Study of ATX-01 for Myotonic Dystrophy Type 1 (DM1)

This study is testing a drug called ATX-01 in people with Myotonic Dystrophy Type 1 (DM1). DM1 is a genetic condition that causes muscle weakness and other problems. The main goal is to see if ATX-01 is safe and well-tolerated. Researchers will compare ATX-01 to a placebo (an inactive substance) to understand its effects. ATX-01 works by blocking a specific microRNA called miR-23b. To join, you must be between 18 and 64 years old, have a confirmed DM1 diagnosis with a specific genetic marker (CTG expansion of >150 repeats in the DMPK gene), and be able to walk 10 meters without assistance (except for ankle-foot orthoses). The study is currently unclear about its recruitment status and plans to enroll 56 participants.

Study design
This is an interventional study comparing ATX-01 to a placebo. It will involve a single-ascending dose part and a multiple-ascending dose part, with 56 planned participants.
What's involved
In the single-ascending dose part, participants will receive one dose of ATX-01 or placebo. In the multiple-ascending dose part, participants will receive three doses of ATX-01 or placebo.
Compensation
Not stated in the trial record.
Follow-up
Participants will be monitored for adverse events for up to 120 days.

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NCT06300307

Study of ATX-01 in Participants With DM1

Recruiting
PHASE1Ages 18–64InterventionalTreatment
ARTHEx Biotech S.L.
~56 participants
Updated 2026-02-10 on ClinicalTrials.gov
What's tested:ATX-01Placebo

At a glance

Recruiting sites
12 of 12 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Incidence of adverse events
Measured over Up to 120 days
Myotonic Dystrophy 1
12 sites across 11 states
Italy2
California1
Florida1
Iowa1
Kansas1
Virginia1
Quebec1
France1

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Eligibility criteria

Inclusion

Participants with a documented clinical diagnosis of DM1 (CTG expansion of \>150 repeats in DMPK gene measured in peripheral blood mononuclear cells)
Ambulatory, defined as able to complete a 10-meter walk/run test at screening without the use of assistive devices such as canes, walkers, or orthoses, except for ankle-foot orthoses
Presence for \>3 seconds of grip myotonia as confirmed by a central reader

Exclusion

Participants with congenital DM1
Medical Research Council Muscle Scale score of less than 4 on ankle dorsiflexion or significant tibialis anterior atrophy that prevents a muscle biopsy
Use of mexiletine or other agent for myotonia within 21 days or 5 half-lives, whichever is longer, prior to screening
  • Incidence of adverse eventsUp to 120 days

    To evaluate the safety and tolerability of ATX-01 in adult participants with DM1