Pharma Update
Elevidys development program
Largest development plans in the broadest patient population
Ph III EMBARK study design1
Additional Ph II/III studies
Randomisation (N=120)
Definitive diagnosis
of DMD
Confirmed DMD
mutation within
1:1
exons 18-44 or
46-79
Roche
Elevidys
Part 1:52 weeks*
Week 129
Week 52
Part 2:52 weeks'
Up to
5 years
ENVOL
Week 645
Week 104
delandistrogene
moxeparvovec
Muscle
Muscle
NSAA
placebo
NSAA
biopsy
biopsy
OLE
Study
Muscle
placebo
NSAA
biopsy
delandistrogene
moxeparvovec
Muscle
NSAA
biopsy
Part 1 patients will be randomized to treated or placebo
(1:1) and stratified according to age and NSAA
Primary endpoint
Change in NSAA total score from baseline to Week 52 in Part 1
Study 302
21 patients
Ages 0-3
Open label
•Safety (primary) and
Expression (secondary)
Excludes mutations 1-17
EU study population
ENVISION
Study 303
Older ambulatory (n=28) /
non-ambulatory patients
(n=120)
Total 148 patients
Double-blind,
placebo-controlled
No upper age restrictions
for non-ambulatory
patients
• Ambulatory: 8-18
●Primary endpoint: PUL
Excludes mutations 1-17
• Pivotal Ph III (EMBARK) trail: Two part design with an OLE study of up to 5 years; primary endpoint of change in NSAA total score from baseline to Week 52 in Part 1
⚫ Ph III (ENVOL; Study 302): Open label trial in 0-3 year olds with safety as primary endpoint and expression as secondary
⚫ Ph III (ENVISION; Study 303): Randomized trial in older ambulatory/non-ambulatory patients without an upper age restriction
• SV95C-SYDE, first ever digital endpoint approved as primary endpoint by EMA
1.Muntoni et al MDA 2022; *Double-blind, placebo-controlled. *Patients, caregivers, Investigators, and site staff remain blinded. Only a subset of patients will receive a muscle biopsy for expression assessments;
DMD=Duchenne muscular dystrophy; NSAA=North Star Ambulatory Assessment; PUL-performance of upper limb; OLE=Open label extension; Delandistrogene moxeparvovec in collaboration with Sarepta Therapeutics;
SV95C-Stride Velocity 95th Centile; SV95C-SYDE in collaboration with Sysnav
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