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  5. DB Period: Change From Baseline in Time to Descend 4 Stairs at Week 72 - mITT Population

    During the test for stair-descending, the method of descending used by the participant was categorized as follows: 1. Unable to descend 4 standard stairs; 2. Descends 4 standard stairs "marking time" (climbs one foot at a time, with both feet on a step before moving to next step), using both arms on one or both handrails; 3. Descends 4 standard stairs "marking time", using one arm on one handrail; 4. Descends 4 standard stairs "marking time", not needing handrail; 5. Descends 4 standard stairs alternating feet, needs handrail for support; 6. Descends 4 standard stairs alternating feet, not needing handrail support. Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  6. DB Period: Change From Baseline in Time to Descend 4 Stairs at Week 72 - ITT Population

    During the test for stair-descending, the method of descending used by the participant was categorized as follows: 1. Unable to descend 4 standard stairs; 2. Descends 4 standard stairs "marking time" (climbs one foot at a time, with both feet on a step before moving to next step), using both arms on one or both handrails; 3. Descends 4 standard stairs "marking time", using one arm on one handrail; 4. Descends 4 standard stairs "marking time", not needing handrail; 5. Descends 4 standard stairs alternating feet, needs handrail for support; 6. Descends 4 standard stairs alternating feet, not needing handrail support. Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  7. DB Period: Composite of Average Change From Baseline in TFTs at Week 72 - mITT Population

    The composite TFT was defined as the average in times to run/walk 10 meters, climb 4 stairs, and descend 4 stairs. Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement (average in times to run/walk 10 meters, climb 4 stairs, and descend 4 stairs) on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  8. DB Period: Composite of Average Change From Baseline in TFTs at Week 72 - ITT Population

    The composite TFT was defined as the average in times to run/walk 10 meters, climb 4 stairs, and descend 4 stairs. Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement (average in times to run/walk 10 meters, climb 4 stairs, and descend 4 stairs) on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  9. DB Period: Composite of Average Rate of Change From Baseline in TFTs at Week 72 - mITT Population

    The composite TFT was defined as the average in times to run/walk 10 meters, climb 4 stairs, and descend 4 stairs. Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement (average in times to run/walk 10 meters, climb 4 stairs, and descend 4 stairs) on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  10. DB Period: Composite of Average Rate of Change From Baseline in TFTs at Week 72 - ITT Population

    The composite TFT was defined as the average in times to run/walk 10 meters, climb 4 stairs, and descend 4 stairs. Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement (average in times to run/walk 10 meters, climb 4 stairs, and descend 4 stairs) on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  11. DB Period: Time to Persistent 10% Worsening in 6MWD at Week 72 - mITT Population

    The 6MWD test is a non-encouraged test performed in a 30 meters long flat corridor, where the participant is instructed to walk as far as possible, back and forth around two cones, with the permission to slow down, rest, or stop if needed. Ambulation was assessed via the 6MWD test following standardized procedures. Participants were not permitted to use assistive devices (walker, long leg braces, or short leg braces) during the 6MWD test. Time to 10% persistent worsening in 6MWD was defined as the last time that 6MWD was not 10% worse compared with baseline. Participants who did not have 10% 6MWD worsening were censored at the time of the last 6-minute walk test during the DB period.

    Measured: Baseline to Week 72

  12. DB Period: Time to Persistent 10% Worsening in 6MWD - ITT Population

    6MWD test is a non-encouraged test performed in a 30 meters long flat corridor, where participant is instructed to walk as far as possible, back and forth around two cones, with permission to slow down, rest, or stop if needed. Ambulation was assessed via 6MWD test following standardized procedures. Participants were not permitted to use assistive devices (walker, long leg braces, or short leg braces) during 6MWD test. Time to 10% persistent worsening in 6MWD was defined as the last time that 6MWD was not 10% worse compared with baseline. Participants who did not have 10% 6MWD worsening were censored at the time of last 6-minute walk test during DB period. Due to COVID, there were many participants who participated in the protocol-defined Week 72 visit late. Due to this reason, the calculated median for the time to event for the Ataluren arm in the DB period were greater than Week 72.

