Effect of Givinostat, an HDAC inhibitor, on disease milestones in Duchenne Muscular Dystrophy boys Paolo Bettica1, M.D., Ph.D., Giacomo P. Comi2, M.D., Enrico Bertini3, M.D., Giuseppe Vita3, M.D., Eugenio Mercuri4, M.D, Sara Cazzaniga1§, M.Sc. 1 Italfarmaco S.p.A., Italy; 2 Dino Ferrari Centre Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, University of Milan, Italy; 3 Bambino Gesù Children's Hospital, IRCCS, Rome. Italy; 3 University of Messina, NEMO Clinical Centre, Messina, Italy; 4 Catholic University, Rome, Italy; Corresponding Author§ email:
[email protected] PHASE 3 TRIAL Phase 3, multicentre, double blind, placebo controlled (2:1) study in 242 patients to What happens at study visits? • demonstrate that Givinostat oral suspension preserves muscle mass and slows down disease Informed Consent Paperwork • progression. The study is ongoing in USA, Canada and European countries. A total of 15 visits (every 3 months): • Blood draw more frequently during the first 3 months: • first month: weekly • second month: every 2 weeks • from the third month: every 3 months What does participant entail?: • Surveys (baseline, at 12 and 18 months) and Diaries • must be ambulant DMD boys from 6 years (every visit) of age, • Muscle tests every 3 months (6MWT, NSAA, 4SC, QMT) • on stable corticosteroid for at least 6 • Pulmonary Function test baseline, at 12 and 18 months months prior to start the treatment, • Thigh muscle MRI: baseline, at 12 and 18 months • able to perform the 4 stairs climb in no • Upon successful completion of the study, participants, more than 8 seconds and time to stand up regardless the ability to walk, will have the opportunity to in ≥ 3 and less than 10 seconds, enter into long term safety study and they will ALL receive the • do the MRI scan drug Givinostat Mechanism of Action in Duchenne Downstream effects of the Impact on the lack of dystrophin epigenetic effects of the lack of dystrophin Mechanical effects : .