Study of SRP-4045 (Casimersen) and SRP-4053 (Golodirsen) in Participants With Duchenne Muscular Dystrophy (DMD) (ESSENCE)

  • End date
    Apr 30, 2024
  • participants needed
  • sponsor
    Sarepta Therapeutics, Inc.
Updated on 7 July 2022
muscular dystrophy
deletion mutation
forced vital capacity
duchenne muscular dystrophy


The main objective of this study is to evaluate the efficacy of SRP-4045 (casimersen) and SRP-4053 (golodirsen) compared to placebo in participants with DMD with out-of-frame deletion mutations amenable to skipping exon 45 and exon 53, respectively.


This is a double-blind, placebo-controlled, multi-center study to evaluate the efficacy and safety of SRP-4045 and SRP-4053. Eligible participants with out-of-frame deletion mutations amenable to exon 45 or 53 skipping will be randomized to receive once weekly intravenous (IV) infusions of 30 milligrams/kilograms (mg/kg) SRP-4045 or 30 mg/kg SRP-4053 respectively (combined-active group) or placebo for up to 96 weeks (the placebo-controlled period of the trial). This will be followed by an open-label extension period in which all participants will receive open-label active treatment for 48 weeks (up to Week 144 of study).

The study will enroll approximately 222 participants. Twice as many participants will be randomized to receive active treatment as will receive placebo (2:1 randomization).

Clinical efficacy will be assessed at regularly scheduled study visits, including functional tests, such as the 6-minute walk test (6MWT). All participants will undergo a muscle biopsy at baseline and a second muscle biopsy either at Week 48 or Week 96.

Safety will be assessed through the collection of adverse events (AEs), laboratory tests, electrocardiograms (ECGs), echocardiograms (ECHOs), vital signs, and physical examinations throughout the study.

Blood samples will be taken periodically throughout the study to assess the pharmacokinetics of both drugs.

Condition Duchenne Muscular Dystrophy
Treatment Placebo, SRP-4045, SRP-4053
Clinical Study IdentifierNCT02500381
SponsorSarepta Therapeutics, Inc.
Last Modified on7 July 2022


Yes No Not Sure

Inclusion Criteria

Genotypically confirmed DMD, with genetic deletion amenable to exon 45 or exon 53 skipping
Stable dose of oral corticosteroids for at least 24 weeks prior to Week 1, and the dose is expected to remain constant throughout the study (except for modifications to accommodate changes in weight)
Intact right and left biceps or 2 alternative upper muscle groups
Mean 6MWT ≥300 meters and ≤450 meters
Stable pulmonary function: forced vital capacity (FVC) ≥50% predicted

Exclusion Criteria

Treatment with gene therapy at any time
Previous treatment with SMT C1100 within 1 week prior to Week 1 and previous treatment with PRO045 (BMN 045), PRO053 (BMN 053), or PRO051 (BMN 051) within 24 weeks prior to Week 1
Current or previous treatment with any other experimental treatment within 12 weeks prior to Week 1
Major surgery within 3 months prior to Week 1
Presence of other clinically significant illness
Other inclusion/exclusion criteria may apply
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