    Measured: Baseline to approximately Week 72 (Due to COVID, many participants attended the protocol-defined Week 72 visit late)

  13. DB Period: Change From Baseline in North Start Ambulatory Assessment (NSAA) Total Score at Week 72 - mITT Population

    The NSAA total score in the original scale is the sum of scores from 16 activities (excluding head lift). Each activity was scored as 0 (activity couldn't be performed), 1 (modified method, achieved goal without assistance), or 2 (normal, achieved goal without assistance). The total score ranges from 0 to 32, where higher scores indicate better functioning. If fewer than 13 of the 16 activities were performed, the total score was considered missing. If from 13 to 16 activities were performed, the total score was standardized by (observed total score / number of non-missing activities) x 16. If an activity could not be performed due to disease progression, a score of 0 was assigned. Baseline was defined as the last observed measurement on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  14. DB Period: Change From Baseline in NSAA Total Score at Week 72 - ITT Population

    The NSAA total score in the original scale is the sum of scores from 16 activities (excluding head lift). Each activity was scored as 0 (activity couldn't be performed), 1 (modified method, achieved goal without assistance), or 2 (normal, achieved goal without assistance). The total score ranges from 0 to 32, where higher scores indicate better functioning. If fewer than 13 of the 16 activities were performed, the total score was considered missing. If from 13 to 16 activities were performed, the total score was standardized by (observed total score / number of non-missing activities) x 16. If an activity could not be performed due to disease progression, a score of 0 was assigned. Baseline was defined as the last observed measurement on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 72

  15. DB Period: Time to Loss of Ambulation - mITT Population

    Time to loss of ambulation was defined as persistent inability to perform the 10-meter run/walk test within 30 seconds at any post-baseline visit and for all remaining visits. Due to COVID, there were many participants who participated in the protocol-defined Week 72 visit late. Due to this reason, the calculated median and 95% CI for the time to event for the Ataluren arm in the DB period were greater than Week 72.

    Measured: Baseline up to approximately Week 72 (Due to COVID, many participants attended the protocol-defined Week 72 visit late)

  16. DB Period: Time to Loss of Ambulation Over 72 Weeks - ITT Population

    Time to loss of ambulation was defined as persistent inability to perform the 10-meter run/walk test within 30 seconds at any post-baseline visit and for all remaining visits.

    Measured: Baseline up to Week 72

  17. DB Period: Time to Loss of Stair-Climbing - mITT Population

    Time to loss of stair-climbing was defined as persistent inability to perform the 4-stair climb test within 30 seconds at any post-baseline visit and for all remaining visits. Due to COVID, there were many participants who participated in the protocol-defined Week 72 visit late. Due to this reason, the calculated median and 95% CI for the time to event for the Ataluren arm in the DB period were greater than Week 72.

    Measured: Baseline up to approximately Week 72 (Due to COVID, many participants attended the protocol-defined Week 72 visit late)

  18. DB Period: Time to Loss of Stair-Climbing - ITT Population

    Time to loss of stair-climbing was defined as persistent inability to perform the 4-stair climb test within 30 seconds at any post-baseline visit and for all remaining visits. Due to COVID, there were many participants who participated in the protocol-defined Week 72 visit late. Due to this reason, the calculated median and 95% CI for the time to event for the Ataluren arm in the DB period were greater than Week 72.

    Measured: Baseline up to approximately Week 72 (Due to COVID, many participants attended the protocol-defined Week 72 visit late)

  19. DB Period: Time to Loss of Stair-Descending - mITT Population

    Time to loss of stair-descending was defined as persistent inability to perform the 4-stair descend test within 30 seconds at any post-baseline visit and for all remaining visits. Due to COVID, there were many participants who participated in the protocol-defined Week 72 visit late. Due to this reason, the calculated median and 95% CI for the time to event for the Ataluren arm in the DB period were greater than Week 72.

    Measured: Baseline up to approximately Week 72 (Due to COVID, many participants attended the protocol-defined Week 72 visit late)

  20. DB Period: Time to Loss of Stair-Descending - ITT Population

    Time to loss of stair-descending was defined as persistent inability to perform the 4-stair descend test within 30 seconds at any post-baseline visit and for all remaining visits. Due to COVID, there were many participants who participated in the protocol-defined Week 72 visit late. Due to this reason, the calculated median and 95% CI for the time to event for the Ataluren arm in the DB period were greater than Week 72.

    Measured: Baseline up to approximately Week 72 (Due to COVID, many participants attended the protocol-defined Week 72 visit late)

  21. DB Period: Number of Participants With Function Loss of NSAA Items at Week 72 - mITT Population

    Function loss was defined as a drop of score from 1 or 2 at baseline to a score of 0 at the specified post-baseline of NSAA items. The missing assessments at post baseline visits were imputed using last observation carried forward (LOCF).

    Measured: Week 72

  22. DB Period: Number of Participants With Function Loss of NSAA Items at Week 72 - ITT Population

    Function loss was defined as a drop of score from 1 or 2 at baseline to a score of 0 at the specified post-baseline of NSAA items. The missing assessments at post baseline visits were imputed using LOCF.

    Measured: Week 72

  23. DB Period: Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious AEs. A TEAE was defined as an AE that occurred or worsened on or after the first dose of study drug and up to 4 weeks after the last dose of double-blind study drug and prior to the first dose of open-label treatment. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'.

    Measured: Baseline up to Week 76

  24. Overall Treatment Period: Change From Baseline in 6MWD at Week 144

    The 6MWD test is a non-encouraged test performed in a 30 meters long flat corridor, where the participant is instructed to walk as far as possible, back and forth around two cones, with the permission to slow down, rest, or stop if needed. Ambulation was assessed via the 6MWD test following standardized procedures. Participants were not permitted to use assistive devices (walker, long leg braces, or short leg braces) during the 6MWD test. Participants with confirmed loss of ambulation at a particular visit were assigned a 6MWD result of 0. Baseline was defined as the maximum measurement of valid Day 1 and Day 2 6MWD values. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 144

  25. Overall Treatment Period: Composite of Average Change From Baseline in TFTs at Week 144

    The composite TFT was defined as the average in times to run/walk 10 meters, climb 4 stairs, and descend 4 stairs. Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement (average in times to run/walk 10 meters, climb 4 stairs, and descend 4 stairs) on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 144

  26. Overall Treatment Period: Change From Baseline in Time to Run/Walk 10 Meters at Week 144

    During the test for walking/running 10 meters, the method of walk/run used by the participant was categorized as follows: 1. Unable to walk independently; 2. Unable to walk independently but can walk with support from a person or with assistive device (full leg calipers [knee-ankle-foot orthoses ] or walker); 3. Highly adapted gait, wide-based lordotic gait, cannot increase walking speed; 4. Moderately adapted gait, can pick up speed but cannot run; 5. Able to pick up speed but runs with a double stance phase (that is, cannot achieve both feet off the ground); 6. Runs and gets both feet off the ground (with no double stance phase). Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 144

  27. Overall Treatment Period: Change From Baseline in Time to Climb 4 Stairs at Week 144

    During the test for stair-climbing, the method of climbing used by the participant was categorized as follows: 1. Unable to up climb 4 standard stairs; 2. Climbs 4 standard stairs "marking time" (climbs one foot at a time, with both feet on a step before moving to next step), using both arms on one or both handrails; 3. Climbs 4 standard stairs "marking time", using one arm on one handrail; 4. Climbs 4 standard stairs "marking time", not needing handrail; 5. Climbs 4 standard stairs alternating feet, needs handrail for support; 6. Climbs 4 standard stairs alternating feet, not needing handrail support. Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 144

  28. Overall Treatment Period: Change From Baseline in Time to Descend 4 Stairs at Week 144

    During the test for stair-descending, the method of descending used by the participant was categorized as follows: 1. Unable to descend 4 standard stairs; 2. Descends 4 standard stairs "marking time" (climbs one foot at a time, with both feet on a step before moving to next step), using both arms on one or both handrails; 3. Descends 4 standard stairs "marking time", using one arm on one handrail; 4. Descends 4 standard stairs "marking time", not needing handrail; 5. Descends 4 standard stairs alternating feet, needs handrail for support; 6. Descends 4 standard stairs alternating feet, not needing handrail support. Participants who could not perform a TFT within 30 seconds, including those who loss of ambulation or the TFT was above 30 seconds, a value of 30 seconds was used. Baseline was defined as the last observed measurement on or prior to the first dose of study drug. LS mean and SE was calculated using the MMRM.

    Measured: Baseline, Week 144

  29. Overall Treatment Period: Change From Baseline in NSAA Total Score at Week 144

    The NSAA total score in the original scale is the sum of scores from 16 activities (excluding head lift). Each activity was scored as 0 (activity couldn't be performed), 1 (modified method, achieved goal without assistance), or 2 (normal, achieved goal without assistance). The total score ranges from 0 to 32, where higher scores indicate better functioning. If fewer than 13 of the 16 activities were performed, the total score was considered missing. If from 13 to 16 activities were performed, the total score was standardized by (observed total score / number of non-missing activities) x 16. If an activity could not be performed due to disease progression, a score of 0 was assigned. Baseline was defined as the last observed measurement on or prior to the first dose of study drug. LS mean and SE was calculated using analysis of covariation (ANCOVA) with multiple imputation.

    Measured: Baseline, Week 144

  30. Overall Treatment Period: Time to Loss of Ambulation Over 144 Weeks

    Time to loss of ambulation was defined as persistent inability to perform the 10-meter run/walk test within 30 seconds at any post-baseline visit and for all remaining visits.

    Measured: Baseline up to Week 144

  31. Overall Treatment Period: Time to Loss of Stair-Climbing Over 144 Weeks

    Time to loss of stair-climbing was defined as persistent inability to perform the 4-stair climb test within 30 seconds at any post-baseline visit and for all remaining visits.

    Measured: Baseline up to Week 144

  32. Overall Treatment Period: Time to Loss of Stair- Descending Over 144 Weeks

    Time to loss of stair-descending was defined as persistent inability to perform the 4-stair descend test within 30 seconds at any post-baseline visit and for all remaining visits.

    Measured: Baseline up to Week 144

  33. Overall Treatment Period: Number of Participants With Function Loss of NSAA Items at Week 144

    Function loss was defined as a drop of score from 1 or 2 at baseline to a score of 0 at the specified post-baseline in NSAA items. The missing assessments at post baseline visits were imputed using LOCF.

    Measured: Week 144

  34. Overall Treatment Period: Number of Participants With TEAEs

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious AEs. A TEAE was defined as an AE that occurs or worsens on or after the first dose of ataluren (regardless of double-blind or open-label) and up to 4 weeks after the last dose of ataluren. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'.

    Measured: Baseline up to Week 148

  35. OL Period: Plasma Pharmacokinetic (PK) Concentration of Ataluren

    Measured: Predose and 2 hours postdose at Week 144

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jun 2017
  2. Study start6 Jul 2017
  3. Primary completion5 Mar 2022
  4. Study completion25 Jul 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study describes the randomized, double-blind, placebo-controlled, 72-week study and its 72-week open-label extension
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
360 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03179631
Sponsor's protocol ID
PTC124-GD-041-DMD
Status last verified
Feb 2026
First submitted
1 Jun 2017
Last updated
10 Mar 2026
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Wu S, Vlodavets D, de Queiroz Campos Araujo AP, Castle J. Ataluren for the treatment of people living with nonsense mutation Duchenne muscular dystrophy: a plain language summary of Study 041. J Comp Eff Res. 2026 Apr;15(4):e250184. doi: 10.57264/cer-2025-0184. Epub 2026 Mar 25.

    PubMed 41879641

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ataluren in people with Muscular Dystrophy, Duchenne and Muscular Dystrophies, run by PTC Therapeutics at 64 sites in 18 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 64 sites in United States, India, China, Australia, Brazil and 13 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 10 Mar 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

DB Period: Change From Baseline in 6-Minute Walk Distance (6MWD) at Week 72 - Modified Intention-to-treat (mITT) Population (time frame: Baseline, Week 72). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03179631, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Mar 2026.

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